You at the delivery of a term infant delivery the mother has no risk factors. At one minute of age the baby has a hr of 35, irregular rr effort, is limp ,has no reflexes and has a pale blue body. What would you recommend?
- Warm and stimulate the baby
- Monitor the baby to see if it improves on it’s own
- Apply blow by oxygen
- Start resuscitative efforts
For this question we need to know how to score an apgar and how to treat each apgar score.
Apgar scores are done at 1 and 5 minutes of birth. A number is given to the newborn’s condition, all the values are added up.and the number provides evaluation of the infant and provides a guide for interventions.
|HR||Absent||<100 bpm||>100 bpm|
|Muscle tone||Limp||Slight flexion ofextremities||Well flexed|
|Reflex||No response||Grimace||Cry, cough or sneeze|
|Color||Pale blue colorCentral cyanosis||Body pink but, extremities are blue acrocyanosis||pink|
- Apgar of 7-10, monitor patient
- Apgar of 4-6 Dry and stimulate, provide oxygen with a bag and mask,CPAP
- Apgar of 0-3 Provide resuscitation efforts
When do the apgar score it is 2, one point is for a hr less than 100 and one point for irregular respiratory effort. All rest of the categories score 0. With a an apgar of 2 we need to begin resuscitation efforts.