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Authors: Beth Richardson
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http://www.healthychildren.org/English/safety-prevention/on-the-go/pages/Car-Safety-Seats-Information-for-Famiies-2010.aspx . Accessed June 2, 2011.
DeMichele AM, Ruth RA. Newborn Hearing Screening. Medscape Reference; 2010: http://emedicine.med-scape.com/article/836646 . Accessed June 2, 2011.
Diekema DS, and Committee on Bioethics of American Academy of Pediatrics. Clinical Report: “Responding to Parental Refusals of Immunization of Children” Reaffirmed policy on May 1, 2009. American Academy of Pediatrics website: http://aappolicy.aappublications.org/cgi/content/abstract/pediatrics;115/5/1428 . Accessed June 2, 2011.
Fouzas S, Mantagou L, Skylogianni SM, et al. (2009). Transcutaneous bilirubin levels for the first 120 postnatal hours in healthy neonates. Pediatrics. 2009;125(1):e52-e57. Retrieved from American Academy of Pediatrics website: http://www.pediatrics.org/cgi/content/full/125/1/e52 . Accessed June 2, 2011.
Hagan JF, Shaw JS, Duncan P. (eds). Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents. 3rd ed. American Academy of Pediatrics; 2008: http://brightfutures.aap.org/3rd_Edition_Guidelines_and_Pocket_Guide.html . Accessed June 2, 2011.
March of Dimes. National Standard for Newborn Screening is Announced. Published May 21, 2010: http://www.redorbit.com/news/health/1869169/national_standard_for_newborn_screening_is_announced/ . Accessed June 2, 2011.
March of Dimes. Pregnancy and Newborn: Newborn Screening Tests. 2010: http://marchofdimes.com/pnhec/298_834.asp . Accessed June 2, 2011.
Medoff-Cooper B, Bakewell-Sachs S, Buus-Frank ME, et al. (Near Term Advisory Panel). The AWHONN near-term infant initiative: A conceptual framework for optimizing health for near-term infants. JOGNN: Principles and Practice. 2005;34(6):666-671.
Rauch D. Neonatal weight gain. MedlinePlus website: http://www.nlm.nih.gov/medlineplus/ency/article/007302.htm . Accessed June 2, 2011.
Recommended Immunization Schedule for Persons Aged 0 through 6 Years–United States 2010. Centers for Disease Control and Prevention website: http://www.cdc.gov/vaccines/recs/acip . Accessed June 2, 2011.
CHAPTER 7
One-Month Visit
Candace F. Zickler
Breathing difficulties, 786.09
Poor feeding, 783.3
Decreased bowel movements, 564
Seizures, 780.39
Irritability, 799.2
Vomiting, 787.03
No urine in 12 hours, 788.2
I. GENERAL IMPRESSION
A. Parents and infant should be settling into routine and more comfortable with each other. Parent should be very attentive to the infant and have lots of questions. There should also be a sense that parent is comfortable with the infant. Parent is able to describe characteristics of infant's temperament. Mother should have someone identified that she can leave baby with for brief periods of time.
II. NUTRITION
A. Breastfeeding is to be encouraged. Determine if baby is satisfied after feedings, how frequently baby is nursing, how long a feeding takes, and any concerns mom has about continuing nursing. Ask about plans/arrangements to return to work.
B. Formula.
1. Mix formula with bottled water for first month, continue to use bottled water if house is on well/unsure of water quality. Have well water tested at local health department for small fee.
2. Store ready-to-feed and open formula bottles in refrigerator. Refrigerate no longer than 24-36 hours.
3. Specialized formulas have similar preparation directions; read labels. Goat's milk, whole cow's milk, rice milk have inadequate amounts of vitamins and minerals.
4. Serve formula at room temperature. Do not microwave to heat. Do not let formula sit out to warm for more than 15-20 minutes.
5. Clean technique is sufficient for mixing formulas.
a. Clean off cans with soap and water before opening.
b. Use hot soapy water and bottlebrush to clean nipples and bottles or clean in dishwasher.
