Baby S Age: 1 Month, 2 Weeks

Home Visit Plan

Baby’s age: 1 month, 2 weeks

Parental Health

• Ask mother for the date of her scheduled postpartum visit with her healthcare provider. If she is unable to provide the date, support her in making the appropriate appointment.
• For breastfeeding mothers present as anticipatory guidance Breastfeeding: Collection, Storage and Use of Expressed Milk for Well Infants
• Review with mother Calming the Storm, Process for Gaining Control over Stress, assist mother in discovering ways to manage her stress.

• Collect Substance Use and Smoking Inventory

Parenting

Collect the Infant Birth Form

• Ask mother the date of the next scheduled visit with the infant’s healthcare provider. If she is unable to provide the date, support her in making the appropriate appointment.
• Review Keys to Caregiving: Booklet # 4 State Modulation
• Follow up with mother on any insights she has gained using the Sleep and Activity Record. Provide guidance regarding her infant’s emerging routines.

Child Development

• Present as Anticipatory GuidanceParents as Teachers: 1 Month: Week 2
• Discussion Points
• States of consciousness
• Tummy time
• Parent Handouts
• Your Child or Your Baby, 11/2 to 31/2 Months : What is Special About This Age?, p. D-77/D-87
• When the Crying Won’t Stop or Don’t Shake Your Baby!
• Tummy Time

Personal & Environmental Safety

• Discuss any concerns that mother may have regarding her or her infant’s safety.

Collect Nursery Safety Inventory

Social Supports

• Collect Interpersonal Support Inventory
• Collect Social Network Index

• Discuss with mother the amount and quality of support she is receiving from her significant other, family and friends.

• Present Family Vitality: Building a Strong Marriage to foster discussion regarding communication with significant others and family members

Life Course Development

• Collect Demographic Baseline Form if appropriate.
• Discuss with mother the impact of the baby’s birth on her current activities surrounding work/school.

Share with mother Child Care Checklist for Parents to assist her decision making process in choosing qualified and safe child care for her infant.

• Complete Turning My Dreams Into Goals (mother) and Turning My Dreams Into Goals (baby) with mother.

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