KAPA’A PEDIATRICS
12 MONTH
WELL CHILD CHECK
Office # 634-8011
Drs. Jesse and Sarah Lam
After-Hours Pediatrician On-Call # 245-1100
New things your child may be doing…








Walking

Saying 1-3 words
Jabbers with normal inflection
Brings you a book when he/she wants to read
Identifies people upon request
Shaking head “no”
Knows their name
Play pat-a-cake and peek-a-boo
Feeding











Parenting



Transition slowly to whole milk10-16 oz per
day.
Continue whole milk until 2 years of age.
Baby should be weaned from bottle over the
next 3 months.
NO juice!
Encourage self-feeding.
Provide a large eating space, and be okay with
a messy eater.
Average three to four meals a day plus snacks.
Offer a variety of healthy foods each day
(fruits, veggies, yogurt, cheese, meat, fish).



Safety
NO foods or drinks with high fructose corn

syrup or sugar.
Encourage water- sippy cup at least 3
times per day.
Foods
o
o
o
o
o
o
o
that commonly cause choking:
Peanuts/nuts
Peanut butter
Chunks of meat
Hard or sticky candy/gum
Popcorn
Hot dogs
Whole grapes



Things to look forward to:
1.
2.
3.
4.
5.
Talking more
Running
Walking up steps
Using a spoon or fork
Kicking a ball
Discipline:
o All care givers should be consistent
o Praise good behaviors
o Provide positive distractions
o Prevent conflict/tantrums by “toddler
proofing” home
o Say “no”, and then physically remove your
child from the dangerous situation
o Do not yell or spank
Be a good role model.
Read and talk to your child.
Encourage your child to play with other
children.
Take your child for walks or to play in the
park.
Never leave your child alone in the house or
car.
Interact with your child as much as possible.





BATTERIES and MAGNETS! If your child
swallows any battery or magnet it can be
extremely dangerous and it is a medical
EMERGENCY!!! Keep them out of reach, think
about small electronics that have small
circular batteries.
Home safety check: Stair gates, cleaning
products, small objects, lock on drawers and
cabinets, electrical outlets.
Windows: Move couches and chairs away from
windows. Check screens and place window guards
if necessary.
Car seats: Use rear facing car seat in back seat
until at least 1 year old AND 20 pounds. Never put
baby in front seat with passenger air bag.
Prevent accidents: Don’t leave heavy objects or
hot liquids on tablecloths.
Prevent choking: Limit “finger foods” to soft bits.
Keep small objects away from baby.
Prevent drowning: Always be within arm’s reach
near water. Never leave baby alone in tub or near
water.
Avoid burns: Set hot water heater to 120◦ max.
Poison Control Center: 1-800-222-1222
12 Month Well Child Check
Newborn Knowledge
FEVER with NO other symptoms!!! 9 out of 10 children will get ROSEOLA (most commonly
around 9 months of age). This is caused by a virus that gives kids a HIGH fever for 3-4 days,
followed by a rash when the fever breaks. Read about it online and call us with any questions.
Common Cold!!! Keep the handouts on “Fever” and “Upper Respiratory Infection” handy, and
remember the following general tips:
1) Most common colds last for 5-10 days, with symptoms at their worst on days 4-6.
2) Fever often accompanies a common cold, but these three scenarios should have you
calling for an appointment!
a. Fever starts at the beginning of the illness and lasts LONGER than 3 days.
b. Fever occurs for the FIRST TIME after your child has been sick for a few days.
c. Fever goes away after 1-3 days but then RETURNS.
3) Worried about pneumonia??? Try not to focus only on the cough. Instead look at their
overall respiratory EFFORT (Breathing fast and hard? Retractions? Grunting?). Schedule
an appointment ASAP for any respiratory distress.
4) Ear infections can commonly occur with a common cold, especially if there is a lot of
RUNNY NOSE and CONGESTION. They often occur AFTER 3-4 days of illness.
5) At this age there is no treatment for the common cold, which is caused by a virus.
Constipation??? As infants get older they may start to get hard doodoo when they eat certain
foods. Remember to be aggressive in managing their diet to keep their doodoo soft. In general,
fruits and vegetables make soft doodoo. Starch, processed foods, and too much whole milk
makes hard doodoo.
Healthy Habits






Brush your child’s teeth 2 times per day with water and a small rice grain size of Fluoride toothpaste.
Always use protective clothing and sunscreen, at least SPF 30.
Continue 1-2 naps per day.
Continue strict bedtime routine: Put baby to bed when drowsy. Feed your baby right before bed.
Leave lights off, do not talk or play. No bottle propping.
NO TV, movies, or video games.
No smoking. Ask your doctor for help. Call The Hawaii Tobacco Quit line for help: 1-800-QUIT-NOW
(1-800-784-8669).
-Got a Smartphone??

Dr. Lam recommends downloading the FREE app called
Care First Symptom Checker. It’s a great resource!
*Only For Iphone*