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 12-Month Visit Name:____________________
Date Of Visit:____________________
Weight:____________________
Length:____________________
Head Circumference:____________________ Things your doctor will do at today's visit: - Ask for an update on your child's health
- Examine your child
- Ask about possible exposure of your child to lead and test for lead, if indicated
- Discuss your child's risk of anemia (iron-poor blood) and test for anemia, if indicated
- Ask about possible exposure to tuberculosis (TB) and test your child, if indicated
- Recommend one or more immunizations: varicella (chicken pox), MMR (measles, mumps, rubella), DTaP (diphtheria, tetanus, pertussis/whooping cough), Hib, polio, pneumococcus, hepatitis B, influenza
- Give you an opportunity to ask questions
Things you may want to discuss at this visit: Your child's growth and nutrition.
_______________________________________________________ Weaning from the breast or bottle and introducing whole milk.
_______________________________________________________ Your child's behavior and development.
_______________________________________________________ Your child's sleeping habits.
_______________________________________________________ Any concerns about your child's hearing or vision.
_______________________________________________________ Your child-care arrangements.
_______________________________________________________ Any other concerns you have.
_______________________________________________________ Things to keep in mind: - Always use a car seat : rear-facing in the back seat until your child is at least 12 months old and weighs at least 20 pounds.
- Lower your child's crib mattress, so he doesn't hurt himself as he moves around in the crib.
- Childproof your home. Keep small and sharp objects, plastic bags, hot liquids, poisons, medications, outlets, cords, and guns out of reach.
- Install window guards on all windows above the first floor.
- Watch your toddler carefully when she is anywhere near water, including buckets, pools, toilets or bathtubs.
- Never use a baby walker.
- Offer your toddler healthy foods, including fruits, vegetables and whole milk.
- Let your toddler feed himself.
- Do not give your child foods that could cause choking, such as peanuts, popcorn, carrot sticks, whole grapes, raisins, whole beans or hard candy.
- Brush your child's teeth and gums with a soft brush. Make an appointment with a dentist for your child's first dental exam.
- Read, sing and dance with your child. Play with blocks and balls.
Schedule an appointment for your child's next visit, usually at 15 months of age. Date:_________________________
Time:_________________________ Based on health-supervision guidelines from the American Academy of Pediatrics and from Bright Futures, which is funded by the U.S. Department of Health and Human Services, under the direction of the Maternal and Child Health Bureau. Last updated August 30, 2008
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