Pediatric Group
2 Month Well Child Visit
Vaccines:
Pediarix: combination vaccine of DTaP (Diptheria, Tetanus, whooping cough), Polio and Hepatitis B
HiB: Haemophilus Influezae Type B (not Flu)
Prevnar: Pneumonia Vaccine
Rotavirus: Prevents rotavirus diarrhea – Given by mouth
Side effects: Babies generally do well the first vaccine series; some side effects include low grade fever ( 100- 101F), fussiness, excessive crying, vomiting, sleepiness, and swelling at injection site. Ask for CDC vaccine information sheet if you would like more information. You may give about 0.4 ml (1/2 dropper) of Tylenol Infant drops every 4 hours twice or more if needed (up to 5 times) in 24 hours
Feeding
· Babies at 2 months need to be exclusively breastfed (best) or formula fed
· Solids (cereals) are not advised until 4 months of age
· Spitting up will occur more from now on Unless vomiting is projectile, no treatment is usually needed.
Bowel habits
· Babies should have soft or seedy stools
· Babies can stool several times a day or may go for up to 1 week without stooling (particularly if formula fed)
· If baby is straining or having a hard time passing stools, give about 1 tsp of Karo syrup (mixed with formula or breastmilk) or 1 oz of prune juice.
Colic
· Babies tend to be fussy a lot and may cry for hours
o Try to rock baby gently, wrap up snug, take for car ride, or try placing baby in a vibrating chair
o If all else fails, take a break and have some one else take care of baby.
NEVER SHAKE A BABY!
Development of baby at 3 months
Movement
Raises head and chest when lying on stomach
Stretches & kicks legs when lying on stomach or back
Opens and shuts hands
Pushes down on legs when feet are placed on a firm surface
Brings hand to mouth
Takes swipes at dangling objects with hands
Grasps and shakes hand toys
Visual
Watches faces intently
Follows moving objects
Recognizes familiar objects and people at a distance
Starts using hands and eyes in coordination
Hearing and Speech
Smiles at the sound of your voice
Begins to babble
Begins to imitate some sounds
Turns head toward direction of sound
Social/Emotional
Begins to develop a social smile
Enjoys playing with people & cries when playing stops
Becomes communicative & expressive with face & body
Imitates some movements and facial expressions
Developmental Health Watch
Although each baby develops in her own individual way and at her own rate, failure to reach certain milestones may signal medical or developmental problems requiring special attention. If you notice any of the following warning signs in your infant at this age, discuss them with your pediatrician.
Doesn't respond to loud sounds
Doesn't notice hands by 2 months
Doesn't smile at the sound of your voice by 2 months
Doesn't follow moving objects with eyes by 2 - 3 months
Doesn't grasp and hold objects by 3 months
Doesn't smile at people by 3 months
Cannot support her head well at 3 months
Has trouble moving one or both eyes in all directions
Crosses her eyes most of the time. (Occasional crossing of the eyes is normal in these first months.)
Doesn't pay attention to new faces, or seems very frightened by new faces or surroundings
Talk with your doctor if you have any concerns about your child’s development