Parenting Instructions

Newborn Instructions

Parenting tips provided in this page cover most areas that are important for parents of a new born baby. Dr. Manuel and Jamie Woodring, our pediatric nurse-practitioner, and our staff members at Manuel Medical Clinic congratulate you and join you to celebrate the arrival of the new member to your family. The staff of Manuel Medical Clinic is eager to assist you to make your experience a pleasurable one. This website provides you with information on many issues related to parenting guidance for you.

Please come back and visit this page whenever you have a question concerning your baby.

Parenting Instructions on Breast Feeding

Breast-feeding is the most ideal feeding for your baby, it is natural, it is healthy. Breast-feeding is a normal process in our life, and should come naturally as an instinctual process. Breast feeding should be conducted in such a way that it does not affect your lifestyle. The following is considered some good practices to follow:

  • Find a comfortable place, be relaxed.
  • Wipe the breasts with warm water before feeding.
  • Do not feed more than 15 minutes from each breast, always alternate and feed from both breasts.
  • Do not let the breast become swollen and painful because of the retention of excess milk, express the milk which could be saved for feeding your baby.
Your diet during the period of breast feeding:

You could continue with your regular diet. However, if any item of your food items is associated with excessive crying, you may avoid them. Recently there has been some concern raised about eating fish during pregnancy and lactation because of concern of high mercury level in fish. The Environmental Protection Agency has suggested that the breast feeding mothers avoid eating shark, sword fish, golden bass, king mackerel and albacore tuna. The net effect of eating fish is beneficial. Some studies have suggested favorable effects of maternal fish consumption on infant's behavior attention scores, visual recognition memory, and language comprehension.

Is your baby getting enough milk?

This is a question many parents ask. The incidence of jaundice is higher in breast-fed babies, one the reason being not enough intake of fluids. Breast milk flow in the first week may not be sufficient. It takes a few days for the milk to flow sufficiently. Usually, it is not a problem. I advise giving some distilled water after feeding 15 minutes from each breast. If the baby still continues to drink, the baby probably did not have enough milk.

There is no harm to supplement with additional formula feeding along with breast feeding especially during the first ten days after delivery. In case you have not started the letdown of milk yet, additional formula feeding will help. Working mothers can feed before going to work, give formula during working hours, and feed from breast after returning from work. Some institutions accommodate the use of a breast pump during the working hours. Recent changes in work place rules encourage management to provide a special area for breast feeding by the employees.

Bottle Feeding

Cow milk based formula such as Similac and Enfamil are the usual choices. Do not be tempted to change and try different types of formula. This is a common mistake many parents make. Please call the office before you make any change. Prepare the formula strictly according to instructions using distilled or bottled water. Hold the baby with the head higher than the rest of the body. Never feed the baby while it is on its back on the bed. Tapping on the back of the baby while holding against your chest may facilitate burp and reduce the chances of excessive crying from colic.

How frequently you feed the new-born baby?

Feeding time varies, each child may require feeding at different intervals. Feed every 3 – 4 hours during the day, and 3 – 5 hours during the night. Some babies will need more frequent feeding. Do not try to empty the bottle by forcing to feed the baby. Always use a clean bottle. Try to make the quantity just enough for one feeding or about three ounces. Try not to refrigerate the leftover contents. Keep increasing the quantity you take based on the previous experience of how much the baby needs. It is a good practice to burp the baby half way through feeding and at the end of feeding in order to remove the swallowed air.

Parents have many concerns with regard to behavior of the new-born babies. The following are common:

Sleeping
New-born babies sleep for most of the day. Sleeping for most of the day, crying, breathing irregularly especially while sleeping, sneezing, spitting up, and be startled often while sleeping, are very commonly observed normal behaviors for a new-born baby. If you have any concern call the office or communicate to us using the email address provided to you.

Jaundice of the new-born babies:
Many babies develop a yellowish tinge to their skin, this is very common, especially in breast-fed babies. Before the baby is discharged, the hospital will estimate the level of jaundice and advise you accordingly. Most babies are given return appointment after about five days of discharge from the hospital to be seen by the pediatrician. The pediatrician will advise you if there is a reason for any concern.

