Free Pediatric Primary Care by Beth Richardson

Standards seat (FMVSS) should be installed properly in backseat, facing backward in their automobile. Contact local hospital, fire department, or March of Dimes chapter for car seat rental program.
F.  No smoking around infant. Do not drink hot beverages when holding baby.
G.  One-piece pacifiers only. Do not pin it to the clothing.
H.  No corn syrup (Karo) for constipation. May give 1-2 oz of sterile water daily for infrequent or hard stools.
I.  Infant still not old enough to be fed solid foods. Diet should be breastmilk or formula.
J.  Obtain CPR training. Make sure smoke alarms are working and functional in the home.
K.  Remind parents of when and how to call the healthcare provider.
1.  Breathing difficulties.
2.  Seizures.
3.  Irritability, lethargy.
4.  Poor feeding, vomiting, diarrhea (describe how stools would be if diarrhea).
5.  No urine in 12 hours, black or decreased bowel movements.
BIBLIOGRAPHY
Car Safety Seats: A Guide For Families 2011. American Academy of Pediatrics Healthy Children website: http://www.healthychildren.org/English/safety-prevention/on-the-go/Pages/Car-Safety-Seats-Information-for-Families.aspx . Accessed July 20, 2011.
Diekema DS, and Committee on Bioethics of American Academy of Pediatrics. Clinical Report: “Responding to Parental Refusals of Immunization of Children” Reaffirmed policy on May 1, 2009. American Academy of Pediatrics website: http://aappolicy.aappublications.org/cgi/content/abstract/pediatrics;115/5/1428 . Accessed June 2, 2011.
Centers for Disease Control and Prevention. Growth Charts for Birth through 36 Months. CDC website: http://www.cdc.gov/growthcharts/clinical_charts.htm . Accessed June 2, 2011.
Hagan JF, Shaw JS, Duncan P, eds. Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents. 3rd ed. American Academy of Pediatrics; 2008: http://brightfutures.aap.org/3rd_Edition_Guidelines_and_Pocket_Guide.html . Accessed June 2, 2011.
Recommended Immunization Schedule for Persons Aged 0 through 6 Years–United States 2010. Centers for Disease Control and Prevention website: http://www.cdc.gov/vaccines/recs/acip . Accessed June 2, 2011.
Task Force on Sudden Infant Death Syndrome. The Changing Concept of Sudden Infant Death Syndrome: Diagnostic Coding Shifts, Controversies Regarding the Sleeping Environment, and New Variables to Consider in Reducing Risk. American Academy of Pediatrics website: http://aappolicy.aappublications.org/cgi/content/full/pediatrics;116/5/1245 . Accessed June 2, 2011.
Tips and Tools: Safety for Your child; Birth to 6 Months. Retrieved from http://www.healthychildren.org/english/tips-tools/Pages/default.aspx . Accessed June 2, 2011.

CHAPTER 8
    Two-Month Visit
    Candace F. Zickler
     
Breathing difficulties, 786.09
No urine output in 12 hours, 788.2
Colic, 789
Poor feeding, 783.3
Decreased bowel movements, 564
Seizures, 780.39
Fever, 780.6
Vomiting, 787.03
Irritability, 799.2
I.  GENERAL IMPRESSION
A.  Parents should be enjoying their infant and taking joy from infant's accomplishments.
B.  Infant is more responsive with smiling and cooing.
C.  Parents should have many questions and be able to share stories of babies' activities.
II. NUTRITION
A.  Two-month old infant will take 6-8 oz/feeding, 4-6 feedings/24 hours (94–130 cal/kg/day). Feedings should be more predictable and infant should have periods when he/she sleeps for 3-4 hours at a time.
B.  Baby should take in 90 of feeding in first 20 minutes.
C.  Hold infant in semi-reclined position; burp every 1–2 oz.
D.  Specialized formulas have similar preparation directions; read labels. Goat's milk, whole cow's milk, rice milk have inadequate amounts of vitamins and minerals.
E.  Serve formula at room temperature. Do not microwave to heat. Do not let formula sit out to warm for more than 15–20 minutes.
F.  Clean technique is sufficient for mixing formulas.
1.  Clean off cans with soap and water before opening.
2.  Use