"6 Month Well Child Visit List Template - Pediatric Junction"

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6 Month Well Child Visit
Weight
_____ (
%)
Length _____ (
%)
Head Size _____ (
%)
Six months is often called the Golden Age of infancy. Babies at this age are still easy to keep in one place since they don’t usually
crawl. They are generally happy, love to interact with people, smile, and laugh easily. These babies show clearly how specially
attached they are to their parents, sometimes even resisting being with babysitters or grandparents. Your baby will begin to really
play with toys mostly by putting them in his or her mouth! Make sure your child’s toys are made for babies and not a choking
hazard.
Safety
Behavior
The biggest threat to your child’s health is an injury!
Your child may display resistance staying with anyone other than
you, even the favorite babysitter or grandparents.
Car Seat – Place in a rear facing car seat in the middle
Playing peek-a-boo gives your child the opportunity to practice
backseat EVERYTIME.
the comings and goings of parents and other favorite people.
Water Safety – Never leave your child unattended in or
around water.
Teething
Burns –Be very aware of hot appliances like irons and
Your infant may already have the first tooth. If not, that’s
curling irons; if not already done so, set your water heater
ok…many infants don’t get their first tooth until well after their
to 120 degrees.
st
1
birthday.
Sleep position – BACK is still BEST!
It is important to start “brushing” daily with a soft wash cloth
and water.
Falls –Do not leave your child unattended on beds,
couches, or changing tables.
For teething pain, try teething rings, cool washcloths (wet
washcloths placed in the freezer for 20 minutes) and massaging
Fire – Have smoke detectors installed in your home.
the gums. These are generally the only interventions necessary to
Tobacco Exposure – Smoking is dangerous for her at any
make the drooling baby happy. ** Please talk to your doctor prior
age. If someone at home smokes then she smokes. Do not
to giving medicines for teething.
allow smoke in your home or in your car at anytime.
Once the teeth erupt they will need to be cleaned daily with a soft
wet washcloth.
Childproofing –Your baby is becoming more active and is
Teething will NOT cause serious diarrhea or fever greater than
more prone to injury; if you haven’t already done so,
100.4. If your baby has extreme fussiness, a significant change in
child-proof your home. Be very careful of table cloths,
bowel movement or fever, a cause other than teething is likely to
lamps, drawers and dangling cords especially as your baby
blame!
starts pulling to a stand.
Poison prevention – Keep all medications and household
Nutrition
chemicals in locked cabinets. Have the poison control
Feedings vary and appropriate weight gain is our true gauge of
number handy (800.222.1222).
adequate intake.
Do not place your infant in the crib with a bottle; this practice can
Development
lead to dental caries and ear infections.
Most babies are sitting on their own at this age and enjoy
Do not put cereal in your baby’s bottle unless recommended by
your doctor.
standing holding your hands. Crawling can start as early
as 6 months, or not until 9 to 12 months. Some babies
Begin offering the sippy cup while your baby is in the high chair.
He or she should begin sitting in the high chair for meal time.
never crawl at all.
Only put formula, water, or breast milk in a sippy cup! Avoid
Their ability to focus has greatly improved and their ability
juice—it has no nutritional value, is bad for forming teeth, and
to see colors is almost at an adult level. This may
quickly becomes a habit that is very difficult to break.
temporarily interfere with feeding as he or she is enjoying
Over the next several months solid food intake should increase
looking around.
and formula and breast milk intake begin to decline. Start a 3
Your child can support weight on their legs and may prefer
meal-a-day schedule. Feed your baby solids until they fuss or
the standing position.
turn away. This will help transition him or her from a drinking
baby to an eating baby.
He or she can put their hands together and reach and bat
Introduce food one at a time to observe for possible allergic
objects.
reaction (rash, vomiting, and diarrhea). Babies naturally prefer
Help stimulate language development by reading to your
the sweet taste of fruit and the order of food introduction will not
infant and responding to her sounds.
change this.