Spitting up by new-born babies:
Spitting up formula after feeding or in between feeding is normal. Many babies are born with a weak valve between esophagus and stomach, which facilitates regurgitation of food. This happens excessively, if the baby is fed too much milk. This could be a defense mechanism to prevent getting obese. This could continue sometimes until the baby sits up by about six months of age. Persistent vomiting may need special attention. If you are concerned, please call and talk to our associates at the office.

Crying by new-born babies:
All babies cry, some babies cry a lot more than others. Excessive crying is one common reason for frustration for many parents. There are many reasons why babies cry. Crying is after all, the only way the babies can communicate. Pick the baby up and comfort the baby in the first four months of age. Make sure that the baby is not hungry, especially if you are breast feeding. The baby might not have had sufficiently milk. If additional bottle feeding makes the baby comfortable in the first few days after coming home, it could mean not enough let-down of milk from breasts. However, it is not a good practice to feed the baby, every time the baby cries. This may set a pattern of babies developing undesirable feeding habits. Excessive crying could be one way the new-born baby control their parents.

Bathing
You can bath the baby every day. If the skin is dry use baby oil. You can wash face with water and soap. You may use gentle shampoo every three days.

Cradle Cap
Cradle cap is normal. You may use a comb with every bath to remove cradle cap.

Cleaning Eyes
Use a soft cloth to wipe the eyes from the inner corner out.

Cleaning Ears
Clean the ears gently with soft cloth, do not use Q-tips

Cord Care
Lift up the cord, and wipe with alcohol with every diaper change. Keep the cord clean and dry.

Diaper Area Care
Use appropriate diaper size. Do not put the diaper tight enough to cast marks on the legs. Leave a little loose space below the cord for ventilation. Use water and soap to clean. Dry the area with cotton clothes. Apply A&D ointment to the area after cleaning to protect the skin.

Genital Area Care
Wipe the genital area from front to the back gently. Use only water to clean. Use soap and water to clean penis and scrotal area with every diaper change.

Care of Circumcision
The bell at the tip of penis takes 10 to 14 days to fall. Clean the tip with water. Do not pull the plastic bell if it hangs. Apply clean gauze at the tip.

Caution

Fever:
If the baby has fever at this age it is very important to contact your pediatrician immediately.

Trouble nursing:

Contact the office if the baby has trouble nursing.

Answers to frequently asked questions concerning a newborn baby:

How do I hold my baby?
Hold the baby supporting its head with the palm of your hand, hold close so the baby can see your face.

What type of clothing do I use for a newborn baby?
You can use the baby clothing for new born babies. Wrap the baby up well including the arms and legs. Do not forget to protect the face from cold weather if you are taking the baby out.

How do I comfort the baby when it cries too much?
Crying is normal for babies. Crying is the way baby is trying to communicate to parents and care-takers. Babies are known to be fussy just before falling asleep. some babies cry up to 15 minutes before they fall asleep. Pick the baby up, hold against your chest, tap on the back, make sure the baby is not hungry, make sure he or she is clothed comfortably, make sure that the diaper is not wet, do not get too anxious about baby's crying, and call the office and talk to our associates if you are concerned.

Rarely, conditions like stomach reflux and regurgitation can be associated with excessive crying. Do not start the habit of rocking too hard to make the baby sleep, do not start walking up and down with the baby during the middle of night trying to comfort the baby, as it will add to your own anxiety.

Do I have to use colic medicines?
There is no "colic medicines" that I know of, that works for colic. The effective dose for any of those medications prescribed is too close to toxic dose for many of them. I stay away from colic medications, they often are associated with constipation.

Should I make the baby sleep on its back or on its stomach?

Opinions have changed on this issue. The current consensus is to make the baby sleep on its back. It is advisable not to put the baby to sleep on its stomach.

How long should the baby sleep?
Babies usually sleep up to 18 hours of the day. They do not sleep continuously, they sleep one to three hours during the day time, and three to six hours at a stretch during the night. It can vary. they do not know the difference between the day and night. Keep only dim light when the baby wakes up at night. If your baby sleeps more during the day and less at night, stimulate the baby more during the day to stay awake more during day time.

My baby does not breath "right" when he sleeps. What do I do?
Slow and irregular breathing during deep sleep is normal. The eyes will be closed and there will be very little body movement. Do not stay awake watching the baby's breathing. Body movements, movement of eye lids, and slow and irregular breathing are also normal for the baby.

