Child care centre for 12 months old

Shoes protect your child's feet, but are not necessary when your child is learning to walk inside. When your child finally needs shoes, choose shoes with a flexible sole.

Nutrition:

When your child is 1 year old, you can start using whole milk. If you are ready to wean your child from breast-feeding, wean him to whole milk. Almost all toddlers need the calories of whole milk (not low-fat or skim) until they are 2 years old. Some children have harder bowel movements at first with whole milk. This is also the time to wean completely off the bottle and switch to an open-rimmed cup

Table foods that are cut up into very small pieces are best now. Baby food is usually not needed at this age. It is important for your toddler to eat foods from many food groups (fruits, vegetables, grains, and dairy products). Most one year olds have 1 or 2 snacks each day. Cheese, fruit, and vegetables are all good snacks. Serve milk at all meals. Your child will not grow as fast during the second year of life. Your toddler may eat less. Trust his appetite.

Dental Care

After meals and before bedtime, clean your baby's teeth with a clean cloth. Don't worry too much about getting every last bit off the teeth.

Car Safety

· Never leave your child alone in the car.

· Use an approved toddler car seat correctly and wear your seat belt.

Water Safety

· Never leave an infant or toddler in a bathtub alone -- NEVER.

· Continuously watch your child around any water, including toilets and buckets. Keep lids to toilets down, never leave water in an unattended bucket.

Smoking

Do not smoke in the house and try quit smoking as children who live in a house where someone smokes have more respiratory infections. Their symptoms are also more severe and last longer than those of children who live in a smoke-free home.

Immunization

At the 12-month visit, your child may receive shots.

Compulsory vaccines: MMR +

Non Compulsory vaccines: Hepatitis A vaccine + Varicella + Prvenar

Children over 6 months of age should receive an annual flu shot. Children during the first year of getting a flu shot should get a second dose of influenza vaccine one month after the first dose.

Your child may run a fever and be irritable for about 1 day after the vaccines and may also have soreness, redness, and swelling in the area where the shots were given.

You may give your child acetaminophen drops in the appropriate dose to help to prevent fever and irritability. For swelling or soreness, put a wet, warm washcloth on the area of the shots as often and as long as needed for comfort.

Call 2356 if:

· Your child has a rash or any reaction to the shots other than fever and mild irritability.

· Your child has a fever that lasts more than 36 hours.

A small number of children get a rash and fever 7 to 14 days after the measles-mumps-rubella (MMR) or the varicella (Chicken Pox) vaccines. The rash is usually on the main body area and lasts 2 to 3 days. Call 2356 within 24 hours if the rash lasts more than 3 days or gets itchy. Call 2356 immediately if the rash changes to purple spots.