12 Months: Well Child Appointment Schedule

Development

  • Your child is now a toddler! This means that he or she may be walking, although probably in an unstable manner. If your child is not yet walking, they probably are cruising (walking while holding onto furniture or pushing objects), or crawling on the ground.
  • Many children now have words they use consistently. They also understand many more words than they say.
  • Fine motor skills are also developing rapidly. Your child’s improved pincer grasp ability means that they can grasp and manipulate very small objects.
  • You may have noticed that your child has become more upset when you leave. They also often times are more anxious around people they don’t know. Separation and stranger anxieties tend to become more prominent by this age.

Behavior

  • If there are terms that best describe toddlers they are persistence, curiosity, energy, independence, and frustration. These characteristics ultimately excite parents and can lead to temper tantrums when children don’t get their way.
  • Many of the parenting challenges that develop in the second year of life revolve around your child’s behaviors. Educating yourself in regards to these challenges is the best preparation in dealing with those occasions when they don’t behave as you would like them to.

Nutrition

  • Whether your child has been breast fed or formula fed, one year of age is an appropriate time to start him or her on whole milk. If your child takes a bottle you may also find this to be a convenient and easy time to wean them off of the bottle.
  • Your child needs about 1,000 calories a day for growth and energy expenditure. That really is not a lot of food! Don’t be surprised if their appetites are down substantially compared to what you recall from several months ago. Try to offer him or her a good variety of foods and try not to let meal times turn into battles of wills. Include many fruits and vegetables. Avoid highly processed foods.
  • Please review with your provider if an iron supplement, fluoride and/or Vitamin D is recommended for your baby.

Miscellaneous

  • Today your child will receive two vaccines that have not been previously administered: The chickenpox vaccine and hepatitis A. These vaccines are generally well tolerated with a slight chance of a low grade fever and some soreness. Also a small percentage of kids who receive the chickenpox vaccine will get a blister at the injection site but this should be asymptomatic and non-contagious.
  • On previous well child sheets we’ve had more information and links on child development, sleeping problems, solid food introductions, and household safety.

Your child’s next visit is at 15 months of age