Which of the following areas is not represented in the APGAR score?

• A. Respiration
• B. Response
• C. Pulse
• D. Pressure

Answer: (D)

The APGAR score is a quick assessment method used to evaluate the health of newborns immediately after birth. The acronym APGAR stands for five criteria: Appearance, Pulse, Grimace response (or Response), Activity (or Muscle Tone), and Respiration. Each of these areas is assigned a score between 0 and 2, providing a total score that can range from 0 to 10.

In this context, the correct response identifies that "Pressure" is not one of the components measured in the APGAR scoring system. Instead, the score focuses on key physiological signs that indicate how well the newborn is adapting to life outside the womb. It assesses factors such as the baby's heart rate (Pulse), breathing quality (Respiration), muscle tone (Activity), reflexes (Response), and skin coloration (Appearance).

Recognizing this, it becomes clear that while respiration, pulse, and response are integral to the APGAR score, "Pressure" does not have any relevance in this context, making it the correct choice in identifying what is not included in the score.