MCC Paramedic Program

Obstetrics Training

APGAR 1   Scores

Sign

0

1

2

Heart Rate

Absent

Slow (<100/min)

Normal
(>100/min)

Respirations

Absent

Weak

Strong (crying)

Muscle Tone

Limp

Some Flexion

Active Motion

Reflexes2

No Response

Grimaces

Cough or Sneeze

Color

All Blue or Pale

Extremities Blue

No Blue

Score at 1 minute and at 5 minutes.

A score of 0-3 is critical, 4-6 is depressed, 7-10 is normal.

NOTE: it is very unlikely that a new born will score a 10 at the 1 minute mark.

 

1 APGAR is an acronym for Appearance "color", Pulse "heart rate", Grimace "reflexes", Activity "muscle tone", Respiration

2 Reflex to a stimulus such as nasal suctioning or rough toweling.