child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling...

15
M-CHAT Please fill out the following about how your child usually is. Please try to answer every question. If the behavior is rare (e.g. , you've seen it once or twice), please answer as if the child does not do it. 1. Does your child enjoy being swung, bounced on your knee, etc.? Yes No 3. Does your child like climbing on things, such as up stairs? Yes No 4. 5. Does your child ever pretend, for example, to talk on the phone or take care of a doll or Yes No pretend other things? 6. e,ver use his/her index finger ask for No 7. Does your child ever use his/her index finger to point, to indicate interest in something? Yes No 8. Gan your child ' proper]y wltllsm:;ll toys or just m. Ql.ltl1ing, or droppiIlg them? 9. Does your child ever bring objects over to you (parent) to show you something? Yes No 10. Does )lour child look you in the eye for more a second Yes No 11. Does your child ever seem oversensitive to noise? (e.g., plugging ears) Yes No 12. YOl.lrsmile. in response to Y91.1f 13. Does your child imitate you? (e.g., you make a face-will your child imitate it?) Yes No Doesyourchird;respond to No ' 15 . If you point at a toy across the room, does your child look at it? Yes No Does Y9utchild walk? 17. Does your child look at things you are looking at? Yes No 18 . child make unusual finger movements neat his/her face? 19. Does your child try to attract your attention to his/her own activity? Yes No 20. Have YOlj.eve,twondered if your .child lS I deaf? 21. Does your child understand what people say? Yes No Does your child sometimes stare at nothing purpose? 23 . Does your child look at your face to check your reaction when faced with Yes No something unfamiliar? © 1999 Diana Robins, Deborah Fein, & Marianne Barton

Transcript of child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling...

Page 1: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

M-CHAT

Please fill out the following about how your child usually is Please try to answer every question If the behavior is rare (eg youve seen it once or twice) please answer as if the child does not do it

1 Does your child enjoy being swung bounced on your knee etc Yes No

3 Does your child like climbing on things such as up stairs Yes No

4

5 Does your child ever pretend for example to talk on the phone or take care of a doll or Yes No pretend other things

6 ever use hisher index finger ask for No

7 Does your child ever use hisher index finger to point to indicate interest in something Yes No

8 Gan your childp~ay proper] y wltllsmll toys or just mQlltl1ing fiddli~g or droppiIlg them

9 Does your child ever bring objects over to you (parent) to show you something Yes No

10 Does )lour child look you in the eye for more a second Yes No

11 Does your child ever seem oversensitive to noise (eg plugging ears) Yes No

12 YOllrsmile in response to Y911f

13 Does your child imitate you (eg you make a face-will your child imitate it) Yes No

Doesyourchirdrespond to No

15 If you point at a toy across the room does your child look at it Yes No

Does Y9utchild walk

17 Does your child look at things you are looking at Yes No

18 child make unusual finger movements neat hisher face

19 Does your child try to attract your attention to hisher own activity Yes No

20 Have YOljevetwondered if your child lSIdeaf

21 Does your child understand what people say Yes No

Does your child sometimes stare at nothing wanac~rwith purpose

23 Does your child look at your face to check your reaction when faced with Yes No something unfamiliar

copy 1999 Diana Robins Deborah Fein amp Marianne Barton

Please note NEW acetaminophen oral suspension dosing below this will replace the OLD infant concentrated drops There may be a time when both preparations will be sold or you still have them in your cabinet It is OK to use either preparation just verify which preparation you have and be sure to administer the correct dose according to the chart below July 2011

Tylenol Dosage Table

Acetaminophen (Tylenol) may be given every 4 hours

Weight (pounds)

Chewable Tablets (80mgtablet)

ChildrenrsquosInfant Oral Suspension

(160mgteaspoon) ldquoNEWrdquo CONCENTRATION

Drops (80mg08ml) ldquoOLDrdquo CONCENTRATION

6‐11 frac14 tsp or 125ml 04ml

12‐17 frac12 tsp or 25ml 08ml

18‐23 1 frac12 tablets frac34 tsp or 375ml 12ml

24‐35 2 1 tsp or 5ml 16ml

36‐47 3 1 frac12 or 75 ml

48‐59 4 2 tsp or 10 ml

60‐71 5 2 frac12 tsp or 125ml

72‐95 6 3 tsp or 15 ml

Ibuprofen (AdvilMotrin) Dosage Table

Ibuprofen may be given every 6 hours

We do not recommend alternating Tylenol and Ibuprofen drops because of potential confusion in dosing

We do not recommend Ibuprofen for children under 6 months of age

Weight Chewable Tablets(50mgtablet)

Infantrsquos Oral Suspension

(50mg125ml)

Childrens Suspension (100mg5ml)

12‐17 125 ml frac12 tsp or 25ml

18‐23 1875 ml 34 tsp or 375ml

24‐35 2 ‐ 1 tsp or 5 ml

36‐47 3 ‐ 1 frac12 tsp or 75ml

48‐59 4 ‐ 2 tsp or 10ml

60‐71 5 ‐ 2 frac12 tsp or 125ml

72‐95 6 ‐ 3 tsp or 15 ml

Over 96 8 ‐ 4 tsp or 20 ml

Did you know that injuries are the leading cause of death of children younger than 4 years in the UnitedStates Most of these injuries can be prevented

Often injuries happen because parents are not aware of what their children can do Children learn fast and before you know it your child will be jumping running riding a tricycle and using tools Your child is at special risk for injuries from falls drowning poisons burns and car crashes Your child doesnrsquot understand dangers or remember ldquonordquo while playing and exploring

FallsBecause your childrsquos abilities are so great now he or she will find an endless variety of dangerous situations at home and in the neighborhood

Your child can fall off play equipment out of windows down stairs off a bike or tricycle and off anything that can be climbed on Be sure the surface under play equipment is soft enough to absorb a fall Use safety-tested mats or loose-fill materials (shredded rubber sand wood chips or bark) maintained to a depth of at least 9 inches underneath play equipment Install the protective surface at least 6 feet (more for swings and slides) in all directions from the equipment

Lock the doors to any dangerous areas Use gates on stairways and install operable window guards above the first floor Fence in the play yard If your child has a serious fall or does not act normally after a fall call your doctor

Firearm HazardsChildren in homes where guns are present are in more danger of being shot by themselves their friends or family members than of being injured by an intruder It is best to keep all guns out of the home If you choose to keep a gun keep it unloaded and in a locked place with the ammunition locked separately Handguns are especially dangerous Ask if the homes where your child visits or is cared for have guns and how they are stored

BurnsThe kitchen can be a dangerous place for your child especially when you are cooking If your child is underfoot hot liquids grease and hot foods can spill on him or her and cause serious burns Find something safe for your child to do while you are cooking

Remember that kitchen appliances and other hot surfaces such as irons ovens wallheaters and outdoor grills can burn your child long after you have finished using them

2to

4Ye

ars

2 TO 4 YEARSSafety for Your Child

(over)

If your child does get burned immediately put cold water on the burned area Keep the burned area in coldwater for a few minutes to cool it off Then cover the burn loosely with a dry bandage or clean cloth Callyour doctor for all burns To protect your child from tap water scalds the hottest temperature at the faucetshould be no more than 120˚F In many cases you can adjust your water heater

Make sure you have a working smoke alarm on every level of your home especially in furnace and sleeping areasTest the alarms every month It is best to use smoke alarms that use long-life batteries but if you do not change the batteries at least once a year

PoisoningsYour child will be able to open any drawer and climb anywhere curiosity leads Your child may swallow anythinghe or she finds Use only household products and medicines that are absolutely necessary and keep them safely capped and out of sight and reach Keep all products in their original containers

If your child does put something poisonous in his or her mouth call the Poison Help Lineimmediately Attach the Poison Help Line number (1-800-222-1222) to your phone Do not make your child vomit

And Remember Car SafetyCar crashes are the greatest danger to your childrsquos life and health The crushing forces to your childrsquos brain and body in a collision or sudden stop even at low speeds can cause injuries or death To prevent these injuries correctly USE a car safety seat EVERY TIME your child is in the car If your child weighs more than the highest weight allowed by the seat or if his or her ears come to the top of the car safety seat use a belt-positioning booster seat

The safest place for all children to ride is in the back seat In an emergency if a child must ride in the front seat move the vehicle seat back as far as it can go away from the air bag

Do not allow your child to play or ride a tricycle in the street Your child should play in a fenced yard or playground Driveways are also dangerous Walk behind your car before you back out of your driveway to be sure your child is not behind your car You may not see your child through the rearview mirror

Remember the biggest threat to your childrsquos life and health is an injury

HE0021-D3-42rev0805TIPPregmdashThe Injury Prevention Program copy 1994 American Academy of Pediatrics

The information in this publication should not be used as a substitute for the medical care andadvice of your pediatrician There may be variations in treatment that your pediatrician may recommend based on the individual facts and circumstances

From Your Doctor

12Like

Developmental Milestones 2 Year Olds

Healthy Children gt Ages amp Stages gt Toddler gt Developmental Milestones 2 Year Olds

Ages amp Stages

What are some of the developmental milestones my childshould reach by two years of ageYour baby enters her second year and becomes a toddler crawling vigorously starting to walkeven talking a little Exploring the boundaries established by your rules and her own physicaland developmental limits will occupy much of her time for the next few years

Here are some other milestones to look for

Movement milestonesWalks alonePulls toys behind her while walkingCarries large toy or several toys while walkingBegins to runStands on tiptoeKicks a ballClimbs onto and down from furniture unassistedWalks up and down stairs holding on to support

Milestones in hand and finger skillsScribbles spontaneouslyTurns over container to pour out contentsBuilds tower of four blocks or moreMight use one hand more frequently than the other

Language milestonesPoints to object or picture when itrsquos named for himRecognizes names of familiar people objects and body partsSays several single words (by fifteen to eighteen months)Uses simple phrases (by eighteen to twenty-four months)Uses two- to four-word sentencesFollows simple instructionsRepeats words overheard in conversation

Cognitive milestonesFinds objects even when hidden under two or three coversBegins to sort by shapes and colorsBegins make-believe play

HealthyChildrenorg - Developmental Milestones 2 Year Olds httpwwwhealthychildrenorgEnglishages-stagestoddlerPagesDeve

1 of 2 4192012 246 PM

topic landing page

Social and emotional milestonesImitates behavior of others especially adults and older childrenIncreasingly aware of herself as separate from othersIncreasingly enthusiastic about company of other childrenDemonstrates increasing independenceBegins to show defiant behaviorIncreasing episodes of separation anxiety toward midyear then they fade

Developmental health watchBecause each child develops at his own particular pace itrsquos impossible to tell exactly when yours will perfect a given skill Thedevelopmental milestones will give you a general idea of the changes you can expect as your child gets older but donrsquot bealarmed if he takes a slightly different course Alert your pediatrician however if he displays any of the following signs ofpossible developmental delay for this age range

Cannot walk by eighteen monthsFails to develop a mature heel-toe walking pattern after several months of walking or walks exclusively on histoesDoes not speak at least fifteen words by eighteen monthsDoes not use two-word sentences by age twoDoes not seem to know the function of common household objects (brush telephone bell fork spoon) byfifteen monthsDoes not imitate actions or words by the end of this periodDoes not follow simple instructions by age twoCannot push a wheeled toy by age two

Last Updated 12282011Source Caring for Your Baby and Young Child Birth to Age 5 (Copyright copy 2009 American Academy ofPediatrics)

HealthyChildrenorg - Developmental Milestones 2 Year Olds httpwwwhealthychildrenorgEnglishages-stagestoddlerPagesDeve

2 of 2 4192012 246 PM

C M Y CM MY CY CMY K

How can I make mealtimes happy Make mealtime a family time Children like to eat with other people

Sit down and eat meals with your child

Try to have meals and snacks at about the same time every day

Do not bribe play games or force your child to eat Children needto control their own eating

It is normal for children to play with their food If your childstops eating or throws food take the food away

Young children are messy eaters Expect your child to spillYour child can use a child spoon or fork or fingers at this age

Relax and enjoy your meal Do notmake your childrsquos eating the centerof attention

Keep the TV off during meals Makemealtime a quiet time for talking

Set a good example Eat manydifferent kinds of food Your childwill want to eat what you eat

How can I make it easier for my child to eatServe foods that

are bite size or easy for your child to hold are soft and easy to chew are mild and simple are not too hot or too cold have a lot of colors textures and shapes

This is my goal

Sample Menus for Your Child

1 scrambled egg 14 cup cereal12 slice toast 14 banana12 cup milk 12 cup milk

14 apple peeled and sliced 12 cup yogurt34 ounce small cheese pieces 2 crackerswater water

peanut butter sandwich 12 cup vegetable beef soup (1 slice bread 1 tablespoon 12 tortilla or 2 crackers peanut butter) 12 cup milk2 tablespoons peas12 cup milk

12 cup dry cereal 12 slice toast with14 cup juice 1 tablespoon peanut butter

water

1 tablespoon baked chicken soft taco with beans and2 tablespoons meat (12 tortilla mashed potatoes 2 tablespoons beans2 tablespoons broccoli 2 tablespoons meat)2 tablespoons applesauce 14 cup ricewater 2 tablespoons cooked carrots

12 orange slicedwater

2 graham cracker squares 4 animal crackers12 cup milk 12 cup milk

Always wash handsbefore and after eating

Breakfast

Snack

Lunch

Dinner

Snack

Snack

Day 1 Day 2Feeding Your1 to 2 Year OldFeeding Your1 to 2 Year Old

HealthWashington State Department of

DOH Pub 961-187 92005

Adapted from California Department of Health WIC Supplemental Nutrition BranchPrinted by Washington State Department of Health WIC Program WIC is an equalopportunity program For persons with disabilities this document is available onrequest in other formats To submit a request please call 1-800-525-0127 (TDDTTY1-800-833-6388)

Always stay nearby when your child eats Children can choke if they runand play with food in their mouths Be sure your child sits down to eatat the table

Warning Children under age 4 can choke on foods like hot dogspopcorn nuts raw carrots grapes jelly beans gum and hardcandy Avoid these foods Cut hot dogs into very small pieces

Children this age only need 4 to 6 small servings of milk or milk productsevery day No more than 24 ounces (710 milliliters) of milk per day Limitjuice to 14 cup (60 milliliters) per day Serve fruit instead of juice whenyou can Your child should be drinking only from a cup now not a bottle

If your child is thirsty at other times offer your child water instead ofsweet drinks Sweet drinks like pop Kool-Aidreg and juice drinks canmake your child feel full Then your child will not be hungry for mealsor snacks If you are still breastfeeding your child thatrsquos great Breastfeedafter meals and at night

C M Y CM MY CY CMY K

hildren know how much theyneed to eat But they do not knowwhat kinds of foods they need

When it is time to eat offer yourchild healthy foods You decidewhat to serve and when to serve it

Let your child decide how much toeat from the foods you serve

Serve your child 3 meals and 2to 3 snacks every day

Serve a variety of healthy foodsevery day

Children eat more on some daysthan others

What your child eats in one daymay not match the food guideThink about all the foods yourchild eats over several days

It is normal for children to eatless after the first year They arenot growing as fast

Feeding your1 to 2 yearold

C

Breads Grainsand Cereals

6 to 11 servings

Protein Foods2 to 3 servings

Fats Oils and Sweets

Fruits 2 to 4 servings

Vegetables3 to 5 servings

Milk Products4 to 6 servings

Food Guide Pyramid One Serving Is About

2 to 4servingseach day

3 to 5servingseach day

6 to 11servingseach day

4 to 6servingseach day

2 to 3servingseach day

Breads Grains CerealsBread slice tortilla roll muffin pancake waffle14Dry cereal 14ndash12 cup or 60ndash120 mLNoodles rice cooked cereal18ndash14 cup or 30ndash60 mLCrackers 1ndash2 smallOffer your child some whole grain foods every day

VegetablesCooked 2ndash3 tablespoons or 30ndash45 mLRaw 2ndash3 tablespoons or 30ndash45 mLOffer your child a dark green or yellow vegetable every day like cookedcarrots broccoli spinach sweet potato or squash

FruitsFresh 14ndash12 smallCanned or frozen2ndash3 tablespoons or 30ndash45 mLJuice 18 cup or 30 mLOffer your child a good vitamin C fruit every day like orange strawberriesmelon mango papaya or juices

Milk ProductsMilk or breast milk12 cup or 120 mLCheese 34 ounce or 20 gCottage cheese 34 cup or 180 mLYogurt pudding or custard made with milk 12 cup or 120 mLFrozen yogurt ice cream 34 cup or 180 mLGive your child whole milk up to age 2 then lowfat milk

Protein FoodsAnimal Protein

Meat chicken turkey fish1 tablespoon or 15 mLEggs12

Vegetable ProteinCooked dry beans lentils 14 cup or 60 mLPeanut butter 1 tablespoon or 15 mLTofu 14 cup or 60 mLMeat and beans have the most iron

Fats Oils and SweetsGive your child these foods once in a while

Start with small servings Give about 1 tablespoon (15 mL) of each foodfor each year of your childrsquos age For example if your child is 2 years oldserve your child 2 tablespoons of vegetables and 2 tablespoons of riceLet your child ask for more

This menu tanned two-year-ol Id who approximately 27 pounds (125 kg)

1 Tables t ounce (15 c)

teaspo 3 Tables (5 cc)

1 cup 8 ounces (240 cc)

BREAKFAST 3 204 cup Ie

~- cup iron-fo fied cereal 0 1 egg i cup citrus or tomato juice or 13 cup cantaloupe or strawberries i slice toast

teaspoo morgarine teaspoon

SNACK 1 ounce cheese

crackers t cup juice

cup 20 sandwich lice who bread teaspoonne or 2 ns

salad dressing and 1 ounce meat 2-3 carrot sticks or 2 tablespoons other dark yellow or dark green vegetable 1 small (12 ounce) oatmeal cookie

SNACK i cup 2 milk i apple (sliced) 3 dates 13 cup grapes or t orange

DINNER i cup 20 milk

ounces t cup pasta rice or potato 2 tablespoons vegetable 1 teaspoon ine or ressing

