FAQs

Q?What is dosing guidelines for Motrin and Tylenol?
A.

Exact dose of medicine is very very important.  Parents must know exact medication dosing guidelines for their children.  Any questions/concerns/confusion, please call our office or your  pharmacy before administering a product.  Please note that it is important to dose medication from the dispenser that came with the it.

Calculators provided below via the links, will calculate the appropriate dose for your child based on his/her weight/age.  Please use extreme caution when entering various parameters and double/triple check for accuracy.

Calculator for Motrin a.k.a Ibuprofen
Calculator for Tylenol a.k.a Acetaminophen

Q?Where to find Immunization Schedule?
A.

Each year, the AAP (American Academy of Pediatrics) the AAFP (American Academy of Family Physicians) and the ACIP (Advisory Committee on Immunization Practice) release the updated United States Immunization Schedule. This is the schedule used by the CPA pediatricians.

Childhood Immunization
Adolescent Immunization
Catch-up Immunization

If you are not sure that your child is current on his/her immunizations, please contact us. We always have appointments available to make sure your child is best protected against vaccine preventable illnesses.

Q?Who has my child’s Immunization Record?
A.

S & A Pediatrics provides a current vaccination record at each well-child visit.  If a shot record is needed in between well visits, please call our office at 973.794.3170.  We will be happy to provide you with a current immunization record.

New patients transferring into our practice, we will need to verify immunization status.  If you do not have this information, we can help you complete a release of information form for submission to your former physician.

Q?I need a referral, what should I do?
A.

If your child needs a referral to a specialist, we are happy to help you co-ordinate this.  Once the need for sub-specialty care is determined by one of our providers, our referral coordinator will work with insurance company to generate necessary paper work and will also provide you with the list of specialist honoring your insurance.  Please be aware that you are responsible for knowing your insurance’s referrals guidelines for referrals and the “in-network” or “out-of-network” status of the specialty provider.

If you have questions about your referral, do not hesitate to call our office at 843-573-2535.  Please be patient, referrals is a time consuming and it can take up to 5 business days to process your referral.

Q?What happens on one week check Up?
A.

Immunizations: None if Hepatitis B (HBV) was given in the hospital
Feeding:

  • Breast feeding
    Feedings every 1.5 to 3 hours or at least 8 feedings in 24 hours
    Feedings last 15-20 each time
  • Bottle Feeding
    Feedings every 2 – 4 hours or at least 6 to 8 feedings in 24 hours
    Feedings typically consist of 1-3 oz

Bathing

  • Until umbilical cord falls off sponge bathe the baby only
  • After umbilical cord falls off bathe baby every few days. If dry skin is a concern, a mild lotion may be used

Sleeping

  • Expect your newborn to sleep 16-21 hours per day
  • During the day, awaken baby every 3 hours for feedings
  • Always remember to put your baby on his or her back to sleep
  • Please remember that co-sleeping is a risk factor for SIDS
  • Do not place anything in your baby’s crib(except for your baby)

Safety

  • Make sure your baby is properly restrained in a car seat
  • Sunscreens are safe at this age
  • Avoid exposure to sick children or adults
  • Encourage hand washing for anyone around your baby
  • Contact your pediatrician if your baby has a temperature of 100.4 or higher
Q?What happens at two month check up visit?
A.

Immunizations: DTaP, Hib, HBV, IPV, PCV, RV

Feeding

  • Breastfeeding
    Feedings typically occur every 2 to 4 hours or on demand
    You many need to pump or formula feed if mom is working
    Continue Vitamin D supplementation
  • Bottle Feeding
    Feedings typically every 2 to 4 hours or on demand

Sleeping

  • Baby may start to sleep 4 to 8 hours at night
  • Continue putting baby on their back to sleep
  • Start to develop a schedule

Development

  • Baby will start to coo
  • Develop a social smile
  • Looks at parents and tracks objects in their line of sight
  • Holds their heads up while on their stomach

Safety

  • Make sure your baby’s car seat is rear facing
  • Keep small objects out of reach
  • Never leave baby unattended on elevated surface or in bath
Q?What happens at 4 month check up visit?
A.

