BRIAN RALEY, MD PEDIATRICS
7779 East 106th Street
Tulsa, OK 74133
918-398-7170 (o)
918-398-7199 (f)
PEDIATRIC CARE


24 Month Check Up

DIET:

Begin 2% milk and maintain good healthy choices for your kids. Expect picky eaters.

SLEEP:

Maintain a good bedtime routine. Kids will either be in a crib or toddler bed. Most kids will continue to take a nap.

DEVELOPMENT:

Continue to read to your child. Limit time in front of TV. Encourage plenty of time outside. Language is improving-about 50% recognizable. Some children will begin recognizing some colors. Most kids will now be running, climbing, kicking and throwing balls. A hand preference may be noticed. Most can use a fork and spoon but will still want to use their fingers to eat.

SAFETY:

The car seat needs to remain in the back seat. Continue to be aware of choking hazards. Learn child CPR. Use sunscreen daily and insect repellent when appropriate. Turn your hot water heater down one notch from the highest setting. Place all chemicals, cleaning agents, pet food, etc up and out of the way. Also do not keep water stored in 5 gallon buckets. Do not leave unattended in the bath. Avoid trampolines.

DISCIPLINE:

Continue to be firm and consistent. Kids will do much better if they have a good, regular schedule to follow. Expect more fits, more difficult behavior and not always following directions well.

TEETH:

Try and brush teeth at least once a day. Begin a small amount of toothpaste. Introduce dental floss at this age.

POTTY TRAINING:

Many parents ask if it is ok to begin potty training. It may be time to start in some girls, but most boys will not be ready. Be encouraged by any positive steps taken but expect accidents. If you notice a lot of stool holding or constipation, please let me know.

Immunizations given today:

Hepatitis A

Next Appointment:

6 months

 

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