--

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giv

e di

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rary

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e an

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rs

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e ca

rton

s

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child

to

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h b

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of

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cts

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kers

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ity to

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lect

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(ba

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bjec

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sa

me

for

little

A

noth

er b

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ttle

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self

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ldre

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oll

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d pr

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r ha

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ame

whe

n yo

u ta

ke a

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r th

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r he

r ju

mp

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nd

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astio

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eg

gs

Fill

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with

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sy o

bjec

ts

like

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be

ans

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H

ave

two

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The

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Q U

sers

Gui

de

Sec

ond

Edi

tion

Squ

ires

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ter

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ker

copy 1

999

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l H

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es P

ublis

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C CIU The Bone Builder

is a and a helper bull 99 of the calcimll in your body builds and maintains bones and teeth

bull the other 1 helps your heart beat helps your muscles contract and relax helps clot your blood when necessary and helps your nerves send messages

need for starts when an infant greatest need comes pre-teens to rnid-twenties bones become strongest they ever be This

IAs an adult time to build your bone bank for the adult years ahead Beginning at age 30-35 the calcium balance in your bone bank will begin a slow natural decrease As an adult it is important to replace calcium through your diet every day to keep your calcium balance as high as possible

iTnportant in calcium mineral withdrawn your bone

functions require calcium time if calcium taken your bones is not replaced your bones may become porous brittle and weak Thats why it is

to replace so important to get enough calcium in your diet each day

you need I much your calcium

Infants through 0-6 months 2100

7-12 270

Children

your diet 1-3 years 5000 4-8 years 8000

Pre-Teens and Teens 9-18 years 1300

Adults 19-50 years 10000 51 years 12CO

Pregnant Lactating Up to 18 years 13000 19-50 years 10000

lnstitute ofMedic Nutrition Board Intakes for Cdnum Magnesium md Fluoride 1997

Crank up Your next page to sec re~hing your

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

CALCIUM BUSTERS bull Too

cliet

bull Heavy bull Too

or sodium in the Guide Pyramid

is linked with low

body to excrete prevent this problem vou drink alcohol do

with a low

Eating a balanced

COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

necessary enzymes have very little

pharmacies) or products

Which calcium-rich foods do you enjoy eating Fill m the three blanks with the high calclUm foods from the list below that you will eat to help meet your daily calcium needs 1 _____________________________________

mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

J9J 318

Ice cream Macaroni amp cheese frozen dinner) Cottage cheese

SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999

Page 2: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

Please note NEW acetaminophen oral suspension dosing below this will replace the OLD infant concentrated drops There may be a time when both preparations will be sold or you still have them in your cabinet It is OK to use either preparation just verify which preparation you have and be sure to administer the correct dose according to the chart below July 2011

Tylenol Dosage Table

Acetaminophen (Tylenol) may be given every 4 hours

Weight (pounds)

Chewable Tablets (80mgtablet)

ChildrenrsquosInfant Oral Suspension

(160mgteaspoon) ldquoNEWrdquo CONCENTRATION

Drops (80mg08ml) ldquoOLDrdquo CONCENTRATION

6‐11 frac14 tsp or 125ml 04ml

12‐17 frac12 tsp or 25ml 08ml

18‐23 1 frac12 tablets frac34 tsp or 375ml 12ml

24‐35 2 1 tsp or 5ml 16ml

36‐47 3 1 frac12 or 75 ml

48‐59 4 2 tsp or 10 ml

60‐71 5 2 frac12 tsp or 125ml

72‐95 6 3 tsp or 15 ml

Ibuprofen (AdvilMotrin) Dosage Table

Ibuprofen may be given every 6 hours

We do not recommend alternating Tylenol and Ibuprofen drops because of potential confusion in dosing

We do not recommend Ibuprofen for children under 6 months of age

Weight Chewable Tablets(50mgtablet)

Infantrsquos Oral Suspension

(50mg125ml)

Childrens Suspension (100mg5ml)

12‐17 125 ml frac12 tsp or 25ml

18‐23 1875 ml 34 tsp or 375ml

24‐35 2 ‐ 1 tsp or 5 ml

36‐47 3 ‐ 1 frac12 tsp or 75ml

48‐59 4 ‐ 2 tsp or 10ml

60‐71 5 ‐ 2 frac12 tsp or 125ml

72‐95 6 ‐ 3 tsp or 15 ml

Over 96 8 ‐ 4 tsp or 20 ml

Did you know that injuries are the leading cause of death of children younger than 4 years in the UnitedStates Most of these injuries can be prevented

Often injuries happen because parents are not aware of what their children can do Children learn fast and before you know it your child will be jumping running riding a tricycle and using tools Your child is at special risk for injuries from falls drowning poisons burns and car crashes Your child doesnrsquot understand dangers or remember ldquonordquo while playing and exploring

FallsBecause your childrsquos abilities are so great now he or she will find an endless variety of dangerous situations at home and in the neighborhood

Your child can fall off play equipment out of windows down stairs off a bike or tricycle and off anything that can be climbed on Be sure the surface under play equipment is soft enough to absorb a fall Use safety-tested mats or loose-fill materials (shredded rubber sand wood chips or bark) maintained to a depth of at least 9 inches underneath play equipment Install the protective surface at least 6 feet (more for swings and slides) in all directions from the equipment

Lock the doors to any dangerous areas Use gates on stairways and install operable window guards above the first floor Fence in the play yard If your child has a serious fall or does not act normally after a fall call your doctor

Firearm HazardsChildren in homes where guns are present are in more danger of being shot by themselves their friends or family members than of being injured by an intruder It is best to keep all guns out of the home If you choose to keep a gun keep it unloaded and in a locked place with the ammunition locked separately Handguns are especially dangerous Ask if the homes where your child visits or is cared for have guns and how they are stored

BurnsThe kitchen can be a dangerous place for your child especially when you are cooking If your child is underfoot hot liquids grease and hot foods can spill on him or her and cause serious burns Find something safe for your child to do while you are cooking

Remember that kitchen appliances and other hot surfaces such as irons ovens wallheaters and outdoor grills can burn your child long after you have finished using them

2to

4Ye

ars

2 TO 4 YEARSSafety for Your Child

(over)

If your child does get burned immediately put cold water on the burned area Keep the burned area in coldwater for a few minutes to cool it off Then cover the burn loosely with a dry bandage or clean cloth Callyour doctor for all burns To protect your child from tap water scalds the hottest temperature at the faucetshould be no more than 120˚F In many cases you can adjust your water heater

Make sure you have a working smoke alarm on every level of your home especially in furnace and sleeping areasTest the alarms every month It is best to use smoke alarms that use long-life batteries but if you do not change the batteries at least once a year

PoisoningsYour child will be able to open any drawer and climb anywhere curiosity leads Your child may swallow anythinghe or she finds Use only household products and medicines that are absolutely necessary and keep them safely capped and out of sight and reach Keep all products in their original containers

If your child does put something poisonous in his or her mouth call the Poison Help Lineimmediately Attach the Poison Help Line number (1-800-222-1222) to your phone Do not make your child vomit

And Remember Car SafetyCar crashes are the greatest danger to your childrsquos life and health The crushing forces to your childrsquos brain and body in a collision or sudden stop even at low speeds can cause injuries or death To prevent these injuries correctly USE a car safety seat EVERY TIME your child is in the car If your child weighs more than the highest weight allowed by the seat or if his or her ears come to the top of the car safety seat use a belt-positioning booster seat

The safest place for all children to ride is in the back seat In an emergency if a child must ride in the front seat move the vehicle seat back as far as it can go away from the air bag

Do not allow your child to play or ride a tricycle in the street Your child should play in a fenced yard or playground Driveways are also dangerous Walk behind your car before you back out of your driveway to be sure your child is not behind your car You may not see your child through the rearview mirror

Remember the biggest threat to your childrsquos life and health is an injury

HE0021-D3-42rev0805TIPPregmdashThe Injury Prevention Program copy 1994 American Academy of Pediatrics

The information in this publication should not be used as a substitute for the medical care andadvice of your pediatrician There may be variations in treatment that your pediatrician may recommend based on the individual facts and circumstances

From Your Doctor

12Like

Developmental Milestones 2 Year Olds

Healthy Children gt Ages amp Stages gt Toddler gt Developmental Milestones 2 Year Olds

Ages amp Stages

What are some of the developmental milestones my childshould reach by two years of ageYour baby enters her second year and becomes a toddler crawling vigorously starting to walkeven talking a little Exploring the boundaries established by your rules and her own physicaland developmental limits will occupy much of her time for the next few years

Here are some other milestones to look for

Movement milestonesWalks alonePulls toys behind her while walkingCarries large toy or several toys while walkingBegins to runStands on tiptoeKicks a ballClimbs onto and down from furniture unassistedWalks up and down stairs holding on to support

Milestones in hand and finger skillsScribbles spontaneouslyTurns over container to pour out contentsBuilds tower of four blocks or moreMight use one hand more frequently than the other

Language milestonesPoints to object or picture when itrsquos named for himRecognizes names of familiar people objects and body partsSays several single words (by fifteen to eighteen months)Uses simple phrases (by eighteen to twenty-four months)Uses two- to four-word sentencesFollows simple instructionsRepeats words overheard in conversation

Cognitive milestonesFinds objects even when hidden under two or three coversBegins to sort by shapes and colorsBegins make-believe play

HealthyChildrenorg - Developmental Milestones 2 Year Olds httpwwwhealthychildrenorgEnglishages-stagestoddlerPagesDeve

1 of 2 4192012 246 PM

topic landing page

Social and emotional milestonesImitates behavior of others especially adults and older childrenIncreasingly aware of herself as separate from othersIncreasingly enthusiastic about company of other childrenDemonstrates increasing independenceBegins to show defiant behaviorIncreasing episodes of separation anxiety toward midyear then they fade

Developmental health watchBecause each child develops at his own particular pace itrsquos impossible to tell exactly when yours will perfect a given skill Thedevelopmental milestones will give you a general idea of the changes you can expect as your child gets older but donrsquot bealarmed if he takes a slightly different course Alert your pediatrician however if he displays any of the following signs ofpossible developmental delay for this age range

Cannot walk by eighteen monthsFails to develop a mature heel-toe walking pattern after several months of walking or walks exclusively on histoesDoes not speak at least fifteen words by eighteen monthsDoes not use two-word sentences by age twoDoes not seem to know the function of common household objects (brush telephone bell fork spoon) byfifteen monthsDoes not imitate actions or words by the end of this periodDoes not follow simple instructions by age twoCannot push a wheeled toy by age two

Last Updated 12282011Source Caring for Your Baby and Young Child Birth to Age 5 (Copyright copy 2009 American Academy ofPediatrics)

HealthyChildrenorg - Developmental Milestones 2 Year Olds httpwwwhealthychildrenorgEnglishages-stagestoddlerPagesDeve

2 of 2 4192012 246 PM

C M Y CM MY CY CMY K

How can I make mealtimes happy Make mealtime a family time Children like to eat with other people

Sit down and eat meals with your child

Try to have meals and snacks at about the same time every day

Do not bribe play games or force your child to eat Children needto control their own eating

It is normal for children to play with their food If your childstops eating or throws food take the food away

Young children are messy eaters Expect your child to spillYour child can use a child spoon or fork or fingers at this age

Relax and enjoy your meal Do notmake your childrsquos eating the centerof attention

Keep the TV off during meals Makemealtime a quiet time for talking

Set a good example Eat manydifferent kinds of food Your childwill want to eat what you eat

How can I make it easier for my child to eatServe foods that

are bite size or easy for your child to hold are soft and easy to chew are mild and simple are not too hot or too cold have a lot of colors textures and shapes

This is my goal

Sample Menus for Your Child

1 scrambled egg 14 cup cereal12 slice toast 14 banana12 cup milk 12 cup milk

14 apple peeled and sliced 12 cup yogurt34 ounce small cheese pieces 2 crackerswater water

peanut butter sandwich 12 cup vegetable beef soup (1 slice bread 1 tablespoon 12 tortilla or 2 crackers peanut butter) 12 cup milk2 tablespoons peas12 cup milk

12 cup dry cereal 12 slice toast with14 cup juice 1 tablespoon peanut butter

water

1 tablespoon baked chicken soft taco with beans and2 tablespoons meat (12 tortilla mashed potatoes 2 tablespoons beans2 tablespoons broccoli 2 tablespoons meat)2 tablespoons applesauce 14 cup ricewater 2 tablespoons cooked carrots

12 orange slicedwater

2 graham cracker squares 4 animal crackers12 cup milk 12 cup milk

Always wash handsbefore and after eating

Breakfast

Snack

Lunch

Dinner

Snack

Snack

Day 1 Day 2Feeding Your1 to 2 Year OldFeeding Your1 to 2 Year Old

HealthWashington State Department of

DOH Pub 961-187 92005

Adapted from California Department of Health WIC Supplemental Nutrition BranchPrinted by Washington State Department of Health WIC Program WIC is an equalopportunity program For persons with disabilities this document is available onrequest in other formats To submit a request please call 1-800-525-0127 (TDDTTY1-800-833-6388)

Always stay nearby when your child eats Children can choke if they runand play with food in their mouths Be sure your child sits down to eatat the table

Warning Children under age 4 can choke on foods like hot dogspopcorn nuts raw carrots grapes jelly beans gum and hardcandy Avoid these foods Cut hot dogs into very small pieces

Children this age only need 4 to 6 small servings of milk or milk productsevery day No more than 24 ounces (710 milliliters) of milk per day Limitjuice to 14 cup (60 milliliters) per day Serve fruit instead of juice whenyou can Your child should be drinking only from a cup now not a bottle

If your child is thirsty at other times offer your child water instead ofsweet drinks Sweet drinks like pop Kool-Aidreg and juice drinks canmake your child feel full Then your child will not be hungry for mealsor snacks If you are still breastfeeding your child thatrsquos great Breastfeedafter meals and at night

C M Y CM MY CY CMY K

hildren know how much theyneed to eat But they do not knowwhat kinds of foods they need

When it is time to eat offer yourchild healthy foods You decidewhat to serve and when to serve it

Let your child decide how much toeat from the foods you serve

Serve your child 3 meals and 2to 3 snacks every day

Serve a variety of healthy foodsevery day

Children eat more on some daysthan others

What your child eats in one daymay not match the food guideThink about all the foods yourchild eats over several days

It is normal for children to eatless after the first year They arenot growing as fast

Feeding your1 to 2 yearold

C

Breads Grainsand Cereals

6 to 11 servings

Protein Foods2 to 3 servings

Fats Oils and Sweets

Fruits 2 to 4 servings

Vegetables3 to 5 servings

Milk Products4 to 6 servings

Food Guide Pyramid One Serving Is About

2 to 4servingseach day

3 to 5servingseach day

6 to 11servingseach day

4 to 6servingseach day

2 to 3servingseach day

Breads Grains CerealsBread slice tortilla roll muffin pancake waffle14Dry cereal 14ndash12 cup or 60ndash120 mLNoodles rice cooked cereal18ndash14 cup or 30ndash60 mLCrackers 1ndash2 smallOffer your child some whole grain foods every day

VegetablesCooked 2ndash3 tablespoons or 30ndash45 mLRaw 2ndash3 tablespoons or 30ndash45 mLOffer your child a dark green or yellow vegetable every day like cookedcarrots broccoli spinach sweet potato or squash

FruitsFresh 14ndash12 smallCanned or frozen2ndash3 tablespoons or 30ndash45 mLJuice 18 cup or 30 mLOffer your child a good vitamin C fruit every day like orange strawberriesmelon mango papaya or juices

Milk ProductsMilk or breast milk12 cup or 120 mLCheese 34 ounce or 20 gCottage cheese 34 cup or 180 mLYogurt pudding or custard made with milk 12 cup or 120 mLFrozen yogurt ice cream 34 cup or 180 mLGive your child whole milk up to age 2 then lowfat milk

Protein FoodsAnimal Protein

Meat chicken turkey fish1 tablespoon or 15 mLEggs12

Vegetable ProteinCooked dry beans lentils 14 cup or 60 mLPeanut butter 1 tablespoon or 15 mLTofu 14 cup or 60 mLMeat and beans have the most iron

Fats Oils and SweetsGive your child these foods once in a while

Start with small servings Give about 1 tablespoon (15 mL) of each foodfor each year of your childrsquos age For example if your child is 2 years oldserve your child 2 tablespoons of vegetables and 2 tablespoons of riceLet your child ask for more

This menu tanned two-year-ol Id who approximately 27 pounds (125 kg)

1 Tables t ounce (15 c)

teaspo 3 Tables (5 cc)

1 cup 8 ounces (240 cc)

BREAKFAST 3 204 cup Ie

~- cup iron-fo fied cereal 0 1 egg i cup citrus or tomato juice or 13 cup cantaloupe or strawberries i slice toast

teaspoo morgarine teaspoon

SNACK 1 ounce cheese

crackers t cup juice

cup 20 sandwich lice who bread teaspoonne or 2 ns

salad dressing and 1 ounce meat 2-3 carrot sticks or 2 tablespoons other dark yellow or dark green vegetable 1 small (12 ounce) oatmeal cookie

SNACK i cup 2 milk i apple (sliced) 3 dates 13 cup grapes or t orange

DINNER i cup 20 milk

ounces t cup pasta rice or potato 2 tablespoons vegetable 1 teaspoon ine or ressing

