<prompt> Which of the following is seen in APGAR score?ColourBilirubinBlood groupRespiratory rate  <response>: Ans: a Colour Ref: Nelson, 18th ed, p. 879; OPGhai, 6th ed, p. 144Parameters used in APGAR score Respiratory effort Heart rate min Colour of the body Muscle tone Reflex stimulationAPGAR score is a semi objective measure of assessing the infants respiratory, circulatory and neurological status at birthNormal babies have an APGAR score of 9 at one and five minutesAPGAR score between 4-8 is moderately low while that less than 4 is very lowMost important cause of cardiopulmonary, neurological depression indicated by low APGAR score is birth asphyxiaInfants with low 5 minute APGAR score should be monitored for manifestation of hypoxic ischaemic encephalopathy. 