Date | Age | SUBJECTIVE |
|
a=NORMAL X = ABNORMAL |
Date | 1
week |
See Assessment Handouts | FM Quality of Suck M Root/ sucking reflex B Latch-on and positioning/ Mother-led vs. Child-led feeding | GEN.AP LATCH-ON & POSITIONING HEENT LUNGS C.V. SKIN ABD NEURO EXT GEN. |
Date | 2-4
week |
Nursing Frequency___ On demand______ # of Stools______ # of Voids_______ Breast/Nipple _______ |
S Cuddles FM Follow to Midline/Equal movements/ Responds to Sound/Moro M Primitive Step/ Palmar Grasp/Neck/Elbow Flexor Tone B Actively feeds> 10 minutes | GEN.AP LATCH-ON & POSITIONING HEENT LUNGS C.V. SKIN ABD NEURO EXT GEN. |
Date | 6-8 Week | S- | S Smiles FM Palmar Grasp Fades L Listens to Bell M Lifts Head B Baby opens mouth wide /Begins to position self | GEN.AP HEENT LUNGS C.V. SKIN ABD NEURO EXT GEN. |
Date | 3-4
M |
S- | S -Smiles Spontaneously /Hands Together/Follows 180 L Squeals FM Laughs Babbles M Rolls Over, Head Steady, Sits w/ help B Efficiently nursing baby/Latches on Easily | GEN.AP HEENT LUNGS C.V. SKIN ABD NEURO EXT GEN. |
Date | 5-6 M | S- | S -Smiles at Mirror FM Grasps rattle/ Reaches for object L Coos M Prone Holds chest up/Sits B Signs of weaning/ solids readiness/Nurses sitting up/ Latch-on effortless | GEN.AP HEENT LUNGS C.V. SKIN ABD NEURO EXT GEN.
|
Date | 9-10M | S- | S Bye bye/ Feeds self crackers/Peek-a-boo/ FM Pincer Grasp/Raking Grasp/Transfers bjectsd/Looks for Hidden Objects LMama Dada nonspecific/Turnse to Voice/Imitates Speeck Sounds M Stands holding on/ Bears some WT. B Crawls over to nurse/Comfort Nurses | GEN.AP HEENT LUNGS C.V. SKIN ABD NEURO EXT GEN. |
Date | 1
Year |
S- | S- Kiss/Interactive Games/Pat a Cake FM Bangs 2 Cubes L Mama Dada Specific M Walks with help/Stands alone Seconds B Uses words for nursing/Laughs with joy when offered breast | GEN.AP HEENT LUNGS C.V. SKIN ABD NEURO EXT GEN. |
Date | Age | ASSESSMENT BF=Breastfeeding EBF=exclusive MBF=mixed W=weaned PW=premature WC=well child |
SA=SAFETY SX=SYMPTOMATIC BF/FD=BREASTFEEDING Rx FL=FEELING |
INSTRUCTIONS/PROCEDURES/ |
Date | 1
Week |
A- | SA Car Seats, Cosleeping, Back to Sleep, breastfeeding BF/ FD Burping, Hindmilk, Growth Spurts Avoid Bottle/ Pacifiers, Signs of Early Hunger and Satiation SX Stooling, Avoid Crying, Sleepy Baby FL Parents/ Sibling | Nursing Frequency INCREASE LENGTH or PUMPING TO INCREASE SUPPLY BREAST COMPRESSION
NIPPLE CARE/SKIN-TO-SKIN CONTACT/CORD CARE /CIRC CARE/ F/U 1 week/ Rest and limit visitors |
Date | 2
Week |
A- | SA Bedding, Bathing, BF /FD NO Propping, Cluster Feeding GROWTH SPURTS, CHANGING DYNAMICSOF BF SX Colic, Nasal Hygiene, Thermometer/Fever, Skin Care FL SLEEP, ROUTINE-NO SCHEDULE | NURSE ON DEMAND/Practice Nursing in Lying Position
EXCLUSIVE BF for 6 mo After 3-4TH week PUMP for STORAGE F/U 2 mo & PRN |
Date | 6-8
Week |
A- | SA FALLING (ROLLING OVER) CAR SEATS /Fire Retardant Clothing Small Objects Out of Reach BF/ FD Growth Spurts, BF Baby Leaner Cluster Feeding, Milk Supply maintenance, Feeding Efficiency/Breast Fullness SX Tylenol, Thermometer Use, Stooling Slows FL SLEEP, Oral Hygiene | COMVAX #1 ____ DaPT #1 ____ IPV #1____ Prevnar___
EXCLUSIVE BF for 6 mo F/U 4 mo & PRN |
Date | 3-4
M |
A- | SA Stairway Gaits, Avoid Walkers/Jumpers BF /FD SIGNS BABY READY FOR SOLIDS Shorter Nursing/ Easily Distracted Nursing Strikes SX DIARRHEA FL Behavior Expectations, Baby-sitters | COMVAX #2 ___ DaPT #2___ IPV #2 ___ Prevnar___
CONTINUE EXCLUSIVE BF F/U 6 mo & PRN |
Date | 5-6 M | A- | SA CRAWLING-ELECTRIC OUTLETS/Floor Heaters, Poisons BF /FD CHOKING, Pica, Spoon, NURSING FREQUENCY, Changing Composition of Milk/MUTUAL/Natural WEANING, Intro. Cup/Avoid Bottles, With Solids Milk Supply Becomes Supplementary SX DENTAL CARE/TEETHING URI-Review Ibuprofen, Ipecac FL Stimulation/ Consistency | DaPT #3___ Prevnar___
COMMENDATION for EXCLUSIVE BF RECOMMEND CONTINUATION for a MINIMUM of 1 YEAR/ F/U 9 mo (FIRST TIME BF MOMS) ) & PRN12-13 mo (SECOND TIME MOMS) & PRN
|
Date | 9-12M | A- | SA Ambulation Hazards BF /FD Finger Foods WEANING and TRIPLE NIPPLES SX Dental Hygiene OM, Shoes FL Exploration Strangers Discipline, Temper Separation Anxiety | CONTINUE BF
F/U 12-13 mo & PRN |
Date | 1
Year |
A- | SA Climbing Window, Stairs BF/ FD Decreasing Appetite, Eating Habits Nursing Manners/Setting Limits/Tandem Nursing/Nursing Frequency Commonly Increases with Illness/Teething. SX Vomiting, Review FL Independence Testing, Consistent Limits | MMR#1___ VARICELLA___ COMVAX #3___ PPD___ LEAD___ Prevnar_____
Congratulations AAP GUIDELINES MET WHO/UNICEF Recommendations > 2 YEARS F/U 15-18 mo & PRN COMFORT NURSING Encouraged |