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Wednesday, September 15, 2010

2 Month Well Child Exam

So What do we do at 2 months of age? 
Well, we start with checking your child's height and weight and make sure that they are growing okay.  We also check her head size and make sure that her hed is growing okay.  A small or large head could indicate some brain or skull abnormality.

We then check development.  We want to see that your child is starting to look around, lift her head up part way and smile, among other things.

Next, we do a complete head to toe physical.  Special attention is again given to the heart and examining the hips for dislocation.  To see how we do these exams you can go to http://www.youtube.com/watch?v=_5jDjBzXJYA (chest exam) and to http://www.youtube.com/watch?v=uPPkrS8ktp8&feature=related (hip exam).  While maneuvering your child around we also pay close attention to muscular tone (strength) as this could be an early sign of cerebral palsy.

After the exam comes parent teaching.  We will cover things pertinent to 2 month babies including preparation for rolling over, sleep positioning and fever management.

Finally we place the vaccines.  At this age your child will get DTAP, IPV, HIB, PCV-13, Rotavirus and Hepatitis B vaccine.

I hope that this helps to demystify what we are doing