Neonal Infant Pain Scale

Question 1

Restful face, neutral expression

Answer 1

0 - Relaxed Muscles

Question 2

Tight facial muscles; furrowed brow, chin, jaw,
(Negative facial expression-nose, mouth and brow)

Answer 2

1 - Grimace

Question 3

Quiet, not crying

Answer 3

0 - No crying

Question 4

Mild moaning, intermittent

Answer 4

1 - Whimper

Question 5

Loud scream; rising; shrill; continuous

Answer 5

2 - Vigorous Cry

Question 6

Usual Pattern for this Infant

Answer 6

0 - Relaxed

Question 7

indrawing, irregular, faster than usual, gagging, breath holding

Answer 7

1 - Change in Breathing

Question 8

No muscular rigidity; occasional random movements of arms

Answer 8

0 - Relaxed/Restrained

Question 9

tense; straight legs, rigid and/or rapid extension, flexion

Answer 9

1 - Flexed/Extended

Question 10

No muscular rigidity; occasional random leg movement

Answer 10

0 - Relaxed/Restrained

Question 11

Tense, straight legs, rigid and/or rapid extension, flexion

Answer 11

1 - Flexed/Extended

Question 12

Quiet, peaceful sleeping or alert random leg movement

Answer 12

0 - Sleeping/Awake

Question 13

Alert, restless, and thrashing

Answer 13

1 - Fussy

Question 14

what are assessed in NIPS?

Answer 14

Facial Expression, Cry, Breathing Patterns, Arms, Legs, State of Arousal