Free tool
Pick the finding for each of the five Apgar signs and get the 0 to 10 total, with the repeat-at-10-minutes and escalation rules the NCLEX-RN course teaches. An exam study aid, not for clinical use.
Built for NCLEX-RNPick a finding for each sign.
Scoring tables are pure recall, which is what spaced repetition is best at. Encodr schedules Apgar, Braden and the other NCLEX-RN scales so you see them just before you would forget them.
Get started freeThe Apgar score rates five signs - heart rate, respiratory effort, muscle tone, reflex irritability and color - at 1 and 5 minutes after birth. Each sign scores 0, 1 or 2, so the total runs from 0 to 10. Heart rate is 0 if absent, 1 if under 100 and 2 if 100 or more. Respirations score 0 if absent, 1 if slow, irregular or weak, and 2 for a strong cry. Muscle tone is 0 if floppy, 1 for some flexion and 2 for active motion. Reflex irritability is 0 for no response, 1 for a grimace and 2 for a cry or active withdrawal. Color is 0 if blue or pale, 1 for a pink body with blue hands and feet (acrocyanosis) and 2 if completely pink.
Two rules matter on the exam. If the 5-minute score is under 7, the Apgar is repeated at 10 minutes. A 1-minute score of 6 or lower triggers escalation of care. The score describes how the newborn is making the transition; it does not predict long-term neurologic outcome.
Worked examples: heart rate 140 (2), strong cry (2), some flexion (1), cries on stimulation (2) and a pink body with blue hands (1) total 8. Heart rate 90 (1), slow irregular breathing (1), floppy (0), grimace only (1) and pale (0) total 3. More in the Apgar score chart explained, and the newborn unit is in the free NCLEX-RN deck.
This tool is a study aid. A real newborn is scored by the care team using the facility's protocol.
The Apgar score chart explained: the five signs, the 0, 1 and 2 rows, when it is repeated at 10 minutes, what a low score triggers, and worked examples.
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