6421 Newborn Assessment, Fontanels, Jaundice, Breastfeeding,
Weight Gain, Reflexes, Hip Dysplasia, Pregnancy Testing, HCG,
Ultrasound, Geriatric Screening, Functional Assessment, ADLs, IADLs,
Cognitive Impairment, Dementia, Delirium, Depression, Frailty, Fall
Risk, Nutrition, Medications, Polypharmacy, Vital Signs,
Cardiovascular Changes, Respiratory Function, Skin Lesions, Vision,
Hearing, Musculoskeletal Decline, Sarcopenia, Immunizations, Cancer
Screening, End-of-Life Care, Advance Directives, Palliative Care, Elder
Mistreatment Exam Questions Verified and Provided with Complete
A+ Graded Rationales Latest Updated 2026
age specific screening recommendations
Look to your health system and USPTF
For children, look at Bright Futures
It is not necessary to attempt to memorize all screenings at this point, but to know where to locate the
appropriate exams for your patient
Screenings are specific testing/examination techniques in addition to your comprehensive exam
Population and patient specific
Newborn special considerations
Keep neonate warm
Begin with auscultation
Fontanels
Head circumference
Jaundice
,Breastfeeding
Weight gain
Reflexes
Hips
Anterior fontanel
Largest fontanel - closes 18-24 months after birth
Posterior fontanel
Closes 2 months after birth
Anterolateral fontanel
Closes 3 months after birth
Posterolateral fontanel
Begins to close 1-2 months after birth and finishes closure at 12 months
Jaundice
Common, especially in breastfed infants or those with ABO incompatibility.
Can be assessed by serum draw or transcutaneous biliruninometer
If you are seeing a newborn and note jaundice, follow up with TCB or serum bili is appropriate
For children of color, assess palms, soles or gently press on forehead or sternum to blanch skin
, Assessing breastfeeding
Must assess the dyad
Observe a feeding
- Positioning
If baby is gaining and urinating, they are getting sufficient milk
Latch assessment - listen for swallow
- Should not gag or break latch during feeding
Referral to lactation support
Nipple assessment
Newborn weight gain
Ensure you are using the WHO chart for breastfeed babies
Appropriate gender/race
Newborns should lose no more than 10% of body weight immediately after birth. 10-15% requires more
frequent follow up.
15-25g/day expected weight gain in the first year.
Double birth weight by 4-6 months, triple birth weight by 12 months.
If nutrition is adequate and weight is not increasing, consider assessing for malabsorption syndromes.
Newborn reflex disappearance
Blinking n/a
moro 3-6 mos
grasp 3-4 mos
stepping 1-2 mos
tonic neck 3-4 mos
sneeze n/a
rooting 4-6 mos
Weight Gain, Reflexes, Hip Dysplasia, Pregnancy Testing, HCG,
Ultrasound, Geriatric Screening, Functional Assessment, ADLs, IADLs,
Cognitive Impairment, Dementia, Delirium, Depression, Frailty, Fall
Risk, Nutrition, Medications, Polypharmacy, Vital Signs,
Cardiovascular Changes, Respiratory Function, Skin Lesions, Vision,
Hearing, Musculoskeletal Decline, Sarcopenia, Immunizations, Cancer
Screening, End-of-Life Care, Advance Directives, Palliative Care, Elder
Mistreatment Exam Questions Verified and Provided with Complete
A+ Graded Rationales Latest Updated 2026
age specific screening recommendations
Look to your health system and USPTF
For children, look at Bright Futures
It is not necessary to attempt to memorize all screenings at this point, but to know where to locate the
appropriate exams for your patient
Screenings are specific testing/examination techniques in addition to your comprehensive exam
Population and patient specific
Newborn special considerations
Keep neonate warm
Begin with auscultation
Fontanels
Head circumference
Jaundice
,Breastfeeding
Weight gain
Reflexes
Hips
Anterior fontanel
Largest fontanel - closes 18-24 months after birth
Posterior fontanel
Closes 2 months after birth
Anterolateral fontanel
Closes 3 months after birth
Posterolateral fontanel
Begins to close 1-2 months after birth and finishes closure at 12 months
Jaundice
Common, especially in breastfed infants or those with ABO incompatibility.
Can be assessed by serum draw or transcutaneous biliruninometer
If you are seeing a newborn and note jaundice, follow up with TCB or serum bili is appropriate
For children of color, assess palms, soles or gently press on forehead or sternum to blanch skin
, Assessing breastfeeding
Must assess the dyad
Observe a feeding
- Positioning
If baby is gaining and urinating, they are getting sufficient milk
Latch assessment - listen for swallow
- Should not gag or break latch during feeding
Referral to lactation support
Nipple assessment
Newborn weight gain
Ensure you are using the WHO chart for breastfeed babies
Appropriate gender/race
Newborns should lose no more than 10% of body weight immediately after birth. 10-15% requires more
frequent follow up.
15-25g/day expected weight gain in the first year.
Double birth weight by 4-6 months, triple birth weight by 12 months.
If nutrition is adequate and weight is not increasing, consider assessing for malabsorption syndromes.
Newborn reflex disappearance
Blinking n/a
moro 3-6 mos
grasp 3-4 mos
stepping 1-2 mos
tonic neck 3-4 mos
sneeze n/a
rooting 4-6 mos
