Nutrition Archives - Page 2 of 4 - People's Community Clinic

Important information about your 5 year old

Family

Talk to your child’s teacher when possible. Encourage your child to tell you about school and if they are being bullied. Have your child do small chores or ask them to help around the house. This will teach responsibility. Timeouts should be used as quiet time for your child in a neutral area of the house (one minute for each year of age) with no toys or distractions. Make sure not to talk to them while they are in timeout but be sure to explain to them why they were in timeout.

Development

At this age, your child may have trouble controlling his/her anger. Teach them to talk about their feelings when they are upset. Praise your child for good behavior and give them plenty of affection. Your child will want to be more independent so allow them to do things without help. Have your child follow rules at home in preparation for school. Let your child pick books to read for bedtime.

Health

Limit screen time to no more than 1 hour a day. This includes tablet/phone time as well as educational TV shows. No eating in front of the screen (phone, tablet, TV) and no TV in the bedroom. Encourage the entire family to play together outside every day. Your child should be washing their hands often after playing outside, using computers or phones, and after playing with pets. Children should brush their teeth at least twice a day with pea-sized amount of toothpaste. Brush their teeth after them up until they are seven years old. Make sure your child is getting a good night’s rest. They need 10 to 13 hours of sleep. Lack of sleep will make your child fussy and cranky.

Nutrition

Give your child 3 meals with 2-3 healthy snacks a day. Make sure they eat a healthy breakfast every day. For snacks, give your child fruit, vegetables, turkey/cheese roll-up and plain or vanilla yogurt (avoid snacks like yakult or danonino). Give your child milk 2-3 times a day and limit their juice to 4 oz a day and no soda. Teach your child to eat when they are hungry and stop when they feel satisfied.

Safety

Your child should still sit in a booster seat. Teach your child about bus safety and to never cross the street alone. “Stranger danger” is an important lesson for your child. Tell your child that no adult should ask them to keep secrets and no one should touch/see their private parts. Never let your child ride a bicycle without a helmet. Your child should wear sunscreen when playing outside. Teach your child how to swim and always watch them around water. Install smoke alarms in your home.

Poison Control: 1-800-222-1222

After Hours and Weekends
After 4:00 PM and before 8:00 AM
For medical advice when People’s is closed call After Hours Nurse line at 512-478-4939

Download PDF here.

Important information about your 4 year old child

Family

Go out to parks, museums, or libraries as a family. Timeouts should be used as quiet time for your child in a neutral area of the house (one minute for each year of age) with no toys or distractions. Do not talk to them when they are in timeout. Explain to them afterwards why they were in timeout. If timeouts do not work, use reward charts or praise behavior, or take away toys for unacceptable behavior.

Development

Children imitate their parents, so it is important to model good behavior for your child. They may have frequent changes in emotion, so praise them for being sensitive towards the feelings of others. Read together everyday and let your child play with other children. Prepare your child for school; sing together the ABCs, teach them their colors and how to count to 10. Speak to your child using clear words and sentences. Talk to your provider if you are interested in preschool or Head Start for your child.

Health

Limit TV and screen time to no more than 1 hour a day. Have your child play outside every day instead of watching TV. Do not allow your child to eat in front of a screen (phone, tablet, TV) and no TV in the bedroom. Take your child to the dentist every six months and make sure they are brushing their teeth twice a day. You should brush their teeth after them until they are seven years old. Limit how much juice they drink. Juice has a lot of sugar and can cause cavities. Teach your child to wash their hands often. At this age, your child’s curiosity about genitals is normal but not in public. If they are exploring in public, gently redirect, and do not make them feel ashamed.

Nutrition

Your child should eat 3 meals with 2-3 healthy snacks a day. Allow your child to decide on how much to eat. Avoid using sweets and snacks as rewards for good behavior; it can cause bad habits. Offer healthy snacks like veggies, fruits, turkey/cheese roll-up and plain or vanilla yogurt (avoid snacks like yakult or danonino). Give your child less than 16 oz of low-fat milk a day. Limit their juice to 4oz a day and no sodas.

