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 himself. Trust your baby’s appetite. Your child should use a spoon and drink only 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. Most children will have more than twenty words in their vocabulary; some may even using two word phrases. You can help your child’s vocabulary grow by showing and naming lots of things. In addition to the rapid acquisition of language, children this age will point to body parts, build towers of 5-10 blocks and use a spoon well. At this age children should be able to squat during play and run.
At 21 months, most toddlers are not yet showing signs that they are ready for toilet training. The following signs indicate that your child is ready (no rush!!!):
•​Your child understands what “pee,” “poop,” “dry,” “wet,” “clean,” “messy,” and “potty” mean. (Teach him these words.)
•​Your child understands what the potty is for. (Teach this by having your child watch parents, older siblings, and children near his age use the toilet correctly.)
•​Your child prefers dry, clean diapers. (Change your child frequently to encourage this preference.)
•​Your child likes to be changed.
•​Your child understands the connection between dry pants and using the potty.
•​Your child can recognize the feeling of a full bladder and the urge to have a bowel movement; that is, he paces, jumps up and down, holds his genitals, pulls at his pants, squats down, or tells you. Help him understand what these signals mean: “The poop (or pee) wants to come out. It needs your help.” Try to teach your child to come to you at these times.
• Your child has the ability to briefly postpone urinating or having a bowel movement. She may go off by herself and come back wet or soiled, or she may wake up from naps dry. 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. Pillows, blankets, wedges, positioning devices, and bumper pads are no longer recommended. 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. 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:​  Catch-up, if needed

Tylenol Dose:​                  Next Visit: 24 months, 30 months, 36 months