It's Hawaii and Alaska. AdiÂ­tionÂ­alÂ­ly, Hawaii is the only state not located in the AmerÂ­iÂ­cÂ­as.
However, the purpose of the Apgar test is to determine quickly whether a newborn needs immediate medical care; it was not designed to make long-term predictions on a child's health. A score of 10 is uncommon due to the prevalence of transient cyanosis, and is not substantially different from a score of 9.
The APGAR test is done by a doctor, midwife, or nurse. The health care provider will examine the baby's: 1  Breathing effort. 2  Heart rate. 3  Muscle tone. 4  Reflexes. 5  Skin color.