Anticipatory Guidance For The 4 Month Well Child Physician Visit printable pdf download

COLLEGE OF SOUTHERN IDAHO HEAD START/EARLY HEAD START

998 Washington St. N.

PO Box 1238

Twin Falls, Idaho 83303-1238

208-736-0741

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Anticipatory Guidance for the 4 Month Well Child Physician Visit

Date_______________

My baby is ________________weeks old. He/she weights _______________

and is __________________long and has a head circumference of _____________.

At this visit you can expect:

Your baby will be weighed and his or her length and head circumference will be measured.

Your baby will be undressed for a full physical exam.

Your baby’s vision and hearing will be checked.

Your baby’s development will be checked.

Immunizations: The deadline for these immunizations is 5 months of age, unless a child is on a catch-up

schedule then follow your provider’s recommendations. Please provide Home Visitor with copies of com

pleted immunizations and/or catch-up schedule. Ask your provider about these:

Hepatitis B-#2 (due at 3 months old up to 5 months old)

Diphtheria, Tetanus and Pertussis (DTaP)-#2 (due at 3 months old up to 5 months old)

Inactive Polio-#2 (due at 3 months old up to 5 months old)

Rotavirus-#2 (due at 3 months old up to 5 months old)

Haemophilus influenza Type b (Hib)-#2 (due from 3 months old up to 12 months old)

Pneumococcal-#2 (due from 3 months old up to 12 months old)

You might want to discuss with your provider:

Any illnesses your baby has experienced, any visits to another provider and any emergency room visits.

Observations you have made about your baby’s vision, hearing and development.

Your baby’s changing sleep habits and sleep routine.

Your baby’s personality and how you can know what your baby is trying to tell you.

How feeding is going. How to know when your baby is developmentally ready for additional foods.

Ask your provider to check your child’s mouth for any cuts, sores, white spots, blisters of swelling of the

gums.

How your family has adjusted to the new baby. Your work or school.

Developmental Milestones: See CDC Chart.

H-WCE-EHSFORMS-4 Month Well Child Anticipatory Guidance

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Anticipatory Guidance For The 4 Month Well Child Physician Visit