--

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giv

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the

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hrow

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catc

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good

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ttes

at y

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rary

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Mak

e an

obs

tacl

e co

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ng

chai

rs

pillo

ws

or

larg

e ca

rton

s

Tell

child

to

craw

l ov

er

unde

r th

roug

h b

ehin

d i

n fr

ont

of

or b

etw

een

the

obje

cts

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care

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l ar

rang

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so t

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s w

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you

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dryi

ng

each

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nd

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p yo

ur c

hild

m

atch

sou

nds

and

put

them

bac

k in

the

car

ton

toge

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lds

pla

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se

the

boxe

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ith

cray

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mar

kers

or

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nts

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be a

fun

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ity to

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lect

littl

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d bi

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(ba

lls

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ks

plat

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Sho

w a

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bjec

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sa

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self

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oll

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noi

sy o

bjec

ts

like

sand

be

ans

or

rice

and

shut

H

ave

two

eggs

The

AS

Q U

sers

Gui

de

Sec

ond

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tion

Squ

ires

Pot

ter

Bric

ker

copy 1

999

Pau

l H

B

rook

es P

ublis

hing

Co

ww

wa

gesa

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com

C CIU The Bone Builder

is a and a helper bull 99 of the calcimll in your body builds and maintains bones and teeth

bull the other 1 helps your heart beat helps your muscles contract and relax helps clot your blood when necessary and helps your nerves send messages

need for starts when an infant greatest need comes pre-teens to rnid-twenties bones become strongest they ever be This

IAs an adult time to build your bone bank for the adult years ahead Beginning at age 30-35 the calcium balance in your bone bank will begin a slow natural decrease As an adult it is important to replace calcium through your diet every day to keep your calcium balance as high as possible

iTnportant in calcium mineral withdrawn your bone

functions require calcium time if calcium taken your bones is not replaced your bones may become porous brittle and weak Thats why it is

to replace so important to get enough calcium in your diet each day

you need I much your calcium

Infants through 0-6 months 2100

7-12 270

Children

your diet 1-3 years 5000 4-8 years 8000

Pre-Teens and Teens 9-18 years 1300

Adults 19-50 years 10000 51 years 12CO

Pregnant Lactating Up to 18 years 13000 19-50 years 10000

lnstitute ofMedic Nutrition Board Intakes for Cdnum Magnesium md Fluoride 1997

Crank up Your next page to sec re~hing your

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

CALCIUM BUSTERS bull Too

cliet

bull Heavy bull Too

or sodium in the Guide Pyramid

is linked with low

body to excrete prevent this problem vou drink alcohol do

with a low

Eating a balanced

COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

necessary enzymes have very little

pharmacies) or products

Which calcium-rich foods do you enjoy eating Fill m the three blanks with the high calclUm foods from the list below that you will eat to help meet your daily calcium needs 1 _____________________________________

mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

J9J 318

Ice cream Macaroni amp cheese frozen dinner) Cottage cheese

SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999

Page 3: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

Did you know that injuries are the leading cause of death of children younger than 4 years in the UnitedStates Most of these injuries can be prevented

Often injuries happen because parents are not aware of what their children can do Children learn fast and before you know it your child will be jumping running riding a tricycle and using tools Your child is at special risk for injuries from falls drowning poisons burns and car crashes Your child doesnrsquot understand dangers or remember ldquonordquo while playing and exploring

FallsBecause your childrsquos abilities are so great now he or she will find an endless variety of dangerous situations at home and in the neighborhood

Your child can fall off play equipment out of windows down stairs off a bike or tricycle and off anything that can be climbed on Be sure the surface under play equipment is soft enough to absorb a fall Use safety-tested mats or loose-fill materials (shredded rubber sand wood chips or bark) maintained to a depth of at least 9 inches underneath play equipment Install the protective surface at least 6 feet (more for swings and slides) in all directions from the equipment

Lock the doors to any dangerous areas Use gates on stairways and install operable window guards above the first floor Fence in the play yard If your child has a serious fall or does not act normally after a fall call your doctor

Firearm HazardsChildren in homes where guns are present are in more danger of being shot by themselves their friends or family members than of being injured by an intruder It is best to keep all guns out of the home If you choose to keep a gun keep it unloaded and in a locked place with the ammunition locked separately Handguns are especially dangerous Ask if the homes where your child visits or is cared for have guns and how they are stored

BurnsThe kitchen can be a dangerous place for your child especially when you are cooking If your child is underfoot hot liquids grease and hot foods can spill on him or her and cause serious burns Find something safe for your child to do while you are cooking

Remember that kitchen appliances and other hot surfaces such as irons ovens wallheaters and outdoor grills can burn your child long after you have finished using them

2to

4Ye

ars

2 TO 4 YEARSSafety for Your Child

(over)

If your child does get burned immediately put cold water on the burned area Keep the burned area in coldwater for a few minutes to cool it off Then cover the burn loosely with a dry bandage or clean cloth Callyour doctor for all burns To protect your child from tap water scalds the hottest temperature at the faucetshould be no more than 120˚F In many cases you can adjust your water heater

Make sure you have a working smoke alarm on every level of your home especially in furnace and sleeping areasTest the alarms every month It is best to use smoke alarms that use long-life batteries but if you do not change the batteries at least once a year

PoisoningsYour child will be able to open any drawer and climb anywhere curiosity leads Your child may swallow anythinghe or she finds Use only household products and medicines that are absolutely necessary and keep them safely capped and out of sight and reach Keep all products in their original containers

If your child does put something poisonous in his or her mouth call the Poison Help Lineimmediately Attach the Poison Help Line number (1-800-222-1222) to your phone Do not make your child vomit

And Remember Car SafetyCar crashes are the greatest danger to your childrsquos life and health The crushing forces to your childrsquos brain and body in a collision or sudden stop even at low speeds can cause injuries or death To prevent these injuries correctly USE a car safety seat EVERY TIME your child is in the car If your child weighs more than the highest weight allowed by the seat or if his or her ears come to the top of the car safety seat use a belt-positioning booster seat

The safest place for all children to ride is in the back seat In an emergency if a child must ride in the front seat move the vehicle seat back as far as it can go away from the air bag

Do not allow your child to play or ride a tricycle in the street Your child should play in a fenced yard or playground Driveways are also dangerous Walk behind your car before you back out of your driveway to be sure your child is not behind your car You may not see your child through the rearview mirror

Remember the biggest threat to your childrsquos life and health is an injury

HE0021-D3-42rev0805TIPPregmdashThe Injury Prevention Program copy 1994 American Academy of Pediatrics

The information in this publication should not be used as a substitute for the medical care andadvice of your pediatrician There may be variations in treatment that your pediatrician may recommend based on the individual facts and circumstances

From Your Doctor

12Like

Developmental Milestones 2 Year Olds

Healthy Children gt Ages amp Stages gt Toddler gt Developmental Milestones 2 Year Olds

Ages amp Stages

What are some of the developmental milestones my childshould reach by two years of ageYour baby enters her second year and becomes a toddler crawling vigorously starting to walkeven talking a little Exploring the boundaries established by your rules and her own physicaland developmental limits will occupy much of her time for the next few years

Here are some other milestones to look for

Movement milestonesWalks alonePulls toys behind her while walkingCarries large toy or several toys while walkingBegins to runStands on tiptoeKicks a ballClimbs onto and down from furniture unassistedWalks up and down stairs holding on to support

Milestones in hand and finger skillsScribbles spontaneouslyTurns over container to pour out contentsBuilds tower of four blocks or moreMight use one hand more frequently than the other

Language milestonesPoints to object or picture when itrsquos named for himRecognizes names of familiar people objects and body partsSays several single words (by fifteen to eighteen months)Uses simple phrases (by eighteen to twenty-four months)Uses two- to four-word sentencesFollows simple instructionsRepeats words overheard in conversation

Cognitive milestonesFinds objects even when hidden under two or three coversBegins to sort by shapes and colorsBegins make-believe play

HealthyChildrenorg - Developmental Milestones 2 Year Olds httpwwwhealthychildrenorgEnglishages-stagestoddlerPagesDeve

1 of 2 4192012 246 PM

topic landing page

Social and emotional milestonesImitates behavior of others especially adults and older childrenIncreasingly aware of herself as separate from othersIncreasingly enthusiastic about company of other childrenDemonstrates increasing independenceBegins to show defiant behaviorIncreasing episodes of separation anxiety toward midyear then they fade

Developmental health watchBecause each child develops at his own particular pace itrsquos impossible to tell exactly when yours will perfect a given skill Thedevelopmental milestones will give you a general idea of the changes you can expect as your child gets older but donrsquot bealarmed if he takes a slightly different course Alert your pediatrician however if he displays any of the following signs ofpossible developmental delay for this age range

Cannot walk by eighteen monthsFails to develop a mature heel-toe walking pattern after several months of walking or walks exclusively on histoesDoes not speak at least fifteen words by eighteen monthsDoes not use two-word sentences by age twoDoes not seem to know the function of common household objects (brush telephone bell fork spoon) byfifteen monthsDoes not imitate actions or words by the end of this periodDoes not follow simple instructions by age twoCannot push a wheeled toy by age two

Last Updated 12282011Source Caring for Your Baby and Young Child Birth to Age 5 (Copyright copy 2009 American Academy ofPediatrics)

HealthyChildrenorg - Developmental Milestones 2 Year Olds httpwwwhealthychildrenorgEnglishages-stagestoddlerPagesDeve

2 of 2 4192012 246 PM

C M Y CM MY CY CMY K

How can I make mealtimes happy Make mealtime a family time Children like to eat with other people

Sit down and eat meals with your child

Try to have meals and snacks at about the same time every day

Do not bribe play games or force your child to eat Children needto control their own eating

It is normal for children to play with their food If your childstops eating or throws food take the food away

Young children are messy eaters Expect your child to spillYour child can use a child spoon or fork or fingers at this age

Relax and enjoy your meal Do notmake your childrsquos eating the centerof attention

Keep the TV off during meals Makemealtime a quiet time for talking

Set a good example Eat manydifferent kinds of food Your childwill want to eat what you eat

How can I make it easier for my child to eatServe foods that

are bite size or easy for your child to hold are soft and easy to chew are mild and simple are not too hot or too cold have a lot of colors textures and shapes

This is my goal

Sample Menus for Your Child

1 scrambled egg 14 cup cereal12 slice toast 14 banana12 cup milk 12 cup milk

14 apple peeled and sliced 12 cup yogurt34 ounce small cheese pieces 2 crackerswater water

peanut butter sandwich 12 cup vegetable beef soup (1 slice bread 1 tablespoon 12 tortilla or 2 crackers peanut butter) 12 cup milk2 tablespoons peas12 cup milk

12 cup dry cereal 12 slice toast with14 cup juice 1 tablespoon peanut butter

water

1 tablespoon baked chicken soft taco with beans and2 tablespoons meat (12 tortilla mashed potatoes 2 tablespoons beans2 tablespoons broccoli 2 tablespoons meat)2 tablespoons applesauce 14 cup ricewater 2 tablespoons cooked carrots

12 orange slicedwater

2 graham cracker squares 4 animal crackers12 cup milk 12 cup milk

Always wash handsbefore and after eating

Breakfast

Snack

Lunch

Dinner

Snack

Snack

Day 1 Day 2Feeding Your1 to 2 Year OldFeeding Your1 to 2 Year Old

HealthWashington State Department of

DOH Pub 961-187 92005

Adapted from California Department of Health WIC Supplemental Nutrition BranchPrinted by Washington State Department of Health WIC Program WIC is an equalopportunity program For persons with disabilities this document is available onrequest in other formats To submit a request please call 1-800-525-0127 (TDDTTY1-800-833-6388)

Always stay nearby when your child eats Children can choke if they runand play with food in their mouths Be sure your child sits down to eatat the table

Warning Children under age 4 can choke on foods like hot dogspopcorn nuts raw carrots grapes jelly beans gum and hardcandy Avoid these foods Cut hot dogs into very small pieces

Children this age only need 4 to 6 small servings of milk or milk productsevery day No more than 24 ounces (710 milliliters) of milk per day Limitjuice to 14 cup (60 milliliters) per day Serve fruit instead of juice whenyou can Your child should be drinking only from a cup now not a bottle

If your child is thirsty at other times offer your child water instead ofsweet drinks Sweet drinks like pop Kool-Aidreg and juice drinks canmake your child feel full Then your child will not be hungry for mealsor snacks If you are still breastfeeding your child thatrsquos great Breastfeedafter meals and at night

C M Y CM MY CY CMY K

hildren know how much theyneed to eat But they do not knowwhat kinds of foods they need

When it is time to eat offer yourchild healthy foods You decidewhat to serve and when to serve it

Let your child decide how much toeat from the foods you serve

Serve your child 3 meals and 2to 3 snacks every day

Serve a variety of healthy foodsevery day

Children eat more on some daysthan others

What your child eats in one daymay not match the food guideThink about all the foods yourchild eats over several days

It is normal for children to eatless after the first year They arenot growing as fast

Feeding your1 to 2 yearold

C

Breads Grainsand Cereals

6 to 11 servings

Protein Foods2 to 3 servings

Fats Oils and Sweets

Fruits 2 to 4 servings

Vegetables3 to 5 servings

Milk Products4 to 6 servings

Food Guide Pyramid One Serving Is About

2 to 4servingseach day

3 to 5servingseach day

6 to 11servingseach day

4 to 6servingseach day

2 to 3servingseach day

Breads Grains CerealsBread slice tortilla roll muffin pancake waffle14Dry cereal 14ndash12 cup or 60ndash120 mLNoodles rice cooked cereal18ndash14 cup or 30ndash60 mLCrackers 1ndash2 smallOffer your child some whole grain foods every day

VegetablesCooked 2ndash3 tablespoons or 30ndash45 mLRaw 2ndash3 tablespoons or 30ndash45 mLOffer your child a dark green or yellow vegetable every day like cookedcarrots broccoli spinach sweet potato or squash

FruitsFresh 14ndash12 smallCanned or frozen2ndash3 tablespoons or 30ndash45 mLJuice 18 cup or 30 mLOffer your child a good vitamin C fruit every day like orange strawberriesmelon mango papaya or juices

Milk ProductsMilk or breast milk12 cup or 120 mLCheese 34 ounce or 20 gCottage cheese 34 cup or 180 mLYogurt pudding or custard made with milk 12 cup or 120 mLFrozen yogurt ice cream 34 cup or 180 mLGive your child whole milk up to age 2 then lowfat milk

Protein FoodsAnimal Protein

Meat chicken turkey fish1 tablespoon or 15 mLEggs12

Vegetable ProteinCooked dry beans lentils 14 cup or 60 mLPeanut butter 1 tablespoon or 15 mLTofu 14 cup or 60 mLMeat and beans have the most iron

Fats Oils and SweetsGive your child these foods once in a while

Start with small servings Give about 1 tablespoon (15 mL) of each foodfor each year of your childrsquos age For example if your child is 2 years oldserve your child 2 tablespoons of vegetables and 2 tablespoons of riceLet your child ask for more

This menu tanned two-year-ol Id who approximately 27 pounds (125 kg)

1 Tables t ounce (15 c)

teaspo 3 Tables (5 cc)

1 cup 8 ounces (240 cc)

BREAKFAST 3 204 cup Ie

~- cup iron-fo fied cereal 0 1 egg i cup citrus or tomato juice or 13 cup cantaloupe or strawberries i slice toast

teaspoo morgarine teaspoon

SNACK 1 ounce cheese

crackers t cup juice

cup 20 sandwich lice who bread teaspoonne or 2 ns

salad dressing and 1 ounce meat 2-3 carrot sticks or 2 tablespoons other dark yellow or dark green vegetable 1 small (12 ounce) oatmeal cookie

SNACK i cup 2 milk i apple (sliced) 3 dates 13 cup grapes or t orange

DINNER i cup 20 milk

ounces t cup pasta rice or potato 2 tablespoons vegetable 1 teaspoon ine or ressing

--

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nd

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p yo

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nds

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nts

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lect

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(ba

lls

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o gi

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eu a

big

th

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ll th

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sa

me

for

little

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er b

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ttle

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ing

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self

big

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hig

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akin

g yo

urse

lf lil

lie b

y sq

ua

llin

g

dow

n

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ldre

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t th

is a

ge l

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outin

gs

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spe

cial

out

ing

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oing

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the

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ary

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lib

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opria

te

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e a

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ial

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for

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ashi

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gs

Fill

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ts

like

sand

be

ans

or

rice

and

shut

H

ave

two

eggs

The

AS

Q U

sers

Gui

de

Sec

ond

Edi

tion

Squ

ires

Pot

ter

Bric

ker

copy 1

999

Pau

l H

B

rook

es P

ublis

hing

Co

ww

wa

gesa

ndst

ages

com

C CIU The Bone Builder

is a and a helper bull 99 of the calcimll in your body builds and maintains bones and teeth

bull the other 1 helps your heart beat helps your muscles contract and relax helps clot your blood when necessary and helps your nerves send messages

need for starts when an infant greatest need comes pre-teens to rnid-twenties bones become strongest they ever be This

IAs an adult time to build your bone bank for the adult years ahead Beginning at age 30-35 the calcium balance in your bone bank will begin a slow natural decrease As an adult it is important to replace calcium through your diet every day to keep your calcium balance as high as possible

iTnportant in calcium mineral withdrawn your bone

functions require calcium time if calcium taken your bones is not replaced your bones may become porous brittle and weak Thats why it is

to replace so important to get enough calcium in your diet each day

you need I much your calcium

Infants through 0-6 months 2100

7-12 270

Children

your diet 1-3 years 5000 4-8 years 8000

Pre-Teens and Teens 9-18 years 1300

Adults 19-50 years 10000 51 years 12CO

Pregnant Lactating Up to 18 years 13000 19-50 years 10000

lnstitute ofMedic Nutrition Board Intakes for Cdnum Magnesium md Fluoride 1997

Crank up Your next page to sec re~hing your

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

CALCIUM BUSTERS bull Too

cliet

bull Heavy bull Too

or sodium in the Guide Pyramid

is linked with low

body to excrete prevent this problem vou drink alcohol do

with a low

Eating a balanced

COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

necessary enzymes have very little

pharmacies) or products

Which calcium-rich foods do you enjoy eating Fill m the three blanks with the high calclUm foods from the list below that you will eat to help meet your daily calcium needs 1 _____________________________________

mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

J9J 318

Ice cream Macaroni amp cheese frozen dinner) Cottage cheese

SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999

Page 4: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

If your child does get burned immediately put cold water on the burned area Keep the burned area in coldwater for a few minutes to cool it off Then cover the burn loosely with a dry bandage or clean cloth Callyour doctor for all burns To protect your child from tap water scalds the hottest temperature at the faucetshould be no more than 120˚F In many cases you can adjust your water heater