Safety

Your child should still be sitting in the back seat of the car. Your child should always cross the street with an adult. Remove any guns from your home, or keep guns and bullets locked separately. Teach your child about “stranger danger”. Tell them that no adult should ask them to keep secrets and no one should touch/see their private parts. Your child should wear a helmet when riding a bike.

Poison Control: 1-800-222-1222

After Hours and Weekends
After 4:00 PM and before 8:00 AM
For medical advice when People’s is closed call After Hours Nurse line at 512-478-4939

Download PDF here.

Important information about your 3 year old

Family

Keep family routines but remember to take time for yourself and partner. Timeouts should be used as quiet time for your child in a neutral area of your home (one minute for each year of age) with no toys or distractions. Do not talk to them during timeout. Explain to them later why they were in timeout. Take away toys if timeouts do not work. Praise them when they behave well and use rewards charts to reinforce good behavior.

Development

Read and play with your child every day. Take your child to the library. Teach them their colors and how to sing their ABCs. Ask your child to tell stories and ask them about their day. They will also ask “why” often so give simple answers but make sure to listen to your child. They will be more aware of time and will depend on their daily routine. Interactive games with peers are good for your child to help them learn to play with others and learn how to take turns. Ask your provider for information if you are interested in preschool or Head Start for your child.

Health

Be patient with your child when they are toilet training. They are ready when they know they have a wet diaper and can tell you when they need to go. Have your child pick out big boy/girl underwear or toilet seat. Your child should be brushing their teeth twice a day with toothpaste. You should brush their teeth after them until they are seven years old. Limit TV and screen time to no more than 1 hour a day. Do not allow your child to use screens (phone, tablet, TV) while eating. Have your child run and play outside at least 1 hour every day.

Nutrition

Give your child 3 meals and 2-3 healthy snacks a day. Give your child healthy options and allow your child to decide on how much to eat. For snacks, give them fruit, vegetables, turkey/cheese roll-up, and vanilla or plain yogurt (avoid snacks like yakult or danonino). Make sure they are not eating junk food or drinking soda. Give your child milk and water instead of juice. Give your child no more than 4 oz of 100% juice a day.

Safety

Place your child in an appropriate car seat in the back seat of the car. At 40 pounds, your child can use a booster seat. Always watch your child when near streets. Make sure they wear a hat and sunscreen when playing outside. Guns and ammunition must be locked up if in the home. Always be within arms reach of your child while they are in a pool or bathtub. Move furniture away from windows and install window guards. Test your smoke detectors monthly.

Poison Control: 1-800-222-1222

After Hours and Weekends
After 4:00 PM and before 8:00 AM
For medical advice when People’s is closed call After Hours Nurse line at 512-478-4939

Download PDF here.

Tips for your 2.5 Year Old Child

HELP ME BE HEALTHY.

Look for signs that I’m ready to start using the toilet. I will let you know when I’m ready. If you wait until I’m ready to start teaching me to use the toilet, it will be much easier for both of us. I will let you know I’m ready when I can:

Stay dry for a few hours after emptying my bladder.

Tell you, “I’m wet” or “I have to use the potty.”

Pull my pants down and up.

Understand and follow your directions when you tell me “Go into the bathroom,” “Wipe,” or “Pull up your pants.”

At first, I may not even go when I sit on the toilet. I need time to get used to sitting on the toilet first. Be patient with me. There are books at the library about toilet training that could answer many of your questions.

TAKE CARE OF MY TEETH.

It may be time for my 6 month dentist visit. Regular visits help me keep my teeth healthy and keep little cavities from becoming big cavities. Remember to brush my teeth every day and limit my sweet drinks and snacks.

FEED ME OFTEN, I GET HUNGRY OFTEN.

I will usually eat three meals and two or three snacks a day.

Snacks that are good for me are cheese, yogurt, juice, unsweetened cereal, fruits, and vegetables cut into small pieces, or part of a sandwich. Don’t give me a lot of soft drinks, cookies, and candy. Sport drinks aren’t good for me either.

I’m teaming what foods taste like. There will be some foods that I don’t like now. There are some foods you don’t like either. If I’m a picky eater, I might try a new food if you give me a very small serving I’m more willing to try a new food if I know you won’t force me to eat it. I like it when you give me a taste of the food from your plate.

HELP ME BE SAFE.

