APGAR is an acronym for a test given to evaluate the physical condition of newborns. Apgar stands for Activity, Pulse, Grimace (also called reflex irritability”), Appearance and Respiration. The test is given 1 minute after birth and five minutes after birth. If the first two tests scores are low, the baby may be tested again 10 minutes after birth. Infant warmers can include APGAR timers to alert staff that its time for the test. Five factors are used to evaluate the baby's condition and each factor is scored on a scale of 0 to 2, with 2 being the best score.