6 Month Well Child Visit
Weight
_____ (
%)
Length _____ (
%)
Head Size _____ (
%)
Six months is often called the Golden Age of infancy. Babies at this age are still easy to keep in one place since they don’t usually
crawl. They are generally happy, love to interact with people, smile, and laugh easily. These babies show clearly how specially
attached they are to their parents, sometimes even resisting being with babysitters or grandparents. Your baby will begin to really
play with toys mostly by putting them in his or her mouth! Make sure your child’s toys are made for babies and not a choking
hazard.
Safety
Behavior
The biggest threat to your child’s health is an injury!
Your child may display resistance staying with anyone other than
you, even the favorite babysitter or grandparents.
Car Seat – Place in a rear facing car seat in the middle
Playing peek-a-boo gives your child the opportunity to practice
backseat EVERYTIME.
the comings and goings of parents and other favorite people.
Water Safety – Never leave your child unattended in or
around water.
Teething
Burns –Be very aware of hot appliances like irons and
Your infant may already have the first tooth. If not, that’s
curling irons; if not already done so, set your water heater
ok…many infants don’t get their first tooth until well after their
to 120 degrees.
st
1
birthday.
Sleep position – BACK is still BEST!
It is important to start “brushing” daily with a soft wash cloth
and water.
Falls –Do not leave your child unattended on beds,
couches, or changing tables.
For teething pain, try teething rings, cool washcloths (wet
washcloths placed in the freezer for 20 minutes) and massaging
Fire – Have smoke detectors installed in your home.
the gums. These are generally the only interventions necessary to
Tobacco Exposure – Smoking is dangerous for her at any
make the drooling baby happy. ** Please talk to your doctor prior
age. If someone at home smokes then she smokes. Do not
to giving medicines for teething.
allow smoke in your home or in your car at anytime.
Once the teeth erupt they will need to be cleaned daily with a soft
wet washcloth.
Childproofing –Your baby is becoming more active and is
Teething will NOT cause serious diarrhea or fever greater than
more prone to injury; if you haven’t already done so,
100.4. If your baby has extreme fussiness, a significant change in
child-proof your home. Be very careful of table cloths,
bowel movement or fever, a cause other than teething is likely to
lamps, drawers and dangling cords especially as your baby
blame!
starts pulling to a stand.
Poison prevention – Keep all medications and household
Nutrition
chemicals in locked cabinets. Have the poison control
Feedings vary and appropriate weight gain is our true gauge of
number handy (800.222.1222).
adequate intake.
Do not place your infant in the crib with a bottle; this practice can
Development
lead to dental caries and ear infections.
Most babies are sitting on their own at this age and enjoy
Do not put cereal in your baby’s bottle unless recommended by
your doctor.
standing holding your hands. Crawling can start as early
as 6 months, or not until 9 to 12 months. Some babies
Begin offering the sippy cup while your baby is in the high chair.
He or she should begin sitting in the high chair for meal time.
never crawl at all.
Only put formula, water, or breast milk in a sippy cup! Avoid
Their ability to focus has greatly improved and their ability
juice—it has no nutritional value, is bad for forming teeth, and
to see colors is almost at an adult level. This may
quickly becomes a habit that is very difficult to break.
temporarily interfere with feeding as he or she is enjoying
Over the next several months solid food intake should increase
looking around.
and formula and breast milk intake begin to decline. Start a 3
Your child can support weight on their legs and may prefer
meal-a-day schedule. Feed your baby solids until they fuss or
the standing position.
turn away. This will help transition him or her from a drinking
baby to an eating baby.
He or she can put their hands together and reach and bat
Introduce food one at a time to observe for possible allergic
objects.
reaction (rash, vomiting, and diarrhea). Babies naturally prefer
Help stimulate language development by reading to your
the sweet taste of fruit and the order of food introduction will not
infant and responding to her sounds.
change this.
Make sure your child is sitting upright for feedings to decrease
the risk of choking. Soft pureed foods are best to start with as
Today’s Visit
your baby slowly learns to chew over the next several months.
Baby chew with their back gums not their teeth so the number of
Handouts
teeth does not influence their ability to chew.
Reading Check-up
Your baby can have very soft table food such as mashed potatoes.
