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In the Spotlight

January 28, 2000

Managing Your Health: Child Health Guide Additional Information

Part 1 of 4: Managing Your Health: Personal Health Guide
Part 2 of 4: Managing Your Health: Personal Health Guide, Additional Information

Part 3 of 4: Managing Your Health: Child Health Guide

 

The fourth in a series of four health guides. Managing your health, and the health of your child, means putting prevention into practice.

The last in our Managing Your Health series, Managing Your Health: Child Health Guide Additional Information presents important information on health guidance, including development, nutrition, dental and oral health, physical activity, tobacco use, safety, sudden infant death syndrome (SIDS), and child abuse.

Use your PersonalMD Medical Record to help track your childs preventive care and to know when this care is needed.

Development

Children grow and develop at different rates. Your health care provider will regularly measure the height and weight of your child and will use a growth chart to keep track of your childs growth.

The information below shows the ages by which most young children develop certain abilities. It is normal for a child to do some of these things later than the ages noted here. If your child fails to do many of these at the ages given, or you have questions about his or her development, talk with your child's health care provider.

Child Development

2 Months
Smiles, coos
Watches a person, follows with eyes

4 Months
Laughs out loud
Lifts head and chest when on stomach, grasps objects

6 Months
Babbles, turns to sound
Rolls over, supports head well when sitting

9 Months
Responds to name, plays peek-a-boo
Sits alone, crawls, pulls self up to standing

1 Year
Waves bye-bye, says mama or dada
Walks when holding on, picks up objects with thumb and first finger

18 Months
Says 3 words other than mama or dada, scribbles
Walks alone, feeds self using spoon

2 Years
Puts 2 words together, refers to self by name
Runs well, walks up stairs by self

3 Years
Knows age, helps button clothing, washes and dries hands
Throws ball overhand, rides tricycle

4 Years
Knows first and last name, tells a story, counts four objects
Balances on one foot, uses children's scissors

5 Years
Names 4 colors, counts 10 objects
Hops on 1 foot, dresses self

Nutrition

What your child eats is very important for his or her health. Follow the nutrition guidelines below.

Guidelines for a Healthy Diet0-2 Years Old

  • Breast milk is the best single food for infants from birth to six months of age. It provides good nutrition and protects against infection. Breast-feeding should be continued for at least the first year, if possible. If breast-feeding is not possible or not desired, iron-enriched formula (not cow's milk) should be used during the first 12 months of life. Whole cow's milk can be used to replace formula or breast milk after 12 months of age.
  • Breast-fed babies, particularly if dark-skinned, who do not get regular exposure to sunlight may need to receive Vitamin D supplements.
  • Begin suitable solid foods at 4-6 months of age. Most experts recommend iron-enriched infant rice cereal as the first food.
  • Start new foods one at a time to make it easier to identify problem foods. For example, wait one week before adding each new cereal, vegetable, or other food.
  • Use iron-rich foods, such as grains, iron-enriched cereals, and other grains and meats.
  • Do not give honey to infants during the first 12 months of life.
  • Do not limit fat during the first 2 years of life.

Guidelines for a Healthy Diet2 Years and Older

  • Provide a variety of foods, including plenty of fruits, vegetables, and whole grains.
  • Use salt (sodium) and sugars in moderation.
  • Encourage a diet low in fat, saturated fat, and cholesterol.
  • Help your child maintain a healthy weight by providing proper foods and encouraging regular exercise.

Dental/Oral Health

Your child needs regular dental care starting at an early age. Talk with your dentist to schedule the first visit. Good oral health requires good daily care. Follow these guidelines.

For Babies

  • If most of your child's nutrition comes from breast-feeding, or if you live in an area with too little fluoride in the drinking water (less than .3 ppm for children less than 2 years old, less than .7 ppm for children over 2 years old), your child may need fluoride drops or tablets. Ask your health care provider or local water department about the amount of fluoride in your water.
  • Don't use a baby bottle as a pacifier or put your child to sleep with a baby bottle. This can cause tooth decay and ear infections.
  • Keep your infant's teeth and gums clean by wiping with a moist cloth after feeding.
  • When multiple teeth appear, begin gently brushing your infant's teeth using a soft toothbrush and a very small (pea-sized) amount of toothpaste with fluoride.

For Older Children

  • Talk with your dentist about dental sealants. They can help prevent cavities in permanent teeth.
  • Use dental floss to help prevent gum disease. Talk with your dentist about when to start.
  • Do not permit your child to smoke or chew tobacco. Set a good example: don't use tobacco products yourself.
  • If a permanent tooth is knocked out, rinse it gently and put it back into the socket or in a glass of cold milk or water. See a dentist immediately.

Copyright © 2000 PersonalMD.com. All rights reserved.


 
     
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