(Photo credit CDC 2 Year Online Milestone Checklist)
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What to Expect
DEVELOPMENTAL MILESTONES
Developmental Screening – ASQ
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before your appointment
Autism Screening – MCHAT
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before your appointment
EARLY INTERVENTION (Developmental Delays)
If you are concerned your child may not be meeting the milestones for their age, discuss with your pediatrician to see if your child may need additional support. Contact your local Early Intervention program to have your child evaluated and see what resources may be available to you. Most Early Intervention programs are free and run by the state and/or local governments.
For children ages 3 and over, contact your local school department.
For more information, check out the following:
SCREENING TESTS
Checked routinely at 12 months and 24 months
Hemoglobin – an indicator for anemia and IRON levels
Lead – Can cause developmental and learning delays. Common sources include dirt, old homes and lead-based paint, and certain occupations such as construction.
If Hemoglobin is LOW, or Lead is HIGH, your pediatrician will likely order follow-up tests, may contact the local Health Department to screen the home for potential sources, and may recommend treatment such as IRON supplementation
Iron
Discuss with your healthcare provider BEFORE starting any supplementation to ensure appropriate dosing and safety. For reference, the usual iron replacement therapy (treatment) dose is 3-6mg/kg/day, but the exact amount should be confirmed with your child’s doctor.
Iron is best taken with Vitamin C (orange juice or Vitamin C tablet) and NEVER with milk since Calcium can interfere with Iron absorption.
Nova Ferrum YUMMY! Liquid Iron (15mg/mL)
Raspberry or Chocolate flavors
You+Yours Iron Powder (15mg/scoop)
Tiny scoop that easily mixes into liquid without changing the flavor or texture
Lead
If your child’s Lead Level is elevated, local health departments can often perform testing or in-home visits to find and eliminate sources of lead. Here is the information for the Salt Lake County Lead Safe Housing Program
Vaccine Information Statements (VIS)
Click Here
FEVER & DOSING
DO NOT give Ibuprofen (Motrin) to infants under 6 months of age
DO NOT give Acetaminophen (Tylenol) to infants under 2 months of age
(unless directed by your doctor)
Fever, whether from sickness or after vaccines, does not necessarily need to be treated. If your child is playful, happy, eating, and staying hydrated, you can likely let the fever run its course, but often kids feel uncomfortable and fussy. Medicine should be used to help them feel better, not just to break the fever. Also, if your child is uncomfortable and fussy without a fever, it is still ok to use medicine to help them feel better. Medications most commonly used are Acetaminophen (Tylenol) and Ibuprofen (Motrin).
It’s important to check with your doctor to ensure the fever is properly diagnosed and your child is given the correct dose based on their weight.
See below for a dosing reference guide:
Acetaminophen (Tylenol)
DO NOT give Acetaminophen to infants under 2 months of age
Acetaminophen DOES NOT cause Autism
Children’s vs Infant Acetaminophen is the SAME doing (160mg/5mL)
.
Ibuprofen (Motrin)
DO NOT give Ibuprofen to infants under 6 months of age
ONLY purchase CHILDREN’s IBUPROFEN (Infant ibuprofen may cause dosing errors)
Barefoot/Natural Shoes: An EXCELLENT Choice
Allow your child to naturally develop their foundation and foot strength. Modern shoes are often designed for style and not function. They have too much cushion and are almost always too narrow to allow for natural movement patterns, especially for infants and toddlers learning how to walk and run. Try and look for shoes that have minimal cushion, have a wide toebox, and are flexible.
Tiny Explorings Toddler Sock Shoes
I’ve seen multiple patients come into my office wearing these and they all LOVE them! I wish they made bigger sizes for older kids and adults too, but they only go up to size 2-4 years.
I reached out to them and they provided me with a direct affiliate link and discount code for 10% off by using code “REBELSTRONG” at checkout. They frequently run deals where you only pay for the cost of shipping.
FAQ’s
TEETHING
Grow-With-Me Toothbrush
Great for brushing gums, tongue, and new teeth as they come in. Can also double as a teething toy!
TOOTHPASTE
As soon as you start noticing teeth, the general recommendation is to brush your child’s teeth with a very small amount of Fluoride-containing toothpaste as soon as they start getting teeth. Toothpaste containing Hydroxyapatite and Xylitol are safe alternatives.
Happy Tooth – Hydroxyapatite
Created by a local Utah dentist, Dr. Hanks, this toothpaste is Hydroxyapatite based which is great for babies, toddlers, and kids because it is safe to swallow! I reached out to them and they offered me a discount code for 10% off!
