| Sign | 0 | 1 | 2 |
|---|---|---|---|
| Heart rate | Absent | <100 | >100 |
| Respiratory effort | Absent | Slow and irregular | Good and strong, loud crying |
| Activity: muscle tone | Flaccid | Some flexion or extremities | Active motions, general flexion |
| Reflex irritability | No response to stimuli | Weak cry or grimace | Cry: vigorous |
| Appearance: color | Blue, pale | Body pink, extremities blue | Completely pink |