Bright Futures (4th ed.) guidelines for pediatric health supervision well visits are evidence-driven and supported by the American Academy of Pediatrics (AAP). The recommendations are divided among age groups. The young child is closely monitored for growth, head circumference, milestones, diet, and physical changes.

For this discussion, we will be focusing on the wellness visit of a six-month-old infant. In your answers, provide citations from resources that are evidence-based and current. Please include any experiences you have had in clinical practice that is relevant to this discussion. At the end of your initial post, ask a question for your peers to answer. I look forward to an informative and enriching discussion.

Scenario: A six-month-old child presents to the primary care clinic with a parent for a scheduled well visit. The child has a history of normal growth and development and there are no prenatal or birth concerns. The child is up to date on recommended immunizations.

1. What information do you want to elicit from the parent?

2. What measurements will you do?

3. What will you include in the physical exam?

4. Pertaining to safety, what anticipatory guidance will you discuss with the parent?

5. Pertaining to nutrition, what anticipatory guidance will you discuss with the parent?

6. Pertaining to milestones, what anticipatory guidance will you discuss with the parent?

7. How will you identify normal vs. abnormal findings?

8. What are the priorities for this visit?

9. What immunizations will be administered at this visit?

10. What education will you give the parent regarding the immunizations that will be given at this visit? Include the specific diseases that each immunization prevents.

11. When is the next well visit due and what will be the focus of that exam?

12. Which immunizations will be given at the next well visit? Include the specific diseases that each immunization prevents.

13. Is this child breast feeding? Any supplementation? What type of formula?

14. What are the differences between the different infant formulas available?

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