A score of 0-3 on the APGAR scale indicates what action is required?

• A. Monitoring
• B. Resuscitation
• C. Immediate transfer to NICU
• D. Positive reinforcement

Answer: (B)

A score of 0-3 on the APGAR scale indicates a critical condition in newborns that requires immediate intervention. The APGAR scale is a quick assessment tool used to evaluate a newborn's physical condition shortly after birth, focusing on five criteria: Appearance (skin color), Pulse (heart rate), Grimace response (reflexes), Activity level (muscle tone), and Respiration (breathing effort). Each criterion is scored from 0 to 2, with a total score ranging from 0 to 10.

When the score is low, particularly between 0 and 3, it signifies that the newborn is in distress with severe signs that may include poor respiratory effort, weak or absent heart rate, and significant issues with color and muscle tone. This score is a strong indication that resuscitation efforts, such as providing oxygen or initiating bag-mask ventilation, are needed urgently to stabilize the newborn's condition. Therefore, the appropriate action is to initiate resuscitation quickly to prevent serious complications or potential mortality.