Immunization: DTaP, IPV, Hib, PCV, RV

Feeding

  • Breastfeeding
    On demand, typically 4-6 feedings a day
    Continue Vitamin D Supplementation
  • Bottle Feeding
    On demand, typically 4-6 bottles a day

Starting Solids

  • You may introduce rice cereal at this time, if you baby is showing signs of readiness
  • Signs include: decreased tongue thrust reflex
  • Holds head up on forearms
  • Opens mouth easily
  • Sits with support
  • Once baby masters using a spoon, you can start of Stage 1 Fruits and Vegetables
    Start with vegetables because the sweetness of the fruit can cause the vegetables to be bitter, also only introduce one food at a time for allergy reasons

Sleeping

  • Baby may start to sleep 6 to 10 hours a night
  • Continue putting baby on their back to sleep
  • Put baby in crib when drowsy to allow to self soothe
  • Develop a daytime schedule

Development

  • Smiles spontaneously
  • Enjoys social interactions
  • Bring hands together
  • Likes to put hands in mouth
  • Drools
  • Babbles vowel sounds and other noises
  • May start to purposely roll over

Safety

  • Make sure baby’s seat is rear facing
  • Sunscreen should be used if prolong sun exposure is expected
  • Never leave baby unattended on elevated surfaces or in bath
  • Keep small objects out of reach
Q?What happens at six month check up visit?
A.

Immunization: DTaP, PCV, HBV, IPV, TIV (seasonal)

Feeding

  • Breastfeeding: On demand, typically 4-6 feedings a day.
    Continue Vitamin D supplementation
  • Bottle Feeding: On demand, typically 4-6 feedings a day

Starting Solids

  • If not already doing so, start feeding your baby rice cereal and/or Stage 1 Fruits and Vegetables with a spoon 2-3 times a day
  • Allow baby to eat until finished
  • You may also start finger foods at this age; however, remember to always feed your baby in a seated position
  • If your water supply is from a well, ask about a fluoride supplementation

Sleeping

  • Baby may start to sleep 6 to 8 hours a night
  • Continue putting baby on their back to sleep unless baby can roll over and prefers tummy
  • Nap schedule more stable
  • Secure or remove all crib bumpers

Development

  • Recognizes familiar faces
  • Uses different vowel sounds and begins to use consonant sounds
  • Holds head up well
  • Starts to sit alone
  • May begin to crawl around
  • Stranger anxiety

Safety

  • Make sure your baby’s car seat is rear facing
  • Start childproofing your home
  • Insect repellants are now safe to use (“family” or “child approved”)
  • Keep small objects out of reach as your baby will begin to put objects in his or her mount
  • Remember water safety and be aware of potential ingestions/poisonings
Q?What happens at nine month check up visit?
A.

Immunizations: TIV (seasonally)

Feeding

  • Breast feeding
    On demand typically 4 feedings a day
    Continue Vitamin D Supplement
  • Bottle Feeding
    On demand, typically 4-5 bottles per day

Solids

  • You should be feeding your baby a combination of pureed foods (stage 2) and finger foods at least 3 times a day
  • Allow your baby to determine when he or she is finished
  • If you water supply is from a well, continue fluoride supplementation

Sleeping/Hygiene

  • Most babies will sleep 8-10 hours at night and take 2-3 daytime naps
  • Nighttime awakenings may increase due to separation anxiety
  • Develop a consistent bedtime routine and allow baby to put self to sleep
  • Try not to pick up or talk to your baby during nighttime awakenings
  • Briefly soothe and allow him/her to put him/herself back to sleep

Development

  • Lots of social interaction
  • Stranger anxiety
  • Separation anxiety
  • Using lots of sounds
  • Developing object permanence
  • Plays peek-a-boo and so big
  • Crawls, pulls to stand, cruises

Safety

  • CHILDPROOF your baby’s environment
  • Water safety/accidental falls/poisonings
  • Make sure your baby’s car seat is rear facing
  • Sunscreen and Natural or DEET containing insect repellants are safe to use
  • Remember, exploring babies are dangerous babies
Q?What happens at twelve month check up?
A.

Immunizations: HAVPCVTIVHib, Hemoglobin/Lead Level

Feeding

  • Breast feeding – On demand, typically 4 feedings a day, continue Vitamin D supplementation
  • Bottle Feeding – Wean to cup, change to whole milk, provide 3 dairy servings daily

Solids

  • Most babies will be on table/finger foods and self feeding with hands
  • A portion size is about the size of your baby’s fist
  • Avoid peanut butter and shellfish until 2 years old
  • If you water supply is well, continue with fluoride supplementation

Sleeping/Hygiene

  • Should be sleeping through the night with only occasional nighttime awakenings
  • 1 to 2 naps per day
  • Continue a consistent bedtime routine and allow baby to put self to sleep
  • Start brushing teeth at bedtime to develop good oral hygiene

Development

  • May be walking
  • Stands alone
  • Likes to imitate sounds and gestures
  • Waves bye-bye
  • 1-2 non-specific words
  • Separation anxiety continues
  • Follows simple directions

Safety

  • Sunscreen and Natural or DEET containing insect repellant are all safe to use
  • Remember to CHILDPROOF your child’s environment
  • Remember water safety and be aware of potential ingestions/poisonings