Pediatric Calendar & Schedule for Newborns Through Age 6

Calendar provided by
Coastal Pediatric Associates.
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One Week Check Up

Immunizations: None if Hepatitis B (HBV) was given in the hospital
Feeding:
  • Breast feeding
    Feedings every 1.5 to 3 hours or at least 8 feedings in 24 hours
    Feedings last 15-20 each time
  • Bottle Feeding
    Feedings every 2 - 4 hours or at least 6 to 8 feedings in 24 hours
    Feedings typically consist of 1-3 oz
Bathing
  • Until umbilical cord falls off sponge bathe the baby only
  • After umbilical cord falls off bathe baby every few days. If dry skin is a concern, a mild lotion may be used
Sleeping
  • Expect your newborn to sleep 16-21 hours per day
  • During the day, awaken baby every 3 hours for feedings
  • Always remember to put your baby on his or her back to sleep
  • Please remember that co-sleeping is a risk factor for SIDS
  • Do not place anything in your baby's crib(except for your baby)
Safety
  • Make sure your baby is properly restrained in a car seat
  • Sunscreens are safe at this age
  • Avoid exposure to sick children or adults
  • Encourage hand washing for anyone around your baby
  • Contact your pediatrician if your baby has a temperature of 100.4 or higher
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Two Month Check Up

Immunizations: DTaP, Hib, HBV, IPV, PCV, RV
Feeding
  • Breastfeeding
    Feedings typically occur every 2 to 4 hours or on demand
    You many need to pump or formula feed if mom is working
    Continue Vitamin D supplementation
  • Bottle Feeding
    Feedings typically every 2 to 4 hours or on demand
Sleeping
  • Baby may start to sleep 4 to 8 hours at night
  • Continue putting baby on their back to sleep
  • Start to develop a schedule
Development
  • Baby will start to coo
  • Develop a social smile
  • Looks at parents and tracks objects in their line of sight
  • Holds their heads up while on their stomach
Safety
  • Make sure your baby's car seat is rear facing
  • Keep small objects out of reach
  • Never leave baby unattended on elevated surface or in bath
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4 Month Check Up

Immunizations: DTaP, IPV, HiB, PCV, RV
Feeding
  • Breastfeeding
    On demand, typically 4-6 feedings a day
    Continue Vitamin D Supplementation
  • Bottle Feeding
    On demand, typically 4-6 bottles a day
Starting Solids
  • You may introduce rice cereal at this time, if you baby is showing signs of readiness
  • Signs include: decreased tongue thrust reflex
  • Holds head up on forearms
  • Opens mouth easily
  • Sits with support
  • Once baby masters using a spoon, you can start of Stage 1 Fruits and Vegetables
    Start with vegetables because the sweetness of the fruit can cause the vegetables to be bitter, also only introduce one food at a time for allergy reasons
Sleeping
  • Baby may start to sleep 6 to 10 hours a night
  • Continue putting baby on their back to sleep
  • Put baby in crib when drowsy to allow to self soothe
  • Develop a daytime schedule
Development
  • Smiles spontaneously
  • Enjoys social interactions
  • Bring hands together
  • Likes to put hands in mouth
  • Drools
  • Babbles vowel sounds and other noises
  • May start to purposely roll over
Safety
  • Make sure baby's seat is rear facing
  • Sunscreen should be used if prolong sun exposure is expected
  • Never leave baby unattended on elevated surfaces or in bath
  • Keep small objects out of reach
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Six Month Check Up

Immunizations: DTaP, PCV, HBV, IPV, TIV (seasonally)
Feeding
  • Breastfeeding: On demand, typically 4-6 feedings a day.
    Continue Vitamin D supplementation
  • Bottle Feeding: On demand, typically 4-6 feedings a day
Starting Solids
  • If not already doing so, start feeding your baby rice cereal and/or Stage 1 Fruits and Vegetables with a spoon 2-3 times a day
  • Allow baby to eat until finished
  • You may also start finger foods at this age; however, remember to always feed your baby in a seated position
  • If your water supply is from a well, ask about a fluoride supplementation
Sleeping
  • Baby may start to sleep 6 to 8 hours a night
  • Continue putting baby on their back to sleep unless baby can roll over and prefers tummy
  • Nap schedule more stable
  • Secure or remove all crib bumpers
Development
  • Recognizes familiar faces
  • Uses different vowel sounds and begins to use consonant sounds
  • Holds head up well
  • Starts to sit alone
  • May begin to crawl around
  • Stranger anxiety
Safety
  • Make sure your baby's car seat is rear facing
  • Start childproofing your home
  • Insect repellants are now safe to use ("family" or "child approved")
  • Keep small objects out of reach as your baby will begin to put objects in his or her mount
  • Remember water safety and be aware of potential ingestions/poisonings
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Nine Month Check Up

