There are two settings. PLAY and SHOW.
In PLAY they cry to request things such as feeding, burping, rocking, a diaper change, a change of position, or they cry because they have been handled too roughly or the head was not properly supported. Each activity has a different cry as the request, but it takes lots of practice to be able to tell them apart. Each activity it requests is short in length, but requests are very frequent. They are in a random order so you never know what it will request next. Sometimes it gets the hiccups and needs a sip of water. Occasionally it coughs or coos.
In SHOW they do not request any care, but they respond to what you do. If you put the bottle to its mouth, the doll makes feeding sounds as if it is drinking from the bottle. If you have fed it, you can get it to burp. If you change the diaper it coos to thank you. In SHOW you are "in charge" and may do the activities in any order and may make feeding times as long as you wish.
The neonates are very similar to RealCare Baby by BTIO, but there are some basic differences:
BTIO makes infant simulators. Neonates are dolls, a toy. The Neonates are not on the schedule of a real infant. They do not get you up at night. They do not keep track of how well you have cared for them. The Neonates have an off switch. You may turn them off and on as you wish. If a Neonate does not sense any motion for about 20 minutes, it turns itself off to save on the batteries. The Neonates do not have the "fussy" activity that RealCare Baby does. Instead, Neonates get the hiccups - something RealCare Baby does not do. RealCare Baby requires a student ID which is attached to a wristband. The Neonates can be cared for by anyone with no Student ID required.