Two Month Well Check


 

Pediatric Associates of Austin, P.A.

MY TWO MONTH VISIT

What I can do now

  • I have some head control now when I am held upright. I can lift my head, neck and chest off the bed with my arms while lying on my stomach on the bed.
  • I will coo and make noises if you will coo and make noises first. I like to interact with you and other adults.
  • I will stop and listen to voices. I am also interested in other noises and notice bright objects around me.
  • I can see and follow objects past midline.
  • I will smile when you smile at me or when you touch me or speak to me. I may recognize my parents now.

Help me learn what to eat

  • Continue to give me breast milk or formula for my first year.
  • Do not give me solid foods yet and do not add cereal to my bottle. My digestive tract is not ready. Wait until I am 4 to 6 months old unless my doctor says differently.
  • I only need breast milk or formula to drink now unless directed by my doctor. If everyone around me seems to need more fluid, as in the heat of Austin summers, 2-3 oz of Pedialyte is OK.
  • Avoid giving me or any infant less than a year old honey since it may contain bacteria that is dangerous to me.
  • Hold me and cuddle me while I drink my bottle. I like the interaction. Besides, propping my bottle can lead to an increase in ear infections, tooth decay, and sleep problems.

Play with me

  • I like to be talked to and "coo" back. Encourage me to talk by talking to me during dressing, while bathing, feeding, playing, walking, and driving. Read to me.
  • I like to smile at you. Smile at me.
  • I like bright colored objects or toys.
  • I like to look at ceiling fans, bright lights, or hanging mobiles.
  • I like to have you hold me and cuddle me.
  • I like music. Play music for me.
  • I like to hear you sing.
  • I like mirrors.

Keep me Safe

  • Always keep me buckled in my approved, rear facing, infant car seat when we drive. The rear middle seat is the safest place for me.
  • Never tie strings or pacifiers around my neck since these could choke me.
  • Never shake me.
  • Keep putting me to bed on my back.
  • Be sure there are smoke detectors with good batteries where I live and sleep.
  • Please do not leave me alone with young children or pets—I might get hurt.
  • Keep me out of direct sunlight. Move me to the shade or under a tree, umbrella or the stroller canopy.
  • Please keep from smoking in my home or car. Smoke is bad for babies (and adults)!
  • Test warmth of my bath water with your wrist before putting me in the water.
  • Do not leave me alone in a tub of water or in high places such as changing tables, beds, sofas, or chairs. You never know when I may fall. Even strapped in a car seat on a counter invites a test of my motor skills, especially as I get older.

Help me sleep

  • I still sleep a lot (14-16 hours per day), but my schedule is going to become more regular as I get older.
  • Many babies my age take 3-4 naps per day.
  • If you keep night time feeding boring, I might sleep through the night by age 4 months but I may sleep 4 to 6 hours at a time and still be normal.
  • Some babies and parents may sleep better in separate beds and even separate rooms, while others prefer co-sleeping. Be sure to read up on both to help decide what is best for us.

Other concerns for Mom and Dad

Family Relationships

  • If I have brothers and sisters, I will bet they are starting to act like a baby like me, since I get the most attention around the house right now. Sometimes they like to help by getting my diaper or holding my bottle or doing other simple things to help with my care. They should get to spend some special time with mom and dad to read, cuddle, or play. Help them talk about their feelings about me.
  • Be sure to take some time for yourselves and sometime with each other.

Illnesses

  • On an average babies have 8 to 10 illnesses in the first year of life. I will probably have some illnesses in the next few months. I may show that I am ill by having nasal congestion, cough, diarrhea, vomiting, or skin rash. I may not want to eat or may act irritable or sluggish. Fever in a child my age may be a sign of a more serious illness and should be reported immediately. You can help by having a digital thermometer (no mercury, please) and knowing how to take both axillary and rectal temperatures. It will be helpful to have acetaminophen infant drops to reduce fever and oral electrolyte solution at home. Writing down what is wrong, my temperature, and any questions you want answered before calling the clinic will help to get all your questions answered.
  • Always keep the name of my doctor available for those who care for me. The emergency number "911" and the poison control number (1-800-POISON-1) should be kept by the phone.
  • Ask my doctor or the nurse about books that might be useful if you do not have one. You may also want to ask about parenting classes if you are interested in more information.

Before My Four Month Visit I Will

  • Hold my head steady when I am held.
  • Smile spontaneously when I see others.
  • Smile, laugh, and squeal
  • I may be able to comfort myself and thus fall asleep by myself without breast or bottle.
  • Look at or be excited by a mobile.
  • Start to reach for or bat at objects.
  • Open my hands, grasp at clothes and rattle, and hold my hands together.
  • Hold my hands open at rest in a relaxed position.
  • Make "cooing" and "babbling" noises.
  • Recognize my parent’s voice and touch and look toward a familiar voice.
If your child is seriously ill, please call us directly at (512) 458-5323

If your child is seriously ill, please call us directly at (512) 458-5323