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 scale isnât designed to predict your babyâs long-term health or development (AAP/ACOG 2006) . Its beauty is its simplicity: it's easily performed and quickly and accurately measures your baby's health during the first moments of life outside the uterus.