APGAR Score: Newborn Nursing Assessment (2018)

Hey there friend, in this video we are going
to break down the newborn APGAR score so you can always get those questions right on your
nursing school exams. Now, if you want more videos on maternity,
labor and delivery, or pediatric nursing, write LOVE in the comments below to let me
know. And I can make that happen for you. Hey there friend, I’m Christina Rafano and
today we are talking about the APGAR score. I’ve received several emails from students
asking for more maternity, labor and delivery and pediatric nursing videos, so here we are. The APGAR score is a newborn assessment that
you MUST know in nursing school. If you don’t get the chance to actually do
an APGAR assessment at clinical, you absolutely will be tested on it on one of your exams. So I’ll break it down here super simple for
you. So, like I said, the APGAR assessment is one
of the assessments you’ll do on a new baby, a newborn. This assessment is done one minute after the
baby is born, and then again 5 minutes after the baby is born, and it just tells you how
that baby is doing. So APGAR stands for Appearance, Pulse, Grimace,
Activity, and Respiratory. Each of these categories is ranked on a scale
from 0-2. 0 meaning that the baby is not doing to well
in that particular category, and 2 meaning that they are doing pretty well in that category. So let’s walk through each of these. The A in APGAR stands for appearance, and
this means skin color. So what color is the baby? A score of 2 means that the baby’s skin is
a normal tone for them, their hands and feet should be pink. A score of one indicates that their body is
a normal skin color for them, but their hands and feet are blue-ish, this is called acrocyanosis,
where the hands and feet are blue-ish. And a score of zero means that this poor little
baby is blue or pale all over. The P in APGAR stands for pulse, and this
means heart rate. So what is their heart rate? A heart rate of greater than 100 beats per
minute would give a score of 2, if it’s less than 100 beats per minute it’s a score of
1, and if there is no pulse, it’s a score of 0. Now, make sure you caught that: if there is
a pulse, but it’s just less than 100 beats per minute, it’s a score of 1. A score of zero is only given if there is
NO pulse present. The G in APGAR stands for grimace, and this
one is testing reflexes or reflex irritability, basically how does our little bundle of joy
respond to stimulation? They would receive a score of 2 if they cried
with stimulation and was moving around, a score of one if their face was grimacing but
they didn’t make other movements to the stimulation, and a score of zero if they did not respond
to the stimulus. Now the other A stands for Activity, and here
we are looking at their muscle tone. So, do they flex their muscles and move their
body around? A score of 2 is given if they flex their arms
and legs and are pretty active, a score of 1 is given if they kind of flex their arms
and legs, and a score of 0 if they a limp. And finally, the R stands for respirations,
meaning how well are they breathing. A score of 2 would indicate that they have
a strong cry, so they’re breathing pretty well obviously because their cry is strong. A score of 1 is given if their breathing is
weak, and a score of 0 if their breathing is absent. Now, I know I said that you’ll do this assessment
one minute after birth, and then again 5 minutes after birth. However, if the baby scores less than 7 at
the 5 minute mark, their APGAR score will be repeated at 10 minutes. Now, a few key things to note about the APGAR
scare, the APGAR score does not diagnosis or predict any long term problems. It just gives you a better idea of the nursing
interventions and assessments that need to happen. So that is the APGAR score: appearance, pulse,
grimace, activity and respiratory. Now, if you want more maternity, labor and
delivery, or pediatric videos in the future, write LOVE in the comments below to let me
know. I want to make sure I’m creating videos that
you need, so if you want more videos on labor and delivery, peds, and maternity nursing,
write LOVE in the comments below. And make sure you hit that like button, share
this video with your friends, and of course, subscribe and hit the bell so you never miss
out on any other awesome nursing school videos. Thank you so much for watching friend, now
go become the nurse that God created only YOU to be. And I’ll see you next time on the nursing
school show. Take care.

14 thoughts on “APGAR Score: Newborn Nursing Assessment (2018)

  1. If you want more videos just like this one in the future, write the word "LOVE" in the comments below. ❤❤❤

  2. thanks for this video! do you have any others related to maternal/newborn nursing? specifically looking for a brainsheet for the maternal head-to-toe assessment, and infant head-to-toe 🙂

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