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OB - APGAR Scoring

AB
APGAR -airway, pulse, gross motor, appearance, reflexes
APGAR given at1 minute then 5 minutes after birth
A = airway0 absent - 1 weak, irregular 2 crying
each category gets0 - 2 points
initally use ____ to initiate breathingtactile
P = pulse0 absent - 1 below 100 - 2 above 100
listen to apical pulse withstethoscope
heart rates less than 100stimulate and give ox
heart rates less than 90 or absentchest compressions
G = gross motor - muscle tone0 flaccid, limp - 1 some flexion - 2 well flexed
tone may be decreased due tolack of ox
A = appearance - color0 blue, pale - 1 body pink, extremities blue - 2 completely pink
if infant is cyanotic, giveox
R = reflexes irritability0 no response 1 grimace 2 cough sneeze gag
R = reflexes tested bycatheter in nose
first breath caused byclamping of cord
stomach capacity about6 ml at birth - increases to 90 ml in a few days
meconium should be passedfirst 12 hours
Vit K size of needle5/8 smallest gauge



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