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.
Apgar scoring system Virginia Apgar, a pediatrician, invented the Apgar scoring system in the 1950s to assess the status of a newborn baby at 1 and 5 minutes after birth, to see if any immediate medical intervention is needed.