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Public Health Nursing Practice Manual

Infants 0-11 months Mental Health

  • Caregiver/infant bonding is essential for optimum growth.

Primary Care Provider

  • An assigned health care provider for the infant ensures continuity of care.

  • Infant should be scheduled for well baby checkups and health assessment according to

periodicity schedule.

  • Routine use of the emergency room leads to episodic and disjointed care.

Health Care Coverage

  • Almost all children in California qualify for some type of health care coverage.

  • Caregiver understands how to access care including after hours and emergency care.

Dental Care

  • Propping the bottle and putting the infant to sleep with liquids high in sugar, such as milk, and sodas, can lead to dental caries.

  • Juices should be served in sippy cups only.

  • Hold the infant when feeding and only put breast milk, formula, or water in the bottle in quantities as advised by the primary care provider.

  • Wipe the gums of the infant with a soft wet cloth after feeding even if no teeth have yet erupted.

  • Begin tooth brushing with a soft brush and pea size amount of fluoridated toothpaste as soon as teeth erupt.

  • Encourage caregiver to introduce sippy cup by 9 months and wean off bottle by 12 months.

Family Violence

  • The stress of a new baby in a household may precipitate the use of dysfunctional coping


  • Domestic Violence 800-978-3600 or local resource.

  • L.A. County Domestic Violence Council Resources and Information: 888-994-7575.

Safety and Injury Prevention

  • Child proofing a baby’s home to prevent injury is essential.

  • Proper car seat use is vital for preventing injury and death.

  • Strongly advise the caregiver to position the baby on back when putting to sleep to prevent


  • Child Abuse Hotline: 800-540-4000.

  • Poison Control: 800-222-1222.


  • Delayed or absent immunizations may adversely affect the health of the infant.

© 2007 LAC DPH - Public Health Nursing


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