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The APGAR test is done by a doctor, midwife, or nurse. The health care provider will examine the baby's: 1  Breathing effort. 2  Heart rate. 3  Muscle tone. 4  Reflexes. 5  Skin color.
An Apgar score would give indication as to the health of the heart rate. The obstetrician is looking for a heart rate over 100 beats per minute. An Apgar score for a grimace is an indication of the degree of reflex to irritation. The Obstetrician may use a pinch of the skin and look for signs of a grimace as well as a sneeze, cough or cry.