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Eighteen-month-old office visit

General Information for a 18 month old child:

Behavior –
Be firm but reward good behavior. Encourage your child to explore, but physically remove your child from a dangerous situation. Do not keep saying "No", instead try distracting your child. Limit Setting is very important. This is a good time to introduce the use of time out. Your child will constantly surprise you with new abilities. Play at this age is more parallel, they are not ready for sharing quite yet.

Healthy habits –
Try to encourage reading and try to limit TV watching. Introduce your child to the library, and watch TV together. It is time to have a bedtime routine. Give your child small chores.

Development -
Most babies at this age can say about 4-10 words. They can walk alone, and feed themselves with fingers and utensils. They can often throw or kick a ball. They can usually understand simple commands, and point to a few body parts. They like to scribble. Many kids are ready for toilet training or will be within a few months. Your child is ready when the can feel the urge, communicate the urge, and then control the urge. Language development is key to toilet training. The one day method is to feed your child salty chips and apple juice all day so they have the need to go frequently, and reward them with M&Ms everytime they to go.

Diet -
The bottle should be just about gone, if you continue the use of the bottle your child is at risk for developing multiple dental caries. Avoid mealtime struggles. Your child does not need many calories at this age and will eat when he or she gets hungry.

Safety (Foreign Bodies) –
Children unexpectedly swallow dangerous things at this age. Foreign bodies also wind up in the lungs, nose and ears. Be careful of your child’s environment.

Burns -
Be careful not to allow your child to touch a hot oven or stove. Hot liquids or foods near table edges are a frequent cause of burns. Children will tip hot pots off of the stove and pull hot foods down by pulling at tablecloths. Coffee and tea are also a source of burns.

General -
Children love to climb. Secure bookshelves and appliances to the walls. Curtain and appliance cords should be out of reach. Lock poisonous substances in cabinets. The poison control center’s number should be handy. Gates should be placed near stairs, and windows should be secured. Tables with sharp edges should be removed or padded. Plastic bags are a potential suffocation hazard.


Vaccinations
Hepatitis A -Prevents a common cause of serious hepatitis

More information on the vaccinations:

Holistics Landowne Pediatrics Lessburg Pediatrician. Board Certified Doctors, Newborn and Adolescent Care in Loudoun, Pediatrician Ashburn Leesburg Loudoun