Question
In the APGAR scoring system, what is the maximum score assigned for the “Grimace” (Reflex Irritability) component?
| A. |
0 |
| B. |
1 |
| C. |
2 |
| D. |
3 |
Show Answer
|
Correct Answer » C Explanation |
 |
- The APGAR score is a rapid assessment of a newborn’s condition performed at 1 minute and 5 minutes after birth.
- It assesses five parameters:
- A – Appearance (Skin color)
- P – Pulse (Heart rate)
- G – Grimace (Reflex irritability)
- A – Activity (Muscle tone)
- R – Respiration
- Each parameter is scored 0, 1, or 2, making the maximum total score 10.
Explanation of the Correct Answer
- Grimace (Reflex Irritability) evaluates the newborn’s response to stimulation such as suctioning or gentle stimulation.
| Score | Reflex Irritability (Grimace) |
|---|---|
| 0 | No response to stimulation |
| 1 | Grimace or feeble response to stimulation |
| 2 | Vigorous cry, cough, sneeze, or active withdrawal from stimulation |
- Therefore, the maximum score for Grimace is 2.