Teach me what to do if someone is touching me in a way I don’t like. I’m the boss of my own body. If I don’t like the way someone is touching me, I should tell you right away.

When you cook on the stove, turn the pot handles to the center of the stove. Don’t leave spoons or other things hanging over the edge of a pot. I can pull on the handles and spill hot liquid over me.

When I do have an accident, such as touching a hot oven and burning my fingers, help me understand what happened. Explain that if I touch the oven when it is hot, I will get burned.

Empty ashtrays. You don’t want me playing with cigarette ashes.

Empty drinking glasses and take away drink cans.

Look at the toys in my toy box. Are there any broken toys? Fix them or throw them away. Do any toys have sharp edges? Be sure all my toys are safe for me to use.

PLAY WITH ME, IT HELPS ME LEARN.

Read me stories every day. I like to pick out my favorites. I like to hear them over and over again. I like to have my very own books.

Sing songs like “London Bridge” and “Ring Around the Rosie.”

Play “Copy Me” games in front of the mirror.

Let me help you around the house. I can pick up my clothes and toys or put napkins on the table. Give me a job to do.

Help me learn the names of new people, colors, feelings, animals, planes and other things.

Listen to what I say, even if it doesn’t make sense to you.

THINK ABOUT PRESCHOOL FOR ME.

Now is the time to start looking for a preschool for me. You can look in the phonebook yellow pages under the heading of schools, preschools, or child care to find a list. You can also call the Day Care Information Line at 1-800-862-5252. The Texas Department of Family and Protective Services also has a statewide list of regulated child care facilities on their website at www.txchildcaresearch.org. You can get this list also by calling 2-1-1. Not all parents want to use preschool. They may want to think about the Mother’s Day Out Program.

WATCH HOW I GROW.

I’m learning what is important to me.
If there are some things on this list I can’t do yet, talk to my doctor or nurse. To find a nearby Early Childhood Intervention program, call the DARS Help Line toll-free at 1-800-628-5115.

Watch for me to:

Point to different body parts, either on me or one of my dolls.

Say my own name.

Stand and balance.

Put on some clothes that are easy to get on.

Run and jump. When I jump up, I can get both feet off the ground at the same time.

Point to a picture and name something in the picture.

Say two-word phrases like “Play ball”‘ or “Want drink.”

Ask you questions.

Understand and do something you ask me to do, like “Get the doll and bring it to me.”

You might notice that I also:

Say new words, but I may not know the meaning of them.

Eat the same food you eat. I like mine cut into small pieces that I can eat safely with my own little spoon.

Ask to go to the toilet sometimes.

Important information about your 30 month old

Family

Arrange play dates for your child. Timeouts should be used as a quiet time for your child in a neutral area of your home (one minute for each year of age) with no toys or distractions. Explain to your child why they are in timeout but do not talk to them during timeout. All family members should agree on how to discipline your child. Remember to praise your child for good behavior.

Development

Read to your child every day and take them to the library. Make sure to be a good role model for your child. Encourage play with other children but supervise your child; they are not yet ready to share toys. Make sure your child is getting 1 hour of exercise a day. Listen when your child speaks and repeat what they say using correct words to help. Be patient and let them finish their sentences.

Health

Begin toilet training when your child is ready. Change your child often so they learn when his/her diaper or pull-up is dirty. Have them wear clothes easy to take off. Let your child read books on the toilet to help them feel comfortable. Make sure your child washes their hands regularly. They should brush their teeth twice a day using a small amount of fluoride toothpaste. Limit TV and screen time to no more than 1 hour a day. No eating in front of the screen (phone, tablet, TV). Make sure your child is watching educational shows. Your child should sleep 11 to 14 hours a night.

Nutrition

Feed your child 3 healthy meals with 1-2 snacks a day. They should be drinking from a sippy cup, not a bottle. Daily snacks should be fruits, vegetables, turkey/cheese roll-up, and plain or vanilla yogurt (avoid snacks like yakult or danonino). Offer low-fat milk instead of flavored milk. Do not give more than 4oz of 100% juice a day. Never use sweets as a reward. Eating as a family can help you be a good role model of healthy eating for your child.

