ECO2-NEONATAL ASSESSMENT
Directions: Use the Apgar Scale to evaluate the health status of each of the newborn infants described
below. Each correctly answered item is worth 1 point (maximum extra credit points = 5).
APGAR Scoring System
DIMENSION
0 POINTS
1 POINT
2 POINTS
Appearance
(Color)
Blue
Body pink, arms & legs
are blue
Completely pink
Pulse (Heart
Rate)
Pulse is absent
Pulse is slow <
100 beats per
minute
Pulse is normal
100 – 140 bpm
Grimace (Reflex
Irritability)
No response
Weak reflex
Strong reflex
Activity
(Muscle Tone)
Limp
Weak movement
Active motion
Respiration
(Breathing)
No breathing, absent
Slow, irregular, shallow
breathing
Good breathing,
strong cry
1. Josh is 1 minute old. He is not breathing; he appears blue; his heart rate is 50 bpm; he
is completely limp; and exhibits no response to a pinprick on the heel. What is Josh‘s
APGAR score? 1 point
2. Maria is 1 minute old. She is crying loudly; she appears completely pink; her heart rate
is 125 bpm; she is actively moving; and exhibits a weak response to a pinprick on the
heel. What is Maria’s APGAR score? 6 points
3. Caleb is 1 minute old. His breathing is shallow; his body is pink but his arms and legs
are tinged blue; his heart rate is 130 bpm; he is showing weak movement; and he
exhibits a weak response to a pinprick on the heel. What is Caleb‘s APGAR score? 6
points
4. Keiko’s APGAR score was a 7 at 1 minute of age. At 5 minutes, she is retested with the
4. Keiko’s APGAR score taken at 5 minutes would be 10 points __________.
5. DeShawn’s APGAR score taken at 5 minutes would be 5 points __________.
Scoring Rubric: Each correctly answered item is worth 1 points (Max score = 5)