FLACC Scale Flashcards

1
Q

No particular expression or smile

A

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2
Q

Occasional grimace or frown, withdrawn, disinterested, Sad, appears worried

A

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3
Q

Frequent to constant quivering chin, clenched jaw, distressed looking face, expression of fright/ panic.

A

2

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4
Q

normal position or relaxed, usual tone and motion to limbs

A

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5
Q

Uneasy, restless, tense, occassional tremors

A

1

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6
Q

Kicking, or legs drawn up,marked Increase in spasticity, constant tremors, jerking.

A

2

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7
Q

Lying quietly, normal position, moves easily, regular rhythmic respirations

A

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8
Q

Squirming, shifting back and forth, tense, tense/guarded movements, mildly agitated, shallow/ splinting respirations, Intermittent sighs

A

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9
Q

Arched, rigid or jerking, severe agitation, head banging, shivering, breath holding, gasping, severe splinting.

A

2

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10
Q

no cry (awake or asleep)

A

0

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11
Q

Moans or whimpers; occasional complaint, occasional verbal outbursts, constant grunting

A

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12
Q

Crying steadily, screams or sobs, frequent complaints, repeated outbursts, constant grunting

A

2

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13
Q

Content, relaxed

A

0

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14
Q

Reassured by occasional touching, hugging or being talked to, distractable

A

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15
Q

Difficult to console or comfort, pushing caregiver away, resisting care or comfort measures

A

2

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