2 Week Info



Immunizations

  • Hepatitis B

Hepatitis B is typically given within the first 24 hours after birth for optimal protection, though if it’s not been given yet, it will be offered at this visit.

Side effects from Hepatitis B are extremely rare. Your child may experience increased irritability and soreness, redness and/or swelling at the injection site. Call your doctor if symptoms persist longer than a day or two, if your infant has a temperature greater than 101.5 degrees Fahrenheit (rectal) or if you have any questions.

Tylenol may decrease the effectiveness of the vaccine. Please only use Tylenol for severe symptoms. do not give your baby any medications without consulting your primary care provider.

The providers at Panda Pediatrics feel strongly that immunizations are necessary for the protection of both your child and the community. Click to view our vaccine schedule and policy.

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Emerging Skills

Every child is unique. While certain behaviors and physical milestones tend to occur at certain ages, a wide spectrum of growth and behavior for each age is normal.

Development

  • Babies are learning to use their eyes and ears.

  • Smiling faces and gentle, pleasant voices are interesting for babies at this age.

Movement

  • Movements gradually become smoother and more controlled.

  • Cannot support head without assistance.

  • Grasps whatever is placed in hand.

Language

  • Turns in direction of some sounds.

Vision

  • Explores surroundings with eyes.

  • May follow some moving objects with eyes.

  • Makes eye contact.

Interactive Behaviors

  • Gives more precise meaning to crying (hunger, discomfort, excitement).

  • Cries when left alone; usually stops when picked up.

  • Makes variety of gurgling and cooing sounds when happy and content.

  • Responds positively to being held and comforted. Sing, talk to and kiss your baby.

  • Smiles socially at familiar faces and voices, especially mother’s voice.

  • Babies cannot be spoiled at this age. They depend upon frequent holding, cuddling, and interaction to develop social skills and emotional attachments.

Age-Appropriate Toys and Games

  • Give your baby plenty of supervised time on their tummies during the day to prevent misshaping of their heads (plagiocephaly) and promote muscle development.

  • Plastic mirror hung 6-7 inches from the baby’s face to attract attention and develop the ability to focus.

  • Floor gyms, activity quilts, and play mats.

  • Crib mobiles and objects that move slowly and produce gentle sound.

  • Soft, durable toys like stuffed animals or dolls. Be cautious of small parts, such as eyes.

  • Bright, colorful objects to watch turning and moving.

  • Sound producing toys such as bells, squeakers, and rattles to develop listening skills.

  • Soft books with high contrast patterns and bright colors.

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Feeding

A baby only needs breast milk or infant formula at this age. Baby food babies usually wake up at night to feed. This is normal. It is import and to hold your baby during feeding. This is a good time to talk and play.Hold the bottle and did not prop it up. If your baby refuses to feed two times in a row or has a poor sucking reflex, please call our office to discuss further. Do not give your baby water in the first six months. Never use a microwave to heat a bottle, As it can create hotspots and burn your babies mouth. Your baby may spit up a small amount of milk after eating, this is normal and is caused by gulping down air with milk or formula. To decrease spit up, feed your baby Feed your baby before he or she gets very hungry, hold your baby at an angle and gently burp your baby between feedings. Limit active play after meals and hold your baby in an upright position for at least 20 minutes following if feeding. For more information, visit healthychildren.org regarding spitting up.

Breastfeeding

  • Breastfed babies usually feed about 10-15 minutes at each breast during each feeding

  • Breastfed babies may want to nurse as often as every 2 hours.

  • Exclusively breastfed babies should take 400 IU of a vitamin D supplement daily.

Formula Feeding

  • Most formula-fed babies take 2-3 ounces of formula every 2-3 hours at this age.

  • May keep mixed formula in the refrigerator for up to 2 days.

Signs of Hunger

  • Puts hands to mouth

  • Sucks or roots

  • Sticks tongue out

  • Fussing

Signs of Fullness

  • Turns head away from bottle or breast

  • Closes mouth

  • Relaxes hands

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PACIFIERs

The American Academy of Pediatrics (AAP) recommends avoiding pacifiers until breastfeeding is well-established, which can be 3-4 weeks. Pacifiers may help soothe babies and the AAP notes correlations between pacifier use and a decreased risk of Sudden Infant Death Syndrome (SIDS). The AAP states that pacifier use does not harm a baby, nor does it cause medical or psychological problems. Pacifiers may satisfy the need to suck but should never be used to replace or delay meals. Let your baby decide whether, and when, to use a pacifier. Only use pacifiers that are one piece. Other pacifiers can be choking hazards. Never tie a pacifier to your child’s crib, neck, or hands.

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Elimination

  • Most babies will strain to pass bowel movements.

  • Bowel movements should be soft.

  • Ask your doctor about bowel movements that are hard (constipation).

  • Babies usually wet the diaper at least six times per day.

  • Breastfed babies usually have yellow or green “seedy”stools with the consistency of thin mustard.

  • Breastfed babies often stool with every feeding but also may only stool every few days.

  • Formula-fed babies usually have slightly yellow, brown, or green stools.

  • It is also common for some to stool only once every few days. This is not a concern unless your baby is irritable, not feeding well, or vomiting.

  • Please call our office to discuss further, if your child has diarrhea or frequent stools with mucus or foul odor, has low urine output (less than 4 wet diapers a day) or has not had 6-8 wet diapers per days by one week of life.

