TABLE 1.

YOS Score

	Normal	Moderate Impairment	Severe Impairment
	1 point	3 points	5 points
Quality of cry	Strong with normal tone, or content and not crying	Whimpering or sobbing	Weak, moaning, or high-pitched
Reaction to parents	Cries briefly and then stops, or content and not crying	Cries off and on	Continual cry or hardly responds
State variation	If awake, stays awake, or if asleep and stimulated, wakes up quickly	Eyes close briefly, awakes with prolonged stimulation	Falls to sleep or will not rouse
Color	Pink	Pale extremities or acrocyanosis	Pale, cyanotic, mottled, or ashen
Hydration	Skin normal, eyes normal and mucous membranes moist	Skin and eyes normal, and mouth slightly dry	Skin doughy or tented and dry mucous membranes and/or sunken eyes
Response (talk, smile) to social overtures	Smiles or alert	Brief smile or alert briefly	No smile or face anxious, dull, expressionless, or no alerting