APGAR Scoring Chart

Clinical Signs Zero One Two
A = Appearance (Color) Blue, pale Body pink, Extremities blue All pink
P = Pulse (Heart Rate) Absent <100 >100
G = Grimace (Reflex Response) 1,2 No response Grimace Cough, sneeze
A = Activity (Muscle Tone) Limp Some flexion of arms and/or legs Well flexed
R = Respiratory effort Absent Weak cry, Hypoventilation Strong cry
  1. Response to catheter in nostril (tested after pharynx is cleared)
  2. Tangential foot slap