Anticipatory Guidance 15 Month Checkup

Family

  • Make 1:1 time for each child in family
  • Maintain consistent family routine

Development and Behavior

  • Establish consistent limits/rules and consistent consequences
  • Separation anxiety common at this age
  • Discipline constructively using time-out for 1 minute/year of age
  • Praise good behavior
  • Provide favorite toy for self-soothing during sleep time
  • Use distraction or choice of 2 appropriate options to avoid/resolve conflicts
  • Encourage supervised outdoor play
  • Limit TV time to 1-2 hours/day
  • Promote language using simple words
  • Provide age-appropriate toys
  • Read books and talk about pictures/story using simple words

Nutrition

  • No bottle in bed
  • Provide nutritious 3 meals and 2 snacks; limit sweets/high-fat foods

Routine Care

  • Establish routine and assist with tooth brushing with soft brush twice a day
  • Establish consistent bedtime routine

Safety

  • Lead risk assessment
  • Home safety for fire/carbon monoxide poisoning, stair/window gates, electrical outlet covers, choking hazards, cleaning supplies, and medicines out of reach
  • Lock up guns
  • No shaking baby (Shaken Baby Syndrome)
  • Provide safe/quality day care, if needed
  • Supervise within arm’s length when near water/do not leave alone in bath water
  • Use rear-facing car seat in back seat of car until child is at least 2 years old, or reaches the height and weight limit set by the car seat maker

 

Last updated July 23, 2015