Infancy

Bright Futures: 2 4 6 9 | Mt Sinai


NUTRITION | 2-3oz q 2-3hrs | freq & vol to 12mo | Grow/Out/In | Fortification/Sp | Solid Starts | AAP Starting Solids | Enhance family nutrition w/ WIC | WIC form | Vitamin D 400U & iron for excl. breastfeeding. No honey.​ No bottles in bed. No water.


No clear recs on introducing allergenic foods.​ Consider early introduction of peanut/egg-containing foods if atopy risk; no thick PB or hard nuts.


SLEEP | Duration by Age | Tummy Time

LCHD Safe Sleep | Placed on back, flat surface, no blankets, no stuffed animals, temp 67-72, air movement. | SIDS peak is 2-4 months. | Bed sharing against recs: Safe Sleep Seven. | Tobacco cessation reduces SIDS. | Anticipate rolling by 4 months. AAP reference

Snoring Algorithm


💩 STOOLING/VOIDING

Nml spectrum yellow to dark brown. White or clay-colored is abnormal. Consolidating by 4 months, >2 stools per week, not hard/painful. Solid foods change stool.


DEVELOPMENTAL & SOCIAL

Early Intervention

Reading - LOVE books and be ready to LEARN.


SAFETY | Car Seat

Water temperature <120F (49C). Think mobility at 6 months: falls, fire, firearms, furniture, stairs.


MEDICAL | T≥100.4 = ER < 2 mo.

AAFP Summary Vision Screening (USPSTF Citation) | DDH Screening


DENTAL

Establish w/ 1st eruption or by 1 year. Visit q 6 months, brush twice daily. Grain of rice tooth paste/year of age.