Twelve Month Well Child Visit

Vaccines

Side Effects

  • Some side effects include fever, irritability and fussiness, excessive crying, vomiting, sleepiness and swelling at injection site among others.

  • Give 1.2 ml (1 ½ dropper) of Tylenol Infants’ Drops twice if needed.

Feeding

  • Wean from bottle.

  • Transition to whole milk (16-24 ounces/day).

  • No 2% or skim milk until two years of age.

  • Offer three meals and three snacks daily.

  • Encourage self-feeding even if messy.

  • Always supervise eating.

  • Avoid choking foods (nuts, popcorn, carrots, raisins, hard candy).

General care and safety

  • Use safety seat in the back seat of the car.

  • Childproof your home.

  • Supervise baby at all times especially near water, pets, cars, stoves and tablecloths.

  • Brush baby’s teeth with a soft toothbrush and water.

  • Limit sun and use sunblock.

  • Praise good behavior.

  • Set limits and routines, be consistent and reasonable.

  • Delay toilet training.

play

  • Talk, sing, and read to baby.

  • Play games and music.

  • Use body movements and actions to teach language.

  • Play peek-a-boo and pat-a-cake.

  • Start naming parts of the body and the environment.

  • Use simple words and phrases.

  • Avoid using the word "No".

Twelve Month Child Milestones

Physical and motor skills

  • Pulls to stand and cruises.

  • May start walking.

  • Able to grasp small objects with thumb and forefinger.

  • Bangs blocks together.

  • Drinks from cup.

  • May roll a ball back and forth.

  • May place a block into a cup.

Sensory & cognitive skills

  • Says one word plus "Mama" and "Dada".

  • Looks for hidden objects.

  • Waves bye-bye.

  • Understands simple requests.

  • Points to desired objects.

  • Imitates words, sounds, adults and older kids.

Developmental Health Watch

Although each baby develops in her own individual way and at her own rate, failure to reach certain milestones may signal medical or developmental problems requiring special attention.

If you notice any of the following warning signs in your infant at this age, discuss them with your pediatrician.

  • No fright of strangers by twelve months.

  • Unable to move by crawling, creeping, scooting, cruising, or walking.

  • Cannot pick up small objects when given the chance.

  • Does not point.

  • Loss of previously known skills.

  • No attempts to feed self.

  • Uneven walk or limping.

  • Frequent falling forward when walking.