POCKET GUIDE - Bright Futures - American Academy of Pediatrics

More documents

Recommendations

Info

Infancy 12 Bright FUTURES ■ Waiting until breastfeeding is well established before introducing infant formula (for mothers combining breastfeeding and formula-feeding). discuss with Parents of formula-fed infants ■ Feeding their infant on average 20 oz of formula in 24 hours (2 oz of infant formula every 2–3 hours at first and more formula if the infant seems hungry). 3 To 5 days Interview Questions for Parents of all infants ■ how are you feeding your baby? ■ how often does your baby feed? how long does it generally take for a feeding? ■ how does your baby like to be held when you feed him? ■ Are you comfortable that your baby is getting enough to eat? ■ how does he behave during a feeding? Pulls away, arches back, is irritable, or calm? ■ how does your baby behave after feedings? satisfied baby look, still rooting, anxious? ■ has he received any other fluids from a bottle? ■ how many wet diapers and stools does he have each day? ■ What is the longest time he has slept at one time? for Parents of breastfed infants ■ how is breastfeeding going for you and your baby? ■ is your baby receiving a vitamin D supplement? ■ Does your baby suck well? Does she latch on well and breastfeed in a rhythm? ■ Do you feel a good “let-down” or “milk-ejection” reflex (tingling sensation and a strong surge of milk)? ■ have you noticed changes in your milk? ■ how often does your baby feed? how long do feedings last? for Parents of formula-fed infants ■ What formula are you feeding your baby? is it iron-fortified? ■ how are you preparing the formula? ■ how often do you feed your baby? how much does he take at a feeding? ■ how do you hold your baby while feeding? how do you hold the bottle? ■ What questions do you have about infant formula (brands, cost, preparation, amount)? ■ What questions do you have about preparing formula and storing it safely?
■ Are you worried about having enough money to buy infant formula? Screening and Assessment ■ Perform metabolic screening as indicated by the state. ■ Assess the infant for milk intake, hydration, jaundice, and age-appropriate elimination patterns. ■ if possible, observe the mother breastfeeding or either parent bottle-feeding the infant. Assess how comfortable the parent seems with feeding the infant, eye contact between the parent and the infant, the parent’s interaction with the infant, the parent’s and the infant’s responses to distractions in the environment, and the infant’s ability to suck. Anticipatory Guidance discuss with Parents of all infants ■ signs of hunger include infant putting the hand in the mouth, sucking, rooting, pre-cry facial grimaces, and fussing (crying is a late sign hunger). ■ Waking their infant for feeding if the infant sleeps for more than 4 hours. ■ helping their infant focus on feeding by rocking, patting, stroking, or swaddling the infant or feeding in a room with fewer distractions (lights, noise). discuss with Parents of breastfed infants ■ Their infant settling into typical breastfeeding routine of every 2 to 3 hours in the daytime and every 3 hours at night, with 4- to 5-hour stretches between feedings; total of 10 to 12 feedings in 24 hours. ■ After the mother’s milk comes in, infants should have about 6 to 8 wet diapers in 24 hours. (infants may have stools [typically loose] after every feeding or as infrequently as every several days.) ■ Avoiding artificial nipples (pacifiers, bottles) and supplements (unless medically indicated) until breastfeeding is well established; this occurs around age 4 to 6 weeks. (some infants never use pacifiers or bottles.) discuss with Parents of formula-fed infants ■ Feeding their infant on average 20 oz of formula in 24 hours (2 oz of formula every 2–3 hours at first and more formula if the infant seems hungry). 13 Bright FUTURES Infancy
Page 1: T H I R D E D I T I O N P O C K E T
Page 4 and 5: American Academy of Pediatrics Depa
Page 7: Bright Futures: Nutrition v Bright
Page 10 and 11: viii Bright FUTURES Bright Futures:
Page 12 and 13: x Bright FUTURES today many familie
Page 15 and 16: ■■ infanCy oVerView infancy is
Page 17 and 18: ■ Does your baby receive anything
Page 19 and 20: physical Activity ■ Discouraging
Page 21 and 22: ■ Are you taking or do you plan t
Page 23: ■ What vitamin or mineral supplem
Page 27 and 28: Screening and Assessment ■ if pos
Page 29 and 30: Anticipatory Guidance discuss with
Page 31 and 32: ■ introducing iron-fortified, sin
Page 33 and 34: ■ talking with their infant durin
Page 35 and 36: oral health ■ Assess eating behav
Page 37 and 38: ■■ early Childhood oVerView ear
Page 39 and 40: ■ Describe what your child does d
Page 41 and 42: Anticipatory Guidance discuss with
Page 43 and 44: teaching Children About Food ■ of
Page 45 and 46: 15 monThs Interview Questions ■ A
Page 47 and 48: ■ Describe your child’s mealtim
Page 49 and 50: ■■ middle Childhood oVerView Mi
Page 51 and 52: ■ recognize that interview questi
Page 53 and 54: underweight ■ if BMi is below the
Page 55 and 56: ■ Choosing healthy foods for meal
Page 57 and 58: ■■ adolesCenCe oVerView Adolesc
Page 59 and 60: nuTriTion suPerVision An adolescent
Page 61 and 62: Screening and Assessment growth and
Page 63 and 64: eating Behaviors and Food Choices
Page 65: Nutrition Tools 53 Bright FUTURES
Page 68 and 69: Nutrition Tools 56 Bright FUTURES
Page 74 and 75:
Nutrition Tools 62 Bright FUTURES
Page 76 and 77:
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
Page 88 and 89:
Page 90 and 91:
show all

POCKET GUIDE - Bright Futures - American Academy of Pediatrics

Create successful ePaper yourself

Delete template?

Save as template?