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.
However, the report points out that most babies with low Apgar scores will not develop cerebral palsy. Where blame lies for baby brain damage. Reassuringly, the report pointed out that most infants with low Apgar scores will not develop cerebral palsy.