Which of the following actions should a medical assistant take when obtaining the length of an infant during a well child visit?

Well-baby exam: What to expect during routine checkups

A well-baby exam is an opportunity to review your baby's health and growth with his or her doctor and discuss any concerns. Here's what you need to know and how to prepare.

By Mayo Clinic Staff

Well-baby exams are an important way to monitor your baby's growth and development and check for serious problems. These regular checkups also provide an opportunity to develop a relationship with your baby's doctor.

Your baby's doctor will likely recommend the first well-baby exam within three to five days after birth. Additional well-baby exams will be needed every few weeks and, later, every few months for the first year. In some cases, the doctor might want more-frequent checkups. Here's what's on the agenda during these exams.

Your baby's measurements

A well-baby exam usually begins with measurements. You'll need to undress your baby so he or she can be weighed on an infant scale. Length will be measured by placing your baby on a flat surface and stretching his or her legs out. Special tape will be used to measure his or her head circumference.

The measurements will be plotted on a growth chart to create your baby's growth curve. This will help determine if your baby is growing normally and show how his or her growth compares with other children's growth of the same age.

Head-to-toe physical exam

Expect a thorough physical exam during the checkup. Mention any concerns you have or areas you want the doctor to check out. Here are the basics:

  • Head. The doctor will check the soft spots (fontanels) on your baby's head. These are gaps between the bones of the skull where bone formation isn't complete. The smaller spot at the back of the head usually closes by age 2 to 3 months. The larger spot toward the front often closes around age 18 months.
  • Ears. The doctor will use an instrument called an otoscope to check for fluid or infection in your baby's ears. The doctor might observe your baby's response to various sounds, including your voice.
  • Eyes. The doctor will look inside your baby's eyes with an instrument called an ophthalmoscope. As your baby gets older, the doctor might catch your baby's attention and then track your baby's eye movements.
  • Mouth. The doctor might check the roof of your baby's mouth for an opening (cleft palate). A look inside your baby's mouth might reveal signs of oral thrush, a common — and easily treated — yeast infection. As your baby gets older, the doctor might ask whether you've noticed more drooling or chewing than usual. These are often the first signs of teething.
  • Skin. Various skin conditions might be identified during the exam, including birthmarks and rashes.
  • Heart and lungs. The doctor will use a stethoscope to detect any abnormal heart sounds (murmurs) or rhythms or breathing difficulties. Heart murmurs are often harmless, yet sometimes consultation with a specialist is recommended.
  • Abdomen. By gently pressing your baby's belly, the doctor can detect tenderness, enlarged organs or unusual masses.
  • Hips and legs. The doctor might move your baby's legs to check for dislocation or other problems with the hip joints.
  • Genitalia. The doctor will likely inspect your baby's genitalia for tenderness, lumps or signs of infection. For boys, the doctor will make sure both testes have descended into the scrotum and, in the case of circumcision, will check to see whether the penis is healing properly.

Your baby's development

Your baby's motor skills and development are important, too. Depending on your baby's age, be prepared to answer questions like these:

  • Is your baby turning toward sights or sounds?
  • Is your baby smiling or cooing?
  • Is your baby reaching for objects?
  • Does your baby respond to and make corresponding facial expressions?
  • Does your baby imitate sounds that you make?
  • Can your baby support his or her head well?
  • Does your baby attempt to roll over?
  • Can your baby sit with support?
  • Does your baby pull up into a standing position?

Your baby's vaccines

Your baby will need various vaccines at well-baby visits, including vaccines to protect against hepatitis B, diphtheria, tetanus, pertussis, polio, measles, mumps, chickenpox and other diseases. During each injection, the doctor will instruct you on how to hold your baby and help keep him or her still. Afterward, hold your baby, talk, sing, breast-feed or offer your baby a bottle to help soothe him or her.

Time to talk

During the appointment, your baby's doctor will likely ask how things are going. Be ready to describe a typical day with your baby. For example:

  • How many hours does your baby sleep during the day? At night?
  • How often do you feed your baby? If you're breast-feeding, are you having any trouble?
  • How many diapers does your baby wet and soil in a day?
  • How active is your baby?
  • Are you including tummy time in your baby's activities?
  • How is your baby's temperament?

