At birth- first breath
• Inflation of lungs
• Pulmonary
• Vasculature opens
• Increased oxygen saturation
• Greyish newborn
turns healthy color
Apgar score
Activity
(muscle tone, active
movement)
Pulse
(above 100bmp)
Grimace
(reflex irritability -
sneeze, cough, pulls
away)
Appearance
(entire body normal
color)
Respiration
(good, crying)
1 point each at 1 and 5 minutes
Normal
7-10