Health Supervision Visits, 1 and 2 Months

Assess

Head circumference, weight, and length using growth charts

• Babies should gain ½ lb per week.
• Infants gain approximately 1 inch per month during this time.

Screen for food insecurity using the validated 2-question Hunger Vital Sign tool

• 1 in 7 children live in a household experiencing food insecurity.
• Rates of food insecurity are higher in households with children younger than 6 years, single-parent households, and immigrant, Black or Latinx families.
  • Provide resources for families experiencing fod insecurity. (Table 3)

Discuss

• Continuing exclusive breastfeeding or formula feeding without supplemental water or juice.
  • There is little evidence that partially or extensively hydrolyzed formula prevents atopic disease, even in high-risk infants.
• Ask mothers who are working whether allowances are made in the workplace for breastfeeding support. Federal law requires providing breaks and adequate place for expressing human (breast) milk.
• Breastfed infants continue to require 8 to 12 feedings per day.
• Daily formula intake should increase from 24 oz (at 1 month) to 30 to 32 oz (by 4 months).

Calculations

Estimated energy requirements (kcal/d) for infants 0 to 2.99 months (weight in kg; height in cm)

• Males: −716.45 − (1.00 × age) + (17.82 × height) + (15.06 × weight) + 200
• Females: −69.15 + (80.0 × age) + (2.65 × height) + (54.15 × weight) + 180