Make sure you have a working smoke alarm on every level of your home especially in furnace and sleeping areasTest the alarms every month It is best to use smoke alarms that use long-life batteries but if you do not change the batteries at least once a year

PoisoningsYour child will be able to open any drawer and climb anywhere curiosity leads Your child may swallow anythinghe or she finds Use only household products and medicines that are absolutely necessary and keep them safely capped and out of sight and reach Keep all products in their original containers

If your child does put something poisonous in his or her mouth call the Poison Help Lineimmediately Attach the Poison Help Line number (1-800-222-1222) to your phone Do not make your child vomit

And Remember Car SafetyCar crashes are the greatest danger to your childrsquos life and health The crushing forces to your childrsquos brain and body in a collision or sudden stop even at low speeds can cause injuries or death To prevent these injuries correctly USE a car safety seat EVERY TIME your child is in the car If your child weighs more than the highest weight allowed by the seat or if his or her ears come to the top of the car safety seat use a belt-positioning booster seat

The safest place for all children to ride is in the back seat In an emergency if a child must ride in the front seat move the vehicle seat back as far as it can go away from the air bag

Do not allow your child to play or ride a tricycle in the street Your child should play in a fenced yard or playground Driveways are also dangerous Walk behind your car before you back out of your driveway to be sure your child is not behind your car You may not see your child through the rearview mirror

Remember the biggest threat to your childrsquos life and health is an injury

HE0021-D3-42rev0805TIPPregmdashThe Injury Prevention Program copy 1994 American Academy of Pediatrics

The information in this publication should not be used as a substitute for the medical care andadvice of your pediatrician There may be variations in treatment that your pediatrician may recommend based on the individual facts and circumstances

From Your Doctor

12Like

Developmental Milestones 2 Year Olds

Healthy Children gt Ages amp Stages gt Toddler gt Developmental Milestones 2 Year Olds

Ages amp Stages

What are some of the developmental milestones my childshould reach by two years of ageYour baby enters her second year and becomes a toddler crawling vigorously starting to walkeven talking a little Exploring the boundaries established by your rules and her own physicaland developmental limits will occupy much of her time for the next few years

Here are some other milestones to look for

Movement milestonesWalks alonePulls toys behind her while walkingCarries large toy or several toys while walkingBegins to runStands on tiptoeKicks a ballClimbs onto and down from furniture unassistedWalks up and down stairs holding on to support

Milestones in hand and finger skillsScribbles spontaneouslyTurns over container to pour out contentsBuilds tower of four blocks or moreMight use one hand more frequently than the other

Language milestonesPoints to object or picture when itrsquos named for himRecognizes names of familiar people objects and body partsSays several single words (by fifteen to eighteen months)Uses simple phrases (by eighteen to twenty-four months)Uses two- to four-word sentencesFollows simple instructionsRepeats words overheard in conversation

Cognitive milestonesFinds objects even when hidden under two or three coversBegins to sort by shapes and colorsBegins make-believe play

HealthyChildrenorg - Developmental Milestones 2 Year Olds httpwwwhealthychildrenorgEnglishages-stagestoddlerPagesDeve

1 of 2 4192012 246 PM

topic landing page

Social and emotional milestonesImitates behavior of others especially adults and older childrenIncreasingly aware of herself as separate from othersIncreasingly enthusiastic about company of other childrenDemonstrates increasing independenceBegins to show defiant behaviorIncreasing episodes of separation anxiety toward midyear then they fade

Developmental health watchBecause each child develops at his own particular pace itrsquos impossible to tell exactly when yours will perfect a given skill Thedevelopmental milestones will give you a general idea of the changes you can expect as your child gets older but donrsquot bealarmed if he takes a slightly different course Alert your pediatrician however if he displays any of the following signs ofpossible developmental delay for this age range

Cannot walk by eighteen monthsFails to develop a mature heel-toe walking pattern after several months of walking or walks exclusively on histoesDoes not speak at least fifteen words by eighteen monthsDoes not use two-word sentences by age twoDoes not seem to know the function of common household objects (brush telephone bell fork spoon) byfifteen monthsDoes not imitate actions or words by the end of this periodDoes not follow simple instructions by age twoCannot push a wheeled toy by age two

Last Updated 12282011Source Caring for Your Baby and Young Child Birth to Age 5 (Copyright copy 2009 American Academy ofPediatrics)

HealthyChildrenorg - Developmental Milestones 2 Year Olds httpwwwhealthychildrenorgEnglishages-stagestoddlerPagesDeve

2 of 2 4192012 246 PM

C M Y CM MY CY CMY K

How can I make mealtimes happy Make mealtime a family time Children like to eat with other people

Sit down and eat meals with your child

Try to have meals and snacks at about the same time every day

Do not bribe play games or force your child to eat Children needto control their own eating

It is normal for children to play with their food If your childstops eating or throws food take the food away

Young children are messy eaters Expect your child to spillYour child can use a child spoon or fork or fingers at this age

Relax and enjoy your meal Do notmake your childrsquos eating the centerof attention

Keep the TV off during meals Makemealtime a quiet time for talking

Set a good example Eat manydifferent kinds of food Your childwill want to eat what you eat

How can I make it easier for my child to eatServe foods that

are bite size or easy for your child to hold are soft and easy to chew are mild and simple are not too hot or too cold have a lot of colors textures and shapes

This is my goal

Sample Menus for Your Child

1 scrambled egg 14 cup cereal12 slice toast 14 banana12 cup milk 12 cup milk

14 apple peeled and sliced 12 cup yogurt34 ounce small cheese pieces 2 crackerswater water

peanut butter sandwich 12 cup vegetable beef soup (1 slice bread 1 tablespoon 12 tortilla or 2 crackers peanut butter) 12 cup milk2 tablespoons peas12 cup milk

12 cup dry cereal 12 slice toast with14 cup juice 1 tablespoon peanut butter

water

1 tablespoon baked chicken soft taco with beans and2 tablespoons meat (12 tortilla mashed potatoes 2 tablespoons beans2 tablespoons broccoli 2 tablespoons meat)2 tablespoons applesauce 14 cup ricewater 2 tablespoons cooked carrots

12 orange slicedwater

2 graham cracker squares 4 animal crackers12 cup milk 12 cup milk

Always wash handsbefore and after eating

Breakfast

Snack

Lunch

Dinner

Snack

Snack

Day 1 Day 2Feeding Your1 to 2 Year OldFeeding Your1 to 2 Year Old

HealthWashington State Department of

DOH Pub 961-187 92005

Adapted from California Department of Health WIC Supplemental Nutrition BranchPrinted by Washington State Department of Health WIC Program WIC is an equalopportunity program For persons with disabilities this document is available onrequest in other formats To submit a request please call 1-800-525-0127 (TDDTTY1-800-833-6388)

Always stay nearby when your child eats Children can choke if they runand play with food in their mouths Be sure your child sits down to eatat the table

Warning Children under age 4 can choke on foods like hot dogspopcorn nuts raw carrots grapes jelly beans gum and hardcandy Avoid these foods Cut hot dogs into very small pieces

Children this age only need 4 to 6 small servings of milk or milk productsevery day No more than 24 ounces (710 milliliters) of milk per day Limitjuice to 14 cup (60 milliliters) per day Serve fruit instead of juice whenyou can Your child should be drinking only from a cup now not a bottle

If your child is thirsty at other times offer your child water instead ofsweet drinks Sweet drinks like pop Kool-Aidreg and juice drinks canmake your child feel full Then your child will not be hungry for mealsor snacks If you are still breastfeeding your child thatrsquos great Breastfeedafter meals and at night

C M Y CM MY CY CMY K

hildren know how much theyneed to eat But they do not knowwhat kinds of foods they need

When it is time to eat offer yourchild healthy foods You decidewhat to serve and when to serve it

Let your child decide how much toeat from the foods you serve

Serve your child 3 meals and 2to 3 snacks every day

Serve a variety of healthy foodsevery day

Children eat more on some daysthan others

What your child eats in one daymay not match the food guideThink about all the foods yourchild eats over several days

It is normal for children to eatless after the first year They arenot growing as fast

Feeding your1 to 2 yearold

C

Breads Grainsand Cereals

6 to 11 servings

Protein Foods2 to 3 servings

Fats Oils and Sweets

Fruits 2 to 4 servings

Vegetables3 to 5 servings

Milk Products4 to 6 servings

Food Guide Pyramid One Serving Is About

2 to 4servingseach day

3 to 5servingseach day

6 to 11servingseach day

4 to 6servingseach day

2 to 3servingseach day

Breads Grains CerealsBread slice tortilla roll muffin pancake waffle14Dry cereal 14ndash12 cup or 60ndash120 mLNoodles rice cooked cereal18ndash14 cup or 30ndash60 mLCrackers 1ndash2 smallOffer your child some whole grain foods every day

VegetablesCooked 2ndash3 tablespoons or 30ndash45 mLRaw 2ndash3 tablespoons or 30ndash45 mLOffer your child a dark green or yellow vegetable every day like cookedcarrots broccoli spinach sweet potato or squash

FruitsFresh 14ndash12 smallCanned or frozen2ndash3 tablespoons or 30ndash45 mLJuice 18 cup or 30 mLOffer your child a good vitamin C fruit every day like orange strawberriesmelon mango papaya or juices

Milk ProductsMilk or breast milk12 cup or 120 mLCheese 34 ounce or 20 gCottage cheese 34 cup or 180 mLYogurt pudding or custard made with milk 12 cup or 120 mLFrozen yogurt ice cream 34 cup or 180 mLGive your child whole milk up to age 2 then lowfat milk

Protein FoodsAnimal Protein

Meat chicken turkey fish1 tablespoon or 15 mLEggs12

Vegetable ProteinCooked dry beans lentils 14 cup or 60 mLPeanut butter 1 tablespoon or 15 mLTofu 14 cup or 60 mLMeat and beans have the most iron

Fats Oils and SweetsGive your child these foods once in a while

Start with small servings Give about 1 tablespoon (15 mL) of each foodfor each year of your childrsquos age For example if your child is 2 years oldserve your child 2 tablespoons of vegetables and 2 tablespoons of riceLet your child ask for more

This menu tanned two-year-ol Id who approximately 27 pounds (125 kg)

1 Tables t ounce (15 c)

teaspo 3 Tables (5 cc)

1 cup 8 ounces (240 cc)

BREAKFAST 3 204 cup Ie

~- cup iron-fo fied cereal 0 1 egg i cup citrus or tomato juice or 13 cup cantaloupe or strawberries i slice toast

teaspoo morgarine teaspoon

SNACK 1 ounce cheese

crackers t cup juice

cup 20 sandwich lice who bread teaspoonne or 2 ns

salad dressing and 1 ounce meat 2-3 carrot sticks or 2 tablespoons other dark yellow or dark green vegetable 1 small (12 ounce) oatmeal cookie

SNACK i cup 2 milk i apple (sliced) 3 dates 13 cup grapes or t orange

DINNER i cup 20 milk

ounces t cup pasta rice or potato 2 tablespoons vegetable 1 teaspoon ine or ressing

--

------------

-------

age

love

to

preshy

enjo

y it

whe

n yo

u th

em

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tend

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r fe

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Add

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lds

fa

vorit

e nu

rser

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ymes

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asy

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tion

rtly

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lude

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ere

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ulbe

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w w

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r sh

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ants

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pape

r an

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ayon

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w y

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rs t

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ake

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ILD

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ith a

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elp

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et

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ting

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e of

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how

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ild h

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o pa

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san

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rn i

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e sa

nd s

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kes

r---

----

----

----

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egin

to

be ab

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Enh

ance

you

----

----~--

Try

a ne

w t

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gerp

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se w

hipp

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m o

n a

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rfac

e (c

ooki

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elp

your

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ld

spre

ad i

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ound

and

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w p

icshy

ture

s w

ith y

our

finge

rs

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foo

d co

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e it

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lor

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p ta

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e of

yar

n to

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e it

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le a

nd p

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larg

e kn

ot a

t ot

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end

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e yo

ur c

hild

str

ing

larg

e el

bow

mac

aron

i bu

ttons

sp

oons

o

r be

ads

Mak

e an

edi

ble

neck

lace

of

Che

erio

s

Add

an

old

cata

log

or t

wo

to y

oue

child

s l

ibra

ry

Its

a go

od

pict

ure

bo

ok f

or n

amin

g co

mm

on o

bjec

ts

mak

e ch

cice

s H

elp

or

him

in

g ca

sset

tes

choo

se w

hat

to w

ear

each

day

by

fast

mus

ic

Son

gs w

ith s

peed

I g

ivin

g a

choi

ce b

etw

een

two

pairs

ch

ange

s ar

e gr

eat

Sho

w y

our

of s

ocks

tw

o sh

irts

and

so

fort

h

Giv

e ch

oice

s at

oth

er t

imes

like

sn

ack

or m

ealti

me

(tw

e ki

nds

drin

k c

rack

er

etc

)

Act

ion

is a

n im

port

ant

part

of

a ch

ilds

life

P

laya

gam

e w

ith a

ba

ll w

here

you

giv

e di

rect

ions

yo

ur

chid

doe

s th

e ac

tions

su

ch

as

roll

the

ball

Kic

k t

hrow

pu

sh

boun

ce

and

catc

h ar

e ot

her

good

act

ions

Tak

e tu

rns

givi

ng t

he d

irect

ions

child

how

to

mov

e fa

st o

r sl

ow

with

the

mus

ic

(Yeu

mig

ht

child

ren

S c

asse

ttes

at y

our

Icca

l lib

rary

)

Mak

e an

obs

tacl

e co

urse

usi

ng

chai

rs

pillo

ws

or

larg

e ca

rton

s

Tell

child

to

craw

l ov

er

unde

r th

roug

h b

ehin

d i

n fr

ont

of

or b

etw

een

the

obje

cts

Be

care

shyfu

l ar

rang

ing

so t

he p

iece

s w

ont

I tip

h

urt

you

r ch

ild

dryi

ng

each

sou

nd

Hel

p yo

ur c

hild

m

atch

sou

nds

and

put

them

bac

k in

the

car

ton

toge

ther

your

chi

lds

pla

yhou

se

the

boxe

s w

ith

cray

ons

mar

kers

or

pai

nts

can

be a

fun

activ

ity to

do

toge

ther

I Col

lect

littl

e an

d bi

g th

ings

(ba

lls

bloc

ks

plat

es)

Sho

w a

nd d

e-I

(big

littl

e) t

he o

bjec

ts

your

chi

ld t

o gi

ve y

eu a

big

th

en a

ll th

e bi

g ba

lls

Do

the

sa

me

for

little

A

noth

er b

igli

ttle

rnak

ing

your

self

big

your

arm

s up

hig

h an

d m

akin

g yo

urse

lf lil

lie b

y sq

ua

llin

g

dow

n

Chi

ldre

n a

t th

is a

ge l

ove

outin

gs

One

spe

cial

out

ing

can

be g

oing

to

the

libr

ary

The

lib

raria

n he

lp y

ou f

ind

appr

opria

te

Mak

e a

spec

ial

time

for

read

ing

(like

bed

time

stor

ies)

Giv

e yo

ur c

hild

soa

p a

was

hshycl

oth

and

a d

ishp

an o

f w

ater

Le

t yo

ur c

hild

was

h a

dirt

y d

oll

toy

dish

es

or

doll

clot

hes

Its

goo

d pr

aotic

e fo

r ha

nd w

ashi

ng

Pla

ya ju

mpi

ng g

ame

whe

n yo

u ta

ke a

wal

k by

jum

ping

ove

r th

e th

e si

dew

alk

You

10

hol

d yo

ur c

hild

and

hi

m o

r he

r ju

mp

over

at

first

sou

nd

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aine

rs u

sinG

pl

astio

Eas

ter

eggs

or

Leg

gs ~

eg

gs

Fill

eggs

with

noi

sy o

bjec

ts

like

sand

be

ans

or

rice

and

shut

H

ave

two

eggs

The

AS

Q U

sers

Gui

de

Sec

ond

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tion

Squ

ires

Pot

ter

Bric

ker

copy 1

999

Pau

l H

B

rook

es P

ublis

hing

Co

ww

wa

gesa

ndst

ages

com

C CIU The Bone Builder

is a and a helper bull 99 of the calcimll in your body builds and maintains bones and teeth

bull the other 1 helps your heart beat helps your muscles contract and relax helps clot your blood when necessary and helps your nerves send messages

need for starts when an infant greatest need comes pre-teens to rnid-twenties bones become strongest they ever be This

IAs an adult time to build your bone bank for the adult years ahead Beginning at age 30-35 the calcium balance in your bone bank will begin a slow natural decrease As an adult it is important to replace calcium through your diet every day to keep your calcium balance as high as possible

iTnportant in calcium mineral withdrawn your bone

functions require calcium time if calcium taken your bones is not replaced your bones may become porous brittle and weak Thats why it is

to replace so important to get enough calcium in your diet each day

you need I much your calcium

Infants through 0-6 months 2100

7-12 270

Children

your diet 1-3 years 5000 4-8 years 8000

Pre-Teens and Teens 9-18 years 1300

Adults 19-50 years 10000 51 years 12CO

Pregnant Lactating Up to 18 years 13000 19-50 years 10000

lnstitute ofMedic Nutrition Board Intakes for Cdnum Magnesium md Fluoride 1997

Crank up Your next page to sec re~hing your

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

CALCIUM BUSTERS bull Too

cliet

bull Heavy bull Too

or sodium in the Guide Pyramid

is linked with low

body to excrete prevent this problem vou drink alcohol do

with a low

Eating a balanced

COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

necessary enzymes have very little

pharmacies) or products

Which calcium-rich foods do you enjoy eating Fill m the three blanks with the high calclUm foods from the list below that you will eat to help meet your daily calcium needs 1 _____________________________________

mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

J9J 318

Ice cream Macaroni amp cheese frozen dinner) Cottage cheese

SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999

Page 5: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

12Like

Developmental Milestones 2 Year Olds

Healthy Children gt Ages amp Stages gt Toddler gt Developmental Milestones 2 Year Olds

