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| Grade | Description |
|---|---|
| 1 | Excellent (breathing well, no response to suctioning) |
| 2 | Good (breathing well, minimal grimacing response to suctioning) |
| 3 | Satisfactory (breathing well & coughing attempt to suctioning) |
| 4 | Poor (breathing well, mild coughing on the tube) |
| 5 | Very poor (breathing well, aggressive coughing on the tube) |