Your baby's doctor might ask questions about your family's home life and medical history. The doctor might also discuss safety issues, such as placing your baby to sleep on his or her back and using a rear-facing infant car seat. Although breast milk or formula will be the main part of your baby's diet throughout the first year, you'll also talk about when to introduce solid foods.

Undoubtedly, you'll have questions, too. Ask away! Consider writing down your questions beforehand so you don't forget them in the moment. If you and your partner can't both attend the visit, ask a relative or friend to come with you to help care for your baby while you talk to the doctor.

Also remember your own health. If you're feeling depressed, stressed out or run-down, describe what's happening. Your baby's doctor is there to help you, too.

Heading home

Make sure you know when to schedule your baby's next appointment — and how to reach the doctor in the meantime. Ask if the doctor's office or clinic offers a 24-hour nurse information service. Knowing help is available when you need it can offer peace of mind.

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Feb. 08, 2022

  1. Altmann T, et al., eds. Caring for Your Baby and Young Child: Birth to Age 5. 7th ed. Bantam; 2019.
  2. McKee-Garrett TM. Assessment of the newborn infant. https://www.uptodate.com/contents/search. Accessed June 12, 2020.
  3. Wright JT. Anatomy and development of the teeth. https://www.uptodate.com/contents/search. Accessed June 12, 2020.
  4. South-Paul JE, et al. Well-child care. In: Current Diagnosis & Treatment: Family Medicine. 5th ed. McGraw-Hill; 2020. https://accessmedicine.mhmedical.com. Accessed June 12, 2020.
  5. Pammi M. Clinical manifestations and diagnosis of Candida infection in neonates. https://www.uptodate.com/contents/search. Accessed June 12, 2020.
  6. Jana LA, et al. Heading Home With Your Newborn: From Birth to Reality. 3rd ed. American Academy of Pediatrics; 2015.
  7. How to prepare for your child's health supervision visit. JAMA Pediatrics. 2018; doi:10.1001/jamapediatrics.2018.1575.

See more In-depth

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  1. Air travel with infant
  2. Baby fat
  3. Baby naps
  4. Baby poop: What's normal?
  5. Baby sling
  6. Breast-feeding and medications
  7. Breast-feeding support
  8. Breastfeeding and alcohol
  9. Breast-feeding and weight loss
  10. Breastfeeding nutrition: Tips for moms
  11. Breastfeeding strike
  12. Crying baby? How to keep your cool
  13. Baby sleep
  14. Tummy time
  15. Hyperlactation
  16. Infant botulism
  17. Infant constipation
  18. Infant development: Milestones from 10 to 12 months
  19. Infant development: Ages 4 to 6 months
  20. Infant development: Ages 7 to 9 months
  21. Infant formula preparation
  22. Infant formula: Is tap or bottled water better?
  23. Infant formula basics
  24. Infant growth rates
  25. Infant swimming and asthma
  26. Organic baby food
  27. Sick baby?
  28. How to swaddle a baby
  29. Babies and solid foods
  30. Spitting up in babies
  31. Teething: Tips for soothing sore gums
  32. Vitamin D for babies
  33. Weaning tips

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Which of the following actions should the medical assistant take when obtaining the head?

Which of the following actions of the medical assistant take when obtaining the head to conference of an infant? Recording the measurement to the nearest 0.6cm (1/4 in.) Medical assistant is applying a transdermal patch for a patient.

When measuring a patient's respiratory rate which of the following actions should a medical assistant take to ensure an accurate reading?

When measuring a patient's respiratory rate, what action should a medical assistant take to ensure an accurate reading? Count the respiration without the patient being aware that her/his breathing is being assessed. You just studied 79 terms!

When performing the palpatory method for obtaining blood pressure what indicates the level at which the medical assistant should inflate the cuff?

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Which one of the following terms should a medical assistant use to tell a provider that a patient is having discomfort and difficulty breathing?

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