Pediatric Group

15 Month Well Child Visit

Vaccines:

Pediarix: DTaP (Diptheria, Tetanus, whooping cough), Polio and Hepatitis B vaccine

Hib: Haemophilus Influezae Type B

Prevnar: Pneumonia Vaccine

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! (if not already done)

·         Offer whole milk (16-24 ounces/day)

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

·         Offer 3 meals & 3 snacks daily

·         Let child decide how much to eat, you pick the foods

·         Set a good example - eat healthy!

·         Encourage self-feeding even if messy

·         Always supervise eating

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

                            GENERAL CARE / SAFETY  

·         Use a safety seat in the back seat

·         Childproof your home

·         Encourage safe exploration

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

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

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

·         Limit sun and use sunblock

·         Use insect repellant if needed

·         Praise good behavior

·         Set limits and routines, be consistent and reasonable

·         Discourage aggressive behavior

·         Use discipline such as “time out” to teach a lesson – not to punish

·         Delay toilet training

·         Set a good example with your behavior

·         Never smoke around children

·         NEVER SHAKE A CHILD!

PLAY

You can encourage development through play

• Talk, sing, and read together
• Play interactive games
• Offer simple and fun tasks
• Continue naming parts of the body & the environment
• Do not use baby talk
• Create routines such as a bedtime story
• Avoid using the word “NO”

DEVELOPMENTAL MILESTONES

                        PHYSICAL & MOTOR SKILLS

• Walks well
• Bends down to pick up items
• Climbs stairs
• Stacks two blocks
• Throws a ball overhand
• Places and removes items from containers
• Feeds self with fingers
• Tries to take off clothing

                    SENSORY & COGNITIVE SKILLS

• Says about 10 words
• Points to body parts
• Understands one step commands
• Listens to a story
• Imitates household tasks

Developmental Health Watch

Although children 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.

·         Not trying to walk

·         Cannot pick up small objects when given the chance

·         Does not point

·         Loss of previously known skills

·         Uneven walk or limping

·         Frequent falling forward when walking

·         Says fewer than 5 words

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

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