Table 2.
Cry | No cry | +1 |
Moaning | +2 | |
Crying | +3 | |
Scream | +4 | |
Facial | Smiling | 0 |
Composed | +1 | |
Grimace | +2 | |
Child verbal | Positive | 0 |
None | +1 | |
Other complaints | +1 | |
Pain complaints | +2 | |
Both | +2 | |
Torso | Neutral | +1 |
Shifting | +2 | |
Tense | +2 | |
Shivering | +2 | |
Upright | +2 | |
Restrained | +2 | |
Touch | Not touching | +1 |
Reach | +2 | |
Touch | +2 | |
Grab | +2 | |
Restrained | +2 | |
Legs | Neutral | +1 |
Kicking | +2 | |
Tensed | +2 | |
Standing | +2 | |
Restained | +2 |