NICU360 clinical tool

Silverman Score

Newborn respiratory distress assessment

Educational reference only. Verify inputs, units, source guidance, local policy, and the complete clinical context before acting.

Silverman–Andersen domains

Select one observation in every domain. The total updates as selections are made.

Upper Chest Movement

Thoracoabdominal synchrony

Lower Chest Retractions

Intercostal or lower rib recession

Xiphoid Retractions

Subxiphoid recession

Nares Dilatation

Nasal flaring

Expiratory Grunt

Listen before disturbing the infant

Current score

—/ 5 domains

Choose an observation to begin.

Completed

0 of 5