Four Month Check-Up
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Well Visit Checklist
• Check Vitals
• Vaccines
• What to expect at this ageBreastfeeding
• On-demand, typically 4-6 feedings a day
• Continue Vitamin D SupplementationBottle Feeding
• On-demand, typically 4-6 bottles a dayStarting Solids
• You may introduce small amounts of pureeds at this time, if you baby is showing signs of readiness.
• Signs include: decreased tongue thrust reflex Holds head up on forearms
• Opens mouth easily
• Sits with support
• Most babies show signs of readiness closer to 6 mos of age and deferring solids until this time is preferred. -
Sleeping
• Baby may start to sleep 6 to 10 hours a night
• Continue putting baby on their back to sleep
• Put baby in crib when drowsy to allow to self soothe
• Develop a daytime scheduleDevelopment
• Smiles spontaneously
• Enjoys social interactions
• Bring hands together
• Likes to put hands in mouth
• Drools
• Babbles vowel sounds and other noises
• May start to purposely roll overSafety
• Make sure baby's seat is rear-facing
• Sunscreen should be used if prolong sun exposure is expected
• Never leave baby unattended on elevated surfaces or in bath
• Keep small objects out of reach -
Downloads
• 4 Month VisitImmunizations
• DTaP, IPV, Hib, PCV13, RV1Please Download, Fill Out, and Bring to Your Appointment
• EPDS English
• EPDS Spanish
Six Month Check-Up
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Well Visit Checklist
• Check Vitals
• Maternal Depression Screen
• Vision Screen
• Fluoride Varnish
• Maternal Resource
• What to expect at this age
• VaccinesBreastfeeding
• On-demand, typically 4-6 feedings a day. Continue Vitamin D supplementationBottle Feeding
• On-demand, typically 4-6 feedings a dayStarting Solids
• Start feeding your baby rice cereal and/or Stage 1 Fruits and Vegetables with a spoon 2-3 times a day
• Allow baby to eat until finished
• You may also start finger foods at this age; however, remember to always feed your baby in a seated position
• If your water supply is from a well, ask about a fluoride supplementation -
Sleeping/Hygiene
• Baby may start to sleep 6 to 8 hours a night • Continue putting baby on their back to sleep unless baby can roll over and prefers tummy
• Nap schedule more stable
• Secure or remove all crib bumpers
• Begin brushing as soon as your child’s first tooth begins to show
• Brush your child’s teeth with fluoride toothpaste twice each day after their first and last meal to help prevent cavitiesDevelopment
• Recognizes familiar faces
• Uses different vowel sounds and begins to use consonant sounds
• Holds head up well
• Starts to sit alone
• May begin to crawl around
• Stranger anxiety -
Safety
• Make sure your baby's car seat is rear facing
• Start childproofing your home
• Insect repellants are now safe to use ("family" or "child approved")
• Keep small objects out of reach as your baby will begin to put objects in his or her mount
• Remember water safety and be aware of potential ingestions/poisoningsDownloads
• 6 Month Visit
• Fluoride Varnish Educational Brochure
• Brushing Your Child’s Teeth
• Edinburg Postnatal Depression Screen
• Postpartum Resource Guide Flat
• Responsive Feeding
• Solid FoodImmunizations
• DTaP, PCV13, HBV, IPV, IIV (seasonally)Please Download, Fill Out, and Bring to Your Appointment
• EPDS English
• EPDS Spanish
Nine Month Check-Up
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Well Visit Checklist
• Check Vitals
• SEEK
• Fluoride Varnish
• Ages and Stages Developmental Screen (ASQ)
• What to expect at this age
• Seasonal Flu VaccineBreastfeeding
• On demand typically 4 feedings a day
• Continue Vitamin D SupplementBottle Feeding
• On demand, typically 4-5 bottles per dayStarting Solids
