Name:​                                 Date:​

Weight:​                                Height:​                         Head Circumference:

Sleep: At ten months your baby probably still takes two regular naps and is likely to sleep as much as twelve hours at night. This often begins a challenging period for sleep. Please contact us if your child is having difficulties. Pillows, blankets, wedges, positioning devices, and bumper pads are no longer recommended.

Feeding: Many babies are now ready for finger foods. In addition to Cheerios, biscuits, yogurt, cottage cheese, and melon, bite sized pieces of foods like chicken, turkey, pasta, rice and potatoes are foods that can be offered on the highchair. Do not worry if your child does not have teeth. Children are excellent at gumming.  All foods are allowed expect for honey. Avoid choking foods such as hot dogs, peanuts, grapes, popcorn, until after age three. These foods cause choking. We recommend offering a cup at this age to make the transition from the bottle less eventful.

Development: At ten months you may see your child crawling and getting to a sitting position. Children are usually starting to develop a pincer grasp (using the index finger and thumb) and are beginning to imitate speech. Many children will understand “no” at this age. With their new abilities to move around and to express their feelings, parents will spend more and more time providing discipline at this age. The best strategy is to eliminate temptation; either arrange the environment to avoid problems or simply remove your child from an unwanted situation.

Safety:
·Car Seat Safety: Check the height and weight limits of your infant carrier, it may be time for a new car seat. Always keep rear facing for at least two years. Some car seats can convert from a backward-facing infant seat to a forward-facing toddler seat. For more information you can call the National Highway Traffic Safety Administration at 1-800-424-9393.
·Avoid Choking and Suffocation: Avoid foods on which a child might choke. Cut food into small pieces. Store toys in a chest without a dropping lid.
·Prevent Fires and Burns: Practice your fire escape plan. Check your smoke detector. Replace the batteries if necessary. Put plastic covers in electrical outlets. Keep hot appliances and cords out of reach. Keep all electrical appliances out of the bathroom. Don’t cook with your child at your feet. Use the back burners on the stove with the pan handles out of reach. Turn your water heater down to 120 degrees F.
·Prevent Drowning: Never leave an infant or toddler in a bathtub alone — NEVER. Continuously supervise your baby around any water, including toilets and buckets. Infants can drown in a bucket that has water in it. Empty all water and store buckets turned over.
·Avoid Falls: Make sure windows are closed or have screens that cannot be pushed out. Don’t underestimate your child’s ability to climb.
· Prevent poisoning by locking up medicines, vitamins, cleaning supplies, chemicals, and paints (and placing pocket books out of reach). Install safety latches on cabinets. Keep the poison center number on all phones. **Poison Control 516-542-2323 or 800-222-1222**
·Avoid Cuts: Remove or pad furniture with sharp corners. Keep sharp objects out of reach.

PHA Standard Immunizations:​  none, catch-up only.    Test:  Complete Blood Count, Lead test

Tylenol Dose:​                            Next Visit:​ 12 months, 15 months, 18 months