Clinical Reference Systems: Pediatric Advisor 10.0
Well Child Care at 15 Months
Your baby should be learning to feed himself. He will use
his fingers and maybe start using a spoon. This will be
messy. Make sure to cut the food up into small pieces so
your baby won't choke. Babies still need nutritious snacks
like cheese, fruit, and vegetables. Some nutritious
desserts are baked apples or fresh fruit. Do not use food
as a reward.
By now, most babies should be using a cup only. If your
baby is still using a bottle, this may start to cause
problems with his teeth and might cause ear infections.
Toddlers start to have temper tantrums at about this age.
Trying to reason with or punish your child may actually make
the tantrum last longer. It is best to make sure your
toddler is in a safe place and then ignore the tantrum. You
can best ignore by not looking directly at him and not
speaking to him or about him to others when he can hear what
you are saying.
Toddlers are very curious and want to be the boss. This is
normal. If they are safe, this is a time to let your child
explore new things. As long as you are there to protect
your child, let him satisfy his curiosity. Stuffed animals,
toys for pounding, pots, pans, measuring cups, empty boxes,
and Nerf balls are some examples of toys your child may
Toddlers may want to imitate what you are doing. Sweeping,
dusting, or washing play dishes can be fun for children.
For more information see: Normal Development: 15 Months
Avoid Choking and Suffocation
- Keep plastic bags, balloons, and small hard objects out
- Use only unbreakable toys without sharp edges or small
parts that can come loose.
- Cut foods into small pieces. Avoid foods on which a
child might choke (popcorn, peanuts, hot dogs, chewing
Prevent Burns and Fires
- Keep lighters and matches out of reach.
- Don't let your child play near the stove.
- Use the back burners on the stove with the pan handles
out of reach.
- Turn the water heater down to 120 degrees F (49 degrees
- Never leave your child alone in the car.
- Use an approved toddler car seat correctly.
- Parents should wear seat belts.
- Hold onto your child when you are around traffic.
- Supervise outside play areas.
- Continuously watch your child around any water,
including toilets and buckets. Keep toilet seats down
and store buckets upside down.
- Keep all medicines, vitamins, cleaning fluids, etc.
- Put 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.
- Purchase all medicines in containers with safety caps.
- Do not store poisons in drink bottles, glasses, or
At the 15-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 acetaminophen drops (1 dropperful, or 0.8 ml, every
4 to 6 hours) 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 to provide
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 just got 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 usually occurs on the main body area
and lasts for 2 to 3 days.
Call your child's physician immediately if:
- The rash changes to purple spots.
Call your 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 18 months.
Please be sure to bring your child's shot card at that time.