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The Apgar score is a quick way for health professionals to evaluate the health of all newborns at 1 and 5 minutes after birth and in response to resuscitation. [1] It was originally developed in 1952 by an anesthesiologist at Columbia University, Virginia Apgar, to address the need for a standardized way to evaluate infants shortly after birth.
The pulse may vary due to exercise, fitness level, disease, emotions, and medications. [11] The pulse also varies with age. A newborn can have a heart rate of 100–160 bpm, an infant (0–5 months old) a heart rate of 90–150 bpm, and a toddler (6–12 months old) a heart rate of 80–140 bpm. [12]
There are various pulse sites on the body: the carotid, brachial, radial, femoral, and dorsalis pedis. In children, heart rate is preferably taken apically. To count the rate, place stethoscope on the anterior chest at the fifth intercostal space in a midclavicular position. [18] Each "lub-dub" sound is one beat.
A healthy baby at birth usually has an Apgar score of 8 or 9. This means they look pink (indicating good oxygen flow) and have a heart rate greater than 100 bpm, a strong cry, and good muscle tone (i.e. is not limp). Scores below 7 generally require further care (see resuscitation below).
Heart development, also known as cardiogenesis, refers to the prenatal development of the heart. This begins with the formation of two endocardial tubes which merge to form the tubular heart, also called the primitive heart tube. The heart is the first functional organ in vertebrate embryos.
The pulses should be palpated, first the radial pulse commenting on rate and rhythm then the brachial pulse commenting on character and finally the carotid pulse again for character. The pulses may be: Bounding as in large pulse pressure found in aortic regurgitation or CO 2 retention.
Physical development. Typically grows at a similar rate to the previous month, usually growing between 1 and 1.5 inches (2.5 and 3.8 cm) and gaining about 2 pounds (910 g). [23] Resting heart rate is usually between 80 and 160 beats per minute, and it typically stays within that range until the infant is about one year old. [18] Motor development
Radial artery (used to palpate radial pulse)(a terminal branch) Ulnar artery (a terminal branch) Nutrient branches to the humerus; It also gives rise to important anastomotic networks of the elbow and (as the axillary artery) the shoulder. The biceps head is lateral to the brachial artery. The median nerve is medial to the brachial artery for ...