Respiratory effort indicates the newborn's attempts at breathing. If the baby isn't breathing, the score is 0. If breathing is slow and irregular, the score is 1. If the baby is crying and breathing well, the score is 2. Baby's muscle tone.
Muscle tone evaluates how well the baby moves.
If arms and legs are limp and flabby, the score is 0. If some movement is observed and the arms and legs bend a little, the score is 1. If the baby is active and moving, the score is 2. Reflex irritability of the baby. Reflex irritability is scored 0 if the baby doesn't respond to stimulus, such as rubbing his or her back or arms.