Safety

Your child should always sit in a backward-facing safety seat until they are ready for a booster seat and should always be sitting in the back. Put sunscreen on your child when playing outside. Make sure your child wears a helmet when riding a bike. Remove/lock up firearms in your home. If you suspect your child put something poisonous in their mouth, call Poison Control. Be sure to have smoke detectors in your home and change batteries every six months. Keep your child in arms reach when they are swimming or in the bath.

Poison Control: 1-800-222-1222

Questions for the nurse? Call 512-478-4939 Monday through Friday 8:00 am to 4:30 pm. After 4:30 pm and on weekends, call the Seton Call Center at 512-324-3461.

Download PDF here.

Important information about your 2 year old

Family

Set firm, fair rules and keep them the same to teach your child respect and discipline. Make timeouts in a neutral area of the house (one minute for each year of age) with no toys or distractions. Do not talk to your child when they are in timeout. Listen to your child and explain to them why they are in timeout afterwards. Help your child feel included with family routines and praise them for good behavior.

Development

Read with your child every day. Model respectful behavior and language to your child. Offer two good options and let your child decide which option to pick. Your child will enjoy playing with other children but is still in a “selfish” stage. They are not ready to share but you can teach them to take turns. Do not allow biting or hitting. Reinforce the desired behavior. Singing and rhyming games with your child are important. Encourage self expression. Help your child express their joy, anger, sadness, and other emotions by saying “I see you are sad/angry/happy…”

Health

The following are signs that your child is ready to toilet train: This is when they know if they are wet and dry, can pull their pants up and down, knows when they get the urge to go to the bathroom, wakes up dry from naps and knows what the potty is used for. Hygiene is important. Teach your child how to wash their hands and to sneeze/cough in their elbow. Help your child brush their teeth twice a day with children’s toothpaste. Limit screen time to no more than 1 hour/day of educational material. Visit www.commonsensemedia.org (helps families make smart media choices, with ratings of apps, games, and movies). Screens (phone, tablet, TV) can delay language growth, thinking skills, attention, and behavior. Encourage physical activity/tech-free time as a family. Do not let your child eat in front of the TV.

Nutrition

Your child should eat 3 meals with 2-3 healthy snacks per day. Give snacks like fruits, vegetables, turkey/cheese roll-up and plain or vanilla yogurt (avoid snacks like yakult and danonino). 1% or 2% milk and water are best (in sippy cup). Encourage your child to feed themselves and let them decide what and how much they want to eat off of the plate. Do not force or get frustrated if they refuse food. Visit www.healthychildren.org/growinghealthy to learn more about healthy eating habits.

Safety

Make sure your home is safe for your child. Keep medicines and cleaning liquids out of reach. Use an age-appropriate rear-facing seat for your child. The back seat of the car is the safest place for them. Watch your child when they are around cars. Around water, always be within arm’s reach of your child, and sign them up for swim lessons. Keep matches out of sight and test smoke alarms every six months. Make sure they use a helmet when riding a bike.

Poison Control: 1-800-222-1222

After Hours and Weekends
After 4:00 PM and before 8:00 AM
For medical advice when People’s is closed call After Hours Nurse line at 512-478-4939

Download PDF here.

The Magic of Everyday Moments (24-36 Months)

Remember, everyday moments are rich bonding and learning opportunities. Enjoy the magic of these moments with your child.

Johnson & Johnson Pediatric Institute, L.L.C., is a company solely
dedicated to improving maternal and children’s healthcare through the advancement of continued learning and research in pediatrics, child development, parenting and maternity care. Through partnerships with leading healthcare professionals, developmental specialists and international organizations, Johnson & Johnson Pediatric Institute, L.L.C., identifies, develops and implements initiatives and programs that help shape the future of children’s health around the world.

ZERO TO THREE is a national nonprofit organization of renowned pediatricians, educators, researchers, and other child development experts who specialize in the first years of life.

Your “baby” isn’t a baby anymore! He has ideas and opinions of his own. He can also do so much for himself—dress (or at least help), eat, and talk, talk, talk. While these accomplishments may delight you and make you feel proud, you may also feel a sense of sadness or loss, wondering where the time has gone.

