| Appearance (color) | Pink torso and extremities Pink torso, blue extremities Blue all over |
| Pulse (heart rate) | >100 <100 Absent |
| Grimace (irritability / reflexes) | Vigorous cry Limited cry No response to stimulus |
| Activity (muscle tone) | Actively moving Limited movement Flaccid |
| Respiratory Effort | Strong loud cry Hypoventilation, irregular Absent |
8-10: normal; 4-6: moderate depression; 0-3: aggressive resuscitation
Scored at 1 and 5 min of age;