Ages amp Stages

What are some of the developmental milestones my childshould reach by two years of ageYour baby enters her second year and becomes a toddler crawling vigorously starting to walkeven talking a little Exploring the boundaries established by your rules and her own physicaland developmental limits will occupy much of her time for the next few years

Here are some other milestones to look for

Movement milestonesWalks alonePulls toys behind her while walkingCarries large toy or several toys while walkingBegins to runStands on tiptoeKicks a ballClimbs onto and down from furniture unassistedWalks up and down stairs holding on to support

Milestones in hand and finger skillsScribbles spontaneouslyTurns over container to pour out contentsBuilds tower of four blocks or moreMight use one hand more frequently than the other

Language milestonesPoints to object or picture when itrsquos named for himRecognizes names of familiar people objects and body partsSays several single words (by fifteen to eighteen months)Uses simple phrases (by eighteen to twenty-four months)Uses two- to four-word sentencesFollows simple instructionsRepeats words overheard in conversation

Cognitive milestonesFinds objects even when hidden under two or three coversBegins to sort by shapes and colorsBegins make-believe play

HealthyChildrenorg - Developmental Milestones 2 Year Olds httpwwwhealthychildrenorgEnglishages-stagestoddlerPagesDeve

1 of 2 4192012 246 PM

topic landing page

Social and emotional milestonesImitates behavior of others especially adults and older childrenIncreasingly aware of herself as separate from othersIncreasingly enthusiastic about company of other childrenDemonstrates increasing independenceBegins to show defiant behaviorIncreasing episodes of separation anxiety toward midyear then they fade

Developmental health watchBecause each child develops at his own particular pace itrsquos impossible to tell exactly when yours will perfect a given skill Thedevelopmental milestones will give you a general idea of the changes you can expect as your child gets older but donrsquot bealarmed if he takes a slightly different course Alert your pediatrician however if he displays any of the following signs ofpossible developmental delay for this age range

Cannot walk by eighteen monthsFails to develop a mature heel-toe walking pattern after several months of walking or walks exclusively on histoesDoes not speak at least fifteen words by eighteen monthsDoes not use two-word sentences by age twoDoes not seem to know the function of common household objects (brush telephone bell fork spoon) byfifteen monthsDoes not imitate actions or words by the end of this periodDoes not follow simple instructions by age twoCannot push a wheeled toy by age two

Last Updated 12282011Source Caring for Your Baby and Young Child Birth to Age 5 (Copyright copy 2009 American Academy ofPediatrics)

HealthyChildrenorg - Developmental Milestones 2 Year Olds httpwwwhealthychildrenorgEnglishages-stagestoddlerPagesDeve

2 of 2 4192012 246 PM

C M Y CM MY CY CMY K

How can I make mealtimes happy Make mealtime a family time Children like to eat with other people

Sit down and eat meals with your child

Try to have meals and snacks at about the same time every day

Do not bribe play games or force your child to eat Children needto control their own eating

It is normal for children to play with their food If your childstops eating or throws food take the food away

Young children are messy eaters Expect your child to spillYour child can use a child spoon or fork or fingers at this age

Relax and enjoy your meal Do notmake your childrsquos eating the centerof attention

Keep the TV off during meals Makemealtime a quiet time for talking

Set a good example Eat manydifferent kinds of food Your childwill want to eat what you eat

How can I make it easier for my child to eatServe foods that

are bite size or easy for your child to hold are soft and easy to chew are mild and simple are not too hot or too cold have a lot of colors textures and shapes

This is my goal

Sample Menus for Your Child

1 scrambled egg 14 cup cereal12 slice toast 14 banana12 cup milk 12 cup milk

14 apple peeled and sliced 12 cup yogurt34 ounce small cheese pieces 2 crackerswater water

peanut butter sandwich 12 cup vegetable beef soup (1 slice bread 1 tablespoon 12 tortilla or 2 crackers peanut butter) 12 cup milk2 tablespoons peas12 cup milk

12 cup dry cereal 12 slice toast with14 cup juice 1 tablespoon peanut butter

water

1 tablespoon baked chicken soft taco with beans and2 tablespoons meat (12 tortilla mashed potatoes 2 tablespoons beans2 tablespoons broccoli 2 tablespoons meat)2 tablespoons applesauce 14 cup ricewater 2 tablespoons cooked carrots

12 orange slicedwater

2 graham cracker squares 4 animal crackers12 cup milk 12 cup milk

Always wash handsbefore and after eating

Breakfast

Snack

Lunch

Dinner

Snack

Snack

Day 1 Day 2Feeding Your1 to 2 Year OldFeeding Your1 to 2 Year Old

HealthWashington State Department of

DOH Pub 961-187 92005

Adapted from California Department of Health WIC Supplemental Nutrition BranchPrinted by Washington State Department of Health WIC Program WIC is an equalopportunity program For persons with disabilities this document is available onrequest in other formats To submit a request please call 1-800-525-0127 (TDDTTY1-800-833-6388)

Always stay nearby when your child eats Children can choke if they runand play with food in their mouths Be sure your child sits down to eatat the table

Warning Children under age 4 can choke on foods like hot dogspopcorn nuts raw carrots grapes jelly beans gum and hardcandy Avoid these foods Cut hot dogs into very small pieces

Children this age only need 4 to 6 small servings of milk or milk productsevery day No more than 24 ounces (710 milliliters) of milk per day Limitjuice to 14 cup (60 milliliters) per day Serve fruit instead of juice whenyou can Your child should be drinking only from a cup now not a bottle

If your child is thirsty at other times offer your child water instead ofsweet drinks Sweet drinks like pop Kool-Aidreg and juice drinks canmake your child feel full Then your child will not be hungry for mealsor snacks If you are still breastfeeding your child thatrsquos great Breastfeedafter meals and at night

C M Y CM MY CY CMY K

hildren know how much theyneed to eat But they do not knowwhat kinds of foods they need

When it is time to eat offer yourchild healthy foods You decidewhat to serve and when to serve it

Let your child decide how much toeat from the foods you serve

Serve your child 3 meals and 2to 3 snacks every day

Serve a variety of healthy foodsevery day

Children eat more on some daysthan others

What your child eats in one daymay not match the food guideThink about all the foods yourchild eats over several days

It is normal for children to eatless after the first year They arenot growing as fast

Feeding your1 to 2 yearold

C

Breads Grainsand Cereals

6 to 11 servings

Protein Foods2 to 3 servings

Fats Oils and Sweets

Fruits 2 to 4 servings

Vegetables3 to 5 servings

Milk Products4 to 6 servings

Food Guide Pyramid One Serving Is About

2 to 4servingseach day

3 to 5servingseach day

6 to 11servingseach day

4 to 6servingseach day

2 to 3servingseach day

Breads Grains CerealsBread slice tortilla roll muffin pancake waffle14Dry cereal 14ndash12 cup or 60ndash120 mLNoodles rice cooked cereal18ndash14 cup or 30ndash60 mLCrackers 1ndash2 smallOffer your child some whole grain foods every day

VegetablesCooked 2ndash3 tablespoons or 30ndash45 mLRaw 2ndash3 tablespoons or 30ndash45 mLOffer your child a dark green or yellow vegetable every day like cookedcarrots broccoli spinach sweet potato or squash

FruitsFresh 14ndash12 smallCanned or frozen2ndash3 tablespoons or 30ndash45 mLJuice 18 cup or 30 mLOffer your child a good vitamin C fruit every day like orange strawberriesmelon mango papaya or juices

Milk ProductsMilk or breast milk12 cup or 120 mLCheese 34 ounce or 20 gCottage cheese 34 cup or 180 mLYogurt pudding or custard made with milk 12 cup or 120 mLFrozen yogurt ice cream 34 cup or 180 mLGive your child whole milk up to age 2 then lowfat milk

Protein FoodsAnimal Protein

Meat chicken turkey fish1 tablespoon or 15 mLEggs12

Vegetable ProteinCooked dry beans lentils 14 cup or 60 mLPeanut butter 1 tablespoon or 15 mLTofu 14 cup or 60 mLMeat and beans have the most iron

Fats Oils and SweetsGive your child these foods once in a while

Start with small servings Give about 1 tablespoon (15 mL) of each foodfor each year of your childrsquos age For example if your child is 2 years oldserve your child 2 tablespoons of vegetables and 2 tablespoons of riceLet your child ask for more

This menu tanned two-year-ol Id who approximately 27 pounds (125 kg)

1 Tables t ounce (15 c)

teaspo 3 Tables (5 cc)

1 cup 8 ounces (240 cc)

BREAKFAST 3 204 cup Ie

~- cup iron-fo fied cereal 0 1 egg i cup citrus or tomato juice or 13 cup cantaloupe or strawberries i slice toast

teaspoo morgarine teaspoon

SNACK 1 ounce cheese

crackers t cup juice

cup 20 sandwich lice who bread teaspoonne or 2 ns

salad dressing and 1 ounce meat 2-3 carrot sticks or 2 tablespoons other dark yellow or dark green vegetable 1 small (12 ounce) oatmeal cookie

SNACK i cup 2 milk i apple (sliced) 3 dates 13 cup grapes or t orange

DINNER i cup 20 milk

ounces t cup pasta rice or potato 2 tablespoons vegetable 1 teaspoon ine or ressing

--

------------

-------

age

love

to

preshy

enjo

y it

whe

n yo

u th

em

Pre

tend

owne

r fe

eds

Add

act

ions

to

your

chi

lds

fa

vorit

e nu

rser

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ymes

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asy

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tion

rtly

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lude

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ere

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ulbe

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e W

ash

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ndon

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Take

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w w

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r sh

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ants

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get

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pape

r an

d cr

ayon

s D

raw

lar

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shap

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nd l

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child

co

lor

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fa

ke

Sho

w y

our

child

how

to m

ako

snak

es

balls

ro

ll-ou

t p

an

shyca

kes

with

a s

mal

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lling

pin

us

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Pla

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se l

arge

coo

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cutte

rs t

o m

ake

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y-D

oh

shap

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y F

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w t

he L

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r

Wal

k on

tip

toes

w

alk

back

war

d a

nd w

alk

slow

or

fast

with

st

eps

litshy

tle

AC

T[V

ITIE

S F

OR

CH

ILD

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N 2

4 -

30

IIO

NT

lIS

OL

D

Pla

y T

arge

t Tos

s w

ith a

larg

e bu

cket

or

box

and

bean

bag

s or

H

elp

child

cou

nt h

ow

he o

r ge

ts in

tho

ta

rge

t of

yar

n o

r ro

lled-

up s

ocks

al

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ork

wel

l fo

r an

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oor

targ

et

Du

rillg

san

dbox

pla

y

wet

ting

som

e of

the

san

d S

how

you

r ch

ild h

ow t

o pa

ck th

e co

ntai

ner

the

wet

san

d an

d tu

rn i

t ov

er

mak

e sa

nd s

truc

tu re

s ca

kes

r---

----

----

----

-1-

Yi-

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-r-c

-h-i

l-d

-W-i

-1Ib

egin

to

be ab

-Ie---i--------~

Enh

ance

you

----

----~--

Try

a ne

w t

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t to

fin

gerp

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se w

hipp

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m o

n a

was

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ooki

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mic

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ble)

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elp

your

Ghi

ld

spre

ad i

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ound

and

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w p

icshy

ture

s w

ith y

our

finge

rs

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foo

d co

lorin

g to

giv

e it

som

e co

lor

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p ta

pe a

roun

d on

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d o

f a

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e of

yar

n to

mak

e it

stiff

like

a

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le a

nd p

ut a

larg

e kn

ot a

t ot

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end

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e yo

ur c

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str

ing

larg

e el

bow

mac

aron

i bu

ttons

sp

oons

o

r be

ads

Mak

e an

edi

ble

neck

lace

of

Che

erio

s

Add

an

old

cata

log

or t

wo

to y

oue

child

s l

ibra

ry

Its

a go

od

pict

ure

bo

ok f

or n

amin

g co

mm

on o

bjec

ts

mak

e ch

cice

s H

elp

or

him

in

g ca

sset

tes

choo

se w

hat

to w

ear

each

day

by

fast

mus

ic

Son

gs w

ith s

peed

I g

ivin

g a

choi

ce b

etw

een

two

pairs

ch

ange

s ar

e gr

eat

Sho

w y

our

of s

ocks

tw

o sh

irts

and

so

fort

h

Giv

e ch

oice

s at

oth

er t

imes

like

sn

ack

or m

ealti

me

(tw

e ki

nds

drin

k c

rack

er

etc

)

Act

ion

is a

n im

port

ant

part

of

a ch

ilds

life

P

laya

gam

e w

ith a

ba

ll w

here

you

giv

e di

rect

ions

yo

ur

chid

doe

s th

e ac

tions

su

ch

as

roll

the

ball

Kic

k t

hrow

pu

sh

boun

ce

and

catc

h ar

e ot

her

good

act

ions

Tak

e tu

rns

givi

ng t

he d

irect

ions

child

how

to

mov

e fa

st o

r sl

ow

with

the

mus

ic

(Yeu

mig

ht

child

ren

S c

asse

ttes

at y

our

Icca

l lib

rary

)

Mak

e an

obs

tacl

e co

urse

usi

ng

chai

rs

pillo

ws

or

larg

e ca

rton

s

Tell

child

to

craw

l ov

er

unde

r th

roug

h b

ehin

d i

n fr

ont

of

or b

etw

een

the

obje

cts

Be

care

shyfu

l ar

rang

ing

so t

he p

iece

s w

ont

I tip

h

urt

you

r ch

ild

dryi

ng

each

sou

nd

Hel

p yo

ur c

hild

m

atch

sou

nds

and

put

them

bac

k in

the

car

ton

toge

ther

your

chi

lds

pla

yhou

se

the

boxe

s w

ith

cray

ons

mar

kers

or

pai

nts

can

be a

fun

activ

ity to

do

toge

ther

I Col

lect

littl

e an

d bi

g th

ings

(ba

lls

bloc

ks

plat

es)

Sho

w a

nd d

e-I

(big

littl

e) t

he o

bjec

ts

your

chi

ld t

o gi

ve y

eu a

big

th

en a

ll th

e bi

g ba

lls

Do

the

sa

me

for

little

A

noth

er b

igli

ttle

rnak

ing

your

self

big

your

arm

s up

hig

h an

d m

akin

g yo

urse

lf lil

lie b

y sq

ua

llin

g

dow

n

Chi

ldre

n a

t th

is a

ge l

ove

outin

gs

One

spe

cial

out

ing

can

be g

oing

to

the

libr

ary

The

lib

raria

n he

lp y

ou f

ind

appr

opria

te

Mak

e a

spec

ial

time

for

read

ing

(like

bed

time

stor

ies)

Giv

e yo

ur c

hild

soa

p a

was

hshycl

oth

and

a d

ishp

an o

f w

ater

Le

t yo

ur c

hild

was

h a

dirt

y d

oll

toy

dish

es

or

doll

clot

hes

Its

goo

d pr

aotic

e fo

r ha

nd w

ashi

ng

Pla

ya ju

mpi

ng g

ame

whe

n yo

u ta

ke a

wal

k by

jum

ping

ove

r th

e th

e si

dew

alk

You

10

hol

d yo

ur c

hild

and

hi

m o

r he

r ju

mp

over

at

first

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nd

cont

aine

rs u

sinG

pl

astio

Eas

ter

eggs

or

Leg

gs ~

eg

gs

Fill

eggs

with

noi

sy o

bjec

ts

like

sand

be

ans

or

rice

and

shut

H

ave

two

eggs

The

AS

Q U

sers

Gui

de

Sec

ond

Edi

tion

Squ

ires

Pot

ter

Bric

ker

copy 1

999

Pau

l H

B

rook

es P

ublis

hing

Co

ww

wa

gesa

ndst

ages

com

C CIU The Bone Builder

is a and a helper bull 99 of the calcimll in your body builds and maintains bones and teeth

bull the other 1 helps your heart beat helps your muscles contract and relax helps clot your blood when necessary and helps your nerves send messages

need for starts when an infant greatest need comes pre-teens to rnid-twenties bones become strongest they ever be This

IAs an adult time to build your bone bank for the adult years ahead Beginning at age 30-35 the calcium balance in your bone bank will begin a slow natural decrease As an adult it is important to replace calcium through your diet every day to keep your calcium balance as high as possible

iTnportant in calcium mineral withdrawn your bone

functions require calcium time if calcium taken your bones is not replaced your bones may become porous brittle and weak Thats why it is

to replace so important to get enough calcium in your diet each day

you need I much your calcium

Infants through 0-6 months 2100

7-12 270

Children

your diet 1-3 years 5000 4-8 years 8000

Pre-Teens and Teens 9-18 years 1300

Adults 19-50 years 10000 51 years 12CO

Pregnant Lactating Up to 18 years 13000 19-50 years 10000

lnstitute ofMedic Nutrition Board Intakes for Cdnum Magnesium md Fluoride 1997

Crank up Your next page to sec re~hing your

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

CALCIUM BUSTERS bull Too

cliet

bull Heavy bull Too

or sodium in the Guide Pyramid

is linked with low

body to excrete prevent this problem vou drink alcohol do

with a low

Eating a balanced

COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

necessary enzymes have very little

pharmacies) or products

Which calcium-rich foods do you enjoy eating Fill m the three blanks with the high calclUm foods from the list below that you will eat to help meet your daily calcium needs 1 _____________________________________

mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

J9J 318

Ice cream Macaroni amp cheese frozen dinner) Cottage cheese

SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999

Page 6: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

topic landing page

Social and emotional milestonesImitates behavior of others especially adults and older childrenIncreasingly aware of herself as separate from othersIncreasingly enthusiastic about company of other childrenDemonstrates increasing independenceBegins to show defiant behaviorIncreasing episodes of separation anxiety toward midyear then they fade

