Decreased alertness refers to a noticeablechange in a child's typical interactions with the people and things aroundthe child. Decreased alertness may indicate a serious health problem and may include one or more of the following symptoms:

• Difficulty waking up
• Limpness or weak muscle tone. A childover 3 months of age may not move for an extended period of time and showno desire to move.
• A weak or feeble cry
• Unresponsiveness to touch or voice
• Inability to suck for two or more feedings ina row
• A vacant stare. Children over 3 months ofage may not make eye contact.