1. Skin color (A, or Appearance)

The doctor checks the baby’s skin color and gives:

2. Heart rate (P, or Pulse)

The doctors check to see how fast the heart of the newborn is beating and gives:

3. Grimace response (G, or Grimace)

The doctor checks the reaction of the newborn to outside irritations and gives:

4. Muscle tone (A, or Activity)

The doctor checks to see how the baby controls its body and moves its limbs, and gives:

5. Breathing effort (R, or Respiration)

The doctor checks the baby’s breathing and gives:

The doctor gives no more than 2 points for each of the indicators. Then, the scores are added up and the result forms a number between 0 and 10.

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