Caring Hands Pediatrics

North Office: 412-369-7720
Robinson Office: 412-921-2345

18 month visit

Feeding
Your child should be drinking from a cup only by now. Whole milk is generally recommended until 2 years of age, with a daily intake of 16-24 oz. per day. No soda pop should be given, and juice should be limited to no more than 4-6 oz a day. Offer a healthy variety of table foods (fruits, vegetables, cheese, yogurt, lean meats, whole grains) and healthy snacks in between meals, but don’t make it a battle! Still avoid foods that may cause choking (for example, whole hot dogs, nuts, chunks of meat, large pieces of hard cheese, whole grapes, hard or sticky candy, popcorn, raw vegetables). Let him learn to feed him/herself with a spoon. Try to make every meal a fun family meal; this is how they learn!

Development 
Each child is unique. Therefore it is difficult to describe exactly what should be expected at each stage of a child’s development. While certain attitudes, behaviors, and physical milestones tend to occur at certain ages, a wide spectrum of growth and behavior for each age is normal. Most children learn new words quite rapidly at this age. Help your child’s vocabulary grow by naming things around him and using picture books. Repeating familiar and unfamiliar sounds and gestures should occur more regularly. Obeying simple commands and pointing to body parts when named will be evident. Motor skills become more refined especially walking, running, and pushing and pulling toys. Your child may begin to show the early signs of interest in using the potty between 18 months and 2 years of age, but don’t worry if no interest is shown until after 2 years. Every healthy child also begins to exhibit signs of independence with the frequent use of the word “no” and temper tantrums occurring out of frustration. We can advise you on properly responding to these behaviors.

Sleep
Most toddlers this age sleep 10-12 hours a night and nap for about 2 hours during the day. Establishing nightly rituals at bedtime consistently will help minimize the battles that frustrate so many parents. Middle of the night awakenings can also be exhausting for both parent and child. Again, ask us for advice on how to successfully modify this sleep pattern.

Safety
​Children this age know no danger! Be their guardian angel. For example: Watch your child at all times when he or she is near water (such as a pool, hot tub, bucket, bathtub, toilet, or lake); Avoid falls by putting locks or guards on all windows above the first floor; watch your child at all times near play equipment and stairs. If your child is climbing out of the crib, switch to a toddler bed. Unload all guns and keep them locked up. Have a fire escape plan and practice it with your family. Never leave your child unattended with any animal, even family pets. Children should be in a rear-facing carseat until age 2 years.  And keep the number to the Poison Control Center​ near the phone - 1-800-222-1222.

Immunizations



ALL children 6 months of age and older should receive a Flu vaccine every fall!

Your child may get a fever and be fussy for 24-48 hours after the immunizations. There may also be some soreness, redness and swelling at the site of the immunization. Acetaminophen​ may be given to help make your baby more comfortable.Type your paragraph here.