Apgar Scores for Newborns

Sign 0 Points 1 Point 2 Points

Activity (Muscle Tone) Absent Arms and Legs Flexed Active Movement

Pulse Absent Below 100 bpm Above 100 bpm

Grimace (Reflex Irritability) No Response Grimace Sneeze, cough, pulls away

Appearance (Skin Color) Blue-gray, pale all over Normal, except for extremities Normal over entire body

Respiration Absent Slow, irregular Good, crying

Sign	0 Points	1 Point	2 Points
Activity (Muscle Tone)	Absent	Arms and Legs Flexed	Active Movement
Pulse	Absent	Below 100 bpm	Above 100 bpm
Grimace (Reflex Irritability)	No Response	Grimace	Sneeze, cough, pulls away
Appearance (Skin Color)	Blue-gray, pale all over	Normal, except for extremities	Normal over entire body
Respiration	Absent	Slow, irregular	Good, crying

A score is given for each sign at one minute and five minutes after the birth. If there are problems with the baby an additional score is given at 10 minutes. A score of 7-10 is considered normal, while 4-7 might require some resuscitative measures, and a baby with apgars of 3 and below requires immediate resuscitation.