Measurement Normal (2 points) Abnormal (0 points)

Nonstress test 2 or more heart rate increases of at Only 1 heart rate increase is seen, or the
least 15 beats per minute. Each increase heart rate does not increase by more than
lasts 15 seconds or more and is seen 15 beats with movement
with movement
Breathing 1 or more breathing movements last at Breathing movement lasts less than 60
movement least 60 seconds seconds, or no breathing is seen
Body movement 3 or more movements of the arms, legs, Less than 3 movements of the arms, legs,
or body or body
Muscle tone Arms and legs are usually flexed and the  The fetus extends slowly and only returns
head rests on the chest. partway to a normal position.
1 or more extensions and return to  The fetus extends but does not return to a
flexion are seen, such as the opening normal position.
and closing of a hand  The arms, legs, or spine are extended, or a
hand is open
Amniotic fluid  One or more pockets of amniotic fluid Not enough amniotic fluid is seen in the
volume are seen in the uterus, each at least 1 uterus.
(amniotic fluid cm (0.4 in) wide and long.
index)  The amniotic fluid index is between 5
cm (2 in.) and 24 cm (9.4 in.)