Virginia Apgar built her score to standardise what people meant when they said a baby “looked bad”. Build one component by component and watch the resuscitation decision run ahead of the total. Then read five heads — caput, cephalhaematoma and the subgaleal haemorrhage that can bleed a newborn into shock — classify the measurements, and sort sixteen findings into normal variant or escalate.
Examine the newborn
Load a newborn
Score each component
APGAR total0
Head 1 of 5
Named correctly0 of 0
Weight check later in the stay
Every one of these is measured, never estimated. Head circumference is taken at the widest point, just above the eyebrows and over the occipital prominence, and remeasured once moulding resolves.
Finding 1 of 16
Sorted correctly0 of 0
Score the transitionAssessment and intervention run at the same time
Waiting
Score each of the five components on the left.
Read the headThree swellings look similar and mean very different things
Name each head on the left. Every answer is explained.
Measure and classifyWeight for gestational age, then gestation itself
Waiting
Enter the measurements on the left.
Normal or escalateNever normal: central cyanosis, pallor, jaundice under 24 hours, petechiae outside the presenting part
Sort each finding on the left. Every answer is explained.