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APGAR Score Calculator

Neonatal assessment at 1, 5, and 10 minutes. Tap 0, 1, or 2 for each criterion.

00:00

Appearance (Skin Colour)

Assess colour of trunk and extremities

Pulse (Heart Rate)

Auscultate or palpate umbilical cord / brachial pulse

Grimace (Reflex Irritability)

Response to stimulation (suction catheter in nostril or flick foot)

Activity (Muscle Tone)

Assess limb flexion and resistance to extension

Respiration (Breathing Effort)

Observe chest rise and cry strength

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Score not yet calculated

Select scores for all five criteria to calculate.

— 1-minute APGAR

Score Log

1-Minute

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5-Minute

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10-Minute

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Score Interpretation

7–10

Normal / Reassuring

Routine care. Dry, warm, stimulate.

4–6

Moderate Concern

Stimulate, provide O₂, reassess. Prepare for resuscitation.

0–3

Immediate Action Required

Begin neonatal resuscitation. Warmth, airway, PPV.

NRP Initial Steps

Warm and dry — place under radiant warmer
Position airway — slight neck extension ("sniffing" position)
Clear airway — suction mouth then nose if secretions
Stimulate — rub back, flick soles
Assess HR, respirations, colour
If HR <100 or apnoeic → PPV at 40–60/min
If HR <60 after 30s PPV → CPR (3:1 ratio)
If HR <60 after CPR → adrenaline 0.01–0.03 mg/kg IV

APGAR Criteria Quick Ref

Sign	0	1	2
Colour	Pale/blue	Acrocyanosis	Pink all
HR	Absent	<100	≥100
Reflex	None	Grimace	Cry/cough
Tone	Limp	Some flex.	Active
Resp.	Absent	Weak/irreg	Strong cry

Note: APGAR score does not predict long-term outcome. It is a structured assessment tool to guide immediate management decisions. Resuscitation should not be delayed to obtain an APGAR score.