All the following are included in APGAR scoring except

The Apgar score is a practical method of systematically assessing newborn infants immediately after bih. The Apgar score was not designed to predict neurologic outcome. Low Apgar scores and umbilical aery blood pH predict neonatal death. An Apgar score of 0-3 at 5 min is uncommon but is a better predictor of neonatal death (in both term and preterm infants) than an umbilical aery pH <=7.0. Infants who fail to initiate respiration should receive prompt resuscitation and close observation. Ref: Nelson; 20th edition; Page no: 798