answers
Anticipatory Guidance
The first priority is to attend to the concerns of the parents.
Social determinants of health: Risks (living situation and food security;
tobacco, alcohol, and drugs; parental depression), strengths and
protective factors (family relationships and support, child care)
■ Community agencies can help you with concerns about your living
situation. Tell me about your living situation. What are your resources
for caring for the baby?
■ Programs like WIC and SNAP are available to help Correct Answer-
Newborn through 9 AND 10 YEAR VISITS
Newborn Visit
Accept help once you get home so you can recover from the delivery
and focus on the baby. ■ Spend time with your other children; help them
adjust to baby
Behavior and care:
Infant capabilities, baby care (infant supplies, skin and cord care), illness
prevention, calming your baby
■ Baby is beginning to know you. Learn baby's temperament, reactions.
■ Create nurturing routines; physical contact and talking helps baby feel
secure and learn.
■ Use fragrance-free soap/lotion; avoid powders; avoid direct sunlight.
,■ Change diaper frequently to prevent diaper rash.
■ Cord care: Air-dry by keeping diaper below navel; call if bad smell,
redness, fluid from the area. ■ Wash your hands often.
■ Avoid others with colds/flu. ■ Never hit or shake baby. What do you
do to calm your baby? What do you do if that doesn't work? Correct
Answer-Newborn Visit
First Week Visit (3 to 5 Days)
Newborn behavior and care:
■ Early brain development, adjustment to home, calming, when to call
(temperature taking) and emergency readiness (CPR), illness prevention
(handwashing, outings) and sun exposure
■ Sing/talk/read to baby; avoid TV and other digital media.
■ Help baby wake for feeding by patting/diaper change/undressing. ■
Calm baby with stroking head or gentle rocking.
■ What do you do to calm your baby? What do you do if that doesn't
work?
■ Mothers should continue prenatal vitamin with iron; eat a healthy diet
■ How is breastfeeding going? What concerns do you have about
breastfeeding?
■ If formula feeding: Prepare/store formula safely; feed 2 oz every 2 to 3
hours, more if still seems hungry; hold baby semi-upright; don't prop
bottle. Correct Answer-First Week Visit (3 to 5 Days)
, If breastfeeding: Provide 8 to 12 feedings in 24 hours; should not hurt;
continue prenatal vitamin; avoid alcohol. ■ If formula feeding:
Prepare/store formula safely; feed on cue, at least 8 times in 24 hours;
hold baby semi-upright; don't prop bottle term-17mo.
Learn how to recognize fullness; expect 6 to 8 wet cloth diapers per day
or 5 to 6 wet disposable diapers, 3 to 4 stools per day; no extra fluids;
burp baby at natural breaks in feeding Correct Answer-Newborn to 2mo
1 Month Visit
Parent and family health and well-being: Postpartum checkup, maternal
depression, family relationships
■ Finding good child care can help you feel confident about returning to
work. I can provide information and resources.
■ Have postpartum checkup. e—60% to 80% of mothers experience
"baby blues" in the first 2 weeks postpartum; 10% to 15% have
postpartum depression during the first year of the infant's life
■ Anxiety, depression are common after birth; getting enough
sleep/physical activity and eating healthy helps
Infant behavior and development: Sleeping and waking, fussiness and
attachment, media, playtime, medical home after-hours support
■ Put baby in crib awake/drowsy to help with transition; keep room
temperature comfortable.
■ Consider offering pacifier.