Use code “JOSHMAX” or go directly by going to https://tryhappytooth.com/JOSHMAX
Alternatively, you can purchase on Amazon HERE
Unicorn Sparkle (Bubble Gum) – Fluoride
Fluoride based toothpaste that I typically buy for my kids
Tubby Todd – Xylitol
Xylitol option from a well-known pediatric brand
SOLID FOOD TRANSITION
At this age, your child should NOT be using a bottle or pacifier
Ok to continue giving milk, but limit to LESS than 20oz per day and AVOID at night
Cow’s milk is a good source of protein and calories, but is not necessary
The #1 cause of CAVITIES at this age is CRACKERS (like Goldfish) and MILK at night
SOLID FOOD INTRODUCTION
Solid Starts
Excellent resource and information for introducing solids. Free resources and blog articles available on their blog at solidstarts.com
Access to personalized meal plans, personalized solid food recommendations, and more! with their subscription-based app. Use discount code SOLIDSQNH7W20 or click on link HERE for 20% off. (I do NOT receive any compensation for using this link or discount code.)
Constipation Drops
It is very likely your child will get constipated at some point during solid food introduction. Prune puree is a great food to introduce early on to help their stool stay regular.
In addition to prune puree or prune juice, Mommy’s Bliss Constipation Drops are another option to try with one of the key ingredients also being prunes! Be sure to talk with your pediatrician BEFORE using these for your infant to ensure appropriate diagnosis and dosing.
Helpful Items
Aquaphor Lotion Stick
My favorite lotion for all ages (including myself)
DIAPER RASH
Diaper Creams
It may take some trial and error to find the brand that works best for your baby’s skin, but here are some of the most popular/common brands that I would recommend:
Click on each image for a direct link:
- Desitin Maximum Strength – THE Classic, contains 40% Zinc Oxide
- CeraVe Healing Ointment – Always a HIGH QUALITY brand, with Petrolatum to protect, and Ceramides and Hyaluronic Acid to moisturize and heal
- Tubby Todd – EXPENSIVE, but anyone who buys it swears by it
- A&D Ointment – Petrolatum and Lanolin-based
- Boudreaux’s Butt Paste – Well-known classic Zinc Oxide-based cream
- Aquaphor Healing Paste – Non-pasty, Zinc Oxide-based cream
Diaper Cream Brush/Spatula
Sick of getting your hands dirty applying diaper cream? Worry no more with this soft, yet durable, diaper cream spatula made of silicone so it is easy to wipe clean, wash, or sterilize. Once you try it, you’ll never go back!
Baza Cleanse & Protect Spray
Pediatrician recommended and great for sensitive infant bottoms. Helps both to loosen the stool and reduce the smell before wiping, as well as protect the skin after wiping by creating a protective layer. Can be used in addition to other diaper creams.
Active Ingredient: Dimethicone.
Peri Bottle / Portable Bidet / Spray
If your baby’s skin is very irritated, wiping can sometimes make it WORSE. In those cases, washing with water to reduce wiping can really help their irritated skin.
VITAMIN D
Discuss with your healthcare provider to ensure appropriate dosing for you or your child, which may be different if your child is breastfeeding vs formula feeding, or depending on the time of year and where you live.
Mommy’s Bliss Vitamin D Drops 400 IU
By far my favorite brand of Vitamin D. Easy to use dropper with about 100 doses per bottle. Suspended in Medium Chain Triglycerides (MCT) which helps with absorption of the Vitamin D.
For healthy infants and children = 1 drop (400 IU)
For healthy older children and adults = 2 drops (800 IU)
Your go-to for everything! Not just for times when sick, but for dry air, allergies, smoke and pollution, and general hydration of the nasal passageways, and can be used for ALL AGES from infancy to adulthood with a variety of delivery mechanisms. I tested a multiple brands with my kids and wrote all the details in a separate post HERE, but my TOP recommendations are below:
Nose Frida
Sticking with the Fundamentals: Nasal saline and suctioning. I have never personally used a Nose Frida, but everyone swears by them. I always used the classic bulb suction.
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@otmarissa for more fantastic educational content
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Dr. Maxwell’s age-specific guides with developmental milestones, resources, and recommendations
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Disclaimers: The products, resources, and recommendations do NOT constitute medical advice. You should always speak with your doctor or medical provider for recommendations specific to you and/or your child. Links below may include both Amazon Associate and/or other brand-specific affiliate links. I earn a small percentage from qualifying purchases (at no extra cost to you!) which allows me to continue to keep this site active and provide honest, thorough, and high quality recommendations for you and your family!
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