• You should be feeding your baby a combination of pureed foods (stage 2) and finger foods at least 3 times a day
• Allow your baby to determine when he or she is finished
• If you water supply is from a well, continue fluoride supplementation -
Sleeping/Hygiene
• Most babies will sleep 8-10 hours at night and take 2-3 daytime naps
• Nighttime awakenings may increase due to separation anxiety
• Develop a consistent bedtime routine and allow baby to put self to sleep
• Try not to pick up or talk to your baby during nighttime awakenings
• Briefly soothe and allow him/her to put him/herself back to sleep
• Begin brushing as soon as your child’s first tooth begins to show
• Brush your child’s teeth with fluoride toothpaste twice each day after their first and last meal to help prevent cavitiesDevelopment
• Lots of social interaction
• Stranger anxiety
• Separation anxiety
• Using lots of sounds
• Developing object permanence
• Plays peek-a-boo and so big
• Crawls, pulls to stand, cruises -
Safety
• CHILDPROOF your baby's environment
• Water safety/accidental falls/poisonings
• Make sure your baby's car seat is rear facing
• Sunscreen and Natural or DEET containing insect repellants are safe to use
• Remember, exploring babies are dangerous babiesDownloads
• 9 Month Visit
• Developmental Screen
• SEEK Parent Questionnaire
• CPA Resource List
• Fluoride Varnish Educational Brochure
• Brushing Your Child’s TeethImmunizations
• IIV (seasonally)Please Download, Fill Out, and Bring to Your Appointment
• PEARLS English
• PEARLS Spanish
• ASQ (English)
• ASQ (Spanish)
12 Month Check-Up
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Well Visit Checklist
• Check Vitals
• Vision Screen
• Fluoride Varnish
• Anemia & Lead Test
• What to expect at this age
• Vaccines
Breastfeeding
• On-demand, typically 4 feedings a day, continue Vitamin D supplementationBottle Feeding
• Wean to cup, change to whole milk, provide 3 dairy servings dailyStarting Solids
• Most babies will be on table/finger foods and self feeding with hands
• A portion size is about the size of your baby's fist
• Avoid peanut butter and shellfish until 2 years old
• If you water supply is well, continue with fluoride supplementation -
Sleeping/Hygiene
• Should be sleeping through the night with only occasional nighttime awakenings
• 1 to 2 naps per day
• Continue a consistent bedtime routine and allow baby to put self to sleep
• Brush your child’s teeth with fluoride toothpaste twice a day after their first and last meal to help prevent cavities
• Schedule first dental examDevelopment
• Lots of social interaction
• Stranger anxiety
• Separation anxiety
• Using lots of sounds
• Developing object permanence
• Plays peek-a-boo and so big
• Crawls, pulls to stand, cruisesSafety
• CHILDPROOF your baby's environment
• Water safety/accidental falls/poisonings
• Make sure your baby's car seat is rear facing
• Sunscreen and Natural or DEET containing insect repellants are safe to use
• Remember, exploring babies are dangerous babies -
Downloads
• 12 Month Visit
• Fluoride Varnish Educational Brochure
• Picky Eaters
• Finger Foods
• Baby’s 1stImmunizations
• HAV, PCV13, IIV, Hib, Hemoglobin /Lead LevelPlease Download, Fill Out, and Bring to Your Appointment
• PEARLS English
• PEARLS Spanish
• ASQ (English)
• ASQ (Spanish)
JAMES ISLAND
776 Daniel Ellis Dr. Bldg 2,
Suite A
Charleston, SC 29412
Office 843.795.8100
Fax 843.722.3010
MOUNT PLEASANT
1952 Long Grove Dr. Suite 202
Mount Pleasant, SC 29464
Office 843.971.2992
Fax 843.971.2998
SUMMERVILLE
2015 2nd Ave, Suite 101
Summerville, SC 29486
Office 843.737.9465
Fax 843.737.9466
WEST ASHLEY
2067 Charlie Hall Blvd.
Charleston, SC 29414
Office 843.573.2535
Fax 843.573.2534