6. Hold infant in upright, semi-reclined position; burp every 1-2 oz.
a. No bottle propping.
b. No smoking or drinking
DeMichele AM, Ruth RA. Newborn Hearing Screening. Medscape Reference; 2010: http://emedicine.med-scape.com/article/836646 . Accessed June 2, 2011.
Diekema DS, and Committee on Bioethics of American Academy of Pediatrics. Clinical Report: “Responding to Parental Refusals of Immunization of Children” Reaffirmed policy on May 1, 2009. American Academy of Pediatrics website: http://aappolicy.aappublications.org/cgi/content/abstract/pediatrics;115/5/1428 . Accessed June 2, 2011.
Fouzas S, Mantagou L, Skylogianni SM, et al. (2009). Transcutaneous bilirubin levels for the first 120 postnatal hours in healthy neonates. Pediatrics. 2009;125(1):e52-e57. Retrieved from American Academy of Pediatrics website: http://www.pediatrics.org/cgi/content/full/125/1/e52 . Accessed June 2, 2011.
Hagan JF, Shaw JS, Duncan P. (eds). Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents. 3rd ed. American Academy of Pediatrics; 2008: http://brightfutures.aap.org/3rd_Edition_Guidelines_and_Pocket_Guide.html . Accessed June 2, 2011.
March of Dimes. National Standard for Newborn Screening is Announced. Published May 21, 2010: http://www.redorbit.com/news/health/1869169/national_standard_for_newborn_screening_is_announced/ . Accessed June 2, 2011.
March of Dimes. Pregnancy and Newborn: Newborn Screening Tests. 2010: http://marchofdimes.com/pnhec/298_834.asp . Accessed June 2, 2011.
Medoff-Cooper B, Bakewell-Sachs S, Buus-Frank ME, et al. (Near Term Advisory Panel). The AWHONN near-term infant initiative: A conceptual framework for optimizing health for near-term infants. JOGNN: Principles and Practice. 2005;34(6):666-671.
Rauch D. Neonatal weight gain. MedlinePlus website: http://www.nlm.nih.gov/medlineplus/ency/article/007302.htm . Accessed June 2, 2011.
Recommended Immunization Schedule for Persons Aged 0 through 6 Years–United States 2010. Centers for Disease Control and Prevention website: http://www.cdc.gov/vaccines/recs/acip . Accessed June 2, 2011.
CHAPTER 7
One-Month Visit
Candace F. Zickler
Breathing difficulties, 786.09
Poor feeding, 783.3
Decreased bowel movements, 564
Seizures, 780.39
Irritability, 799.2
Vomiting, 787.03
No urine in 12 hours, 788.2
I. GENERAL IMPRESSION
A. Parents and infant should be settling into routine and more comfortable with each other. Parent should be very attentive to the infant and have lots of questions. There should also be a sense that parent is comfortable with the infant. Parent is able to describe characteristics of infant's temperament. Mother should have someone identified that she can leave baby with for brief periods of time.
II. NUTRITION
A. Breastfeeding is to be encouraged. Determine if baby is satisfied after feedings, how frequently baby is nursing, how long a feeding takes, and any concerns mom has about continuing nursing. Ask about plans/arrangements to return to work.
B. Formula.
1. Mix formula with bottled water for first month, continue to use bottled water if house is on well/unsure of water quality. Have well water tested at local health department for small fee.
2. Store ready-to-feed and open formula bottles in refrigerator. Refrigerate no longer than 24-36 hours.
3. Specialized formulas have similar preparation directions; read labels. Goat's milk, whole cow's milk, rice milk have inadequate amounts of vitamins and minerals.
4. Serve formula at room temperature. Do not microwave to heat. Do not let formula sit out to warm for more than 15-20 minutes.
5. Clean technique is sufficient for mixing formulas.
a. Clean off cans with soap and water before opening.
b. Use hot soapy water and bottlebrush to clean nipples and bottles or clean in dishwasher.
6. Hold infant in upright, semi-reclined position; burp every 1-2 oz.
a. No bottle propping.
b. No smoking or drinking
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