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Growth & Development

Bright Futures Parent Handout: First Week Visit (3 to 5 Days)

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Here are some suggestions from Bright Futures experts that may be of value to your family.

Parental Well-Being

How You Are Feeling

  • Call us for help if you feel sad, blue, or overwhelmed for more than a few days.

  • Try to sleep or rest when your baby sleeps.

  • Take help from family and friends.

  • Give your other children small, safe ways to help you with the baby.

  • Spend special time alone with each child.

  • Keep up family routines.

  • If you are offered advice that you do not want or do not agree with, smile, say thanks, and change the subject.

Nutritional Adequacy

Feeding Your Baby

  • Feed only breast milk or iron-fortified formula, no water, in the first 6 months.

  • Feed when your baby is hungry.

    • Puts hand to mouth

    • Sucks or roots

    • Fussing

  • End feeding when you see your baby is full.

    • Turns away

    • Closes mouth

    • Relaxes hands

      If Breastfeeding

    • Breastfeed 8-12 times per day.

    • Make sure your baby has 6-8 wet diapers a day.

    • Avoid foods you are allergic to.

    • Wait until your baby is 4-6 weeks old before using a pacifier.

    • A breastfeeding specialist can give you information and support on how to position your baby to make you more comfortable.

    • WIC has nursing supplies for mothers who breastfeed.

      If Formula Feeding

    • Offer your baby 2 oz every 2-3 hours, more if still hungry.

    • Hold your baby so you can look at each other while feeding

    • Do not prop the bottle.

    • Give your baby a pacifier when sleeping.

Newborn Care

Baby Care

  • Use a rectal thermometer, not an ear thermometer.

  • Check for fever, which is a rectal temperature of 100.4°F/38.0°C or higher.

  • In babies 3 months and younger, fevers are serious. Call us if your baby has a temperature of 100.4°F/38.0°C or higher.

  • Take a first aid and infant CPR class.

  • Have a list of phone numbers for emergencies.

  • Have everyone who touches the baby wash their hands first.

  • Wash your hands often.

  • Avoid crowds.

  • Keep your baby out of the sun; use sunscreen only if there is no shade.

  • Know that babies get many rashes from 4–8 weeks of age. Call us if you are worried.

Newborn Transition

Getting Used to Your Baby

  • Comfort your baby.

    • Gently touch baby's head.

    • Rocking baby.

  • Start routines for bathing, feeding, sleeping, and playing daily.

  • Help wake your baby for feedings by

    • Patting

    • Changing diaper

    • Undressing

  • Put your baby to sleep on his or her back.

    • In a crib, in your room, not in your bed.

    • In a crib that meets current safety standards, with no drop-side rail and slats no more than 23/8 inches apart.

      Find more information on the Consumer Product Safety Commission Web site at

    • If your crib has a drop-side rail, keep it up and locked at all times. Contact the crib company to see if there is a device to keep the drop-side rail from falling down.

    • Keep soft objects and loose bedding such as comforters, pillows, bumper pads, and toys out of the crib.



  • The car safety seat should be rear-facing in the back seat in all vehicles.

  • Your baby should never be in a seat with a passenger air bag.

  • Keep your car and home smoke free.

  • Keep your baby safe from hot water and hot drinks.

  • Do not drink hot liquids while holding your baby.

  • Make sure your water heater is set at lower than 120°F.

  • Test your baby's bathwater with your wrist.

  • Always wear a seat belt and never drink and drive.

What to Expect at Your Baby's 1 Month Visit

We will talk about

  • Any concerns you have about your baby

  • Feeding your baby and watching him or her grow

  • How your baby is doing with your whole family

  • Your health and recovery

  • Your plans to go back to school or work

  • Caring for and protecting your baby

  • Safety at home and in the car

© 2010 American Academy of Pediatrics

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News @ QPA

  • 2019 Flu Clinic Dates!

    Flu Vaccine has arrived! We will be having  flu clinics for our existing patients.   Call the office today to schedule your child's annual flu vaccine.  Below are the dates of our REMAINING Flu Clinics:
    • Tuesday, 10/22 in Quincy, 4pm-7pm
    • Saturday,10/26 in MARSHFIELD, 9am-12pm
    • Saturday, 10/26 in Quincy, 1pm-4pm
    • Wednesday, 10/30 in Quincy, 2pm-5pm
    • Saturday, 11/2 in Quincy, 9am-1:30pm
    • Saturday, 11/9 in MARSHFIELD, 9am-12pm
    • Tuesday, 11/12 in MARSHFIELD, 3pm-5pm
    • Saturday, 11/23 in Quincy, 9am-2pm


  • Remembering Dr. Russell Irons

    To All our Quincy Pediatrics Families, Friends, Patients and Colleagues,
    It is with great sadness that we announce the passing of Dr. Russell Irons, January 3, 1927-July 28, 2019.  Dr. Russell Irons touched the lives of so many people as a beloved physician, father, grandfather, friend, and colleague.  Dr. Irons started Quincy Pediatrics in 1971 and provided exceptional care to his patients for over forty-five years.   Dr. Irons will be remembered for his compassion, sharp intellect, contagious laugh, and love for his family, friends, colleagues, patients, and Becket/Chimney Corners family.   The love and gratitude we all feel for him cannot be expressed in words.   The legacy of Dr. Russell Irons will live on in the hearts of all who knew and loved him.