This third year is a magical time as imagination is blossoming. Two-year-olds often spend a lot of time in the world of pretend. When you watch your child and join in (while letting him be the director) you will learn a lot about what he is thinking and feeling. He may make up stories where he is the dad who goes to work and you are the child left at home or in child care. He may be the king who gets everything he wants!

There may be some big adjustments ahead for both of you, as well. You might be considering pre-school. Learning to use the potty may be on the horizon. Perhaps there is a new baby coming into the picture. You may be concerned about how your toddler will adjust… or how you will handle two! These are all opportunities to help your child learn to cope with life’s changes.

Download The Magic of Everyday Moments™ (24-36 Months)

Important information about your 18 month old

Family

Set firm, fair rules and keep them the same to teach your child respect and discipline. Timeout should happen in a neutral area of the house (one minute for each year of age). Also, praise them for things that they do correctly and for good behavior. Eat meals as a family and encourage physical activity, whether as a family or with others. Support emerging independence but reinforce limits.

Development

Use simple words to describe pictures in the books that you read. Allow your child to choose between two options. Use simple, clear words and phrases to promote language development. Make sure to describe feelings and emotions. At this age, your child will have stranger anxiety and more separation anxiety when away from you. This is because they are perceiving and understanding more movements. They also enjoy imaginary play, so engage your child with different toys and pretend play.

Health

There should be no smoking in the home of the child or in the car. Your child should have a night routine, including reading, singing, brushing teeth. They should also be brushing their teeth twice a day with child’s toothpaste and a soft toothbrush. There should be no TV at meals, and if you choose to introduce media at this age, we recommend less than 1 hour a day of high quality applications (i.e. Daniel Tiger for parent app) and always with a parent. Do not use TV as a means to calm your child. Excessive media use in children has been associated with obesity, lack of sleep, aggression, and behavior problems.

Nutrition

Your child should have 3 meals a day with 2-3 snacks per day. They should be eating healthy meals with no junk food. Encourage them to feed themselves and choose what they want to eat off of the plate. They should be off of the bottle, but, if not, continue to wean them off of it, only putting water in the bottle and don’t give them their bottle while they are in bed.

Safety

Make sure your home is childproofed and that your child still sits in a rear-facing car seat in the back seat. Around water, you should never be more than an arm-length away from your child, and think about signing them up for swimming lessons. No smoking in house or car. If your family owns any guns, they should be kept unloaded and locked away. The hot water heater should be set to 120 °F or below. Keep hot liquids out of reach and be careful when cooking in the kitchen.

Poison Control: 1-800-222-1222

After Hours and Weekends
After 4:00 PM and before 8:00 AM
For medical advice when People’s is closed call After Hours Nurse line at 512-478-4939

Download PDF here.

The Magic of Everyday Moments (18-24 Months)

Remember, everyday moments are rich bonding and learning opportunities. Enjoy the magic of these moments with your child.

Johnson & Johnson Pediatric Institute, L.L.C., is a company solely
dedicated to improving maternal and children’s healthcare through the advancement of continued learning and research in pediatrics, child development, parenting and maternity care. Through partnerships with leading healthcare professionals, developmental specialists and international organizations, Johnson & Johnson Pediatric Institute, L.L.C., identifies, develops and implements initiatives and programs that help shape the future of children’s health around the world.

ZERO TO THREE is a national nonprofit organization of renowned pediatricians, educators, researchers, and other child development experts who specialize in the first years of life.

When your child starts to talk, it opens a whole new world and ends a lot of guessing games. Most children this age can use several words. This reduces a lot of frustration for you and your child. It can also be a very exciting time as you see a vocabulary “explosion” with new words every day. The more you talk with her, the more words she learns. She’ll also have more confidence in her ability to communicate.

Of course, more words doesn’t mean an end to all parenting challenges. You may experience what many call the “terrible two’s” (which often starts before 18 months!) But while toddlers can be exhausting and infuriating at times, they aren’t “terrible.” They are just eager explorers, testing out different behaviors without yet understanding right from wrong; and, without the self-control to stop themselves from doing what they want, even if they’ve been told countless times what is and isn’t okay. So choose your battles and decide what is important to address. When you do lay down the law and are met with angry protests and tears, remind yourself that you’re doing the right thing. Although it’s never fun to be the “heavy,” children thrive on clear and consistent limits. Limits help children learn what is and isn’t acceptable and helps them make good choices as they grow.