Developmental health watchBecause each child develops at his own particular pace itrsquos impossible to tell exactly when yours will perfect a given skill Thedevelopmental milestones will give you a general idea of the changes you can expect as your child gets older but donrsquot bealarmed if he takes a slightly different course Alert your pediatrician however if he displays any of the following signs ofpossible developmental delay for this age range

Cannot walk by eighteen monthsFails to develop a mature heel-toe walking pattern after several months of walking or walks exclusively on histoesDoes not speak at least fifteen words by eighteen monthsDoes not use two-word sentences by age twoDoes not seem to know the function of common household objects (brush telephone bell fork spoon) byfifteen monthsDoes not imitate actions or words by the end of this periodDoes not follow simple instructions by age twoCannot push a wheeled toy by age two

Last Updated 12282011Source Caring for Your Baby and Young Child Birth to Age 5 (Copyright copy 2009 American Academy ofPediatrics)

HealthyChildrenorg - Developmental Milestones 2 Year Olds httpwwwhealthychildrenorgEnglishages-stagestoddlerPagesDeve

2 of 2 4192012 246 PM

C M Y CM MY CY CMY K

How can I make mealtimes happy Make mealtime a family time Children like to eat with other people

Sit down and eat meals with your child

Try to have meals and snacks at about the same time every day

Do not bribe play games or force your child to eat Children needto control their own eating

It is normal for children to play with their food If your childstops eating or throws food take the food away

Young children are messy eaters Expect your child to spillYour child can use a child spoon or fork or fingers at this age

Relax and enjoy your meal Do notmake your childrsquos eating the centerof attention

Keep the TV off during meals Makemealtime a quiet time for talking

Set a good example Eat manydifferent kinds of food Your childwill want to eat what you eat

How can I make it easier for my child to eatServe foods that

are bite size or easy for your child to hold are soft and easy to chew are mild and simple are not too hot or too cold have a lot of colors textures and shapes

This is my goal

Sample Menus for Your Child

1 scrambled egg 14 cup cereal12 slice toast 14 banana12 cup milk 12 cup milk

14 apple peeled and sliced 12 cup yogurt34 ounce small cheese pieces 2 crackerswater water

peanut butter sandwich 12 cup vegetable beef soup (1 slice bread 1 tablespoon 12 tortilla or 2 crackers peanut butter) 12 cup milk2 tablespoons peas12 cup milk

12 cup dry cereal 12 slice toast with14 cup juice 1 tablespoon peanut butter

water

1 tablespoon baked chicken soft taco with beans and2 tablespoons meat (12 tortilla mashed potatoes 2 tablespoons beans2 tablespoons broccoli 2 tablespoons meat)2 tablespoons applesauce 14 cup ricewater 2 tablespoons cooked carrots

12 orange slicedwater

2 graham cracker squares 4 animal crackers12 cup milk 12 cup milk

Always wash handsbefore and after eating

Breakfast

Snack

Lunch

Dinner

Snack

Snack

Day 1 Day 2Feeding Your1 to 2 Year OldFeeding Your1 to 2 Year Old

HealthWashington State Department of

DOH Pub 961-187 92005

Adapted from California Department of Health WIC Supplemental Nutrition BranchPrinted by Washington State Department of Health WIC Program WIC is an equalopportunity program For persons with disabilities this document is available onrequest in other formats To submit a request please call 1-800-525-0127 (TDDTTY1-800-833-6388)

Always stay nearby when your child eats Children can choke if they runand play with food in their mouths Be sure your child sits down to eatat the table

Warning Children under age 4 can choke on foods like hot dogspopcorn nuts raw carrots grapes jelly beans gum and hardcandy Avoid these foods Cut hot dogs into very small pieces

Children this age only need 4 to 6 small servings of milk or milk productsevery day No more than 24 ounces (710 milliliters) of milk per day Limitjuice to 14 cup (60 milliliters) per day Serve fruit instead of juice whenyou can Your child should be drinking only from a cup now not a bottle

If your child is thirsty at other times offer your child water instead ofsweet drinks Sweet drinks like pop Kool-Aidreg and juice drinks canmake your child feel full Then your child will not be hungry for mealsor snacks If you are still breastfeeding your child thatrsquos great Breastfeedafter meals and at night

C M Y CM MY CY CMY K

hildren know how much theyneed to eat But they do not knowwhat kinds of foods they need

When it is time to eat offer yourchild healthy foods You decidewhat to serve and when to serve it

Let your child decide how much toeat from the foods you serve

Serve your child 3 meals and 2to 3 snacks every day

Serve a variety of healthy foodsevery day

Children eat more on some daysthan others

What your child eats in one daymay not match the food guideThink about all the foods yourchild eats over several days

It is normal for children to eatless after the first year They arenot growing as fast

Feeding your1 to 2 yearold

C

Breads Grainsand Cereals

6 to 11 servings

Protein Foods2 to 3 servings

Fats Oils and Sweets

Fruits 2 to 4 servings

Vegetables3 to 5 servings

Milk Products4 to 6 servings

Food Guide Pyramid One Serving Is About

2 to 4servingseach day

3 to 5servingseach day

6 to 11servingseach day

4 to 6servingseach day

2 to 3servingseach day

Breads Grains CerealsBread slice tortilla roll muffin pancake waffle14Dry cereal 14ndash12 cup or 60ndash120 mLNoodles rice cooked cereal18ndash14 cup or 30ndash60 mLCrackers 1ndash2 smallOffer your child some whole grain foods every day

VegetablesCooked 2ndash3 tablespoons or 30ndash45 mLRaw 2ndash3 tablespoons or 30ndash45 mLOffer your child a dark green or yellow vegetable every day like cookedcarrots broccoli spinach sweet potato or squash

FruitsFresh 14ndash12 smallCanned or frozen2ndash3 tablespoons or 30ndash45 mLJuice 18 cup or 30 mLOffer your child a good vitamin C fruit every day like orange strawberriesmelon mango papaya or juices

Milk ProductsMilk or breast milk12 cup or 120 mLCheese 34 ounce or 20 gCottage cheese 34 cup or 180 mLYogurt pudding or custard made with milk 12 cup or 120 mLFrozen yogurt ice cream 34 cup or 180 mLGive your child whole milk up to age 2 then lowfat milk

Protein FoodsAnimal Protein

Meat chicken turkey fish1 tablespoon or 15 mLEggs12

Vegetable ProteinCooked dry beans lentils 14 cup or 60 mLPeanut butter 1 tablespoon or 15 mLTofu 14 cup or 60 mLMeat and beans have the most iron

Fats Oils and SweetsGive your child these foods once in a while

Start with small servings Give about 1 tablespoon (15 mL) of each foodfor each year of your childrsquos age For example if your child is 2 years oldserve your child 2 tablespoons of vegetables and 2 tablespoons of riceLet your child ask for more

This menu tanned two-year-ol Id who approximately 27 pounds (125 kg)

1 Tables t ounce (15 c)

teaspo 3 Tables (5 cc)

1 cup 8 ounces (240 cc)

BREAKFAST 3 204 cup Ie

~- cup iron-fo fied cereal 0 1 egg i cup citrus or tomato juice or 13 cup cantaloupe or strawberries i slice toast

teaspoo morgarine teaspoon

SNACK 1 ounce cheese

crackers t cup juice

cup 20 sandwich lice who bread teaspoonne or 2 ns

salad dressing and 1 ounce meat 2-3 carrot sticks or 2 tablespoons other dark yellow or dark green vegetable 1 small (12 ounce) oatmeal cookie

SNACK i cup 2 milk i apple (sliced) 3 dates 13 cup grapes or t orange

DINNER i cup 20 milk

ounces t cup pasta rice or potato 2 tablespoons vegetable 1 teaspoon ine or ressing

--

------------

-------

age

love

to

preshy

enjo

y it

whe

n yo

u th

em

Pre

tend

owne

r fe

eds

Add

act

ions

to

your

chi

lds

fa

vorit

e nu

rser

y rh

ymes

E

asy

ac

tion

rtly

mes

inc

lude

H

ere

We

I Go

Ro

un

d t

he M

ulbe

rry

Bus

h

Jac

k B

e N

imbl

e

Thi

s Is

the

W

ay W

e W

ash

Ou

r C

loth

es

R

ing

Aro

u~d

the

Ras

ey

I Lo

ndon

Brid

ge

Take

tim

e to

dra

w w

ith y

our

child

w

hen

he o

r sh

e w

ants

to

get

out

pape

r an

d cr

ayon

s D

raw

lar

ge

shap

es a

nd l

ei

child

co

lor

them

fa

ke

Sho

w y

our

child

how

to m

ako

snak

es

balls

ro

ll-ou

t p

an

shyca

kes

with

a s

mal

l ro

lling

pin

us

ing

Pla

yDoh

U

se l

arge

coo

kie

cutte

rs t

o m

ake

new

Pla

y-D

oh

shap

es

Pla

y F

ollo

w t

he L

eade

r

Wal

k on

tip

toes

w

alk

back

war

d a

nd w

alk

slow

or

fast

with

st

eps

litshy

tle

AC

T[V

ITIE

S F

OR

CH

ILD

RE

N 2

4 -

30

IIO

NT

lIS

OL

D

Pla

y T

arge

t Tos

s w

ith a

larg

e bu

cket

or

box

and

bean

bag

s or

H

elp

child

cou

nt h

ow

he o

r ge

ts in

tho

ta

rge

t of

yar

n o

r ro

lled-

up s

ocks

al

so w

ork

wel

l fo

r an

ind

oor

targ

et

Du

rillg

san

dbox

pla

y

wet

ting

som

e of

the

san

d S

how

you

r ch

ild h

ow t

o pa

ck th

e co

ntai

ner

the

wet

san

d an

d tu

rn i

t ov

er

mak

e sa

nd s

truc

tu re

s ca

kes

r---

----

----

----

-1-

Yi-

o-U

-r-c

-h-i

l-d

-W-i

-1Ib

egin

to

be ab

-Ie---i--------~

Enh

ance

you

----

----~--

Try

a ne

w t

wis

t to

fin

gerp

aint

ing

U

se w

hipp

ing

crea

m o

n a

was

hshysu

rfac

e (c

ooki

e sh

eet

For

mic

a ta

ble)

H

elp

your

Ghi

ld

spre

ad i

t ar

ound

and

dra

w p

icshy

ture

s w

ith y

our

finge

rs

Add

foo

d co

lorin

g to

giv

e it

som

e co

lor

Wra

p ta

pe a

roun

d on

e en

d o

f a

piec

e of

yar

n to

mak

e it

stiff

like

a

need

le a

nd p

ut a

larg

e kn

ot a

t ot

her

end

Hav

e yo

ur c

hild

str

ing

larg

e el

bow

mac

aron

i bu

ttons

sp

oons

o

r be

ads

Mak

e an

edi

ble

neck

lace

of

Che

erio

s

Add

an

old

cata

log

or t

wo

to y

oue

child

s l

ibra

ry

Its

a go

od

pict

ure

bo

ok f

or n

amin

g co

mm

on o

bjec

ts

mak

e ch

cice

s H

elp

or

him

in

g ca

sset

tes

choo

se w

hat

to w

ear

each

day

by

fast

mus

ic

Son

gs w

ith s

peed

I g

ivin

g a

choi

ce b

etw

een

two

pairs

ch

ange

s ar

e gr

eat

Sho

w y

our

of s

ocks

tw

o sh

irts

and

so

fort

h

Giv

e ch

oice

s at

oth

er t

imes

like

sn

ack

or m

ealti

me

(tw

e ki

nds

drin

k c

rack

er

etc

)

Act

ion

is a

n im

port

ant

part

of

a ch

ilds

life

P

laya

gam

e w

ith a

ba

ll w

here

you

giv

e di

rect

ions

yo

ur

chid

doe

s th

e ac

tions

su

ch

as

roll

the

ball

Kic

k t

hrow

pu

sh

boun

ce

and

catc

h ar

e ot

her

good

act

ions

Tak

e tu

rns

givi

ng t

he d

irect

ions

child

how

to

mov

e fa

st o

r sl

ow

with

the

mus

ic

(Yeu

mig

ht

child

ren

S c

asse

ttes

at y

our

Icca

l lib

rary

)

Mak

e an

obs

tacl

e co

urse

usi

ng

chai

rs

pillo

ws

or

larg

e ca

rton

s

Tell

child

to

craw

l ov

er

unde

r th

roug

h b

ehin

d i

n fr

ont

of

or b

etw

een

the

obje

cts

Be

care

shyfu

l ar

rang

ing

so t

he p

iece

s w

ont

I tip

h

urt

you

r ch

ild

dryi

ng

each

sou

nd

Hel

p yo

ur c

hild

m

atch

sou

nds

and

put

them

bac

k in

the

car

ton

toge

ther

your

chi

lds

pla

yhou

se

the

boxe

s w

ith

cray

ons

mar

kers

or

pai

nts

can

be a

fun

activ

ity to

do

toge

ther

I Col

lect

littl

e an

d bi

g th

ings

(ba

lls

bloc

ks

plat

es)

Sho

w a

nd d

e-I

(big

littl

e) t

he o

bjec

ts

your

chi

ld t

o gi

ve y

eu a

big

th

en a

ll th

e bi

g ba

lls

Do

the

sa

me

for

little

A

noth

er b

igli

ttle

rnak

ing

your

self

big

your

arm

s up

hig

h an

d m

akin

g yo

urse

lf lil

lie b

y sq

ua

llin

g

dow

n

Chi

ldre

n a

t th

is a

ge l

ove

outin

gs

One

spe

cial

out

ing

can

be g

oing

to

the

libr

ary

The

lib

raria

n he

lp y

ou f

ind

appr

opria

te

Mak

e a

spec

ial

time

for

read

ing

(like

bed

time

stor

ies)

Giv

e yo

ur c

hild

soa

p a

was

hshycl

oth

and

a d

ishp

an o

f w

ater

Le

t yo

ur c

hild

was

h a

dirt

y d

oll

toy

dish

es

or

doll

clot

hes

Its

goo

d pr

aotic

e fo

r ha

nd w

ashi

ng

Pla

ya ju

mpi

ng g

ame

whe

n yo

u ta

ke a

wal

k by

jum

ping

ove

r th

e th

e si

dew

alk

You

10

hol

d yo

ur c

hild

and

hi

m o

r he

r ju

mp

over

at

first

sou

nd

cont

aine

rs u

sinG

pl

astio

Eas

ter

eggs

or

Leg

gs ~

eg

gs

Fill

eggs

with

noi

sy o

bjec

ts

like

sand

be

ans

or

rice

and

shut

H

ave

two

eggs

The

AS

Q U

sers

Gui

de

Sec

ond

Edi

tion

Squ

ires

Pot

ter

Bric

ker

copy 1

999

Pau

l H

B

rook

es P

ublis

hing

Co

ww

wa

gesa

ndst

ages

com

C CIU The Bone Builder

is a and a helper bull 99 of the calcimll in your body builds and maintains bones and teeth

bull the other 1 helps your heart beat helps your muscles contract and relax helps clot your blood when necessary and helps your nerves send messages

need for starts when an infant greatest need comes pre-teens to rnid-twenties bones become strongest they ever be This

IAs an adult time to build your bone bank for the adult years ahead Beginning at age 30-35 the calcium balance in your bone bank will begin a slow natural decrease As an adult it is important to replace calcium through your diet every day to keep your calcium balance as high as possible

iTnportant in calcium mineral withdrawn your bone

functions require calcium time if calcium taken your bones is not replaced your bones may become porous brittle and weak Thats why it is

to replace so important to get enough calcium in your diet each day

you need I much your calcium

Infants through 0-6 months 2100

7-12 270

Children

your diet 1-3 years 5000 4-8 years 8000

Pre-Teens and Teens 9-18 years 1300

Adults 19-50 years 10000 51 years 12CO

Pregnant Lactating Up to 18 years 13000 19-50 years 10000

lnstitute ofMedic Nutrition Board Intakes for Cdnum Magnesium md Fluoride 1997

Crank up Your next page to sec re~hing your

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

CALCIUM BUSTERS bull Too

cliet

bull Heavy bull Too

or sodium in the Guide Pyramid

is linked with low

body to excrete prevent this problem vou drink alcohol do

with a low

Eating a balanced

COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

necessary enzymes have very little

pharmacies) or products

Which calcium-rich foods do you enjoy eating Fill m the three blanks with the high calclUm foods from the list below that you will eat to help meet your daily calcium needs 1 _____________________________________

mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

J9J 318

Ice cream Macaroni amp cheese frozen dinner) Cottage cheese

SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999

Page 7: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

C M Y CM MY CY CMY K

How can I make mealtimes happy Make mealtime a family time Children like to eat with other people

Sit down and eat meals with your child

Try to have meals and snacks at about the same time every day

Do not bribe play games or force your child to eat Children needto control their own eating

It is normal for children to play with their food If your childstops eating or throws food take the food away

Young children are messy eaters Expect your child to spillYour child can use a child spoon or fork or fingers at this age

Relax and enjoy your meal Do notmake your childrsquos eating the centerof attention

Keep the TV off during meals Makemealtime a quiet time for talking

Set a good example Eat manydifferent kinds of food Your childwill want to eat what you eat

How can I make it easier for my child to eatServe foods that

are bite size or easy for your child to hold are soft and easy to chew are mild and simple are not too hot or too cold have a lot of colors textures and shapes

This is my goal

Sample Menus for Your Child

1 scrambled egg 14 cup cereal12 slice toast 14 banana12 cup milk 12 cup milk

14 apple peeled and sliced 12 cup yogurt34 ounce small cheese pieces 2 crackerswater water

peanut butter sandwich 12 cup vegetable beef soup (1 slice bread 1 tablespoon 12 tortilla or 2 crackers peanut butter) 12 cup milk2 tablespoons peas12 cup milk

