Pa-orlando.com

FIFTEEN MONTH CHECK UP
DATE_____________________________ WEIGHT________________________% HEIGHT______________________% HEAD CIRC____________________% 11+ Years
** Please verify your vaccinations with your physician at the time of your visit * These preventative immunizations can cause your baby to have a fever>100.4, decreased appetite, act fussy or change in normal sleep pattern. The injection site may be red or slightly swollen, or form a knot. If this occurs gently put a cool cloth over the injection site. Please see accompanying vaccine information sheets. Give your baby Infant’s Acetaminophen Suspension (80 mg/0.8 ml) or Children’s Motrin (50 mg/1.25 ml) the following dosage: 12-17 lbs 1 dropperful 18-24 lbs 1 ½ dropperful You may repeat this dose every four hours for Tylenol, and every 6-8 hours for Motrin for
fever/fussiness. Notify your physician if your baby has any adverse side effects such as fever greater than
104, seizure activity, or hives.
NUTRITION
Continue whole milk until 24 months of age. Your child needs the extra fat provided in whole milk for brain
development. Do not put your child in crib with a bottle or a sippy cup. This may cause milk bottle caries(Dental
Cavities). Try to wean your baby from a bottle to a sippy cup. Give only milk to 18-24 ounces/day. Avoid nuts,
popcorn, raisins, whole grapes, hard candy, or hotdogs. Continue meals of solids (one fruit, two vegetables, and one
meat per day). Avoid hard foods such as raw vegetables, apples, which can be a choking hazard at this age.
Continue to offer your child small servings of food. Large servings tend to discourage a child. Introduce a new
food along with a food the child likes. Limit snacks, and do not offer close to mealtime. Your child may not eat
well if snacks are served close to mealtime. Do not put your child to bed with a bottle of milk, juice or other sweet
liquids. This may lead to tooth decay and ear infections. Avoid sweets, soft drinks, candy and sugar coated cereals.
If your child does not like certain foods, keep offering them occasionally. A child’s taste for food changes
frequently, Check with you water company to see if fluoride is added in your tap water. If you have well water or
bottled water you may need a fluoride supplement.

ANTICIPATORY GUIDANCE
Schedule next check up for eighteen months of age. Your child will again receive a complete physical exam,
including height and weight measurements. Be sure to wash your hands and your toddler’s frequently, especially
after diapering and before meals. Try to eat healthy meals together as a family and provide healthy food choices for
meals and snacks. Read together, play and show affection toward your toddler. Discourage hitting, biting, or
aggressive behavior. Give your toddler individual attention. Create opportunities for safe exploration and physical
activity. Continue to set limits, use discipline (redirection, time-out), and ignore tantrums. Keep time out and other
discipline brief: reassure your toddler once negative behavior has stopped. Praise your toddler for good behavior
and accomplishments. Do things together as a family, but keep outings short and simple. Think about your childcare
arrangement and how they meet your family’s needs.
SAFETY
Look for hazards at your toddler’s level. Poison Control Center’s phone number is 800-222-1222. Be sure to childproof your home with safety latches, and use stair gates, cabinet locks, and window guards. Keep cords and mini-blinds out of reach. Place all medicines and chemicals safely out of reach. Never leave small toys or objects out that your child can choke on. Learn how to save the life of a choking child by taking a CPR course. Keep plastic wrappers, plastic bags, and balloons, out of reach. Do not leave your child unattended, your child’s growing mobility and climbing allows them to get into danger. Never leave your child unattended in bathtub. Take your child with you if you must answer the telephone or door. Never leave alone near a bathtub, pail of water, swimming pool or any other water, even for a moment. Knowing how to swim doesn’t make your baby water safe at this age. Once your toddler is twenty pounds continue to use forward-facing car seat during every ride. To assure proper car seat installation and use call SAFE KIDS of Greater Orlando at (407) 649-6849 or Orange County Sheriff’s Occupant Protection Program at (407) 836-4600. While cooking, keep child at a safe distance away from the stove in a high chair or play pen. To avoid burns never carry hot liquids or food near your baby while you are holding them. Develop an escape plan from the house in the event of a fire. Have working fire extinguishers and smoke detectors in your home.
DEVELOPMENT
Look for your toddler to: drink from a cup, scribble, walk backwards, bend over and pick up and object, stack
objects, point to one body part when asked, use a spoon or fork (but not exclusively), develop vocabulary of 15-29
words. Try to ignore temper tantrums and use time our for discipline. Read, sing, play games with your toddler.
Talk with your toddler about what you are seeing and doing. Help your toddler express joy, anger, sadness, and
fear.

TIME OUT
Time out reaches a peaceful way of problem solving. Place child in a safe setting for a specified period of time. (No
more than one minute/year of life). This interrupts the undesired behavior. Place child away from all attention and
interesting activities. This allows the child to become aware of unwanted behavior, and avoid behavior to avoid
being put there in the near future. Time outs can be given in a set location at home, as well as anywhere in public
places. Try to give your child one warning prior to placing them in time out. Be consistent and follow through with
warning. Children need to learn that their parents are in control and will resort to placing them in a boring, safe
situation when they lose self-control or become overly demanding. Time out leaves a child feeling guilty, which is
needed for formation of a conscience. When given correctly, you are teaching your child to stop and think.

WHEN TO CALL YOUR PEDIATRIAN (407-841-7290)
Auxiliary temperature greater than 102 degrees (unless your child received immunizations within the last 2 days and
is acting OK otherwise). Projectile vomiting, green (bilious) vomiting, seizure, excessive irritability or lethargy.
Our telephone nurse is available during office hours for common pediatric questions. Life threatening emergencies,
such as difficulty breathing, seizure, and bleeding, should be directed to the emergency room or 911.
Resources: www.aap.org or www.brightfutures.org

Source: http://www.pa-orlando.com/pdf/checkup15mo.pdf