Apgar score(redirected from Respiratory effort)
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Related to Respiratory effort: Apgar Score System
a method for determining an infant's condition at birth by scoring the heart rate, respiratory effort, muscle tone, reflex irritability, and color. The infant is rated from 0 to 2 on each of the five items, the highest possible score being 10. (See table.) Each of the factors is rated 60 seconds after birth and again five minutes later. The Apgar score is an objective way of assessing and describing an infant's adaptation to extrauterine life.
evaluation of a newborn infant's physical status by assigning numerical values (0-2) to each of five criteria: heart rate, respiratory effort, muscle tone, response stimulation, and skin color; a score of 8-10 indicates the best possible condition.
A system of assessing the general physical condition of a newborn infant based on a rating of 0, 1, or 2 for five criteria: heart rate, respiration, muscle tone, skin color, and response to stimuli. The five scores are added together, with a perfect score being 10.
Etymology: Virginia Apgar, American anesthesiologist, 1909-1974
an evaluation of a newborn's physical condition, usually performed 1 minute and again 5 minutes after birth, based on a rating of five factors that reflect the infant's ability to adjust to extrauterine life. The system rapidly identifies infants requiring immediate intervention or transfer to a neonatal intensive care unit.
method The infant's heart rate, respiratory effort, muscle tone, reflex irritability, and color are scored from a low value of 0 to a normal value of 2. The five scores are combined, and the totals at 1 minute and 5 minutes are noted; for example, Apgar 9/10 is a score of 9 at 1 minute and 10 at 5 minutes.
nursing considerations A low 1-minute score requires immediate intervention, including administration of oxygen, clearing of the nasopharynx, and usually transfer to a neonatal intensive care unit. A baby with a low score that persists at 5 minutes requires expert care, which may include assisted ventilation, umbilical catheterization, cardiac massage, blood gas analysis, correction of acid-base deficit, or medication to reverse the effects of maternal medication.
outcome criteria A score of 0 to 3 represents severe distress, a score of 4 to 7 indicates moderate distress, and a score of 7 to 10 indicates an absence of difficulty in adjusting to extrauterine life. The 5-minute total score is normally higher than the 1-minute score. Because a normal, vigorous, healthy newborn almost always has bluish hands and feet at 1 minute, the first score for color will include a 1 rather than a perfect 2; however, at 5 minutes the blueness may have passed, and a score of 2 may be given. A 5-minute overall score of 0 to 1 correlates with a 50% neonatal mortality rate; infants who survive exhibit three times as many neurological abnormalities at 1 year of age as do children with a 5-minute score of 7 or more.
APGAR scoreNeonatology, obstetrics A bedside test for evaluating a neonate's post-partum status and potential for survival, based on an acronym of Virginia Apgar's name; the higher the score, the better the infant will fare during the neonatal period
- Color–0 for blue, 2 for pink
- Heart rate–0 for none, 1 for <100/min, 2 for > 100/min
- Reflex–0 for none, 1 for grimace, 2 for cough/sneeze
- Muscle tone–0 for limp, 2 for full flexion
- Respiratory effort
- 0 for absent, 2 for strong crying
Ap·gar score(ap'gahr skōr)
Evaluation of a newborn infant's physical status by assigning numeric values (0-2) to each of 5 criteria: 1) heart rate, 2) respiratory effort, 3) muscle tone, 4) response to stimulation, and 5) skin color; a score of 8-10 indicates the best possible condition.
Apgar scoreA numerical index used to assess the state of well-being of a new-born baby. The figures 0, 1 or 2 are assigned to each of five variables - the heart rate, the breathing, the muscle tone, the reflex irritability and the skin colour, and added. A normal baby will score 7 to 10. (Virginia Apgar, American anaesthetist, 1909–74).
Apgar,Virginia, U.S. anesthesiologist, 1909-1974.
Apgar score - evaluation of a newborn infant's physical status by assigning numerical values to each of 5 criteria.