Neurological, Muscle, and Maturity Assessment of Neonates by Gestational Age
Clinical Manifestation Items |
Gestational Age |
30-32 weeks |
33-34 weeks |
35-36 weeks |
37-38 weeks |
39-40 weeks |
Forearm Recoil |
None |
None or very slow |
Slow |
Slow |
Rapid |
Scarf Sign |
No resistance |
No resistance |
Slight resistance |
Elbow does not cross midline |
Obvious resistance |
Angle of the Axilla |
180° |
160° |
120° |
90° |
<90° |
Heel to Ear |
No resistance |
No resistance |
Slight resistance |
Obvious resistance |
Heel cannot touch ear |
Support Sitting with Neck Control |
Weak |
Weak |
Weak |
Head slightly forward |
Head forward for a moment |
Rooting Reflex |
Absent or weak |
Requires head support to strengthen |
Present |
Present |
Present |
Crossed Extension Reflex |
None |
None or flexed leg |
Flexed leg |
Flexed-extended |
Flexed-extended-adducted |
Embrace Reflex |
Absent or weak |
Arm extension and abduction |
Arm extension and abduction |
Arm flexion and adduction |
Arm flexion and adduction |
Grasp Reflex |
Can grasp, weak |
Can grasp, weak |
Can grip tightly |
Can lift upper arm |
Can lift body |