Although the toddler months continue to offer the medical challenges of
colds, cuts, bruises, and other minor emergencies, you'll also find yourself
dealing with an emerging personality and increasing conflicts. The new ability
to walk means your child can now become independent of you - and he might
like to flaunt it at every opportunity! If you continue your vigilance in the
areas of safety and discipline, this can be a joyous year for the entire
family.
When Will We See the Doctor?
Some doctors have
their own schedule for well-child visits, but most will generally see
children four times during this stage, typically at 12, 15, 18, and 24
months. If your toddler has missed any immunizations, or if a
problem has been detected that needs special attention, additional visits may be
scheduled during this time.
What Will Happen During the Office Visit?
The
well-child visits during your child's second year are similar to the ones that
have taken place so far, although your discussions with your child's doctor
about behavior and habits may become more detailed as your toddler grows.
You can expect these common procedures and questions:
- Measurement of your child's length, weight, and head circumference. His
growth will be plotted on his own growth chart, and you will be advised of his
progress. A physical examination checking for normal function of
the eyes, ears, heart, lungs, abdomen, heart, hands and feet, etc. The
doctor may look in your child's mouth for new teeth and signs for the
appearance of others.
- A review of your toddler's physical and emotional development through both
observation and your report of his progress. Is he trying or starting to walk?
Can he recognize or even say his own name? By age 2, can he follow simple
instructions? Can he say a few words? Can he combine two words by age 2? Your
child's doctor may ask you these questions and others.
- You may be asked how you are doing with your child and how the rest of the
family is functioning. Your child's doctor may go over safety questions with
you: have you childproofed your home? (You will need to review your babyproofing
efforts now that your toddler can stand and reach.) Is he in an appropriate safety seat while
riding in the car?
- A discussion of your child's eating habits. Is he eating more and more
table foods? Is he interested in finger foods on the tray of his high chair?
Can he use a cup? Is he being weaned from the breast or bottle? Most doctors
advise a switch from bottle to cup by the first birthday to be sure the bottle
doesn't interfere with normal tooth development, and to avoid a struggle with
a determined toddler later on. Sleeping with a bottle of juice or milk will
only lead to cavities now. Also, after their first birthday, most children can
be given foods that were off-limits before, such as cow's milk, citrus fruits,
and eggs. Your doctor can discuss these additions to your child's diet with
you.
- Advice on what to expect in the coming months.
- Your child will receive immunizations during some visits (see below).
If he hasn't already, your child may undergo a tuberculin skin test,
especially those at risk for tuberculosis. You'll be given instructions on how
to monitor the test and report results to the doctor's office. Your child may
also have a hemoglobin screen to check for anemia, and if you are in
a high-risk area, a screen to check for lead poisoning.
Bring to your child's appointments any questions or concerns you may have at
this time. Make sure to write down any specific instructions the doctor gives
you regarding special care. Keep updating your child's permanent medical record,
listing information on his growth and problems or illnesses.
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