Can I feed formula with breast feeding?
You can definitely feed both breast and formula. It is important that you make breast feeding a normal part of your daily life. If you are a working mother, the baby can be fed formula while you are at work, and breast feed when you are at home.

When do I start vitamins?
We prescribe vitamins at two months of age.

Should the baby be in a separate bed room?
Opinion differs on this issue, it depends often on the culture of the opinion makers. If you want to keep the baby in your bed room for the first year, it is OK, it may be preferable in my opinion. It may help the bonding. If you prefer to keep in a separate bed room, it is fine also. If kept in a separate room, please remember to keep the remote monitoring system always on. Do not put the baby on your bed and go to sleep.

What do I do for the rash on the baby's body?
Fine pink rashes on the body, pimple like rashes on the face, and dry patches on the face are very common for the babies, and should not be of concern. These do not require any treatment.

My baby is "vomiting", what should I do?
Spitting up is normal for a baby. Usually, it is accompanied by a gush of air. If formula comes up and flows down the neck it is usually spitting. If it is recurrent, and shoots across from mouth it could be due to reflux or due to some other problems that need to be addressed. Call the office if you are concerned.

When does the baby start seeing?
Baby can see your face at birth, especially babies can respond to your eye contact at short distance. They can follow the movement of objects for a short distance also.

PKU Tests
The hospital will take blood samples for PKU tests before you leave the hospital. PKU tests in Louisiana includes tests for Phenyl Ketonuria, Galactose, Thyroxin level, Biotinidase and Hemoglobin. If you leave the hospital earlier than 48 hours after birth the tests will be repeated during your first visit at 10 days. Remember to ask your pediatrician the results of your PKU tests. I am sure that you have more questions that those discussed in this page. Please use the email and other means of communication provided to you to contact us.

Parenting Instructions for Two Months

Instructions for Parents of Two Month Old Babies

Two months old baby and mother
Parenting Instructions on Breast Feeding

Now you have enjoyed the company of your baby for the last two months, congratulations. Dr. Manuel, the nurse practitioners, Jamie Woodring and Natalie Babin, and the well-trained and experienced nurses at Manuel Medical Clinic are there to help you enjoy your baby, any way imaginable. The following instructions are developed and revised several times in the past to make your life with your two-month old baby as much enjoyable as possible.

If you have any question, please contact us at (337)984-0110 or contact us through email provided to you.  I suggest to you to read the new born instructions first, to help you to understand the following instructions.

Nutrition and feeding instructions for two-month old baby
Breast feeding is the best choice for parents at two months of age. However many parents choose to feed breast and formula, some parents choose bottle feeding only.
Breast feeding for two-month old baby:
Breast fed babies do not require any additional feeding at two months of age. If the baby is not satisfied with breast-feeding alone, or if the weight gain is not satisfactory, additional formula feeding is recommended.
Formula feeding for two-month old child:
Feed the formula as much as the baby wants every four to five hours. Baby foods are not recommended at this age.

Vitamin supplements at two months of age:
Many pediatricians prescribe vitamins at this age. Additional vitamin D 400 units also recommended at this age.
Immunization at two months of age:

It is important to start immunization at this age. In spite all the confusion about immunization you find among bloggers, immunization at the appropriate time is proven to be highly beneficial.
Four vaccinations are required: Pediarix, Hib, PCV13, and Retrovirus

Interacting with your baby at two months of age:
Talk to the child, and provide expressions of happiness. The child is learning facial expressions and language. The more time you spend interacting with your baby, the better. However, you do not necessarily pick up the child every time the baby cries.

Sleep habits at two months of age:
It is normal for one baby to sleep all night another baby to wake up many times at night. We do not know why some parents are so lucky that their children all night while others wake up often. This is probably related to its genetic set-up. Parental anxiety may contribute to disturbed sleep of babies as suggested by many studies.
Do not give any medication to make the baby sleep. If you are breast feeding, I suggest feeding the baby just before you go to bed. Do not start feeding the baby while lying on bed with the baby.

