Name:​                      Date:​

Weight:​                    Height:​                 Head Circumference:

Feeding: At 15 months your baby should be learning to feed himself. He will use his fingers and maybe start using a spoon. This will be messy. Make sure to cut the food up into small pieces so your baby won’t choke. Babies still need nutritious snacks like cheese, fruit, and vegetables. Some nutritious desserts are baked apples or fresh fruit. Do not use food as a reward. By now, most babies should be using a cup only. Avoid hot dogs, peanuts, grapes, popcorn, until after age three. These foods cause choking. Babies do not grow as fast during the second year of life. Your baby may eat less. Trust your baby’s appetite.
Development: At 15 months you may see your child starting to understand simple commands and pointing to body parts. Many children are speaking 3-5 words. Also at this age you may notice temper tantrums. Trying to reason with or punish your child may actually make the tantrum last longer. It is best to make sure your toddler is in a safe place and then ignore the tantrum. You can best ignore by not looking directly at him and not speaking to him or about him to others when he can hear what you are saying. Toddlers are very curious and want to be the boss. This is normal. If they are safe, this is a time to let your child explore new things. As long as you are there to protect your child, let him satisfy his curiosity. Stuffed animals, toys for pounding, pots, pans, measuring cups, empty boxes, and Nerf balls are some examples of toys your child may enjoy. Toddlers may want to imitate what you are doing. Sweeping, dusting, or washing play dishes can be fun for children.

Sleep: Not many children this age look forward to going to sleep. Bedtime means separating from the parent and missing out on all of the action. Bedtime routines can make this period easier for you and your child. Pillows, blankets, wedges, positioning devices, and bumper pads are no longer recommended. Please contact us if your child is having difficulties.

Safety:
· Avoid Choking and Suffocation: Keep plastic bags, balloons, and small hard objects out of reach. Use only unbreakable toys without sharp edges or small parts that can come loose. Cut foods into small pieces. Avoid foods on which a child might choke (popcorn, peanuts, hot dogs, chewing gum).
· Prevent Burns and Fires: Keep lighters and matches out of reach. Don’t let your child play near the stove. Use the back burners on the stove with the pan handles out of reach. Turn the water heater down to 120 degrees F (49 degrees C).
· Car Safety: Children should remain rear facing until two years old. Never leave your child alone in the car. Use an approved toddler car seat correctly. Parents should wear seat belts.
· Pedestrian Safety: Hold onto your child when you are around traffic. Supervise outside play areas.
· Prevent Drowning: Continuously watch your child around any water, including toilets and buckets. Keep toilet seats down and store buckets upside down.
· Poisons: Keep all medicines, vitamins, cleaning fluids, etc. locked away. Put the poison center number on all phones. Purchase all medicines in containers with safety caps. Do not store poisons in drink bottles, glasses, or jars. Poison Control 516-542-2323 or 800-222-1222

PHA Standard Immunizations:​  Prevnar Booster, Hep A #1

Tylenol Dose:​                     Next Visit:  18 months, 21 months, 24 months