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26 Cards in this Set

  • Front
  • Back
New time for the old “two week” visit
48 to 72 hours after release from nursery
Important specifics to evaluate and record on first visit
• Mom’s appearance
• Infant’s appearance
• Vital signs (through at least 3 years)
Vitals to account for in the infant
Length, weight, head circumference, temperature
Amount of weight the baby can normally lose during the 1st week of life
10% of body weight
Important aspect of HEENT on every well-child exam (always, always, always...)
Red reflex (most common pathology seen is cataracts)
Maneuvers to use to check hip integrity (through about 3 months of age)
Ortalani/Barlow maneuvers
Questions to ask at first visit
• Sleep patterns
• Feeds/day and stool production/character
• Any other concern
• Hep B vaccine given in the hospital
Sleep position for babies
Back is best
Reason for Tylenol infant drops at one month visit
Immunizations
Important vitamin supplementation w/ formula and the introduction of solid foods
Iron
Time for introduction of solid foods
4-6 months
• Responds to sounds
• Watches mom’s face, briefly
• Lifts head when on tummy, briefly
• Moves all extremities, jerky
• Smiles spontaneously
• Calms w/ soothing voice or soft repetitive sounds
• Clams self briefly
development at 1 month
• Cooing, vocalization of pleasure
• Lifts head and chest while prone
• Improved head control
• Variety of emotions
• Begins to discover fingers/hands
development at 2 months
• Laugh/squeal/smile
• Roll (F -> B)
• Open hands, grasp toy, hold hands together
• Reach for objects
• Recognize breast/bottle
• Look intently at parent’s hands
• Follow parents around room w/ eyes
• Entertain self for brief periods
development at 4 months
• Rolling (F -> B -> F)
• Sits w/ some support
• Anticipates spoonfuls
• Anticipates being picked up
• Repeats actions that receive good reviews
• Babbles and smiles
• Has definite ‘space’
• Everything goes to the mouth
development at 6 months
• Sitting to prone w/out assistance
• Stands holding on
• Bangs items together
• Explores foods w/ fingers
• ‘shows off’
• Imitates vocal inflections and behaviors
• Regularity in stool pattern/bladder control
development at 9 months
• Moves rapidly, crawls, walks
• Enjoys the ‘art’ of feeding self
• Expresses a complete thought w/ one syllable
• Continues to prefer familiar people
• Likes rhythms and rhymes
• Displays sense of humor
• Often examines items visually before putting them in mouth
development at 12 months
• 3-6 to 20 words
• Walking well and in reverse by 18 months
• Understanding of simple queries
• Throws, pushes, rolls toys
• Listens to a short story w/ pictures
• Imitates parents
development at 15-18 months
Age to pay particular attention to muscle tone and range of motion

early signs of cerebral palsy/extremity spasticity begin to be evident
4 months
special attention during HEENT exam on a 4 month old
gaze (eyes)

eyes should no longer wander
usual time for eruption of teeth
between 5 and 10 months of life
Usual timeframe for first URI
Six months
breast feeding and/or formula feeds continue until...
one year of age
Food stages to introduce at the nine month visit
• Stage 1: fine puree, small jars
• Stage 2: bigger jars
• Stage 3: larger chunks
Tested for on the Denver II standard development test, introduced at the nine month visit
• Personal/social development
• Language
• Fine motor
• Gross motor
Age for introduction of whole milk (preferred through two years of age) and weaning from bottle/breast
12 months