Place your baby on the baby-bed when you notice that it is about to fall asleep, not after the baby falls asleep. This is because when you place the baby after it is sleeping, it may trigger a startle reflex and may interrupt the sleep. Startle reflex, also known as Moro reflex, is present in babies which startle them when there is a loss of support as if the baby is feeling that it is falling.

You do not have to wake up and feed the baby closer than five hours at night. Having a bottle of distilled water handy may help. If the baby wakes up, you may just feed water; that should help the baby to fall back asleep.
Do not switch the light on at night; have a dim light only. This may help to establish the diurnal (night-day) set up.

Practices such as walking with the baby in the middle of the night, shaking the baby to put it to sleep, and going for a drive to put the baby to sleep are strongly discouraged.

Immunizations at Two Months:
The following are given at two months of age:

  • Pediarix (This vaccine is a combination of DTaP, IPV, Hep b)
  • Hib
  • Prevnar
  • Rotovirus

Frequent questions asked by parents concerning a two-months old baby:
Will baby shot be harmful because of the mercury content of the vaccine?
Vaccines given now contain only insignificant or no mercury. There is no reason to worry about mercury in current vaccines.

Will it help to give local anesthetic before giving baby shots?

No local anesthetic is suggested for vaccination. However, some pediatricians may prescribe a local anesthetic cream at the site of vaccine administration.

When does my child start seeing well?
At birth infants see only subjects very close to them. Infants at two months of age have a visual acuity estimated at 20/1200 to 20/2000.

What do I do if the two month old has fever?
Inform pediatrician if the child develops a fever at two months of age. Mild fevers with a cough or with diarrhea are common. Fever with no other symptom is more worrisome.  Tylenol 6 drops every four hours may be initiated pending visit to a pediatrician.

Frequent questions asked by parents concerning a two-months old baby

Will baby shot be harmful because of the mercury content of the vaccine?
Vaccines that are given now contain only insignificant or no mercury. There is no reason to worry about mercury in current vaccines.

Will it help to give local anesthetic before giving baby shots?
No local anesthetic is suggested for vaccination. However, some pediatricians may prescribe a local anesthetic cream at the site of vaccine administration.

When does my child start seeing well?
At birth, infants see only subjects very close to them. Infants at two months of age have a visual acuity estimated at 20/1200 to 20/2000.

What do I do if the two-month-old has a fever?
Inform pediatrician if the child develops a fever at two months of age. Mild fevers with a cough or with diarrhea are common. Fever with no other symptom is more worrisome.  Tylenol 6 drops every four hours may be initiated pending visit to a pediatrician.

Four Months Parenting Instructions

Four Month Old Parenting

Six Months Parenting Instructions

Parenting Tips for Six Months Baby

Nutrition and Feeding:

Solid foods:

You may start introducing solid food at six months of age. You begin to introduce vegetables and fruits. Start with one item of food at a time and introduce another item after one week or longer.

Follow milk or juice at night with water to remove any food residue from the mouth. This will help to reduce the chance of dental caries when teeth start appearing. Avoid sugar and sweets; this will help reduce chance of obesity in future.

Hygiene:

  • Bathe daily.
  • Clean behind ears and creases.
  • Exercise legs.
  • Apply warm compress to legs.
  • Never leave the baby alone in the bathtub even for a short time.

Development and Behavior

  •    Practices sitting with minimal support.
  •    Rolls from back to stomach.
  •    Transfers objects between hands.
  •    Able to differentiate caregivers from strangers.
  •    Uses thumb opposition to grasp objects.
  •    Bangs objects in play.
  •    Looks for dropped items.
  •    Sits with a slight support for a short time.
  •    Shows good muscle tone while pulling to a sitting position.
  •    Good muscle tone in arms.
  •    Good muscle tone in legs.
  •    Produces one vowel sounds.
  •    Demonstrates coordinated movements of arms and legs.
  •    Imitates others.

Injury Prevention

  • Car seat: Facing backwards until the child weighs 20 pounds.
  • Avoid dangers of mouthing and suffocation; avoid access to small objects.
  • Childproof the environment: prevent choking and suffocation.
  • Install gates to prevent falling down in vulnerable areas.
  • Prevent chance of fall out of high chairs.
  • Avoid any chance of grabbing coffee and other hot fluids.

