A short Apgar quiz was prepared with eight descriptive neonatal cases. The quiz was completed by 223 health professionals caring for newborns. Pediatricians and pediatric housestaff, the most accurate scorers, assigned the correct score only 68% of the time. Nurses from community hospitals were only 24% accurate. Improper scoring limits the usefulness of the Apgar score in comparing neonates within and between hospitals.