NEUROMUSCULAR MATURITY

SIGN
Posture Square Window Arm Recoil Popliteal Angle Scarf Sign

SCORE
-1 0 1 2 3 4 5

SIGN SCORE

Heel To Ear TOTAL NEUROMUSCULAR SCORE

PHYSICAL MATURITY

SIGN Skin

SCORE SIGN SCORE -1 0 1 2 3 4 5 gelatinous, superficial cracking, parchment, leathery, Sticky, friable, smooth pink, red, peeling &/or pale areas, deep cracking, cracked, transparent visible veins translucent rash, few veins rare veins no vessels wrinkled none heel-toe 40-50mm: -1 <40mm: -2 imperceptable sparse >50 mm no crease barely perceptable abundant faint red marks flat areola no bud thinning anterior transverse crease only stippled areola 1-2 mm bud bald areas mostly bald

Lanugo Plantar Surface

creases ant. creases over 2/3 entire sole

Breast

Eye / Ear

lids fused loosely: -1 tightly: -2 scrotum flat, smooth clitoris prominent & labia flat

Genitals (Male) Genitals (Female)

raised areola full areola 3-4 mm 5-10 mm bud bud formed & lids open sl. curved well-curved firm thick cartilage pinna flat pinna; soft; pinna; soft but instant ear stiff stays folded slow recoil ready recoil recoil scrotum testes in testes testes testes empty, upper canal, descending, down, pendulous, faint rugae rare rugae few rugae good rugae deep rugae prominent prominent majora majora & majora cover clitoris & clitoris & large, minora equally clitoris & small labia enlarging minora prominent minora minora minora small TOTAL PHYSICAL MATURITY SCORE

MATURITY RATING

TOTAL SCORE (NEUROMUSCULAR + PHYSICAL) -10 -5 0 5 10 15 20 25 30 35 40 45 50

WEEKS 20 22 24 26 28 30 32 34 36 38 40 42 44