Diet:
·
Offer a variety of healthy table foods diced into small pieces.
·
Avoid giving any large pieces of food, raw carrots or celery,
chips, popcorn, nuts, seeds, whole grapes, or hotdogs that your
toddler may choke on.
·
It is fine to continue to breast-feed your baby after 1 year of
age. Continue prenatal vitamins while breast-feeding.
·
Introduce whole milk in place of an iron-fortified infant
formula. Your toddler should drink 16-20 oz of whole milk or
possibly 2% (if your doctor recommends) each day. Too much
milk can lead to picky eating and possibly iron-deficiency
anemia.
·
Put the milk in a “sippy” cup instead of a bottle. Avoid cups
with #7 polycarbonate. There is preliminary evidence that this
can be harmful. Do not put your toddler to bed with a bottle of
milk.
·
Most toddlers do not need vitamins.
·
Offer meals on a schedule as a family. Your toddler enjoys the
social aspect of eating. Avoid giving your toddler juice.
·
If you have a family history of food allergies, please
consult our office before introducing foods that contain egg or
fish.
·
Do not give any peanut butter
or peanut products before 3 years of age.
Average Diet
for Toddlers:
Three meals and 2-3 snacks should be provided. The
rate of weight gain decreases as activity level decreases i.e.
your 1 year old will eat less now. One year olds may eat a lot
at one meal and very little the next. Offer nutritious
foods…mealtimes should not be a battleground…Try a soft fork and
spoon and cover the floor….. allow
your child to get messy! This is important for your child’s
development!
·
Cereals
– Iron-fortified infant cereal (rice, mixed, barley, or
oatmeal); cooked or instant Cream of Wheatä,
oatmeal, Cheeriosä,
Rice Krispiesä,
or other non-sugar-coated cereals
·
Fruits –
Fresh,
canned, or baked; small pieces of fruits according to chewing
ability. Try avocado!
·
Vegetables
–
Fresh steamed or boiled, canned or frozen, refrain from raw
vegetables – offer vegetable soup
·
Meats/Poultry –
Boiled, roasted, broiled tender meats and poultry or served in
soups, Use strained baby meats as a sandwich spread
·
Dairy
– Soft mild
pasteurized cheeses (cottage, cream, American, cheddar),
pudding, yogurt, margarine or butter
·
Starch –
Potato
(boiled, baked, or mashed), whole grain breads, crackers,
pastas, spaghetti with tomato sauce, macaroni and cheese, rice
cakes
·
Meat
Substitutes –
Macaroni and
cheese, cheese dishes served with milk, yogurt, beans, eggs (if
no family history of allergies), cottage cheese, cream cheese,
tofu, soy nut butter
Sleep:
Plan a nightly routine at the same time everyday. Books,
soothing bath, etc.
·
The average toddler sleeps 14 hours per day at this age.
·
Most toddlers at this age still take 2 naps per day.
·
Your baby should be sleeping through the night without needing
to be fed.
Development:
(12 to 15 months):
·
Your child may crawl, scoot, creep, pull to stand. He/she may
walk alone or assisted
·
Understands “no”- may not listen though! He/she says “mama” and
“dada” with meaning, may have 1-3 other words, jabbers with
normal speech inflection, imitates words, sounds, and gestures,
follows simple command
·
Finger feeds, may use spoon, uses cup, waves, claps, plays
peek-a-boo, pat-a-cake, blows a kiss!
·
Likes to look at pictures; hands you a book for a story, points
to named body parts; likes boxes, balls, bowls; imitates adult
behavior with telephone, hairbrush
·
Still strong separation anxiety, strong attachment with parent
and caregiver
Safety:
·
Carseats (convertible) may face forward beginning at 1 year
of age and when your toddler weighs more than 20 pounds.
·
Time to baby proof the house! Make sure the environment is safe
rather than trying to teach your baby how to be safe at this
age.
·
Keep cleaners, medications, plastic bags, and small objects away
from your toddler. Use cabinet locks and plug covers. Secure
window blind cords. Watch table corners.
·
Visit
www.cpsc.gov for a list of recalled items.
·
Your child can drown in just a few inches of water, do not allow
your child access to standing water in baths, buckets, play
pools, or toilets (lock the seat!).
·
Falls are common in this age group - use wall-mounted gates on
stairs and protect 2nd floor windows with guards.
·
Make sure heavy furniture (tall bookcases, televisions) is
secure so that your child can’t pull them over.
·
Never leave young siblings in charge of their baby
sibling.
·
Keep these numbers by your telephone:
Illinois Poison Center (800) 222-1222
CMH Emergency
Room (773) 880-3800
·
Use a properly fitted bicycle helmet if you take your toddler on
a bike ride
Other
Things to Keep in Mind:
·
Use a small soft toothbrush with water to clean your toddler’s
teeth twice a day.
·
Protect from sun exposure with clothing, blankets, or an
umbrella. Use a PABA-free sunscreen with SPF 15 or higher.
·
Have your toddler’s feet properly fitted in length and width,
buy flexible shoes.
·
The AAP recommends “no TV until age 2”
·
Discipline is important and best executed when there is
consistency across caregivers for rules and limit setting.
Tests/Immunizations for Today:
·
A
tuberculosis skin test and Prevnar or Measles, Mumps, Rubella
(MMR), and Varicella vaccine will be given today. Please review
the information sheets.
·
Your baby’s finger will be poked for a blood sample to check for
lead exposure and hemoglobin level (anemia).
·
You will be given a 12 months Ages and Stages developmental
questionnaire to complete at home and mail back to our office.
At
the 15 month check-up:
·
Your baby will have a physical examination, and your questions
and concerns will be answered
·
Your baby will receive DTaP#4, HiB #4 and Prevnar #4 or MMR
vaccines.
·
You will be given a 16 month developmental questionnaire to
complete at home and mail back to our office.
Suggested Reading:
“What to Expect the Toddler Years”
“Caring for Your Baby and Young Child”
“Feed Me, I’m Yours”
Acetaminophen Infant Drops Dose:
Every 4-6 hours & no more than 4 doses/day
12-17 lbs. = 0.8mL (1 dropper)
18-23 lbs. = 1.2mL (1-1/2 dropper)
24-35 lbs. = 1.6mL (2 droppers)
Ibuprofen Infant Drops Dose:
Every 6-8 hours
12-17 lbs. 50 mg=1.25 mL Infant drops
18-23 lbs. 75 mg=1.875 mL Infant drops
24-35 lbs. 100 mg=2.5mL infant drops
Additional Instructions:
