Emma3weekoldgirl

Visitagenda

Resources(forms,bookchapters,etc.)*linkstothese!:

WellBabyInformationResources:
http://www.rourkebabyrecord.ca/parents/
greatparentresourcewebsitewheretheycanlookupagespecificinformation
regardingwhethertheirchildishealthyandgrowing/developingnormally,aswellas
breastingfeeding,nutrition,colic,weaning,etc
AlsoinformationforHCP

Guidelinesfordevelopmentthatfocusonparentalhealthandchildhealth:
https://brightfutures.aap.org/materialsandtools/guidelinesandpocketguide/Pages/default.a
spx/

Chapter910fromcoursetextbook(Newborn+1styear)

Keyquestionsrelevanttoage,gender,development,etc.:

REDFLAGS:
Howarethefeeding?suckingpoorly,feedsslowly
Howactivearetheyinmovements?rarelymove,stiffnessORexcessively
loose/floppy
Howisthemomdoing?anysadness?

KeyQuestions:
Howoftenaretheyfeeding?Every23hours,upto812x/day
AreyouandbabytakingvitaminD?
Howmanywetdiapersdotheyhaveaday?68/day
WhatisyourBabysroutineandschedulelikenow?
Isyourbabysleepingwell?
Canyourbabyhearsounds?
Doesyourbabylookatyourface?
Whencrying,canyourbabybecalmed?

Relevantscreeningexams,objectivetools(questionnaires,labwork,etc.):

Length,Weight,HeadCircumference
Head:headdeformities
PrimaryReflexes:
grasping:touchpalmgraspstightly
Moro:suddenmovement/loudnoisestartles,armslegsshootoutthenbackin
Rooting:strokecheekturnstosource

Tonicneck:layonback,turnheadtoonesideipsilateralarmextension
contralateralflexion
Parachute:suspendchildbytrunk,forwardflexionupperextremityextension,does
notappearuntil69months

Vision:redlightreflex,clarityofcornea,responsetobrightlight
Hearing:startletoloudnoise

Heart:auscultationformurmurs,palpatefemoralpulse
Abdomen:masses,notehealingonumbilicus
MSK:OrtolaniandBarlowmaneuvers(
https://www.youtube.com/watch?v=imhI6PLtGLc
)

Anymodificationsforphysicalexams:

REDFLAGS:
Brightlightshown:noblink
Doesntfocus/followanobjectmovingsidetoside
Dontrespondtoloudsounds

Usedistractionandplaywhileexaminingtheinfanttheycanonlypayattentiontoonething
atatime,sowhiletheyfocusonthedistraction,youcancompleteyourexamination.
keepinfantonparentslap
dotheexaminationinwhateverordertheinfantwillallowyou,savingthemouthand
earforfinalexam

BPshouldonlybetakeninhighriskinfants,otherwisewaituntil3YOA
HR:90190,average140bpm
RR:3060
Temp:auditorycanalmostaccurate

Head:examinesuturesandfontanelles,scalpveinsfordilation,skullsymmetryandhead
circumference

Lung,HeartandAbdomenaresimilartoadults,juststartwithagoodinspectiontolookfor
signsofissuesbeforeproceeding.

Relevantanticipatoryguidance:

Parenting:addressresponsetocrying,maternalrest/diet,holdingandsupport
Whenaninfantcries,theyaretryingtocommunicatesomethingyoucantspoil
thematthisage,theyneedtobuildatrustbond
Useofskinonskincontact,babywearing
Breastfeeding
Discusslatch,expressionandstorageofmilk,generalbreastcare

SleepSafety
SupinevsProne,Firmsleepsurface
CoSleepingisfineaslongasthesurfaceisfirmwithoutpillowsforpossible
smothering
SIDSModifiableandNonModifiableRiskFactors
CarSeats+Safety
ensuringuptodate,wellworkingcondition
ChemicalExposure
personalcareproductsforbothmomandbaby
Others:Diaperrash,fever,vaccines
Establishingschedules,Routines
thisiswhentheylearnthereisaroutinetolife(daytimeisawaketime,nighttimeis
sleeptime)
At3weeks:8.5hoursofnighttimesleep,8hoursofdaytimesleep