A score of 7 to 10 is reassuring, most healthy newborns score in this range and need only routine care.
Many perfectly healthy babies score 7-9 because their hands and feet are still bluish (acrocyanosis), which is normal and costs one point on Appearance.
Next stepRecord the time of each assessment and repeat at 5 minutes (and every 5 minutes up to 20 if the score stays below 7). The clinical team interprets the score and decides on care.