Parenting Practices

Speech stimulation:

Stimulate speech as much as possible by talking to the baby. The baby begins to babble and start imitating sounds.

Parent/Child games:

Get involved in parent child games such as pat-a-cake, peek-a-boo, drop block in a container, etc.

Parenting tips for six months of age

Safety Instructions

Nine Months Parenting Instructions

Twelve Months Parenting Instructions

Twelve Months Parenting Instructions

One Year of Age – Parenting Instructions

Parenting Tips for One

Year of Age

Parenting Tips for One Year of Age

Injury Prevention: At one year of age the child may have started crawling; some may even start walking. Measures for injury prevention

  • Take measures of safety such as preventing falls, as the child may venture into unsafe areas.
  • Change to toddler car safety seat; the backseat should face forward.
  • Safety cap use for medication; store medicines at a higher place than the child can reach; lock medications up.
  • Prevent electrical injuries; make sure that the electrical outlets are covered.
  • Measures to prevent suffocation: keep plastic bags and balloons away from the reach of children at one year of age.

Hygiene

  • Assist with brushing teeth in the morning and at night. The last drink to consume should be water after drinking milk or juice.
  • Never leave the child in a bathtub unsupervised.
  • Toilet training: do not push to institute toilet training at this age as the child is usually not ready for toilet training.

Feeding and Nutrition at One Year of Age

  • Introduce cup.
  • Try to wean of bottle.
  • Self-feeding: start encouraging self feeding even if it takes longer.
  • Encourage use of cup and spoon.
  • Use short feeding sessions.
  • Avoid foods like peanuts, popcorn, hot dogs, and hard candy which could potentially cause a chocking episode.

Weight gain at one year of age

Slower gain in weight compared to previous months rate of growth is very common between one and two years of age. This usually causes a great concern for parents; this is normal and do not push the child to eat more.

Parenting Practices

Child is able to understand instructions such as “no” at this age. These disciplinary actions should be consistent with facial expression displayed by parents. Do not say “no” and laugh at the same time. Children at this age are very capable of reading facial expressions. Talk to the child as often as possible. Limit the time in front of television even at this age.

Immunization at one year of age: The following immunizations are provided at one year of age: MMR, Varicella, Hepatitis A, Prevnar, and Hib.

Language Development at One Year of Age:

At one year of age the child is usually speaks one word.

Safety in children

Behavior Problems at One Year of Age

The following behavior problems are encountered at one year of age:

Parenting tips for parents of one year old

15 Months Parenting Instructions

Parenting Tips for Fifteen Months of Age

Injury Prevention:  At fifteen  of age the child may have walking. Measures for injury prevention takes priority at this age

Take measures of safety such as preventing falls, as the child may venture into unsafe areas.

  •     Change to toddler car safety seat; the backseat should face forward.
  •     Safety cap use for medication; store medicines at a higher place than the child can reach; lock medications up.
  •     Prevent electrical injuries; make sure that the electrical outlets are covered.
  •     Measures to prevent suffocation: keep plastic bags and balloons away from the reach of children at one year of age.

  Hygiene

  •    Assist with brushing teeth in the morning and at night. The last drink to consume should be water after drinking milk or juice.
  •    Never leave the child in a bathtub unsupervised.
  •    Toilet training: do not push to institute toilet training at this age as the child is usually not ready for toilet training.

Feeding and Nutrition at One Year of Age

  • Introduce cup.
  • Try to wean of bottle.
  • Self-feeding: start encouraging self feeding even if it takes longer.
  • Encourage use of cup and spoon.
  • Use short feeding sessions.
  • Avoid foods like peanuts, popcorn, hot dogs, and hard candy which could potentially cause a chocking episode.

Weight gain at one year of age

Slower gain in weight compared to previous months rate of growth is very common between one and two years of age. This usually causes a great concern for parents; this is normal and do not push the child to eat more.

Parenting Practices

Children are able to understand instructions such as “no” at this age. These disciplinary actions should be consistent with facial expression displayed by parents. Do not say “no” and laugh at the same time. Children at this age are very capable of reading facial expressions. Talk to the child as often as possible. Limit the time in front of television even at this age.

Immunization at one year of age: The following immunizations are provided at one year of age: MMR, Varicella, Hepatitis A, Prevnar, and Hib.

