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Neonatal Maturity Assessment Form

Score -1 0 1 2 3 4 5
Neuromuscular Maturity Posture
Square Window
Arm Recoil
Popliteal Angle
Scarf Sign
Heel to Ear
Physical Maturity Skin Fragile, sticky, transparent Red, translucent Pink, smooth, visible blood vessels Dry epidermis, pale, some visible blood vessels Dry skin, rare visible blood vessels Dry skin, no visible blood vessels Tough, severe dryness, wrinkled
Lanugo None Sparse Abundant Thinning Bald areas appearing Most areas without lanugo
Plantar Creases Toe to heel length 40~50mm: -1 <40mm: -2 Toe to heel length >50mm, no creases on sole Faint red creases Some horizontal creases on the forefoot Creases cover 2/3 of the forefoot Creases cover entire sole
Breast Formation Difficult to recognize, no areola Visible presence only Areola flat, no protrusion Areola colored, 1~2mm protrusion Areola 3~4mm protrusion Areola 5~10mm protrusion
Eyes/Ears Eyelids closed, relaxed: -1; tightly closed: -2 Eyelids open, ears flat, foldable Ear pinna slightly curved, soft, slowly rebounds Ear pinna curved, soft, rebounds Earlobe cartilage hardens, ear rebounds immediately Earlobe cartilage thick, ear stiff
Genitalia (Male) Scrotum smooth, no creases Testes undescended, no scrotal creases Few rugae on the scrotum Some scrotal creases, testes beginning to descend Scrotal creases Testes fully descended, deep scrotal creases
Genitalia (Female) Clitoris large, labia minora exposed Labia minora larger than labia majora Labia majora and labia minora equal size Labia majora larger than labia minora Labia majora completely cover the labia minora