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Pediatric Health Maintenance 2 Months quick look
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This chart rates treatment options according to general effectiveness, ease of use,
side effects and safety.
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Check infant for normal coordination and strength to make sure that the nervous system is developing properly
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Not available
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By two months of age infants are beginning to interact, smile and coo.
Check that infant can hold up its head when lying on stomach, briefly hold an object such as a rattle, look toward a sound, and follow a person as he/she crosses the room.
Tell Me More...
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Full physical exam
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Not available
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Physician compares height to a growth chart to see if growth is normal.
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Full physical exam
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Consider a blood test in infants at risk for anemia (low red blood cells)
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Excellent
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Infants who were premature, who had a low birth weight, or who are on low iron formula may be at risk for anemia (low red blood cells).
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Consider a blood test in infants at risk for anemia (low red blood cells)
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Other screening tests for healthy 2-month-old infants
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Not available
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Other blood screening tests for healthy 2-month-old infants are not considered necessary according to national recommendations.
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Other screening tests for healthy 2-month-old infants
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DTaP (diptheria, tetanus, pertussis), IPV (polio), HIB (H influenza), PCV (pneumococcal), HBV (hepatitis B), RotaTeq (rotavirus)
(DTaP = diptheria/tetanus/pertussis vaccine, IPV = inactivated poliomyelitis vaccine, HIB = Haemophilus influenza type b vaccine, PCV = pneumococcal vaccine, HBV = hepatitis B vaccine, RotaTeq = rotavirus vaccine)
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Excellent
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The first injections of the following vaccinations are given at 2 months: diptheria/tetanus/pertussis vaccine; polio vaccine; H. influenza vaccine; pneumococcal vaccine. The second dose of the hepatitis B vaccine (HBV) is given - the first should have been given in the hospital, before the baby went home. Rotavirus vaccine is given by mouth.
Tell Me More...
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DTaP (diptheria, tetanus, pertussis), IPV (polio), HIB (H influenza), PCV (pneumococcal), HBV (hepatitis B), RotaTeq (rotavirus)
The most common side effect from these vaccines are pain at the injection site and fever. Severe reactions are rare and most of these are due to allergic reactions. DTaP can rarely cause a nerve problem called brachial neuritis. The new rotavirus vaccine, RotaTeq, is given by mouth.
Physicians must give parents vaccine information statements to inform them of the risks of any vaccine. These statements are available at: http://www.immunize.org/vis/
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Encourage breast feeding, consider vitamin supplements, review car seat safety
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Excellent
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Breast fed infants may need vitamin D supplements. If on formula, cow's milk allergy can develop. Premature or anemic infants may need iron pills. Car seats should be rear facing (facing the back of the car) and placed in the back seat.
Tell Me More...
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Encourage breast feeding, consider vitamin supplements, review car seat safety
The best site for critically important car seat information is the American Academy of Pediatrics pamphlet "Car Safety Seats: A Guide for Families 2008" which is available at
http://www.aap.org/family/carseatguide.htm.
It is a comprehensive guide; not only for car seats, but for much more information about car safety for infants and children.
If on formula, allergies to cow's milk can develop within days to months after birth. This allergy can cause hives, asthma, colic, sleeplessness, blood in the stool, and poor growth. Let your pediatrician know if any of these events seem to be occurring.
More information can be found at:
http://www3.niaid.nih.gov/topics/foodAllergy/understanding/children.htm
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