Clinical Reference Systems: Pediatric Advisor 10.0
Well Child Care at 12 Months
Now that your child is 1 year old, you may start using whole
milk instead of formula or breast milk. Babies need whole
milk (instead of low-fat or skim) until they are 2 years
old. Some babies have harder bowel movements at first with
whole milk. Now is also the time to wean completely off the
bottle and switch to the cup.
Table foods are best now. Baby food is usually not needed
anymore. Most babies have 1 to 2 snacks each day. Cheese,
fruit, and vegetables are all good snacks. Serve milk at
Babies do not grow as fast during the second year of life.
Your baby may not eat as much as he used to. Trust your
All babies are different. Some babies have learned to walk
before their first birthday. Most 1-year-olds use and know
the meaning of words like "mama" and "dada." Pointing to
things and saying the word for them helps babies learn more
words. Allowing children to touch things while you repeat
the word also helps them learn new words. Be sure to smile
and praise your child when he learns new things. Babies
enjoy knowing that you are pleased that they are learning.
As babies learn to walk they will want to explore new
places. This is normal. Watch your baby closely. Babies
need parents to protect them.
For more information see: Normal Development: 12 Months
Avoid Choking and Suffocation
- Avoid foods on which a child might choke easily (candy,
hot dogs, popcorn, peanuts).
- Cut food into small pieces, about half the width of a
- Store toys in a chest without a dropping lid.
Prevent Fires and Burns
- Practice a fire escape plan.
- Check your smoke detector. Replace the batteries if
- Put plastic covers in unused electrical outlets.
- Keep hot appliances and cords out of reach.
- Keep all electrical appliances out of the bathroom.
- Don't cook with your child at your feet.
- Use the back burners on the stove with the pan handles
out of reach.
- Turn your water heater down to 120 degrees F (50
- Never leave an infant or toddler in a bathtub alone --
- Continuously watch your child around any water,
including toilets and buckets. Keep toilet seats down
and store buckets upside down.
- Make sure windows are closed or have screens that
cannot be pushed out.
- Don't underestimate your child's ability to climb.
- Keep all medicines, vitamins, cleaning supplies, and
gardening chemicals locked away or disposed of safely.
- Install safety latches on cabinets.
- Keep the poison center number on all phones. The
poison control number is ______________________.
- Ask your doctor about syrup of Ipecac. Use it only if
you are told to do so.
At the 12-month visit, your baby may receive shots. Your
baby may run a fever and be irritable for about 1 day after
the shots. Your baby may also have some soreness, redness,
and swelling in the area where the shots were given. You
may give your baby acetaminophen drops (1 dropperful, or 0.8
ml, every 4 to 6 hours) 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 your child's physician if:
- Your child has a rash or any other reaction to the shots
besides fever and mild irritability.
- Your child has a fever that lasts more than 36 hours.
If your child received the measles-mumps-rubella (MMR)
vaccine, please note the following: A small number of
children get a rash and fever 7 to 14 days after the MMR
shot. This pink rash occurs usually on the main body area
and lasts 2 to 3 days.
Call your child's physician immediately if:
- The rash changes to purple spots.
Call your child's physician within 24 hours if:
- The rash becomes itchy.
- The rash lasts more than 3 days.
Your child's next visit should be at the age of 15 months.
Please be sure to bring your child's shot card at that time.