Healthy newborns spend about 50 minutes of each hour asleep, either quiet sleep (regular breathing, no eye movements; non-rapid eye movement (REM) sleep) or active sleep (irregular breathing, rapid eye movements; REM sleep). For some of the time the normal term baby is awake and alert, fixing his gaze on the examiner’s face. Even when crying he is consolable and cuddly. The normal baby’s movements have a fluid, elegant quality; his hands open occasionally and he can move his fingers individually. The movements are complex and variable.