WCC Test Question with Correct Answers
Newborn Physical Exam Highlight
Weight, length, head circumference plotted on growth chart Up to 10% weight loss from birth
weight is acceptable at this visit
Comprehensive newborn exam including all primitive reflexes
Check umbilical cord stump
Newborn Screenings Due
Confirm newborn hearing screen result. Confirm newborn metabolic/state screen results.
Bilirubin check — plot on bili curve
Newborn Anticipatory Guidance Highlights
ABCs of safe sleep
Feeding: breast vs. formula, frequency, signs of adequate intake (wet diapers,
weight gain)
Cord care and circumcision care if applicable
When to call or return: fever, poor feeding, jaundice, inconsolable crying
Newborn Watch for...
Jaundice, Poor weight gain or feeding difficulty, Signs of infection
1-2 week goals of visit
Confirm infant is at or above birth weight. Umbilical cord should be off or nearly off. Head
rounding out from birth molding
1-2 week Screenings Due
Weight check and growth plotting. Bilirubin follow-up if previously elevated
, 1-2 Week Anticipatory Guidance Highlights
Feeding concerns: primary focus of this visit
Continue safe sleep counseling
Postpartum mood: screen caregiver for postpartum depression (Edinburgh
screen)
Normal newborn behavior: cluster feeding, irregular sleep, normal stool
patterns
1-2 Week Watch For
Ongoing jaundice
Weight not returning to birth weight
Feeding difficulties: latch, supply, formula tolerance
Signs of postpartum depression in caregiver
1 Month Anticipatory Guidance Highlights
Safe sleep: reinforce ABCs; Moro reflex may startle baby awake
Feeding: assess intake, frequency, and weight gain trajectory
Tummy time while awake and supervised
Normal crying patterns, peak crying often around 6 wee
2 Month Anticipatory Guidance Highlights
Safe sleep: reinforce ABCs; Moro reflex may startle baby awake
Feeding: assess intake, frequency, and weight gain trajectory
Tummy time while awake and supervised
Introduce concept of sleep routines (not effective until after 4 months, anticipate disrupted
sleep around 4 months due to change in sleep architecture)
Newborn Physical Exam Highlight
Weight, length, head circumference plotted on growth chart Up to 10% weight loss from birth
weight is acceptable at this visit
Comprehensive newborn exam including all primitive reflexes
Check umbilical cord stump
Newborn Screenings Due
Confirm newborn hearing screen result. Confirm newborn metabolic/state screen results.
Bilirubin check — plot on bili curve
Newborn Anticipatory Guidance Highlights
ABCs of safe sleep
Feeding: breast vs. formula, frequency, signs of adequate intake (wet diapers,
weight gain)
Cord care and circumcision care if applicable
When to call or return: fever, poor feeding, jaundice, inconsolable crying
Newborn Watch for...
Jaundice, Poor weight gain or feeding difficulty, Signs of infection
1-2 week goals of visit
Confirm infant is at or above birth weight. Umbilical cord should be off or nearly off. Head
rounding out from birth molding
1-2 week Screenings Due
Weight check and growth plotting. Bilirubin follow-up if previously elevated
, 1-2 Week Anticipatory Guidance Highlights
Feeding concerns: primary focus of this visit
Continue safe sleep counseling
Postpartum mood: screen caregiver for postpartum depression (Edinburgh
screen)
Normal newborn behavior: cluster feeding, irregular sleep, normal stool
patterns
1-2 Week Watch For
Ongoing jaundice
Weight not returning to birth weight
Feeding difficulties: latch, supply, formula tolerance
Signs of postpartum depression in caregiver
1 Month Anticipatory Guidance Highlights
Safe sleep: reinforce ABCs; Moro reflex may startle baby awake
Feeding: assess intake, frequency, and weight gain trajectory
Tummy time while awake and supervised
Normal crying patterns, peak crying often around 6 wee
2 Month Anticipatory Guidance Highlights
Safe sleep: reinforce ABCs; Moro reflex may startle baby awake
Feeding: assess intake, frequency, and weight gain trajectory
Tummy time while awake and supervised
Introduce concept of sleep routines (not effective until after 4 months, anticipate disrupted
sleep around 4 months due to change in sleep architecture)
