Quality of Cry

1 — Strong, normal cry; not crying+13 — Whimpering, sobbing, or high-pitched cry+35 — Weak, moaning cry; high-pitched; or no cry when stimulated+5

Reaction to Parent Stimulation

1 — Cries briefly then stops; content; not crying+13 — Cries intermittently, then stops+35 — Continual crying; does not stop with comforting; or no reaction+5

State Variation (Arousability)

1 — If awake, stays awake; if asleep, easily awakens with stimulation+13 — Eyes closed briefly, then opens with stimulation; less alert than usual+35 — Will not rouse; fails to arouse with prolonged stimulation; or falls asleep+5

Color

1 — Normal skin color+13 — Pallor of extremities or acrocyanosis+35 — Pale, cyanotic, mottled, or ashen appearance+5

Hydration

1 — Normal — moist mucous membranes, normal skin elasticity, normal eyes+13 — Slightly dry mouth; slightly sunken eyes; normal skin turgor+35 — Doughy or tented skin; very dry mucous membranes; markedly sunken eyes+5

Response to Social Overtures (Talk/Smile)

1 — Smiles; alert; looks interested in surroundings+13 — Brief smile; briefly alert to stimulation+35 — No smile; anxious/fearful face; dull; unresponsive+5

Yale Observation Scale (YOS) — Febrile Child Assessment

Yale Observation Scale (YOS) — Febrile Child Assessment