Apgar Scoring System Sign 0 Points 1 Point 2 Points Activity absent arms and active APG muscle tone legs flexed movement Pulse absent below 100 above 100 (heart rate) bpm bpm Grimace no response grimace sneeze, cough, (reflex irritability) pulls away A Appearance blue-gray, normal normal over (skin color) pale all over/-extremities entire body R Respiration absent slow good, crying irregularApgar Scoring System Sign 0 Points 1 Point 2 Points Activity (muscle tone) absent arms and legs flexed active movement Pulse (heart rate) absent below 100 bpm above 100 bpm Grimace (reflex irritability) no response grimace sneeze,cough, pulls away Appearance (skin color) blue-gray, pale all over normal, /-extremities normal over entire body Respiration absent slow, irregular good, crying A P G A R