‘4moWCCplan

Healthy 4-month old infant
– Follow up at 6 months of age, or sooner PRN.
– ER/return precautions discussed.

Vaccines today:
– Pediarix #2 (DTaP, IPV, HepB #3), PCV #2, Rota #2, Hib #2
– Pentacel #2 (DTaP, IPV, Hib), PCV #2, Rota #2, HepB #3
– Comvax (Hib #2, HepB #3), PCV #2, Rota #2, DTaP #2, IPV #2

Premature (< 37 weeks) or < 5.5 lbs
– Consider hemoglobin

Anticipatory guidance (discussed or covered in a handout given to the family)
– Common immunization SE’s
– How and when to introduce solids
– Normal sleep patterns (decreased nighttime feeds, more regular sleep patterns)
– Infant should always sleep on back to prevent SIDS (first 6 months, at least)
– Teething (first tooth at 3-12 months, average 7 months)
– Tummy time; prevention of plagiocephaly
– Range of normal bowel habits
– Warning signs for postpartum depression versus baby blues
– No smoking in home: risk for SIDS and asthma
– Safest to sleep in crib or bassinet
– Car seat facing backward until 2 years of age and 20 pounds
– Working smoke alarms and carbon dioxide monitors in home
– Hot water heater to less than 120 degrees
– Fall prevention
– Normal crying versus colic, and what to expect
– No honey, corn syrup, cows milk until 1 year
– Poly-Vi-Sol supplement with iron if mostly breastfeeding (< 32 oz/day of formula)
– How and when to contact us
Healthy 4-month old infant
– Follow up at 6 months of age, or sooner PRN.
– ER/return precautions discussed.

Vaccines today:
– Pediarix #2 (DTaP, IPV, HepB #3), PCV #2, Rota #2, Hib #2
– Pentacel #2 (DTaP, IPV, Hib), PCV #2, Rota #2, HepB #3
– Comvax (Hib #2, HepB #3), PCV #2, Rota #2, DTaP #2, IPV #2

Premature (< 37 weeks) or < 5.5 lbs
– Consider hemoglobin

Anticipatory guidance (discussed or covered in a handout given to the family)
– Common immunization SE’s
– How and when to introduce solids
– Normal sleep patterns (decreased nighttime feeds, more regular sleep patterns)
– Infant should always sleep on back to prevent SIDS (first 6 months, at least)
– Teething (first tooth at 3-12 months, average 7 months)
– Tummy time; prevention of plagiocephaly
– Range of normal bowel habits
– Warning signs for postpartum depression versus baby blues
– No smoking in home: risk for SIDS and asthma
– Safest to sleep in crib or bassinet
– Car seat facing backward until 2 years of age and 20 pounds
– Working smoke alarms and carbon dioxide monitors in home
– Hot water heater to less than 120 degrees
– Fall prevention
– Normal crying versus colic, and what to expect
– No honey, corn syrup, cows milk until 1 year
– Poly-Vi-Sol supplement with iron if mostly breastfeeding (< 32 oz/day of formula)
– How and when to contact us

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