Pediatric Group

12 Month Well Child Visit

Vaccines:

MMR: Measles, Mumps and Rubella

Varicella: Chickenpox

Hepatitis A: Food-borne version of Hepatitis

Side effects: Some side effects include fever, irritability and fussiness, excessive crying, vomiting, sleepiness and swelling at injection site among others. 

Ask for CDC vaccine information sheet if you need more information.

Give 1.2 ml (1 ½ dropper) of Tylenol Infants’ Drops twice if needed

                      FEEDING  

·         Wean from bottle

·         Transition to whole milk (16-24 ounces/day)

·         No 2% or skim milk until 2 years of age

·         Offer 3 meals and 3 snacks daily

·         Encourage self-feeding even if messy

·         Always supervise eating

·         Avoid choking foods (nuts, popcorn, carrots, raisins, hard candy) 

                GENERAL CARE / SAFETY  

·         Use safety seat in the back seat of the car

·         Childproof your home

·         Supervise baby at all times especially near water, pets, cars, stoves and tablecloths

·         Brush baby’s teeth with a soft toothbrush and water

·         Keep poison center number handy – (800) 222-1222

·         Limit sun and use sunblock

·         Praise good behavior

·         Set limits and routines, be consistent and reasonable

·         Delay toilet training

·         Never smoke around children

·         NEVER SHAKE A BABY!

PLAY

You can encourage development through play

• Talk, sing, and read together
• Play games and music
• Play peek-a-boo and pat-a-cake
• Use body movements and actions to teach language
• Start naming parts of the body and the environment
• Use simple words and phrases
• Avoid using the word “NO”

DEVELOPMENTAL MILESTONES

      PHYSICAL & MOTOR SKILLS

• Pulls to stand and cruises
• May start walking
• Able to grasp small objects with thumb and forefinger
• Bangs blocks together
• Drinks from cup
• May roll a ball back and forth
• May place a block into a cup

     SENSORY & COGNITIVE SKILLS

• Says one word plus “Mama” & “Dada”
•  Looks for hidden objects
• Waves bye-bye
• Understands simple requests
• Points to desired objects
• Imitates words, sounds, adults and older kids

Developmental Health Watch

Although babies develop at different rates, failure to reach certain milestones may signal a problem.  If you notice any of the following warning signs in your infant, discuss them with your pediatrician.

·         No fright of strangers by 12 months

·         Unable to move by crawling, creeping, scooting, cruising, or walking

·         Cannot pick up small objects when given the chance

·         Does not point

·         Loss of previously known skills

·         No attempts to feed self

·         Uneven walk or limping

·         Frequent falling forward when walking

Talk with your doctor if you have any concerns about your child’s development

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