<Tr> <Th> Activity </Th> <Td> none </Td> <Td> some flexion </Td> <Td> flexed arms and legs that resist extension </Td> <Td> Activity </Td> </Tr> <Tr> <Th> Respiratory effort </Th> <Td> absent </Td> <Td> weak, irregular, gasping </Td> <Td> strong, robust cry </Td> <Td> Respiration </Td> </Tr> <P> The test is generally done at 1 and 5 minutes after birth and may be repeated later if the score is and remains low . Scores 7 and above are generally normal; 4 to 6, fairly low; and 3 and below are generally regarded as critically low and cause for immediate resuscitative efforts . </P> <P> A low score on the one - minute test may show that the neonate requires medical attention but does not necessarily indicate a long - term problem, particularly if the score improves at the five - minute test . An Apgar score that remains below 3 at later times, such as 10, 15, or 30 minutes, may indicate longer - term neurological damage, including a small but significant increase in the risk of cerebral palsy . However, the Apgar test's purpose is to determine quickly whether or not a newborn needs immediate medical care . It is not designed to predict long - term health issues . </P>

Birth and neonatal development screening the newborn apgar score