TABLE 1

YOS Score

NormalModerate ImpairmentSevere Impairment
1 point3 points5 points
Quality of cryStrong with normal tone, or content and not cryingWhimpering or sobbingWeak, moaning, or high-pitched
Reaction to parentsCries briefly and then stops, or content and not cryingCries off and onContinual cry or hardly responds
State variationIf awake, stays awake, or if asleep and stimulated, wakes up quicklyEyes close briefly, awakes with prolonged stimulationFalls to sleep or will not rouse
ColorPinkPale extremities or acrocyanosisPale, cyanotic, mottled, or ashen
HydrationSkin normal, eyes normal and mucous membranes moistSkin and eyes normal, and mouth slightly drySkin doughy or tented and dry mucous membranes and/or sunken eyes
Response (talk, smile) to social overturesSmiles or alertBrief smile or alert brieflyNo smile or face anxious, dull, expressionless, or no alerting