Guide to Dental Health
You may begin dairy as well such as yogurt, cottage cheese, and
Poison Control Packet
other soft cheeses. Eggs are usually safe at this age. Start with
Iron-rich foods
egg yokes. They are less allergenic. If there are food allergies in
the family, it may be best to wait until 1 year of age.
Tooth-Eruption Chart
Your baby needs iron in his/her diet. Offer iron-rich foods such as
Developmental Screening Instructions
meat and iron-fortified baby cereal twice a day.
After the Shots and Vaccine Information Sheets (VISs)
Your doctor may recommend a fluoride supplement for infants
Vaccines
(when available combination vaccines are used)
who are breastfed.
DTaP #3 of 5
Hold off on peanut butter until age 1 year (age 2 if there is a nut
Polio (IPV) #3 of 4
allergy in the family).
Haemophilus influenzae (HIB) #3 of 4
No honey or corn syrup until age after 1 year of age.
Pneumococcal conjugate (PCV) #3 of 4
Influenza (fall and winter) – A BOOSTER IN 1 MONTH!
Sleep
Lab
Your baby does not need feedings during the night for nutrition
Lead and/or anemia check if at risk (EPSDT requires both)
or hydration. He or she may LIKE the feedings but does not
NEED them to grow and develop normally.
Next Visit –
please schedule today
If you are still co-sleeping discuss as a family when to transition
9 month well child exam - important developmental screening
your child to their own bed. Now will be easier than when they
will begin at this visit. Please complete the developmental
are crawlers, walkers, and talkers. “Mommy no, mommy no,
testing prior to your 9 month appointment – see attached
mommy no” may affect you differently than just crying!
handout for details.
Separation anxiety may cause bedtime resistance, so using a
1 month for flu booster
favorite blanket or stuffed animal may be helpful.
Some infants who have been sleeping great up to this age may
EMERGENCY CARE
begin nighttime awakenings. This is usually due to separation
anxiety, a normal part of development at this age. Be sure your
If you feel you child may need urgent care please call the office
child is safe and not ill but keep the interaction brief. It doesn’t
no matter what time of day or day of the week it is. Remember
take long for this habit to be reinforced by holding or rocking
minor cares and health clinics in grocery stores are not
your child. Or worse, by restarting nighttime feedings.
recommended by the American Academy of Pediatrics.
If your infant is not an independent sleeper or has frequency
In the event that your doctor advises you to go the emergency
nighttime awakenings please talk to your doctor about ways to
room, we strongly recommend Dell Children’s Medical Center,
approach this issue.
the only facility in the area specializing in the care of
children.
To get to Dell Children’s head north on IH-35, exit Airport Blvd
Medications
and drive east. Take a left at Aldrich St, then a left onto Mueller
Tylenol (acetaminophen) for use after receiving immunizations is
Blvd. The hospital is located at 4900 Mueller Boulevard at the
okay. See “After the Shots” handout. Use a dosing dropper or
intersection of Philomena Drive and Mueller Blvd. Phone: 512-
syringe and put in the back corner of their cheek.
324-0000
Do not use any other over-the-counter medications without
Homework
discussing it with your pediatrician. This includes any over-the-
counter anti-diarrhea or cold and cough medications.
Your child may have ibuprofen (Advil or Motrin) beginning at
Insure that your car seat is installed correctly and your infant is
this age. Please discuss with your doctor proper dosing. It is
properly buckled in. Check to be sure your infant has not exceeded
better tolerated when there is food in the stomach.
the weight OR length limits of the bucket seat!
GET YOUR HOUSE READY FOR A MOBILE BABY!
When to call
COMPLETE YOUR DEVELOPMENTAL
You are concerned for ANY reason.
SCREENING JUST PRIOR TO YOUR 9 MONTH
Your child will need to be seen within 24 hours if they have a
APPOINTMENT!
rectal temperature greater than or equal to 102.2, blood in the
urine or stool, vomiting or diarrhea, or temperature greater than
or equal to 100.4 daily for 5 consecutive days
Fever up to 105 is not harmful to your baby. If your child is
acting very ill, seek immediate medical attention regardless of the
temperature.
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