Heart rate Respiratory effort Muscle tone

Reflex irritability*

No responses

Slow and irregular

Some flexion of the arms and legs


Pink body, blue extremities


Good; strong Active movement

Crying vigorously, sneeze, or cough

Pink all over

*Reaction to suction of nares with bulb syringe

1-Minute Apgar Score

5-Minute Apgar Score

0-4 Severe depression,

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