Scale for Use in Newborns (SUN)

Parameter

Finding

Points

CNS state

deeply asleep

0

drowsy, light sleep

1

awake, quiet alert, calm

2

anxious, fussy

3

hyper-alert, panicked

4

change in breathing

no spontaneous breathing

0

shallow, intermittent breathing

1

quiet respirations, relaxed, usual pattern

2

increased rate and work of breathing

3

fights ventilator, coughs, chokes

4

change in movement

no movements

0

decreased activity, infrequent movements

1

occasional activity, usual movements

2

increased activity, flexion and extension of extremities

3

vigorous movements of extremities, torso, head

4

change in tone

flaccid, no tone

0

decreased tone

1

normal tone

2

increased tone, some finger or toe flexion

3

rigidity, limb extension, finger and toe flexion

4

change in face

totally relaxed, no tone or expression

0

reduced facial tone or expression

1

normal, neutral, no tension

2

increased tension, furrowed brow

3

contortion, grimacing, vigorous cry

4

change in heart rate

depressions > 15% below baseline (change ratio < 0.85)

0

depressions to 15% below baseline (change ratio >= 0.85 and < 0.95)

1

baseline, (change ratio 0.95 to 1.05)

2

elevations to 15% above baseline (change ratio > 1.05 and <= 1.15)

3

elevations > 15% above baseline (change ratio > 1.15)

4

change in mean blood pressure

depressions > 15% below baseline (change ratio < 0.85)

0

depressions to 15% below baseline (change ratio >= 0.85 and < 0.95)

1

baseline, (change ratio 0.95 to 1.05)

2

elevations to 15% above baseline (change ratio > 1.05 and <= 1.15)

3

elevations > 15% above baseline (change ratio > 1.15)

4