Neonatal APGAR score

Assesses a newborn’s clinical condition immediately after birth.

Activity / muscle tone*

Active movement+2

Some flexion of the extremities+1

Limp0

Pulse*

100 beats/min or greater+2

Below 100 beats/min+1

Absent0

Grimace / reflex irritability*

Coughs, sneezes, or actively withdraws+2

Grimaces with stimulation+1

No response0

Appearance / color*

Pink throughout+2

Pink body with blue extremities+1

Blue or pale throughout0

Respirations*

Good respirations with strong cry+2

Slow or irregular respirations+1

Absent0