Immunizations: TIV (seasonally)
Feeding
  • Breast feeding
    On demand typically 4 feedings a day
    Continue Vitamin D Supplement
  • Bottle Feeding
    On demand, typically 4-5 bottles per day
Solids
  • You should be feeding your baby a combination of pureed foods (stage 2) and finger foods at least 3 times a day
  • Allow your baby to determine when he or she is finished
  • If you water supply is from a well, continue fluoride supplementation
Sleeping/Hygiene
  • Most babies will sleep 8-10 hours at night and take 2-3 daytime naps
  • Nighttime awakenings may increase due to separation anxiety
  • Develop a consistent bedtime routine and allow baby to put self to sleep
  • Try not to pick up or talk to your baby during nighttime awakenings
  • Briefly soothe and allow him/her to put him/herself back to sleep
Development
  • Lots of social interaction
  • Stranger anxiety
  • Separation anxiety
  • Using lots of sounds
  • Developing object permanence
  • Plays peek-a-boo and so big
  • Crawls, pulls to stand, cruises
Safety
  • CHILDPROOF your baby's environment
  • Water safety/accidental falls/poisonings
  • Make sure your baby's car seat is rear facing
  • Sunscreen and Natural or DEET containing insect repellants are safe to use
  • Remember, exploring babies are dangerous babies
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Twelve Month Check Up

Immunizations: HAV, PCV, TIV, Hib, Hemoglobin/Lead Level
Feeding
  • Breast feeding - On demand, typically 4 feedings a day, continue Vitamin D supplementation
  • Bottle Feeding - Wean to cup, change to whole milk, provide 3 dairy servings daily
Solids
  • Most babies will be on table/finger foods and self feeding with hands
  • A portion size is about the size of your baby's fist
  • Avoid peanut butter and shellfish until 2 years old
  • If you water supply is well, continue with fluoride supplementation
Sleeping/Hygiene
  • Should be sleeping through the night with only occasional nighttime awakenings
  • 1 to 2 naps per day
  • Continue a consistent bedtime routine and allow baby to put self to sleep
  • Start brushing teeth at bedtime to develop good oral hygiene
Development
  • May be walking
  • Stands alone
  • Likes to imitate sounds and gestures
  • Waves bye-bye
  • 1-2 non-specific words
  • Separation anxiety continues
  • Follows simple directions
Safety
  • Sunscreen and Natural or DEET containing insect repellant are all safe to use
  • Remember to CHILDPROOF your child's environment
  • Remember water safety and be aware of potential ingestions/poisonings
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Fifteen Month Checkup

Immunizations: MMR, VAR, TIV (Seasonally)
Feeding
  • Should be on table/finger foods
  • Self feeding should be improving and you may introduce utensils
  • You baby should no longer be receiving bottles, however, if you are still weaning to a cup, make sure bottles are NOT given at bedtime
  • Continue to avoid peanut butter and shellfish until 2 years old
  • If your water supply is from a well, continue fluoride supplementation
Sleeping/Hygiene
  • May start to have night terrors
  • May wean to 1 nap a day
  • Continue brushing teeth at bedtime to develop good oral hygiene
  • Continue a consistent bedtime routine
Development
  • Points/Grunts/pulls others to wanted items
  • 1-2 non-specific words other than "Mama" and "Dada"
  • Walks well/stoops and recovers easily
  • Follows simple commands
  • Starts to have tantrums
  • Able to drink from a cup
Safety
  • Car seat safety -Keep up with current AAP guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings
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Eighteen Month Checkup

Immunizations: DTaP, TIV (Seasonally)
Feeding
  • Start to use utensils better
  • Offer wide variety of foods with different tastes and textures
  • Don't give up if your toddler refuses a new food
  • Toddlers may need to see and play with new foods before trying them
  • If your water supply is from a well, continue with fluoride supplementation
Sleeping/Hygiene
  • May still have night terrors
  • Continue a consistent bedtime routine
  • Continue brushing teeth at bedtime to ensure good hygiene
Development
  • Becoming more independent
  • Offer 2 choices whenever possible
  • Likes to scribble
  • Points to at least one body part
  • Speaks at least 5-10 words spontaneously/imitates more
  • Provide consistent discipline
  • Catch them "being good" and offer lots of praise
  • Walks well and begins to run
  • May start hitting/biting
  • Begin "Time Out"
  • May begin to show some interest in toilet training
Safety
  • Car seat safety -Keep up with current AAP guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings
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Twenty Four Month Check Up

Immunizations: HAV, FluMist/TIV (Seasonally)
Feeding
  • Uses utensils fairly well
  • Drinks from a cup
  • May switch to a chewable multivitamin
  • Keep offer wide variety of foods and offer them repeatedly
Sleeping/Hygiene
  • May be ready to transition to toddler or twin bed
  • Continue a consistent bedtime routine
  • Continue brushing teeth at bedtime to ensure good oral hygiene
  • Schedule first dental exam
Development
  • Imitates adults well
  • Pretend play increases
  • Parallel play with other children increases
  • Vocabulary of at least 50 words
  • Uses 2 word phrases
  • Enjoys reading
  • Makes lines and circles with crayons
  • Kicks a ball and jumps
  • Follows 2 step commands
  • Offer lots of praise
  • Consistent discipline and time out
  • Toilet training
Safety
  • Car seat safety - Follow AAP Guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings
  • Always wear a helmet! Even on tricycles!
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Thirty Month Check-Up

