Topics to discuss with patients during their well baby visit at 4 months.
Assess
- anthropometric measurements (link to Optimizing Nutrition for Newborns and Infants/Nutrition Assessment Tools/Term Infant Growth Tools/WHO Growth Charts for Infants 0 to 24 Months)
- physical examination
- adequacy of breast milk and formula intake
Discuss
- begin iron supplement (1 mg/kg/day) for exclusively breastfed infants
- introducing solid foods at about 6 months
- juices should not be offered
- increases risk for loose stool and diarrhea
- decreases appetite for nutrient-rich food
- continue vitamin D at 400 IU/day
Consider Referral
- Growth faltering (failure to thrive)
Additional Resources
- Gastroesophageal reflux and gastroesophageal reflux disease: Parent FAQs, American Academy of Pediatrics.
- Parent’s Guide to GER (Gastroesophageal Reflux Disease) and GERD (Gastroesophageal Reflux
Disease) (handout), American Academy of Pediatrics - Breastfeeding-Baby Questions (handout)
- Preparing Infant Formula: Important Safety Information (handout), American Academy of Pediatrics
- Healthy Active Living—Responsive Feeding (handout) American Academy of Pediatrics
- Bottle Feeding (Formula) Questions (handout), American Academy of Pediatrics
Last Updated
06/09/2022
Source
American Academy of Pediatrics