Two Month Well Child Visit

Vaccines

  • Pediarix: combination vaccine of DTaP (Diptheria, Tetanus, whooping cough), Polio, and Hepatitis B.

  • HiB: Haemophilus Influenza Type B (not Flu).

  • Prevnar: Pneumonia Vaccine.

  • Rotavirus: Prevents rotavirus diarrhea – Given by mouth.

Side Effects

  • Babies generally do well in the first vaccine series; some side effects include low-grade fever ( 100- 101F), fussiness, excessive crying, vomiting, sleepiness, and swelling at the injection site.

  • You may give about 0.4 ml (1/2 dropper) of Tylenol Infant drops every four hours twice or more if needed (up to five times) in twenty-four hours.

Feeding

  • Babies at two months need to be exclusively breastfed or formula-fed.

  • Solids (cereals) are not advised until four months of age.

  • Spitting up may occur more from now on. Unless vomiting is projectile, no treatment is usually needed.

Bowel Habits

  • Babies should have soft or seedy stools.

  • Babies can stool several times a day or may go for up to one week without stooling.

  • If the baby is straining or having difficulty passing stools, give about 1 tsp of Karo syrup (mixed with formula or breastmilk) or 1 oz of prune juice.

Colic

  • Babies tend to be fussy a lot and may cry for hours.

  • Try to rock the baby gently, wrap up snug, take for car ride, or try placing the baby in a vibrating chair.

  • If all else fails, take a break and have some one else take care of the baby.

Two Month Child Milestones

Movement

  • Raises head and chest when lying on stomach.

  • Stretches and kicks legs when lying on stomach or back.

  • Opens and shuts hands.

  • Pushes down on legs when feet are placed on a firm surface.

  • Brings hand to mouth.

  • Takes swipes at dangling objects with hands.

Visual

  • Watches faces intently.

  • Follows moving objects.

  • Recognizes familiar objects and people at a distance.

  • Starts using hands and eyes in coordination.

Hearing and Speech

  • Smiles at the sound of your voice.

  • Begins to babble.

  • Begins to imitate some sounds.

  • Turns head toward direction of sound.

Social and Emotional

  • Begins to develop a social smile.

  • Enjoys playing with people and cries when playing stops.

  • Becomes communicative and expressive with face and body.

  • Imitates some movements and facial expressions.

Developmental Health Watch

Although each baby develops in their own individual way and at their own rate, failure to reach certain milestones may signal medical or developmental problems requiring special attention.

If you notice any of the following warning signs in your infant at this age, discuss them with your pediatrician.

  • Doesn't respond to loud sounds.

  • Doesn't notice hands by two months.

  • Doesn't smile at the sound of your voice by two months.

  • Doesn't follow moving objects with eyes by two or three months.

  • Doesn't grasp and hold objects by three months.

  • Doesn't smile at people by three months.

  • Cannot support her head well at three months.

  • Has trouble moving one or both eyes in all directions.

  • Crosses her eyes most of the time.

  • Doesn't pay attention to new faces, or seems very frightened by new faces or surroundings.