Immunization - FluMist/TIV (seasonally)
Feeding
  • Continue to offer a wide variety of foods
  • Continue chewable multivitamin
  • Offer at least 3 servings of dairy per day
Sleeping/Hygiene
  • Continue brushing teeth at bed time to ensure good oral hygiene
  • Continue a consistent bedtime routine
Development
  • Increase in pretend play and starts to play "with" other children
  • Brushes own teeth with help
  • Copies vertical line
  • Points to at least 6 body parts
  • READ, READ, READ!
  • Uses short phrases
  • Strangers can understand 50% of language
  • Starts to develop fears of new situations or events
  • Toilet training ongoing
  • Jumps up and down
  • Throws ball overhead
  • Provide consistent discipline
  • Puts on clothes with help
Safety
  • Car seat safety - Follow AAP Guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings
  • Always wear a helmet! Even on tricycles!
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Three Year Check Up

Immunizations - FluMist/TIV (Seasonally)
Feeding
  • Continue to offer a wide variety of foods
  • Continue chewable multivitamin
  • Offer at least 3 servings of dairy per day
Sleeping/Hygiene
  • Continue brushing teeth at bed time to ensure good oral hygiene
  • Continue a consistent bedtime routine
  • May not need a nap daily
Development
  • More imaginative and interactive play
  • Indentifies self as boy or girl
  • Carries on good conversation
  • Can name a friend
  • Provide consistent discipline
  • Toilet trains during the day and possibly at night
  • Builds a tower of 6 to 8 blocks
  • Draws circle/person with 2 body parts
  • READ, READ, READ
Safety
  • Car seat safety - Follow AAP Guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings
  • Always wear a helmet! Even on tricycles!
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Four Year Checkup

Immunizations - DtaP, IPV, MMR, VAR, FluMist/TIV
Feeding
  • Continue to offer a wide variety of foods
  • Continue chewable multivitamin
  • Offer at least 3 servings of dairy per day
  • Don't force child to "clean" the plate
Sleeping/Hygiene
  • Continue brushing teeth at bed time to ensure good oral hygiene
  • Continue a consistent bedtime routine
  • May completely give up daytime nap
  • May or may not be dry at night
Development
  • Describes features of him/herself (gender, age, hair color, etc)
  • Gives first and last name
  • Speech is clearly understandable
  • Hops on one foot
  • Copies a cross
  • Fantasy Play
  • Tells and listens to stories
  • Sings songs from memory
  • Names at least 4 colors
  • Can dress self, and brush own teeth
Safety
  • Car seat safety - Follow AAP Guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings
  • Always wear a helmet! Even on tricycles!
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Five Year Check-Up

Immunization - FluMist/TIV (seasonally)
Feeding
  • Limit high calorie snack foods
  • Teach child to make healthy food choices
  • Provide opportunities for daily exercise
Sleep/Hygiene
  • Continue a consistent bedtime routine
  • Continue teaching good self care habits
  • May or may not be dry at night
  • Continue teaching good oral hygiene
Development
  • Prepare child for school
  • Consistent discipline
  • Lots of praise
  • School adjustment issues possible
  • Get to know your child's school teacher
  • Determine Kindergarten readiness: Counts to 10, names 4 colors, mature pencil hold
  • Draws picture with 6 body parts, can balance on one foot, can copy a square and triangle, can tell a simple story
Safety
  • Car seat safety - Follow AAP guidelines
  • Remember gun safety
  • Remember water safety - formal swimming lessons
  • Remember to use a bike helmet with bikes, scooters, skates, skateboards, etc
  • Remember the importance of sunscreen and insect repellent
  • Teach stranger safety
Top

Six Year Check-Up

Immunizations - FluMist/TIV (Seasonally)
Feeding
  • Limit high calorie snack foods
  • Teach child to make healthy food choices
  • Provide opportunities for daily exercise
Sleeping/Hygiene
  • Continue a consistent bedtime routine
  • Continue teaching good self care habits
  • May have sleep disturbances if anxious or stressed
  • Continue teaching good oral hygiene
Development
  • School progress
  • May start to do simply household chores
  • Makes friends easily
  • Educate about bullying at school and how to handle situations
  • Encourage impulse control
  • Teach anger management techniques
  • Establish family routines and traditions
  • Limit TV and video game exposure
  • Get to know your child's teacher
  • Stay involved in school activities
Safety
  • Car seat safety - Follow AAP guidelines
  • Remember gun safety
  • Remember water safety - formal swimming lessons
  • Remember to use a bike helmet with bikes, scooters, skates, skateboards, etc
  • Remember the importance of sunscreen and insect repellent
  • Teach stranger safety

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