POCKET GUIDE - Bright Futures - American Academy of Pediatrics
POCKET GUIDE - Bright Futures - American Academy of Pediatrics
POCKET GUIDE - Bright Futures - American Academy of Pediatrics
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■ What vitamin or mineral supplements do you take or plan<br />
to take? is your baby receiving vitamin D supplements?<br />
■ Do you drink wine, beer, or other alcoholic beverages?<br />
Do you drink any special teas or take any herbs?<br />
■ Do you use any drugs (prescription, over the counter,<br />
street drugs)?<br />
for Parents <strong>of</strong> formula-fed infants<br />
■ What formula are you planning to use? is the formula<br />
iron-fortified?<br />
■ how <strong>of</strong>ten do you feed your baby? how much does she<br />
take at a feeding?<br />
■ What questions do you have about infant formula<br />
(brands, cost, preparation, amount)?<br />
■ how do you store the infant formula after you make it?<br />
■ how do you clean bottles, nipples, and other equipment?<br />
■ What do you do with the formula in the bottle after your<br />
baby has finished feeding?<br />
■ how does your baby like to be held when you feed her?<br />
■ Are you worried about having enough money to buy<br />
infant formula?<br />
Screening and Assessment<br />
■ Perform metabolic screening as indicated by the state.<br />
■ Assess administration <strong>of</strong> vitamin K.<br />
Anticipatory Guidance<br />
discuss with Parents <strong>of</strong> all infants<br />
■ signs <strong>of</strong> hunger include putting the hand to the mouth,<br />
sucking, rooting, pre-cry facial grimaces, and fussing<br />
(crying is a late sign hunger).<br />
■ Waking their infant for feeding if the infant sleeps more<br />
than 4 hours.<br />
■ helping their infant focus on feeding by rocking, patting,<br />
stroking, or swaddling the infant or feeding in a room<br />
with fewer distractions (lights, noise).<br />
discuss with Parents <strong>of</strong> breastfed infants<br />
■ Feeding their infant immediately after birth, preferably in<br />
the delivery room.<br />
■ Feeding their infant when she is hungry, usually every 2<br />
to 3 hours, about 8 to 12 feedings in 24 hours.<br />
■ Their infant is getting enough milk if there are 6 to 8 wet<br />
diapers and 3 or 4 stools in 24 hours and the infant is<br />
gaining weight as expected.<br />
■ Avoiding artificial nipples (pacifiers, bottles) and supplements<br />
(unless medically indicated) until breastfeeding is<br />
well established; this occurs at around age 4 to 6 weeks.<br />
(some infants never use pacifiers or bottles.)<br />
11<br />
<strong>Bright</strong> FUTURES<br />
Infancy