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13 Cards in this Set
- Front
- Back
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new born
history, hospital, family, feeding, PE, guidance |
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* prenatal * * material health during PG * hospital course * * delivery * interventions * apgar * hearing screen, required * newborn screen, 4-6wks, * * hemoglobinopathies * metabolic disorders * genetic disorders * family/social * * family construction, no assumptions * who gives care * risks of households * feeding plans * * breast milk is best * * if formula, identify motivation * WIC will give formula, and more food if she breastfeeds * * elicit questions * physical exam * * head to toe * * abnormal, look for 2, find 2, look for 20 * lab * * newborn screen if not done at hospital * bili if risk factors * anticipatory guidence * car seat * back to sleep strategies * hot water * smoke detec |
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follow up newborn visits
indication, PE |
* usually because below birthweight at initial, normal, see 1 wk later if more severe problems, see 2 days later
* physical exam * repeat of newborn * focus on weight gain and growth * return to birthweight by 14 days * forumula fed: initial weight loss 5% * breast fed : initial weight loss 7-10, 10% notable |
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2 month visit
parents, baby behavior, synchrony, nutrition, safety |
* parental well being: PPD, labor division, family support, siblings
* baby behavior: routines, where sleep, safest is on back in own space, if co-bedding use co-sleeper, * synchrony: roles, working? how things fit? * nutrition: keep breast feeding, usually every 2-3hrs, formula go 3-4hrs, take 2-4oz per feeding, regular bowel movements, good weight gain, need exclusively milk fed * safety: car seats, water temp, tobacco, drowning, falls * development screening |
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2 month visit
vaccines |
dtap
pcv hib rota ipv hbv |
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4 month visit
family function, development, nutrition, oral, safety |
* family functioning: roles, responsibilities, child care, parents often going back to work by now (3mo),
* infant development: tummy time, self regulation, social interactions, expect smiles * nutrition: feeding source, some families do solids now, if they ask you say 6 months, if already started introduce new solid every 2 weeks, offer consistently for 2 weeks before giving up * oral health, no teeth, maternal oral health care bacteria travels from mom to baby, clean pacifier, no bottle in bed it causes child tooth decay * safety: car, falls, many parents question walker right now, they are death traps! lead poisoning, |
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4 month visit
vaccines |
dtap
pcv hib rota ipv hbv hbv depends on brand if given now |
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6 month visit
family, development, oral, safety |
* family: balnce roles, child care
* infant development: clarify expectations, read to child every day, expose to as much language as possible, most babble, more and more independence and self regulation * oral: start solids, foods that don’t make choke, avoid peanut butter, fish, and honey, 2oz max per day of juice otherwise everything is milk, starting to get teeth, start tooth brushing with low fluoride tooth paste * safety: some are crawling, gates at staircase, no walkers |
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6 month visit
vaccines |
dtap, pcv, hib rota, ipv, hbv, flu
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6 month visit
screening |
lead with H/H
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9 month visit
family, development, feeding, safety |
* family: discipline, should be redirection, doesn’t understand consequences
* infant: more independent, regular sleep schedule, exploring on own supervised, object permanence, separation anxiety high, feeding routine most people use more table food so watch weight and growth, keep using milk as primary, food is for fun and exploring and practice, * start feeding routine, use zippy cups * safety: more mobile, child proof, fall risk, window protection, gaits at staircases, gun safety |
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9 month visit
vaccines |
flu, 1st year need 2 doses one month apart
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12 month visit
family, routines, feedings, dental, |
* family: support, work life balance
* routines: brushing teeth 2ce a day, meals * feeding: start transition to whole cows milk, may continue breast feeding, stop formula * dental: need a home now, get the accustomed |
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12 month visit
vaccines, screening |
MAR/VAR
HAV HBV PCV FLU lead and H/H in high risk |
