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NBS Scoring PDF
NBS Scoring PDF
CM.
53
52
51
50
49
48
47
46
45
44
43
42
41
40
39
38
37
36
35
34
33
32
31
30
0
Side 2
WEEK OF GESTATION
WEEK OF GESTATION
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
90%
75%
LENGTH______ cm
50%
25%
10%
90%
WEIGHT______ gm
75%
50%
25%
GM.
2400
2200
2000
1800
1600
1400
1200
1000
800
600
400
0
10%
PRE-TERM
TERM
GM.
4000
3800
3600
3400
3200
3000
2800
2600
POST-TERM
CM.
42
41
40
39
38
37
36
35
34
33
32
31
30
29
28
27
26
25
24
23
22
0
3.60
3.50
3.40
3.30
3.20
3.10
3.00
2.90
2.80
2.70
2.60
2.50
2.40
2.30
2.20
2.10
2.00
1.90
1.80
1.70
1.60
0
HEAD CIRCUMFERENCE______ cm
90%
75%
50%
25%
10%
90%
75%
50%
25%
10%
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
WEEK OF GESTATION
1st Exam (X)
hrs
hrs
M.D./R.N.
M.D./R.N.
Adapted from Lubchenco LO, Hansman C, and Boyd E: Pediatr. 1966;37:403; Battaglia FC, and Lubchenco LO: J Pediatr. 1967;71:159.
1988, 1992, 1997, 1999 Mead Johnson & Company, Evansville, Indiana 47721 U.S.A.
Side 1
NEUROMUSCULAR MATURITY
-1
Posture
Square
Window
(wrist)
MATURITY RATING
>90
90
60
45
30
score weeks
-10
20
-5
22
0
24
5
26
10
28
15
30
20
32
25
34
30
36
35
38
40
40
45
42
50
44
Arm Recoil
180 140-180 110-140
90-110
<90
100
90
Popliteal
Angle
180
160
140
120
<90
Scarf Sign
Heel to Ear
PHYSICAL MATURITY
Skin
sticky;
friable;
transparent
gelatinous;
red;
translucent
smooth;
pink;
visible veins
superficial
peeling
&/or rash;
few veins
cracking;
pale areas;
rare veins
parchment;
deep
cracking;
no vessels
Lanugo
none
sparse
abundant
thinning
bald
areas
mostly
bald
Plantar
Surface
heel-toe
40-50 mm: -1
<40 mm: -2
>50 mm;
no
crease
faint
red
marks
anterior
transverse
crease only
creases
ant. 2/3
creases
over
entire sole
1st Exam=X
2nd Exam=O
Estimating
Gest Age
by Maturity
Rating
formed
& firm;
instant
recoil
thick
cartilage;
ear stiff
Time of
Exam
testes
down;
good rugae
testes
pendulous;
deep rugae
majora
large;
minora
small
majora
cover
clitoris
& minora
Age at
Exam
_________Hours
_________Hours
______________
______________
______________
______________
M.D./R.N.
M.D./R.N.
Breast
imperceptible
barely
perceptible
flat areola;
no bud
Eye/Ear
lids fused
loosely: -1
tightly: -2
lids open;
pinna flat;
stays folded
sl. curved
pinna; soft;
slow recoil
well-curved
pinna;
soft but
ready recoil
Genitals
male
scrotum
flat;
smooth
scrotum
empty;
faint rugae
testes in
testes
upper canal; descending;
rare rugae
few rugae
Genitals
female
clitoris
prominent;
labia flat
prominent
clitoris;
small
labia minora
majora
& minora
equally
prominent
SCORING SECTION
full areola;
5-10 mm
bud
stippled
raised
areola;
areola;
1-2 mm bud 3-4 mm bud
prominent
clitoris;
enlarging
minora
leathery;
cracked;
wrinkled
Scoring system: Ballard JL, Khoury JC, Wedig K, Wang L, Eilers-Walsman BL,
Lipp R. New Ballard Score, expanded to include extremely premature infants.
J Pediatr. 1991;119:417-423.
Provided Courtesy of
Signature
of
Examiner
________Weeks _________Weeks
Provided Courtesy of
1988, 1992, 1997 Mead Johnson & Company, Evansville, IN 47721 U.S.A.