Criteria | Score 0 | Score 1 | Score 2 |
Face | No particular expression or smile | Occasional grimace or frown, withdrawn, disinterested | Frequent to constant quivering chin, clenched jaw |
Legs | Normal position or relaxed | Uneasy, restless, tense | Kicking or legs drawn up |
Activity | Lying quietly, normal position, moves easily | Squirming, shifting, back and forth, tense | Arched, rigid or jerking |
Cry | No cry (awake or asleep) | Moans or whimpers; occasional complaint | Crying steadily, screams, sobs, frequent complaints |
Controllability | Content, relaxed | Reassured by touching, hugging or being talked to, distractible | Difficult to console or comfort |