12 cup dry cereal 12 slice toast with14 cup juice 1 tablespoon peanut butter

water

1 tablespoon baked chicken soft taco with beans and2 tablespoons meat (12 tortilla mashed potatoes 2 tablespoons beans2 tablespoons broccoli 2 tablespoons meat)2 tablespoons applesauce 14 cup ricewater 2 tablespoons cooked carrots

12 orange slicedwater

2 graham cracker squares 4 animal crackers12 cup milk 12 cup milk

Always wash handsbefore and after eating

Breakfast

Snack

Lunch

Dinner

Snack

Snack

Day 1 Day 2Feeding Your1 to 2 Year OldFeeding Your1 to 2 Year Old

HealthWashington State Department of

DOH Pub 961-187 92005

Adapted from California Department of Health WIC Supplemental Nutrition BranchPrinted by Washington State Department of Health WIC Program WIC is an equalopportunity program For persons with disabilities this document is available onrequest in other formats To submit a request please call 1-800-525-0127 (TDDTTY1-800-833-6388)

Always stay nearby when your child eats Children can choke if they runand play with food in their mouths Be sure your child sits down to eatat the table

Warning Children under age 4 can choke on foods like hot dogspopcorn nuts raw carrots grapes jelly beans gum and hardcandy Avoid these foods Cut hot dogs into very small pieces

Children this age only need 4 to 6 small servings of milk or milk productsevery day No more than 24 ounces (710 milliliters) of milk per day Limitjuice to 14 cup (60 milliliters) per day Serve fruit instead of juice whenyou can Your child should be drinking only from a cup now not a bottle

If your child is thirsty at other times offer your child water instead ofsweet drinks Sweet drinks like pop Kool-Aidreg and juice drinks canmake your child feel full Then your child will not be hungry for mealsor snacks If you are still breastfeeding your child thatrsquos great Breastfeedafter meals and at night

C M Y CM MY CY CMY K

hildren know how much theyneed to eat But they do not knowwhat kinds of foods they need

When it is time to eat offer yourchild healthy foods You decidewhat to serve and when to serve it

Let your child decide how much toeat from the foods you serve

Serve your child 3 meals and 2to 3 snacks every day

Serve a variety of healthy foodsevery day

Children eat more on some daysthan others

What your child eats in one daymay not match the food guideThink about all the foods yourchild eats over several days

It is normal for children to eatless after the first year They arenot growing as fast

Feeding your1 to 2 yearold

C

Breads Grainsand Cereals

6 to 11 servings

Protein Foods2 to 3 servings

Fats Oils and Sweets

Fruits 2 to 4 servings

Vegetables3 to 5 servings

Milk Products4 to 6 servings

Food Guide Pyramid One Serving Is About

2 to 4servingseach day

3 to 5servingseach day

6 to 11servingseach day

4 to 6servingseach day

2 to 3servingseach day

Breads Grains CerealsBread slice tortilla roll muffin pancake waffle14Dry cereal 14ndash12 cup or 60ndash120 mLNoodles rice cooked cereal18ndash14 cup or 30ndash60 mLCrackers 1ndash2 smallOffer your child some whole grain foods every day

VegetablesCooked 2ndash3 tablespoons or 30ndash45 mLRaw 2ndash3 tablespoons or 30ndash45 mLOffer your child a dark green or yellow vegetable every day like cookedcarrots broccoli spinach sweet potato or squash

FruitsFresh 14ndash12 smallCanned or frozen2ndash3 tablespoons or 30ndash45 mLJuice 18 cup or 30 mLOffer your child a good vitamin C fruit every day like orange strawberriesmelon mango papaya or juices

Milk ProductsMilk or breast milk12 cup or 120 mLCheese 34 ounce or 20 gCottage cheese 34 cup or 180 mLYogurt pudding or custard made with milk 12 cup or 120 mLFrozen yogurt ice cream 34 cup or 180 mLGive your child whole milk up to age 2 then lowfat milk

Protein FoodsAnimal Protein

Meat chicken turkey fish1 tablespoon or 15 mLEggs12

Vegetable ProteinCooked dry beans lentils 14 cup or 60 mLPeanut butter 1 tablespoon or 15 mLTofu 14 cup or 60 mLMeat and beans have the most iron

Fats Oils and SweetsGive your child these foods once in a while

Start with small servings Give about 1 tablespoon (15 mL) of each foodfor each year of your childrsquos age For example if your child is 2 years oldserve your child 2 tablespoons of vegetables and 2 tablespoons of riceLet your child ask for more

This menu tanned two-year-ol Id who approximately 27 pounds (125 kg)

1 Tables t ounce (15 c)

teaspo 3 Tables (5 cc)

1 cup 8 ounces (240 cc)

BREAKFAST 3 204 cup Ie

~- cup iron-fo fied cereal 0 1 egg i cup citrus or tomato juice or 13 cup cantaloupe or strawberries i slice toast

teaspoo morgarine teaspoon

SNACK 1 ounce cheese

crackers t cup juice

cup 20 sandwich lice who bread teaspoonne or 2 ns

salad dressing and 1 ounce meat 2-3 carrot sticks or 2 tablespoons other dark yellow or dark green vegetable 1 small (12 ounce) oatmeal cookie

SNACK i cup 2 milk i apple (sliced) 3 dates 13 cup grapes or t orange

DINNER i cup 20 milk

ounces t cup pasta rice or potato 2 tablespoons vegetable 1 teaspoon ine or ressing

--

------------

-------

age

love

to

preshy

enjo

y it

whe

n yo

u th

em

Pre

tend

owne

r fe

eds

Add

act

ions

to

your

chi

lds

fa

vorit

e nu

rser

y rh

ymes

E

asy

ac

tion

rtly

mes

inc

lude

H

ere

We

I Go

Ro

un

d t

he M

ulbe

rry

Bus

h

Jac

k B

e N

imbl

e

Thi

s Is

the

W

ay W

e W

ash

Ou

r C

loth

es

R

ing

Aro

u~d

the

Ras

ey

I Lo

ndon

Brid

ge

Take

tim

e to

dra

w w

ith y

our

child

w

hen

he o

r sh

e w

ants

to

get

out

pape

r an

d cr

ayon

s D

raw

lar

ge

shap

es a

nd l

ei

child

co

lor

them

fa

ke

Sho

w y

our

child

how

to m

ako

snak

es

balls

ro

ll-ou

t p

an

shyca

kes

with

a s

mal

l ro

lling

pin

us

ing

Pla

yDoh

U

se l

arge

coo

kie

cutte

rs t

o m

ake

new

Pla

y-D

oh

shap

es

Pla

y F

ollo

w t

he L

eade

r

Wal

k on

tip

toes

w

alk

back

war

d a

nd w

alk

slow

or

fast

with

st

eps

litshy

tle

AC

T[V

ITIE

S F

OR

CH

ILD

RE

N 2

4 -

30

IIO

NT

lIS

OL

D

Pla

y T

arge

t Tos

s w

ith a

larg

e bu

cket

or

box

and

bean

bag

s or

H

elp

child

cou

nt h

ow

he o

r ge

ts in

tho

ta

rge

t of

yar

n o

r ro

lled-

up s

ocks

al

so w

ork

wel

l fo

r an

ind

oor

targ

et

Du

rillg

san

dbox

pla

y

wet

ting

som

e of

the

san

d S

how

you

r ch

ild h

ow t

o pa

ck th

e co

ntai

ner

the

wet

san

d an

d tu

rn i

t ov

er

mak

e sa

nd s

truc

tu re

s ca

kes

r---

----

----

----

-1-

Yi-

o-U

-r-c

-h-i

l-d

-W-i

-1Ib

egin

to

be ab

-Ie---i--------~

Enh

ance

you

----

----~--

Try

a ne

w t

wis

t to

fin

gerp

aint

ing

U

se w

hipp

ing

crea

m o

n a

was

hshysu

rfac

e (c

ooki

e sh

eet

For

mic

a ta

ble)

H

elp

your

Ghi

ld

spre

ad i

t ar

ound

and

dra

w p

icshy

ture

s w

ith y

our

finge

rs

Add

foo

d co

lorin

g to

giv

e it

som

e co

lor

Wra

p ta

pe a

roun

d on

e en

d o

f a

piec

e of

yar

n to

mak

e it

stiff

like

a

need

le a

nd p

ut a

larg

e kn

ot a

t ot

her

end

Hav

e yo

ur c

hild

str

ing

larg

e el

bow

mac

aron

i bu

ttons

sp

oons

o

r be

ads

Mak

e an

edi

ble

neck

lace

of

Che

erio

s

Add

an

old

cata

log

or t

wo

to y

oue

child

s l

ibra

ry

Its

a go

od

pict

ure

bo

ok f

or n

amin

g co

mm

on o

bjec

ts

mak

e ch

cice

s H

elp

or

him

in

g ca

sset

tes

choo

se w

hat

to w

ear

each

day

by

fast

mus

ic

Son

gs w

ith s

peed

I g

ivin

g a

choi

ce b

etw

een

two

pairs

ch

ange

s ar

e gr

eat

Sho

w y

our

of s

ocks

tw

o sh

irts

and

so

fort

h

Giv

e ch

oice

s at

oth

er t

imes

like

sn

ack

or m

ealti

me

(tw

e ki

nds

drin

k c

rack

er

etc

)

Act

ion

is a

n im

port

ant

part

of

a ch

ilds

life

P

laya

gam

e w

ith a

ba

ll w

here

you

giv

e di

rect

ions

yo

ur

chid

doe

s th

e ac

tions

su

ch

as

roll

the

ball

Kic

k t

hrow

pu

sh

boun

ce

and

catc

h ar

e ot

her

good

act

ions

Tak

e tu

rns

givi

ng t

he d

irect

ions

child

how

to

mov

e fa

st o

r sl

ow

with

the

mus

ic

(Yeu

mig

ht

child

ren

S c

asse

ttes

at y

our

Icca

l lib

rary

)

Mak

e an

obs

tacl

e co

urse

usi

ng

chai

rs

pillo

ws

or

larg

e ca

rton

s

Tell

child

to

craw

l ov

er

unde

r th

roug

h b

ehin

d i

n fr

ont

of

or b

etw

een

the

obje

cts

Be

care

shyfu

l ar

rang

ing

so t

he p

iece

s w

ont

I tip

h

urt

you

r ch

ild

dryi

ng

each

sou

nd

Hel

p yo

ur c

hild

m

atch

sou

nds

and

put

them

bac

k in

the

car

ton

toge

ther

your

chi

lds

pla

yhou

se

the

boxe

s w

ith

cray

ons

mar

kers

or

pai

nts

can

be a

fun

activ

ity to

do

toge

ther

I Col

lect

littl

e an

d bi

g th

ings

(ba

lls

bloc

ks

plat

es)

Sho

w a

nd d

e-I

(big

littl

e) t

he o

bjec

ts

your

chi

ld t

o gi

ve y

eu a

big

th

en a

ll th

e bi

g ba

lls

Do

the

sa

me

for

little

A

noth

er b

igli

ttle

rnak

ing

your

self

big

your

arm

s up

hig

h an

d m

akin

g yo

urse

lf lil

lie b

y sq

ua

llin

g

dow

n

Chi

ldre

n a

t th

is a

ge l

ove

outin

gs

One

spe

cial

out

ing

can

be g

oing

to

the

libr

ary

The

lib

raria

n he

lp y

ou f

ind

appr

opria

te

Mak

e a

spec

ial

time

for

read

ing

(like

bed

time

stor

ies)

Giv

e yo

ur c

hild

soa

p a

was

hshycl

oth

and

a d

ishp

an o

f w

ater

Le

t yo

ur c

hild

was

h a

dirt

y d

oll

toy

dish

es

or

doll

clot

hes

Its

goo

d pr

aotic

e fo

r ha

nd w

ashi

ng

Pla

ya ju

mpi

ng g

ame

whe

n yo

u ta

ke a

wal

k by

jum

ping

ove

r th

e th

e si

dew

alk

You

10

hol

d yo

ur c

hild

and

hi

m o

r he

r ju

mp

over

at

first

sou

nd

cont

aine

rs u

sinG

pl

astio

Eas

ter

eggs

or

Leg

gs ~

eg

gs

Fill

eggs

with

noi

sy o

bjec

ts

like

sand

be

ans

or

rice

and

shut

H

ave

two

eggs

The

AS

Q U

sers

Gui

de

Sec

ond

Edi

tion

Squ

ires

Pot

ter

Bric

ker

copy 1

999

Pau

l H

B

rook

es P

ublis

hing

Co

ww

wa

gesa

ndst

ages

com

C CIU The Bone Builder

is a and a helper bull 99 of the calcimll in your body builds and maintains bones and teeth

bull the other 1 helps your heart beat helps your muscles contract and relax helps clot your blood when necessary and helps your nerves send messages

need for starts when an infant greatest need comes pre-teens to rnid-twenties bones become strongest they ever be This

IAs an adult time to build your bone bank for the adult years ahead Beginning at age 30-35 the calcium balance in your bone bank will begin a slow natural decrease As an adult it is important to replace calcium through your diet every day to keep your calcium balance as high as possible

iTnportant in calcium mineral withdrawn your bone

functions require calcium time if calcium taken your bones is not replaced your bones may become porous brittle and weak Thats why it is

to replace so important to get enough calcium in your diet each day

you need I much your calcium

Infants through 0-6 months 2100

7-12 270

Children

your diet 1-3 years 5000 4-8 years 8000

Pre-Teens and Teens 9-18 years 1300

Adults 19-50 years 10000 51 years 12CO

Pregnant Lactating Up to 18 years 13000 19-50 years 10000

lnstitute ofMedic Nutrition Board Intakes for Cdnum Magnesium md Fluoride 1997

Crank up Your next page to sec re~hing your

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

CALCIUM BUSTERS bull Too

cliet

bull Heavy bull Too

or sodium in the Guide Pyramid

is linked with low

body to excrete prevent this problem vou drink alcohol do

with a low

Eating a balanced

COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

necessary enzymes have very little

pharmacies) or products

Which calcium-rich foods do you enjoy eating Fill m the three blanks with the high calclUm foods from the list below that you will eat to help meet your daily calcium needs 1 _____________________________________

mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

J9J 318

Ice cream Macaroni amp cheese frozen dinner) Cottage cheese

SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999

Page 8: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

C M Y CM MY CY CMY K

hildren know how much theyneed to eat But they do not knowwhat kinds of foods they need

When it is time to eat offer yourchild healthy foods You decidewhat to serve and when to serve it

Let your child decide how much toeat from the foods you serve

Serve your child 3 meals and 2to 3 snacks every day

Serve a variety of healthy foodsevery day

Children eat more on some daysthan others

What your child eats in one daymay not match the food guideThink about all the foods yourchild eats over several days

It is normal for children to eatless after the first year They arenot growing as fast

Feeding your1 to 2 yearold

C

Breads Grainsand Cereals

6 to 11 servings

Protein Foods2 to 3 servings

Fats Oils and Sweets

Fruits 2 to 4 servings

Vegetables3 to 5 servings

Milk Products4 to 6 servings

Food Guide Pyramid One Serving Is About

2 to 4servingseach day

3 to 5servingseach day

6 to 11servingseach day

4 to 6servingseach day

2 to 3servingseach day

Breads Grains CerealsBread slice tortilla roll muffin pancake waffle14Dry cereal 14ndash12 cup or 60ndash120 mLNoodles rice cooked cereal18ndash14 cup or 30ndash60 mLCrackers 1ndash2 smallOffer your child some whole grain foods every day

VegetablesCooked 2ndash3 tablespoons or 30ndash45 mLRaw 2ndash3 tablespoons or 30ndash45 mLOffer your child a dark green or yellow vegetable every day like cookedcarrots broccoli spinach sweet potato or squash

FruitsFresh 14ndash12 smallCanned or frozen2ndash3 tablespoons or 30ndash45 mLJuice 18 cup or 30 mLOffer your child a good vitamin C fruit every day like orange strawberriesmelon mango papaya or juices

Milk ProductsMilk or breast milk12 cup or 120 mLCheese 34 ounce or 20 gCottage cheese 34 cup or 180 mLYogurt pudding or custard made with milk 12 cup or 120 mLFrozen yogurt ice cream 34 cup or 180 mLGive your child whole milk up to age 2 then lowfat milk

Protein FoodsAnimal Protein

Meat chicken turkey fish1 tablespoon or 15 mLEggs12

Vegetable ProteinCooked dry beans lentils 14 cup or 60 mLPeanut butter 1 tablespoon or 15 mLTofu 14 cup or 60 mLMeat and beans have the most iron

Fats Oils and SweetsGive your child these foods once in a while

Start with small servings Give about 1 tablespoon (15 mL) of each foodfor each year of your childrsquos age For example if your child is 2 years oldserve your child 2 tablespoons of vegetables and 2 tablespoons of riceLet your child ask for more

This menu tanned two-year-ol Id who approximately 27 pounds (125 kg)

1 Tables t ounce (15 c)

teaspo 3 Tables (5 cc)

1 cup 8 ounces (240 cc)

BREAKFAST 3 204 cup Ie

~- cup iron-fo fied cereal 0 1 egg i cup citrus or tomato juice or 13 cup cantaloupe or strawberries i slice toast

teaspoo morgarine teaspoon

SNACK 1 ounce cheese

crackers t cup juice

cup 20 sandwich lice who bread teaspoonne or 2 ns

salad dressing and 1 ounce meat 2-3 carrot sticks or 2 tablespoons other dark yellow or dark green vegetable 1 small (12 ounce) oatmeal cookie

SNACK i cup 2 milk i apple (sliced) 3 dates 13 cup grapes or t orange

DINNER i cup 20 milk

ounces t cup pasta rice or potato 2 tablespoons vegetable 1 teaspoon ine or ressing

