Name:​                     Date:​

Weight:​                    Height:​                 Head Circumference:

Feeding: Family meals are important for your baby. Let him eat with you. This helps him learn. Many children are picky eaters and eat only one good meal a day. Don’t make mealtime a battle. Let your baby feed him. Trust your baby’s appetite. Your child should use a spoon and drink from a cup now. Avoid hot dogs, peanuts, grapes, popcorn, until after age three. These foods cause choking.

Development: Children at this age should be learning many new words. You can help your child’s vocabulary grow by showing and naming lots of things. Children have many different feelings and behaviors such as pleasure, anger, joy, curiosity, warmth, and assertiveness. It is important at this age to praise your child for doing things that you like. Make an effort to catch your children being good. In addition to the rapid acquisition of language, you may also see your child running, climbing, throwing balls (and other objects), and stacking blocks. Most children at this age can use a cup well and are learning to use a spoon and fork. At 18 months, most toddlers are not yet showing signs that they are ready for toilet training. When toddlers report to parents that they have wet or soiled their diaper, they are beginning to be aware that they prefer dryness. This is a good sign and you should praise your child. Toddlers are naturally curious about the use of the bathroom by other people. Let them watch you or other family members use the toilet. It is important not to put too many demands on a child or shame the child during toilet training.

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.
· 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 panhandles 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. Latch all doors your child may be able to open.
· 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

Standard PHA Immunizations:​ Pentacel #4

Tylenol Dose:​                      Next Visit:  21 months, 24 months, 30 months