Download The Magic of Everyday Moments™ (18-24 Months)

Tips for your 13-15 Month old baby

HELP ME BE HEALTHY.

At this checkup, my doctor will:

Weigh and measure me.

Give me a few vaccines at IS months. If I missed some vaccines before, I will get more. These vaccines help me grow up healthy. If I had any reactions to the vaccines before, remind the doctor or nurse what happened.

Ask the doctor or WIC nutritionist about my eating habits. I’m eating lots of different foods. Don’t worry if my appetite changes from meal to meal.

Take my health journal whenever we go to the clinic or doctor. Write the date I get any vaccines and the reason I see the doctor. For example, write if I’m sick or hurt. If you don’t have health insurance for me, call the Children’s Health Insurance Program at 1-877-543-7669 (1-877-KIDS-NOW) to find out about children’s health insurance.

TAKE CARE OF MY TEETH.

Take me for a dental visit. The dentist will count my teeth, look for cavities, and talk to you about how to take care of my teeth. The dentist might also paint some fluoride on my teeth to make them stronger. If we start taking care of my teeth when they first come in, I can grow up without cavities.

Remember:

Brush my teeth every day.

Don’t share my spoon when you feed me.

Don’t put my pacifier in your mouth.

KEEP ME SAFE.

Help me learn what is all right to do. Show me and tell me what you want me to do. If I don’t do it, show me or tell me again. Praise me when I do it right. Do not yell at me or hit me. I learn more quickly and easily if you teach or show me than if you punish me.

Teach me not to play around stairs and windows. Accidents can happen. Check the screens on the windows. Make sure the screens are not broken or torn. The screens should be attached securely so I can’t open them.

Help me get ready to go to sleep. Bedtimes can be a problem when I’m overly tired. I really enjoy a story or other quiet activity before I go to sleep. This bedtime routine helps me settle down.

Be calm when I have a temper tantrum. It’s okay for me to cry and scream when I’m angry. This is one way I say “I’m angry.” I don’t have enough words yet to explain my anger. You can say, “I know you feel really angry when that happens!” As I grow older, I can learn other ways to deal with my anger. But don’t give in to me just because I’m screaming. Let me calm down and then help me change my attention to something I can do. Here are some ways you can help me stop the tantrum:

Keep calm.

Put me in a safe place to keep me from hurting myself.

Hug me and comfort me when I have calmed down. Spanking and yelling at me don’t help. They only make me angrier. I will calm down on my own. When I’m quiet, help me do an activity I enjoy.

PLAY WITH ME, IT HELPS ME LEARN.

Read me stories. This helps me learn new sounds and words.

Play hide-and-seek games.

Pretend with me. Let’s make believe we are cooking, eating, washing, cleaning, drinking, or going on a hike. I like to copy what you do. Some of the time it will be fun for you to copy what I do.

Build a tower with blocks.

Reward me when I do a good thing. Think about rewarding me with activities that I like to do, like reading a favorite story or spending time with a favorite person. Using food as a reward can lead to problems later.

WATCH HOW I GROW.

I learn at my own pace.
If you have questions because you think it’s taking me a long time to learn to do some things in this list, please call my doctor or nurse. To find a nearby Early Childhood Intervention program, call the DARS Help Line toll-free at 1-800-628-5115.

Watch for me to:

Let you know what I want without crying. I might point, reach, make a sound, put up my arms, pull on you, or even say a word.

Stand by myself or walk.

Wave bye-bye when someone is leaving and says “bye-bye” to me.

Call you “Mama” and “Dada.” You are so happy to hear me say those words when I see you.

Talk all the time. Most of the time it sounds like jabbering. I’m the only one who knows what it means.

Know the meaning of some words like “juice,” “Cup,” “on,” and “out.”

Stoop to pick something up and stand up again without holding on to anything.

Drop small things like a block into a container. When I do this, I open my hand to drop the block.

Turn and look when you call me.

You might notice that I also:

Have a change in appetite. I may not eat as much as I used to because I’m not growing as fast.

Put all my energy into learning to walk. Because I’m learning to walk, I might be slow to learn some other things.

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