APGAR SCORE (Keperawatan Maternitas) Poltekkes Kemenkes Palembang

Summary

This video, created for a maternity nursing course, explains the Apgar Score, a method used to assess the health of newborns in the first few minutes after birth. The score is evaluated based on five criteria: appearance (skin color), pulse (heart rate), grimace (response to stimulation), activity (muscle tone), and respiration (breathing). The video emphasizes that the Apgar Score helps healthcare professionals determine if urgent intervention is necessary but does not predict long-term health or intelligence. It also outlines the classification of scores from 0 to 10, guiding decisions for necessary medical care.

Takeaways

• 😀 Apgar Score is a method used to assess the health of newborns in the first few minutes after birth, and it can be repeated at 10-15 minutes.
• 😀 Apgar Score is not a prediction of a baby's future health or intelligence but helps healthcare providers assess whether emergency action is necessary.
• 😀 A score of 10 is rare, and many healthy babies might have a lower score, especially during the first minute after birth.
• 😀 The Apgar Score consists of five criteria: Appearance (skin color), Pulse (heart rate), Grimace (reflex response), Activity (muscle tone), and Respiration (breathing).
• 😀 A score of 0-3 indicates severe asphyxia, requiring active resuscitation and controlled oxygen administration.
• 😀 A score of 4-6 indicates moderate asphyxia, where the baby needs airway cleaning, resuscitation, and additional oxygen until normal breathing resumes.
• 😀 A score of 7-10 on the first minute indicates that the baby is in good health and does not need immediate intervention.
• 😀 The scoring for each criterion: 0 for abnormal, 1 for slight, and 2 for normal, depending on the condition observed.
• 😀 The color (Appearance) criterion is scored based on whether the baby’s skin is pale, red, or fully pink.
• 😀 Healthcare providers collaborate to manage asphyxia cases, providing oxygen, monitoring vital signs, and ensuring warmth and proper respiration for normal newborns.

Q & A

What is the purpose of the Apgar score?

The Apgar score is used to assess the health of a newborn baby during the first minute after birth and again at five minutes. It helps healthcare professionals decide whether emergency action is needed.

What does the Apgar score not predict?

The Apgar score does not predict the long-term health or intelligence of the baby.

Why is the Apgar score still used today?

The Apgar score remains in use due to its accuracy, simplicity, and speed in assessing the newborn's condition.

What are the five criteria used in the Apgar score?

The five criteria are: Appearance (skin color), Pulse (heart rate), Grimace response (reflexes), Activity (muscle tone), and Respiration (breathing effort).

How is the color of the baby’s skin evaluated in the Apgar score?

The skin color is evaluated as follows: 0 for pale skin, 1 for pinkish skin, and 2 for fully pink skin indicating good circulation.

How is the baby's pulse (heart rate) scored in the Apgar score?

The heart rate is scored as 0 if no pulse is detected, 1 if the pulse is below 100 beats per minute, and 2 if it is above 100 beats per minute.

What does the grimace response measure in the Apgar score?

The grimace response measures the baby's reaction to stimuli such as a slight pinch. A score of 0 indicates no response, 1 shows a slight response, and 2 indicates crying or strong response.

What does the activity (muscle tone) refer to in the Apgar score?

Activity or muscle tone is evaluated based on the baby's movement. A score of 0 indicates no movement, 1 shows some movement, and 2 represents active movement of the limbs.

How is the baby's respiration assessed in the Apgar score?

Respiration is evaluated based on the baby's breathing effort: 0 for no breathing, 1 for weak or slow breathing, and 2 for strong crying.

What does a low Apgar score indicate?

A low Apgar score (0-3) indicates severe asphyxia, requiring immediate resuscitation. A score of 4-6 indicates moderate asphyxia, and a score of 7-10 indicates that the baby is in good condition.