--

------------

-------

age

love

to

preshy

enjo

y it

whe

n yo

u th

em

Pre

tend

owne

r fe

eds

Add

act

ions

to

your

chi

lds

fa

vorit

e nu

rser

y rh

ymes

E

asy

ac

tion

rtly

mes

inc

lude

H

ere

We

I Go

Ro

un

d t

he M

ulbe

rry

Bus

h

Jac

k B

e N

imbl

e

Thi

s Is

the

W

ay W

e W

ash

Ou

r C

loth

es

R

ing

Aro

u~d

the

Ras

ey

I Lo

ndon

Brid

ge

Take

tim

e to

dra

w w

ith y

our

child

w

hen

he o

r sh

e w

ants

to

get

out

pape

r an

d cr

ayon

s D

raw

lar

ge

shap

es a

nd l

ei

child

co

lor

them

fa

ke

Sho

w y

our

child

how

to m

ako

snak

es

balls

ro

ll-ou

t p

an

shyca

kes

with

a s

mal

l ro

lling

pin

us

ing

Pla

yDoh

U

se l

arge

coo

kie

cutte

rs t

o m

ake

new

Pla

y-D

oh

shap

es

Pla

y F

ollo

w t

he L

eade

r

Wal

k on

tip

toes

w

alk

back

war

d a

nd w

alk

slow

or

fast

with

st

eps

litshy

tle

AC

T[V

ITIE

S F

OR

CH

ILD

RE

N 2

4 -

30

IIO

NT

lIS

OL

D

Pla

y T

arge

t Tos

s w

ith a

larg

e bu

cket

or

box

and

bean

bag

s or

H

elp

child

cou

nt h

ow

he o

r ge

ts in

tho

ta

rge

t of

yar

n o

r ro

lled-

up s

ocks

al

so w

ork

wel

l fo

r an

ind

oor

targ

et

Du

rillg

san

dbox

pla

y

wet

ting

som

e of

the

san

d S

how

you

r ch

ild h

ow t

o pa

ck th

e co

ntai

ner

the

wet

san

d an

d tu

rn i

t ov

er

mak

e sa

nd s

truc

tu re

s ca

kes

r---

----

----

----

-1-

Yi-

o-U

-r-c

-h-i

l-d

-W-i

-1Ib

egin

to

be ab

-Ie---i--------~

Enh

ance

you

----

----~--

Try

a ne

w t

wis

t to

fin

gerp

aint

ing

U

se w

hipp

ing

crea

m o

n a

was

hshysu

rfac

e (c

ooki

e sh

eet

For

mic

a ta

ble)

H

elp

your

Ghi

ld

spre

ad i

t ar

ound

and

dra

w p

icshy

ture

s w

ith y

our

finge

rs

Add

foo

d co

lorin

g to

giv

e it

som

e co

lor

Wra

p ta

pe a

roun

d on

e en

d o

f a

piec

e of

yar

n to

mak

e it

stiff

like

a

need

le a

nd p

ut a

larg

e kn

ot a

t ot

her

end

Hav

e yo

ur c

hild

str

ing

larg

e el

bow

mac

aron

i bu

ttons

sp

oons

o

r be

ads

Mak

e an

edi

ble

neck

lace

of

Che

erio

s

Add

an

old

cata

log

or t

wo

to y

oue

child

s l

ibra

ry

Its

a go

od

pict

ure

bo

ok f

or n

amin

g co

mm

on o

bjec

ts

mak

e ch

cice

s H

elp

or

him

in

g ca

sset

tes

choo

se w

hat

to w

ear

each

day

by

fast

mus

ic

Son

gs w

ith s

peed

I g

ivin

g a

choi

ce b

etw

een

two

pairs

ch

ange

s ar

e gr

eat

Sho

w y

our

of s

ocks

tw

o sh

irts

and

so

fort

h

Giv

e ch

oice

s at

oth

er t

imes

like

sn

ack

or m

ealti

me

(tw

e ki

nds

drin

k c

rack

er

etc

)

Act

ion

is a

n im

port

ant

part

of

a ch

ilds

life

P

laya

gam

e w

ith a

ba

ll w

here

you

giv

e di

rect

ions

yo

ur

chid

doe

s th

e ac

tions

su

ch

as

roll

the

ball

Kic

k t

hrow

pu

sh

boun

ce

and

catc

h ar

e ot

her

good

act

ions

Tak

e tu

rns

givi

ng t

he d

irect

ions

child

how

to

mov

e fa

st o

r sl

ow

with

the

mus

ic

(Yeu

mig

ht

child

ren

S c

asse

ttes

at y

our

Icca

l lib

rary

)

Mak

e an

obs

tacl

e co

urse

usi

ng

chai

rs

pillo

ws

or

larg

e ca

rton

s

Tell

child

to

craw

l ov

er

unde

r th

roug

h b

ehin

d i

n fr

ont

of

or b

etw

een

the

obje

cts

Be

care

shyfu

l ar

rang

ing

so t

he p

iece

s w

ont

I tip

h

urt

you

r ch

ild

dryi

ng

each

sou

nd

Hel

p yo

ur c

hild

m

atch

sou

nds

and

put

them

bac

k in

the

car

ton

toge

ther

your

chi

lds

pla

yhou

se

the

boxe

s w

ith

cray

ons

mar

kers

or

pai

nts

can

be a

fun

activ

ity to

do

toge

ther

I Col

lect

littl

e an

d bi

g th

ings

(ba

lls

bloc

ks

plat

es)

Sho

w a

nd d

e-I

(big

littl

e) t

he o

bjec

ts

your

chi

ld t

o gi

ve y

eu a

big

th

en a

ll th

e bi

g ba

lls

Do

the

sa

me

for

little

A

noth

er b

igli

ttle

rnak

ing

your

self

big

your

arm

s up

hig

h an

d m

akin

g yo

urse

lf lil

lie b

y sq

ua

llin

g

dow

n

Chi

ldre

n a

t th

is a

ge l

ove

outin

gs

One

spe

cial

out

ing

can

be g

oing

to

the

libr

ary

The

lib

raria

n he

lp y

ou f

ind

appr

opria

te

Mak

e a

spec

ial

time

for

read

ing

(like

bed

time

stor

ies)

Giv

e yo

ur c

hild

soa

p a

was

hshycl

oth

and

a d

ishp

an o

f w

ater

Le

t yo

ur c

hild

was

h a

dirt

y d

oll

toy

dish

es

or

doll

clot

hes

Its

goo

d pr

aotic

e fo

r ha

nd w

ashi

ng

Pla

ya ju

mpi

ng g

ame

whe

n yo

u ta

ke a

wal

k by

jum

ping

ove

r th

e th

e si

dew

alk

You

10

hol

d yo

ur c

hild

and

hi

m o

r he

r ju

mp

over

at

first

sou

nd

cont

aine

rs u

sinG

pl

astio

Eas

ter

eggs

or

Leg

gs ~

eg

gs

Fill

eggs

with

noi

sy o

bjec

ts

like

sand

be

ans

or

rice

and

shut

H

ave

two

eggs

The

AS

Q U

sers

Gui

de

Sec

ond

Edi

tion

Squ

ires

Pot

ter

Bric

ker

copy 1

999

Pau

l H

B

rook

es P

ublis

hing

Co

ww

wa

gesa

ndst

ages

com

C CIU The Bone Builder

is a and a helper bull 99 of the calcimll in your body builds and maintains bones and teeth

bull the other 1 helps your heart beat helps your muscles contract and relax helps clot your blood when necessary and helps your nerves send messages

need for starts when an infant greatest need comes pre-teens to rnid-twenties bones become strongest they ever be This

IAs an adult time to build your bone bank for the adult years ahead Beginning at age 30-35 the calcium balance in your bone bank will begin a slow natural decrease As an adult it is important to replace calcium through your diet every day to keep your calcium balance as high as possible

iTnportant in calcium mineral withdrawn your bone

functions require calcium time if calcium taken your bones is not replaced your bones may become porous brittle and weak Thats why it is

to replace so important to get enough calcium in your diet each day

you need I much your calcium

Infants through 0-6 months 2100

7-12 270

Children

your diet 1-3 years 5000 4-8 years 8000

Pre-Teens and Teens 9-18 years 1300

Adults 19-50 years 10000 51 years 12CO

Pregnant Lactating Up to 18 years 13000 19-50 years 10000

lnstitute ofMedic Nutrition Board Intakes for Cdnum Magnesium md Fluoride 1997

Crank up Your next page to sec re~hing your

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

CALCIUM BUSTERS bull Too

cliet

bull Heavy bull Too

or sodium in the Guide Pyramid

is linked with low

body to excrete prevent this problem vou drink alcohol do

with a low

Eating a balanced

COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

necessary enzymes have very little

pharmacies) or products

Which calcium-rich foods do you enjoy eating Fill m the three blanks with the high calclUm foods from the list below that you will eat to help meet your daily calcium needs 1 _____________________________________

mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

J9J 318

Ice cream Macaroni amp cheese frozen dinner) Cottage cheese

SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999

Page 9: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

This menu tanned two-year-ol Id who approximately 27 pounds (125 kg)

1 Tables t ounce (15 c)

teaspo 3 Tables (5 cc)

1 cup 8 ounces (240 cc)

BREAKFAST 3 204 cup Ie

~- cup iron-fo fied cereal 0 1 egg i cup citrus or tomato juice or 13 cup cantaloupe or strawberries i slice toast

teaspoo morgarine teaspoon

SNACK 1 ounce cheese

crackers t cup juice

cup 20 sandwich lice who bread teaspoonne or 2 ns

salad dressing and 1 ounce meat 2-3 carrot sticks or 2 tablespoons other dark yellow or dark green vegetable 1 small (12 ounce) oatmeal cookie

SNACK i cup 2 milk i apple (sliced) 3 dates 13 cup grapes or t orange

DINNER i cup 20 milk

ounces t cup pasta rice or potato 2 tablespoons vegetable 1 teaspoon ine or ressing

--

------------

-------

age

love

to

preshy

enjo

y it

whe

n yo

u th

em

Pre

tend

owne

r fe

eds

Add

act

ions

to

your

chi

lds

fa

vorit

e nu

rser

y rh

ymes

E

asy

ac

tion

rtly

mes

inc

lude

H

ere

We

I Go

Ro

un

d t

he M

ulbe

rry

Bus

h

Jac

k B

e N

imbl

e

Thi

s Is

the

W

ay W

e W

ash

Ou

r C

loth

es

R

ing

Aro

u~d

the

Ras

ey

I Lo

ndon

Brid

ge

Take

tim

e to

dra

w w

ith y

our

child

w

hen

he o

r sh

e w

ants

to

get

out

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is a and a helper bull 99 of the calcimll in your body builds and maintains bones and teeth

bull the other 1 helps your heart beat helps your muscles contract and relax helps clot your blood when necessary and helps your nerves send messages

need for starts when an infant greatest need comes pre-teens to rnid-twenties bones become strongest they ever be This

IAs an adult time to build your bone bank for the adult years ahead Beginning at age 30-35 the calcium balance in your bone bank will begin a slow natural decrease As an adult it is important to replace calcium through your diet every day to keep your calcium balance as high as possible

iTnportant in calcium mineral withdrawn your bone

functions require calcium time if calcium taken your bones is not replaced your bones may become porous brittle and weak Thats why it is

to replace so important to get enough calcium in your diet each day

you need I much your calcium

Infants through 0-6 months 2100

7-12 270

Children

your diet 1-3 years 5000 4-8 years 8000

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Pregnant Lactating Up to 18 years 13000 19-50 years 10000

lnstitute ofMedic Nutrition Board Intakes for Cdnum Magnesium md Fluoride 1997

Crank up Your next page to sec re~hing your

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

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COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

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pharmacies) or products

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mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

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SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999

Page 10: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

--

------------

-------

age

love

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need

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larg

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e yo

ur c

hild

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larg

e el

bow

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aron

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ttons

sp

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yo

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atch

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chi

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boxe

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lect

littl

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lls

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e-I

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chi

ld t

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big

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noth

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self

big

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arm

s up

hig

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akin

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urse

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hshycl

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ishp

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ater

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ur c

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dirt

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ashi

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mpi

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eg

gs

Fill

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with

noi

sy o

bjec

ts

like

sand

be

ans

or

rice

and

shut

H

ave

two

eggs

The

AS

Q U

sers

Gui

de

Sec

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Edi

tion

Squ

ires

Pot

ter

Bric

ker

copy 1

999

Pau

l H

B

rook

es P

ublis

hing

Co

ww

wa

gesa

ndst

ages

com

C CIU The Bone Builder

is a and a helper bull 99 of the calcimll in your body builds and maintains bones and teeth

bull the other 1 helps your heart beat helps your muscles contract and relax helps clot your blood when necessary and helps your nerves send messages

need for starts when an infant greatest need comes pre-teens to rnid-twenties bones become strongest they ever be This

IAs an adult time to build your bone bank for the adult years ahead Beginning at age 30-35 the calcium balance in your bone bank will begin a slow natural decrease As an adult it is important to replace calcium through your diet every day to keep your calcium balance as high as possible

iTnportant in calcium mineral withdrawn your bone

functions require calcium time if calcium taken your bones is not replaced your bones may become porous brittle and weak Thats why it is

to replace so important to get enough calcium in your diet each day

you need I much your calcium

Infants through 0-6 months 2100

7-12 270

Children

your diet 1-3 years 5000 4-8 years 8000

Pre-Teens and Teens 9-18 years 1300

Adults 19-50 years 10000 51 years 12CO

Pregnant Lactating Up to 18 years 13000 19-50 years 10000

lnstitute ofMedic Nutrition Board Intakes for Cdnum Magnesium md Fluoride 1997

Crank up Your next page to sec re~hing your

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

CALCIUM BUSTERS bull Too

cliet

bull Heavy bull Too

or sodium in the Guide Pyramid

is linked with low

body to excrete prevent this problem vou drink alcohol do

with a low

Eating a balanced

COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

necessary enzymes have very little

pharmacies) or products

Which calcium-rich foods do you enjoy eating Fill m the three blanks with the high calclUm foods from the list below that you will eat to help meet your daily calcium needs 1 _____________________________________

mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

J9J 318

Ice cream Macaroni amp cheese frozen dinner) Cottage cheese

SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999

Page 11: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

C CIU The Bone Builder

is a and a helper bull 99 of the calcimll in your body builds and maintains bones and teeth

bull the other 1 helps your heart beat helps your muscles contract and relax helps clot your blood when necessary and helps your nerves send messages

need for starts when an infant greatest need comes pre-teens to rnid-twenties bones become strongest they ever be This

IAs an adult time to build your bone bank for the adult years ahead Beginning at age 30-35 the calcium balance in your bone bank will begin a slow natural decrease As an adult it is important to replace calcium through your diet every day to keep your calcium balance as high as possible

iTnportant in calcium mineral withdrawn your bone

functions require calcium time if calcium taken your bones is not replaced your bones may become porous brittle and weak Thats why it is

to replace so important to get enough calcium in your diet each day

you need I much your calcium

Infants through 0-6 months 2100

7-12 270

Children

your diet 1-3 years 5000 4-8 years 8000

Pre-Teens and Teens 9-18 years 1300

Adults 19-50 years 10000 51 years 12CO

Pregnant Lactating Up to 18 years 13000 19-50 years 10000

lnstitute ofMedic Nutrition Board Intakes for Cdnum Magnesium md Fluoride 1997

Crank up Your next page to sec re~hing your

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

CALCIUM BUSTERS bull Too

cliet

bull Heavy bull Too

or sodium in the Guide Pyramid

is linked with low

body to excrete prevent this problem vou drink alcohol do

with a low

Eating a balanced

COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

necessary enzymes have very little

pharmacies) or products

Which calcium-rich foods do you enjoy eating Fill m the three blanks with the high calclUm foods from the list below that you will eat to help meet your daily calcium needs 1 _____________________________________

mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

J9J 318

Ice cream Macaroni amp cheese frozen dinner) Cottage cheese

SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999

Page 12: child' - Piedmont Pediatrics...Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established

bull use supermarkets)

CRANK UP YOUR CALCIUM or lifestyle habits dIfference in how your The following t

can how to get the most calcium in your

CALCIUM DftlCIm

Vitamin calcium absorption dietary vitamin Dare ltamm D-fortified milk

liver oil and fatty fish Besides food vitamin D also comes from exposure to sunlight--even for a shon period of time People who live in cloudy or dark climates or who rarely get outdoors need to make sure their daily diet includes adequate vitamin D The recommended amounts of Vitamin D are ages 1 to 50 - 200 IU ages 51 to 70 - 400 lU and over age 70 - 600 lU

CALCIUM BUSTERS bull Too

cliet

bull Heavy bull Too

or sodium in the Guide Pyramid

is linked with low

body to excrete prevent this problem vou drink alcohol do

with a low

Eating a balanced

COPING WITH LACTOSE INTOLERANCE About 75 of the calcium in our food supply comes from dairy foods But these high calcium foods also contain the milk sugar lactose If you have lactose intolerance (experience gas bloating cramps andor diarrhea after consuming lactose) here are some tips that may help you enjoy high calcium dairy foods

bull try smaller but more frequent servings ofdairy foods throughout the day--enough to equal 2-3 servings bull drink milk with meals and snacks bull eat Swiss and cheddar

necessary enzymes have very little

pharmacies) or products

Which calcium-rich foods do you enjoy eating Fill m the three blanks with the high calclUm foods from the list below that you will eat to help meet your daily calcium needs 1 _____________________________________

mg d c8icium you need each day

paLc)

Lowfat or nonfat yogurt 1th fruit Parmesan or Romano cheese Milk skim

JUICe

Mozzarelia cheese Macaroni amp cheese home recipe Kale cooked

SERVING SIZE

1 cup 1 cup 1 ounce 1 cup 1 cup 1 cup 1 ounce 3 ounces 2 slices 3 ounces 1 ounce 12 cup 1 cup

J9J 318

Ice cream Macaroni amp cheese frozen dinner) Cottage cheese

SERVING SIZE CALCIUM (In milhgramr)

cup 152 cup 135

12 cup uunces

calcium this means that on( 1000 milligrams of calciurn

= 100

May be dupiicated for educational purposes Washington State Dairy Council 1999