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📊 7-Day Activity History
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👶 Pediatric Guidelines
Age-Based Recommendations
📚 Comprehensive Care Guide
👶 Newborn Care (0-7 Days)
Feeding:
  • Feed every 2-3 hours (8-12 times per day)
  • Each feeding: 30-60ml (1-2 oz)
  • Breastfeeding: 10-20 minutes per breast
  • Watch for feeding cues: rooting, sucking, hands to mouth
  • Never let newborn go more than 4 hours without feeding
Sleep:
  • Total sleep: 14-17 hours per day
  • Sleep cycles: 2-4 hours at a time
  • Always place baby on back to sleep (SIDS prevention)
  • Room temperature: 68-72°F (20-22°C)
Umbilical Cord Care:
  • Keep cord stump clean and dry
  • Fold diaper below cord
  • Do not pull off - let it fall naturally (7-21 days)
  • Call doctor if red, oozing, or foul-smelling
Jaundice Monitoring:
  • Peak at days 3-5
  • Check skin/eyes in natural light
  • If yellowing spreads to chest/abdomen, call doctor
  • Frequent feeding helps clear bilirubin
🚨 Call Doctor Immediately If:
• Temperature above 100.4°F (38°C) - rectal
• Refusal to eat for multiple feedings
• Fewer than 6 wet diapers per day after day 5
• Yellow color spreading to arms/legs
• Excessive sleepiness or difficulty waking
• Vomiting (not just spit-up)
• Difficulty breathing or blue lips
🍼 Breastfeeding Tips
Proper Latch:
  • Baby's mouth wide open covering areola
  • Chin touching breast, nose free
  • Lips flanged outward (not tucked in)
  • Should hear swallowing, not clicking
  • Pain indicates poor latch - try again
Feeding Positions:
  • Cradle hold: Baby across lap, head in elbow
  • Football hold: Baby under arm, good for C-section
  • Side-lying: Both lying down, good for night feeds
  • Laid-back: Mom reclined, baby on chest
Milk Supply Tips:
  • Feed on demand, not by schedule
  • Offer both breasts each feeding
  • Stay hydrated (8-10 glasses water daily)
  • Pump after feeding to increase supply
  • Avoid pacifiers first 3-4 weeks
Common Issues:
  • Engorgement: Nurse frequently, warm compress before
  • Sore nipples: Check latch, use lanolin cream
  • Blocked duct: Massage, warm compress, nurse often
  • Mastitis: Fever + painful breast = call doctor
🍶 Formula Feeding Guide
Preparation:
  • Wash hands and sterilize bottles
  • Use filtered or boiled water (cooled)
  • Follow exact powder-to-water ratio
  • Shake well to mix completely
  • Test temperature on wrist (should be lukewarm)
Storage:
  • Prepared formula: use within 2 hours at room temp
  • Refrigerated: use within 24 hours
  • Once baby drinks from bottle: discard after 1 hour
  • Never reheat formula in microwave
Feeding Amounts by Age:
  • 0-1 week: 30-60ml per feed
  • 2-4 weeks: 60-90ml per feed
  • 1-2 months: 90-120ml per feed
  • 2-3 months: 120-150ml per feed
💤 Sleep Safety Guidelines
ABC's of Safe Sleep:
  • Alone - Baby sleeps alone in crib/bassinet
  • Back - Always on back, never side or stomach
  • Crib - Firm mattress, fitted sheet, nothing else
Do NOT use:
  • Blankets, pillows, stuffed animals
  • Crib bumpers or positioners
  • Soft mattresses or waterbeds
SIDS Prevention:
  • Room-share for 6-12 months (not bed-share)
  • Use pacifier at nap/bedtime (after breastfeeding established)
  • Keep room cool (68-72°F)
  • No smoking around baby
  • Breastfeed if possible (reduces SIDS risk)
🚼 Diaper & Bathing
Expected Diaper Output:
  • Day 1: 1-2 diapers (dark/tarry stool)
  • Day 2-3: 2-3 diapers (greenish stool)
  • Day 4-7: 6-8 wet + 3-4 dirty diapers
  • Week 2+: 6+ wet, 3-10 dirty per day
Diaper Rash Prevention:
  • Change every 2-3 hours and after each poop
  • Clean gently with water wipes
  • Pat dry completely before new diaper
  • Apply barrier cream (zinc oxide) with each change
  • Allow diaper-free time daily
Bathing (until cord falls off):
  • Sponge baths only - no submersion
  • 2-3 times per week is sufficient
  • Water temperature: 98-100°F (test with elbow)
  • Never leave baby unattended
  • After cord falls: can do tub baths
😢 Soothing Techniques - The 5 S's
Dr. Harvey Karp's Method:
  • Swaddle: Wrap snugly (not too tight on hips)
  • Side/Stomach: Hold on side or stomach (while awake)
  • Shush: Loud white noise or "shhhh" sound
  • Swing: Gentle rhythmic motion
  • Suck: Pacifier or clean finger
Why Baby Cries:
  • Hungry (most common - try feeding first)
  • Tired (overstimulation)
  • Dirty diaper
  • Too hot or cold
  • Gas or colic
  • Need to burp
  • Just wants to be held
Gas Relief:
  • Burp after every 2-3 oz
  • Bicycle legs exercise
  • Tummy massage (clockwise circles)
  • Warm bath
  • Consult pediatrician about gas drops
💉 Vaccination Schedule
Newborn-2 Months:
  • Birth: Hepatitis B (1st dose)
  • 2 months: DTaP, Hib, IPV, PCV13, Rotavirus, Hep B (2nd)
After Vaccines:
  • Mild fever and fussiness normal (24-48h)
  • Apply cool compress to injection site
  • Offer extra feeding and cuddles
  • Call doctor if: High fever (>101°F), extreme drowsiness, seizures
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