Well Check-Ups
2-3 Days from Nursery Discharge
 
 
Concern and Care
Our Mission: Let kids grow up physically and mentally healthy and successful

Yingshan Shi, MD Contributors
This page is in construction
The page started on 01/03/2009, Updated on 02/19/2009
     
Growth and Nutrition

Average birth weight: 3.4-3.5kg (7.5-7.7lbs)
Lose wt on the first 2-3 days and weight loss
< 7-10 % of birth weight on day 3-4 of life; gain weight 1-2oz daily after day 3-4 of life; reach birth weight before day 7-10
Average birth length: 49-50cm (19.4-19.7inchs)
Average birth head circumference: 34.7-35.8cm
CDC Growth Charts More Versions/Spanish/French
Boy 0-36months length & weight for age
Boy 0-36months head circumference for age
Girl 0-36months length & weight for age
Girl 0-36months head circumference for age

 
Development Assesment

Gross motor : equal movement, lift head a little
Fine motor: rooting, suck, swallow
Language and communication: cry, shows needs with behavior, clams to parents’ voice
Cognitive: fix on face or objects briefly
Personal and social : smile when sleeping, regard face
Visionand hearing: fix on face briefly, calms to voice, startles to loud sounds

     
Immunization

Hepatitis B #1 if not given at Nursery
Parents and household contacts: influenza shot
Check mother’s hepatitis B status

link
After shot soothing

 
Screen and Tests

Bilirubin test as needed for yellow skin and eyes
Newborn screen: result pending link
Blood Pressure measurement if has risk factors
Visionscreen: eye referral for premature babies with risk factors link
Hearing screen : referral if abnormal or not done in Nursery. risk assessment link
Tuberculosis : risk assessment link

     
Age Anticipatory Guidance FunEdu 1st 2 mo

Feeding and nutrition: weight loss and gain, determining adequacy of feeding, b reast feeding, formula feeding, urination and bowel movement, and burping Newbornso 0-1yr linkj Nutrition
Sleeping and baby caring : sleep position and sudden infant death syndrome (SIDs), flat head prevention, sleep and cry time, room temperature, cord care, diaper care, bathing, care for circumcised penis, thermometer use, clothing, hold, cuddle, sooth baby, don’t shake baby Safe Sleep
Learning stimulation and family interaction: talking, singing, gazing, holding, cuddling, background music Learning Stimulation
Medical issues : jaundice, weight gain, know signs of illness, chocking management, sneezing, hiccups, spitting up, soft spot, sutures, or bumps over scalp, red spot in eyes, eye tearing, umbilical hernia, no scrotal testes, hydrocele, vaginal bleeding, hip clunk, sacral pits or hair, birt h marks Medical Info Center
Mother and family support : rest, eating for two, depression (tearful, anxious, fatigued, overwhelmed, or uncomfortable), support from family and friends, attention to siblings
Safety link
Feeding: no bottle in bed or microwave, adequate nipple for bottle, know choking prevention skills
Sleeping: crib safety (adequate slats, bumpers, side rails up, and no soft items), sleep on back, not share bed
Childproof home: smoke-free, smoke detectors, carbon monoxide detector. link
Burns: water temp<120 oF , not drink hot liquid or smoke cigarettes when carrying babies
Falls and drowning: do not leave baby alone on changing table, bed, sofa, or chair; keep crib sides raised, never leave baby alone in or near a bath tab
Car seat: rear-facing in the central back seat of the car link

     
 
 
Conversition Between Babies, Parents, and Physicians
 
  FAQs from parents (The answers are pending)  
  Shot, cord care, bath, growing,  
  Breast tissue, bloody spot in eyes,