" The baby was doing something weird with is
>tongue: it was moving in and out, and when it was out: the end of the
tongue
>was pass the lower lip. It seemed like if the tongue was too long and when
>it was all in the mouth it was too tick. "

Marie-Josee:

Are you in touch with this child's pediatric provider?  I ask because I
think this baby should be watched closely.  An evaluation of neurologic
status and development would be very appropriate at this time.  I would not
say anything to the mother, of course, but your notes led me to believe that
there could be something complex at work here.  Since most peds don't see a
3 week old child until the 2 month check-up, I suggest the mother make an
appointment now, and that you contact the provider to alert her/him to your
findings.

Mary Ryngaert, ARNP, MSN
Gainesville, FL

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