ZURICH - World champion Spain remained at the top of FIFA's monthly rankings, and Uruguay rose to a new high of third.
The Netherlands dropped two places to fourth, losing second to Germany despite not playing since beating England 3-2 in a friendly in February.
Copa America champion Uruguay also has not played since the March rankings were calculated, but rose in April due to the formula used by FIFA to weigh all international results over a rolling four-year period.
Canada, which hasn't played since losing to Armenia in a friendly in February, moved up four spots to 75th.
Portugal climbed two places to fifth, overtaking England and Brazil. The Italians dropped out of the top 10, with Denmark replacing them at No. 9.
The biggest riser was North Korea, which leapt 25 places to No. 86, while 21st-ranked Australia leads Asian confederation nations.
Ivory Coast is the highest-ranked African team after staying at No. 15, while Mexico still leads CONCACAF nations after rising to No. 20. New Zealand, at No. 130, leads the Oceania confederation.