Deck 2: First Well Baby Visit

Question 1

According to the American Academy of Pediatrics (AAP), outpatient well-child care should be initiated within the first week following discharge.

Answer 1

True

Question 2

To be eligible for early postnatal discharge, it is expected that the newborn should have:

A) Stooled at least once since birth
B) Demonstrated a minimum of two successful feedings
C) Had hyperbilirubinemia treated adequately with phototherapy

Answer 2

B

Question 3

Findings on the cranial exam that may alter the initial measurement of head circumference include cephalohematoma, caput succedaneum, and molding.

Answer 3

True

Question 4

Screening for hearing loss is currently recommended for all infants within the first postnatal month.

Question 5

Screening for critical congenital heart defects (CCHD) uses pulse oximetry and is mandated for all newborns to improve early detection and prompt management.

Question 6

The AAP recommends that infants with visible jaundice noted prior to 24 hours of age be screened with a serologic or transcutaneous bilirubin test.

Question 7

According to Centers for Disease Control and Prevention (CDC), immunization recommendations include:

A) Administration of all recommended childhood vaccinations starting at 2 months postnatal age, except hepatitis B vaccination, which is given within the first postnatal month
B) Administration of all recommended childhood vaccinations starting at 2 months postnatal age
C) Administration of all recommended childhood vaccinations starting at 2 months postnatal age, except for hepatitis B vaccine, which is always given immediately after birth

Question 8

When counseling the new parent it is appropriate to indicate that no extra water is typically needed in the neonate's diet as both breast milk and regular infant formula provide sufficient fluid to meet dietary needs.

Question 9

When parents elect to use a formula for infant nutrition, it is appropriate to recommend an iron-fortified formula to meet the infant's nutritional needs.

Question 10

The AAP recommends that all late preterm infants (LPI), due to their increased risks for rehospitalization in the early neonatal period, be seen for a first outpatient visit no later than 48 hours following discharge.