The 1-month well-baby checkup

The 1-month well-baby checkup

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  • What to expect

    Photos by Steve LaBadessa

    These slides show you what happens at the 1-month well-baby checkup. Here Dr. Marcia Charles-Mo is talking to mom Kristen and getting ready to examine baby Olivia at East Bay Pediatrics in Orinda, CA.

    Once the exam is complete, the doctor will probably ask you a series of questions about your child's health, sleeping habits, and feeding habits. Jot down your answers on our printable doctor visit worksheet to take with you to the appointment.

  • Weight

    The doctor (or an assistant) weighs your baby to make sure she's growing at a healthy rate. You'll need to undress your baby completely for weighing.

  • Length

    The doctor (or an assistant) measures the length of your baby's body.

  • Head size

    The doctor (or an assistant) measures your baby's head to track the growth of her brain.

  • The growth chart

    The doctor plots your baby's weight, length, and head circumference on a growth chart.

    The chart lets you to see how your baby compares with other children the same age. But it doesn't matter whether she's in the 5th or the 95th percentile, as long as her rate of growth is steady from one visit to the next.

  • Heart and lungs

    Using a stethoscope, the doctor listens to your baby's heart and lungs to check for abnormal heart rhythms or breathing problems.

  • Eyes

    The doctor checks your baby's eyes for signs of congenital conditions and other problems. The eyes may also be checked for blocked tear ducts and discharge.

  • Ears

    The doctor looks for signs of infection and observes how your baby responds to sound.

  • Mouth

    The doctor checks for signs of thrush (an oral yeast infection), among other things.

  • Head

    The doctor looks at the soft spots (fontanels) and the shape of your baby's head.

  • Body

    The doctor checks your baby's reflexes and muscle tone, and examines her skin for jaundice, rashes, and birthmarks.

  • Belly

    The doctor examines your baby's abdomen to make sure the umbilical cord stump has fallen off and the belly button is healing well. The doctor also gently presses on the abdomen to check for a hernia or enlarged organs.

  • Genitals

    The doctor opens your baby's diaper and checks the genitals for signs of infection.

    If your baby is a boy, the doctor looks to see if his testes have descended into the scrotum. If your son was circumcised, the doctor examines his penis to make sure it's healing well.

  • Legs

    The doctor moves your baby's legs around to look for problems in the hip joints.

  • Immunizations

    Your baby will probably receive a hepatitis B shot. Most babies get their first hep B shot a birth, the second at their 1- or 2-month checkup, and their third sometime between 6 and 18 months.

    An assistant may administer the shot. It's usually done at the end of the appointment so you can have some privacy afterward to comfort your baby.

  • Other health concerns

    The doctor will recommend giving vitamin D drops to breastfed babies. (Babies who drink 17 to 32 ounces of formula a day are getting enough vitamin D.)

    The doctor will also address any noticeable health concerns (diaper rash and cradle cap are common at this stage), ask you some questions, and help you understand what's normal at this age.

  • Watch the video: Dr. Jason - GENTLE and SPECIFIC INFANT CHECKUP and ALIGNMENT (November 2022).

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