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2 - 1 Well Child Care

Name: ______Nutrition :______• Feed on demand every 2 - 3 , at least 8 - 12 feedings in 24 hours. Weight: ______• Baby should have at least 5 - 8 wet diapers in 24 hours. Length: ______• Stools should be soft and liquidy. Stools be yellow, green or brown. Frequency of stools can vary Head Circumference: ______from up to 10 stools per to 1 stool every 10 days. • Feed your baby either breastmilk or formula. • The American Academy of Pediatrics recommends Safety breastmilk as the primary source of nutrition for the first 6 . • If your infant has a fever over 100.4° Fahrenheit, please • It is recommended to give your infant 400 IU of notify your pediatrician. vitamin D daily if breastfeeding, or if infant is taking in less than 33 ounces of formula per day. • Your child should be in a rear- facing car safety seat. • No water or tea. Your baby receives all the water they need in the breastmilk or formula. • Do not leave baby alone in • If using a bottle, do not prop the bottle. high places (changing table, couch, bed or sofa). • Do NOT microwave breastmilk or formula. • Never leave your child Breastmilk unattended in the bath. Make sure to be within arm’s • For breastfeeding support, please ask your child’s reach of your child while they are in or near water. pediatrician for lactation resources. • Set the water heater to less than 120° Fahrenheit. • If solely breastfeeding and planning to return to work, it is recommended to start to introduce a • Do not eat or hold hot liquids/food while you are near bottle by 6 of . or holding your baby. • Breastmilk can be left at room temperature for up to • Keep your infant 5 hours after pumping. away from sick people. Wash • Breastmilk can be stored in the refrigerator for up your hands often to 5 - 7 days and in the freezer for 3 – 6 months, and make sure depending on location in the freezer. anyone who • After removing breastmilk from fridge or freezer, it touches your can be left at room temperature for up to 1 . infant washes Formula their hands. • Please follow instructions on the formula can. For • Keep vehicle and powdered formula, please pour water first and then home smoke-free. add 1 scoop for every 2 ounces of water. • Make sure smoke • Formula can be prepared and left in the refrigerator and carbon for up to 24 hours. monoxide • Formula can be left at room temperature for up detectors are to 1 hour. Once feeding begins, make sure to use and formula within 1 hour or discard the formula. working.

(over) Sleep Usual Concerns • Infant should be laid At today’s visit, you may want to ask your child’s down to sleep on their pediatrician about eye discharge, infant gas, spit-ups, back in their own crib or fussiness and colic. bassinet. • Crib or bassinet should Next Visit be in parent’s room. Follow-up at 2 month well baby visit unless otherwise Rock’n Play, car seats notified by your child’s pediatrician. and swings are not considered safe sleep environments. • Firm mattress with a Resources fitted sheet. No blankets, toys or bumpers in the crib for the first of life. 3 After-Hours & Urgent Care at Beaver • Crib slats should be no more than 2 /8 inches apart (a soda can should NOT be able fit through the slats). • Nurse Medical Advice Line: 909-793-3311 or 800-481-2002. Call evenings, weekends & holidays. • Pediatric Saturday Clinic: 1690 Barton Road, #104; 909-793-3311. Call as early as 8 am to make a same-day Development/Behavior appointment for sick children on Saturday mornings • Focuses on your face, starts to between 9 am and 12 pm. follow objects. • Urgent Care: Walk-In Any Day of the Year • Responds to loud noises. • Redlands: 245 Terracina Blvd, #102; 7 am - 11 pm • Lifts head for short periods of • Highland: 7000 Boulder Avenue; 7 am - 11 pm when placed on stomach. • Beaumont: 81 S. Highland Springs Ave #101; 7 am - 9 pm • Crying is normal and may increase at 6 – 8 weeks. Websites/Apps • healthychildren.org • purplecrying.info Immunizations • beavermedicalgroup.com/pediatrics • CDC Milestone Tracker App • The first set of vaccines is normally given at 2 months. • sidsrisk.org • Safe Swaddling Practices: https://hipdysplasia.org/developmental-dysplasia-of- Parenting the-hip/hip-healthy-swaddling • Place your baby on tummy when awake a few Books per day. Never leave your baby unattended during • Getting Started with Breastfeeding by Stanford tummy time. University • Start to develop a routine for your baby. Help your • New Mother’s Guide to Breastfeeding by Joan Meek & baby with a sleep-wake cycle. Encourage a bedtime the American Academy of Pediatrics routine. • Heading Home with Your Newborn: From Birth to Reality • Make sure to take care of yourself. Rest when your by Laura Jana & Jennifer Shu baby rests. Breastfeeding moms should continue their • The Happiest Baby on the Block by Harvey Karp prenatal vitamin and make sure to drink • Healthy Sleep Habits, Happy Child by Dr. Marc plenty of water. Weissbluth • Notify your doctor if you are feeling sad, blue • Your Baby’s First Year by the American or overwhelmed for more than a few days. Academy of Pediatrics & Steven Shelov • Consider joining a parents’ group to meet This handout was created by Beaver Medical other parents with similarly aged children Group physicians based on guidelines by the and concerns. American Academy of Pediatrics. 12/11/2018