1: Yale Observational Scale

Question 1

Score 1, 3, or 5. Hydration: Skin normal. Eyes normal. Mucous membranes normal.

Answer 1

1

Question 2

Score 1, 3, or 5. Whimpering or sobbing.

Answer 2

3

Question 3

Score 1, 3, or 5. Falls asleep or will not arouse.

Answer 3

5

Question 4

Score 1, 3, or 5. Eyes closed briefly while awake or awake with prolonged stimulation.

Answer 4

3

Question 5

Score 1, 3, or 5. Skin and eyes normal and mouth slightly dry.

Answer 5

3

Question 6

Score 1, 3, or 5. Unsmiling, anxious face or dull expression or not alert (<2 mo).

Answer 6

5

Question 7

Score 1, 3, or 5. Skin doughy or tented, dry mucous membranes, and/or sunken eyes.

Answer 7

5

Question 8

Score 1, 3, or 5. Color is acrocyanotic or pale extremities.

Answer 8

3

Question 9

Score 1, 3, or 5. Strong cry with normal tone or contentment without crying.

Answer 9

1

Question 10

Score 1, 3, or 5. Briefly smiling or alert briefly (<2 mo).

Answer 10

3

Question 11

Score 1, 3, or 5. Reaction to parent stimulation is brief crying that stops or contentment without crying.

Answer 11

1

Question 12

Score 1, 3, or 5. Color is pink.

Answer 12

1

Question 13

Score 1, 3, or 5. Smiling or alert (<2 mo).

Answer 13

1

Question 14

Score 1, 3, or 5. Reaction to parent stimulation is intermittent crying.

Answer 14

3

Question 15

Score 1, 3, or 5. Weak cry, moaning, or high-pitched cry.

Answer 15

5

Question 16

Score 1, 3, or 5. If awake, stays awake. If asleep, wakes quickly upon stimulation.

Answer 16

1

Question 17

Score 1, 3, or 5. Reaction to parent stimulation is continual crying or limited response.

Answer 17

5

Question 18

Score 1, 3, or 5. Color is pale, cyanotic, mottled, or ashen.

Answer 18

5