INFANT HEALTH: Infant is 3 week postpartum
Born @ term
No complications, had all tests completed, immunizations UTD
Mom states infant is fussier this week and is not sure why.
She asks about gas drops, her friend said they were helpful.
She says she thinks maybe he isn’t getting enough breastmilk and asks about supplementing with formula
On Exam:
Alert, appropriate, mom state infant has tiny bumps on the face that is consistent with normal normal newborn acne. Mom reports weight gain: 1#8oz over birth weight at the last appoint and denies and concerns from the pediatrician.

Mom states she has occasional glass of wine.
Does not have concern with drug/ alcohol use
Has not smoked since she ‘did some pot in college’
Her roommate goes out and gets drunk a lot. You ask if she cares for baby and she says “no, I never really see her because she gets home so late”
Mom has Vicodin that she takes for occasional low back pain after a car accident 3 years ago. She reports needed it about once/month and takes as directed.

Parent Well-Being.

caregiver says she thinks she had the baby blues but is feeling a lot better. She is napping during the day and states she is intentional about some self-care. EPDS score was 7

You compete a visit and you are unsure what to rate the matrix

MANAGEMENT OF INFANT CRYING:
G1P1 at 3 weeks.
Caregiver states infant is fussier now. When you ask "what soothes the baby?" the caregiver states that swaddling and sucking help. She states it "breaks her heart" when she can't comfort the infant. You review the 5 S's, and teach how to do a square swaddle, and encourage other techniques like holding the baby while bouncing on her birthing ball. The caregiver was unaware of PEAK infant crying, but has heard of SBS.

Mom said she is feeling overwhelmed because of baby’s gassiness. He is “very difficult to soothe”. You review the 5 S’s with her and she learns that the baby really likes the side lying position.

History of Parenting:
You are visiting a mother of 3. When asking about her own childhood, the caregiver denies any abuse or neglect. She states that she grew up in a 'happy home' and, besides frequent arguing, she doesn't have any concerns.

You have a very difficult and stressful visit

PARENT WELL BEING: Visit at 2.5 weeks
Mother states she is doing well. Is tearful at time but it is getting better
EDPS is scored and is 6
FOB has recent history of anxiety that is being treated with medication
Mother states she is not taking any medication and hasn’t had treatment for depression since 8th grade during her parent’s divorce
You provide general information regarding baby blues, review the s/sx of perinatal mood disorder and the list of community support from your resource folder incase they need it in the future and you remind mom & dad that perinatal mood disorder can occur up to a year postpartum.

Mom’s health is WNL and she has her postpartum appointment scheduled in a few weeks. Infant has been added to her insurance. They had their pediatric appointment and have another one scheduled…. It was supposed to be for today but it snowed so it is rescheduled for tomorrow.When asking about a PCP, she states she sees her midwife for all primary care.

Caregiver denies any concern with use of alcohol or drugs. CAGE screener was negative. She states she does drink socially...but not when breastfeeding.

You are completing a telehealth visit. The partner is involved in the visit (yay!). Then you get to where you need to screen for IPV......

MATERNAL HEALTH: G1P1, uncomplicated pregnancy. 3 week visit
Received adequate prenatal care and received immunizations
no prenatal complications
Mom had a vacuum delivery due to non-reassuring fetal heart tones
Mom is taking PNV
Mom has a 2nd degree laceration which is tender at times- already has information on s/sx of infection.
Mom plans to get an IUD which she has had in the past

Mom states she doesn’t have an appetite and isn’t eating much and feels a little weak. She says she doesn’t have much energy but she is trying to drink some protein shakes. You get her an appointment with WIC to assist her with nutrition.

Health Care Plans:

Caregiver has insurance
Caregiver has the 6 week appt scheduled
Infant has completed scheduled appointments and has the next one scheduled.

You have a caregiver with a need for resource, but unsure where to refer her....

A co-worker comes to you and asks:
"the screener for the IPV is negative, what do I rate Family & Community Safety in the matrix?"
What would your response be?

G1P1
Planning to RTW in 6 weeks
Mom has a friend with a daughter who she knows and trusts who might be able to babysit when she goes back to work.
Mother states “my mother in-law was able to come over yesterday and I got to go meet friends for coffee, it was really nice.”
In an Emergency, she states: “I know Rick (the FOB) would be able to leave work, I would feel bad asking him though because his work is busy.”

Infant is 3 weeks old. Mom states that infant began crying “so much more” a few days ago. It is always in the evening and nothing seems to help him soothe. She is aware of 5 S’s. She did not know of the Period of PURPLE crying so you review this. She is usually alone in the evening, she is friends with her neighbors, and plans to try evening walks to help baby. Last night, he cried for 1.5 hours straight. She is aware of SBS

You identify a need in the community that does not have enough resources. For example: many families with mental health concerns and only 1 mental health provider. Or many caregivers without car seats and there are no places to distribute car seats