TYK100

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You are called to the delivery room to intubate a newly-born infant. On arrival (1 minute of life) you note that the baby is pale, limp, heart rate <100, grimace reflex present but no cry, and breathing irregular and slow. What is this infant’s one minute APGAR score?

a) 2

b) 3

c) 4

d) 5

e) 6

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Answer

Answer B.

The patient’s APGAR score is 3.

The five criteria are summarized using words chosen to form a backronym (Appearance, Pulse, Grimace, Activity, Respiration). From each column in the table below, the infant is given a score of 0, 1 or 2. The scores are added up and the total is their Apgar score.[1]

0 points for pale
1 point for heart rate <100
1 point for grimace reflex
0 points for limp
1 point for slow, irregular breathing
__
3

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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