‘6moWCCplan

Healthy 6-month old infant
– Follow up at 9 months of age, or sooner PRN.
– ER/return precautions discussed.

Vaccines today:
– Pediarix #3 (DTaP, IPV, HepB #4), PCV #3, Rota #3, Hib #3, Influenza
– Pentacel #3 (DTaP, IPV, Hib), PCV #3, Rota #3, HepB #4, Influenza
– PCV #3, Rota #3, DTaP #3, IPV #3, Influenza (Hib, HepB to be given at 12-month visit)

Anticipatory guidance (discussed or covered in a handout given to the family)
– Common immunization SE’s
– Avoiding use of walkers and door swings/jumpers.
– Child-proofing the home: Gates for stairs, burn prevention, kitchen safety, water safety
– Poison Control number (800-222-1222)
– Car seat facing backward until 2 years of age and 20 pounds
– Teething and fluoride (first tooth at 3-12 months, average 7 months)
– How and when to introduce solids: Iron-fortified foods, delaying sweet foods and fruits, no honey/corn syrup/cow’s milk until one year old, finger foods
– Choking hazards
– No juice from bottle; no bottle in bed; early use of sippy cup
– Speech development (importance of reading and talking)
– Sleep: Separation anxiety, night awakening, sleep training, lower crib mattress, side rales up
– Warning signs for postpartum depression versus baby blues