1. Check your toddler's weight, length, and head circumference
and plot the measurements on the growth
2. Ask questions, address concerns, and offer advice about how
your child is:
By 12 months, toddlers are ready to switch from formula to cow's
milk. Children may be breastfed beyond 1 year of age, if desired. Your
child might move away from baby foods and be more interested in table foods. Offer
a variety of soft table foods and avoid choking hazards.
Pooping. As you introduce more foods and whole milk, the appearance
and frequency of your child's poopy diapers may change. Let your doctor know if your
child has diarrhea, is constipated,
or has poop that's hard to pass.
walk with one hand held and possibly take a few steps
precisely pick up object with thumb and forefinger
feed self with hands
enjoy peek-a-boo, pat-a-cake, and other social games
3. Do a physical exam
with your child undressed while you are present.
4. Update immunizations.Immunizations
can protect kids from serious childhood illnesses, so it's important that your child
receive them on time. Immunization
schedules can vary from office to office, so talk to your doctor about what to
Here are some things to keep in mind until your child's next checkup at 15
Give your child whole milk (not low-fat or skim milk, unless
the doctor says to) until 2 years of age.
Limit your child's intake of cow's milk to about 16–24
ounces (480–720 ml) a day. Move from a bottle to a
cup. If you're nursing, begin offering pumped breast milk in
Serve juice in a cup and limit it to no more than 4 ounces (120
ml) a day. Avoid sugary drinks like soda.
Serve iron-fortified cereal and iron-rich foods (such as meat,
tofu, sweet potatoes, and beans) in your child's diet.
Encourage self-feeding. Let your child practice with a spoon
and a cup.
Have your child seated in a high chair or booster seat at the
table when drinking and eating.
Serve three meals and two or three nutritious
snacks a day. Don't be alarmed if your child seems to eat less than before.
Growth slows during the second year and appetites tend to decrease. Talk to your doctor
if you're concerned.
Avoid foods that can cause choking,
such as whole grapes, raisins, popcorn, pretzels, nuts, hot dogs, sausages, chunks
of meat, hard cheese, raw veggies, or hard fruits.
Avoid foods that are high in sugar and fat and low in nutrition.
Babies learn best by interacting with people. Make time to talk,
sing, read, and play with your
child every day.
TV viewing (or
other screen time, including computers) is not recommended for those under 18 months
Brush your child's teeth
with a soft toothbrush and a tiny bit of toothpaste (about the size of a grain of
rice) twice a day. Schedule a dentist visit soon after the first tooth appears or
by 1 year of age.
Continue to keep your baby in a rear-facing car
seat in the back seat until age 2, or whenever your child reaches the
weight or height limit set by the car-seat manufacturer.
Avoid sun exposure
by keeping your baby covered and in the shade when possible. You may use sunscreen
(SPF 30) if shade and clothing are not protecting your baby from direct sun exposure.
Install safety gates and tie up drapes, blinds, and cords.
Keep locked up/out of reach: choking hazards; medicines; toxic substances; items
that are hot, sharp, or breakable.
Keep emergency numbers, including the Poison
Control Help Line number at 1-800-222-1222, near the phone.
To prevent drowning,
close bathroom doors, keep toilet seats down, and always supervise your child around
water (including baths).
Protect your child fromsecondhand
smoke, which increases the risk of heart and lung disease. Secondhand
vapor from e-cigarettes is also
Protect your child from gun
injuries by not keeping a gun in the home. If you do have a gun, keep
it unloaded and locked away. Ammunition should be locked up separately. Make sure
kids cannot access the keys.
Talk to your doctor if you are concerned about your living situation.
Do you have the things that you need to take care of your child? Do you have enough
food, a safe place to live, and health
insurance? Your doctor can tell you about community resources or refer you to
a social worker.
These checkup sheets are consistent with the American Academy of Pediatrics
(AAP)/Bright Futures guidelines.