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Sleep

  • Babies usually sleep 16 or more hours a day.

  • Healthy babies should be placed in bed on their backs.

  • Sleeping on the back reduces the risk of Sudden Infant Death Syndrome (SIDS).

  • Babies should not be put to bed with loose blankets, pillows, or stuffed toys.

  • Watch for the development of flat spots on the skull and favoring one side. Talk to your doctor if you have concerns.

  • There are many clothing options for infants to help keep them warm safely, including wearable blankets, and “sleep sacks.”

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Parental Well being

Many parents find that baby brings a lot of new work. Help from significant others, friends, and relatives is very important. Sleep when your baby sleeps. Call your healthcare provider if you feel sad or overwhelmed for more than a few days. If you think you may have postpartum depression, or if your partner or family members are concerned, it is important for you to call your healthcare provider. If you are worried about violence in your home, please speak with your doctor or contact the National Domestic Violence Hotline.

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Taking a Rectal Temperature

  1. Turn on the digital thermometer.

  2. Have your child lie back down on your lap or a hard surface, as if changing a diaper.

  3. Before you insert the thermometer, put some petroleum jelly on the end of the thermometer and on the opening of the bottom (anus).

  4. Use one hand to hold the child’s legs up and the other to insert the thermometer. Insert the thermometer gently into the bottom until the metal tip is no longer visible. Never force it past any resistance.

  5. Remove the thermometer after you hear the correct signal.

  6. Read the temperature on the thermometer.

  7. At this age a temperature greater than 100.5 Fahrenheit or 38 Celsius indicates a fever.

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Hygiene

  • Keep umbilical cord area open to air and dry.

  • Could take several days to a few weeks for the umbilical cord to fall off.

  • If umbilical cord has a foul smell, discolored drainage, or redness around the belly button, please call our office to discuss further.

  • 1-2 baths per week once cord separates and dries is adequate.

  • Overbathing can lead to eczema or excessive dry skin.

  • Lotions, oils, or creams are not necessary and often make newborn rashes worse.

  • Keep fingernails short and smooth to prevent scratches. File nails straight across.

  • Cleaning the ear is not necessary, but if you must, clean only the outer ear, never the inner ear canal.

  • Diaper rashes are common. Use diaper cream or barrier ointment to protect infant’s skin. If rash doesn’t improve, keep area open to air.

  • If rash does not improve after 3 days with barrier cream and open air, or if baby has open sores, please call our office to discuss further.

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Safety

Falls

  • Always keep one hand on your baby when changing their diaper or clothes.

  • Never leave infant alone on high surfaces like beds, tables, etc.

  • Keep crib and playpen sides up. Crib slats should not be more than 2 inches apart.

Burns

  • Make sure hot water heater is set to 120 degrees Fahrenheit.

  • Avoid drinking hot liquids, cooking, ironing, or smoking while holding your baby.

  • Check formula temperature carefully. Formula should be warm or cool to the touch.

Smoke

  • Do not smoke around your baby.

  • Smoke outside and wear a light overcoat that remains outdoors to decrease smoke particles on clothing. Smoke exposure can cause upper respiratory and ear infections.

Choking

  • Use sofe, washable toys without removable parts or sharp objects.

  • Do not place bottles, bumpers, or blankets in your infant’s crib.

  • Use a mattress that fits snugly in the crib.

  • Babies are safer in their own beds than in bed with their parents, even if they cry more.

  • Keep small objects, sibling’s toys, balloons, etc. out of baby’s reach.

  • You can take infant CPR to decrease choking risk at home.

  • To learn more visit mayoclinic.org.

Car Seat

  • A rear-facing car seat is safest for a young child due to their fragile neck.

  • Never hold your infant in your lap while traveling in an automobile.

  • Never leave your baby alone in the car.

  • Watch for excessive sun exposure with longer periods in the car.

  • In colder weather, remove heavy, winter coats before strapping baby into car seat.

General Rules

  • Never give your baby Tylenol without first consulting with your primary car provider in the first two months. It is important to not delay diagnosing a potentially emergent condition by suppressing a fever.

  • Never leave your baby alone or with young brothers, sisters, or pets.

  • Children should not be left alone in water for even a second, even if in a bath seat.

  • Install carbon monoxide and smoke detectors in your home and assure they work.

  • If you use a crib for your baby, pick a safe location. It should not be too near a heater.

  • Mesh netting or playpens should always be in the upright position.

  • When awake, dress your baby how you dress plus one removable layer, like a blanket.

  • In colder weather, baby should wear a hat because babies lose heat through their heads.

  • Protect your baby from sun exposure with clothing, hats, and sunscreen.

  • If firearms are kept in your home, keep guns and ammunition locked separately.

  • Lawrence Memorial Hospital Educational Programs can be found by calling 785-505-5800.

  • Poison Control advice can be obtained at 1-800-222-1222.

Reasons to Call Your Doctor

  • Temperature above 100.5 degrees Fahrenheit (Rectal)

  • Vomiting, not just “spitting up” or “wet burping”

  • Any breathing difficulty, excessive crying, or irritability

  • Any new or changing rash, increasing jaundice, or yellow color.

  • Limp like a rag doll, weak cry, refusing to feed two times in a row or poor sucking reflex.

  • Draining, redness, or foul odor around umbilical cord or at circumcision site.

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