Language Development at One Year of Age:

At fifteen months of age, children can usually speak only one or a few words.

Behavior Problems at Fifteen Months of Age

The following behavior problems are encountered at fifteen months of age:

  • Temper tantrums
  • Breath-holding
  • Head-banging
  • Thumb-sucking
  • Whining

Safety in Children

18 Months Parenting Instructions

Parenting Tips for Eighteen Months of Age

Two Years Parenting Instructions

Parenting: two years of age

We have passed the pleasures and challenges of one-year-olds and now our child is two years old. Physical developments give your child independence; walking, running, running away, and being able to do what the child wants to do. While it is fun to watch the child growing up and developing independence, it comes with a cost. The chances of accidents increase. The following areas need special attention from the parenting perspective:
Injury Prevention for two years of age:
• Play supervision: supervise play with age-appropriate toys.
• Watch for small parts: they increase the chance of injury.
• Pay attention to stoves, heaters, hot foods, matches, etc.
• Prevent drowning risks for two-year-old-children: never leave alone in bathtubs,  toilets, and pools.
• Observe car seat precautions: always use them with appropriate size for age.

Parenting tips of hygiene for two-years-old-children

Hygiene measures are very important for parents to observe and to teach the children starts as early as two years of age. At this age, parents may start observing toilet training readiness and start measures for toilet training if your child looks mature, and ready for toilet training. Children are very different in achieving readiness for toilet training, and it is important for parents not to push strict toilet training techniques as it will invariable delay achieving the goal. Brushing teeth can be initiated at this age. Children should be taught to brush teeth in the morning and at night before bed. The last drink at night should be water; if they drink milk or juice, it needs to be followed by a small quantity of water. Leaving any sugar in the mouth at the bed-time will lead to tooth decay, and dental caries. Strict practice of dental hygiene will save a lot of money and misery in the future. Dental caries are the most prevalent preventable condition in early childhood.

 Parenting Tips for Nutrition at Two Years of Age

One of the most common worries of parents of two-years-old children is the worry that their children are not eating enough. In my forty years of practice, I find this to be a very prevalent misconception.  Just look at the increasing incidence of obesity in our teenagers, it is in an epidemic proportion! It is very normal for children at this to slow down in the perception of quantity food they consume. Be reassured that they are getting enough food – just make it available to them; do not push them to eat. The following key points are important:
Encourage healthy snacks, such as fruits and vegetables.
Avoid snacks with carbohydrate-rich snacks.
Add vitamins.
Encourage feeding self and avoid-spoon feeding. Well-meaning parents, often worried that their child is not eating enough, have a tendency to push food into the mouths with a spoon. This probably helps to reduce the time spent on the table, and the parents may have time to take care of other pressing needs. There is a problem with that; the children do not learn independence, and may expect others to feed them for a longer period of time.

Development and Behavior at Two Years of Age

Parent’s knowledge of development and behavior at two years of age is an asset in development of personality of the child.

Speech development at two years of age: 

Speech develop becomes a matter of concern for many parents; we need to know that development of speech varies widely. The following could be expected:

  • Child should respond to his or her name by this age.
  • Child should be able to speak.
  • Child should be able to combine two words.
  • Child should be able to ask simple questions.
  • Child should be able to understand body parts such as eyes, ears, and mouth.

Behavior at two years of age:

One key feature of a two-year-old is the development of self: they basically see things at their own point of view. Not sharing toys with other children is a very common behavior. At this age, most of the children are ready to move on from the crib to a bed. They develop verbal and listening skills and begin to learn rules. Resisting rules becomes a common reaction. They may use words to express their needs often in three-word sentences. Temper tantrums, breath-holding spells, head-banging, thumb-sucking, and whining are common expressions of resisting rules. This video, I found instructive: http://goo.gl/Ewtyiy

Parenting Practices at Two Years 

Knowing the developmental readiness of a two-year-old child becomes an asset in implementing appropriate parenting practices. Read to the child regularly. At this age, they are ready to follow stories with pictures. Talk to the child and encourage speech through nursery rhymes, and jingle. Limit television and other screens to two hours per day. Establish a time and schedule for sleeping, naps, and bedtime.

Worrisome issues at two years of age:

  • Child does not understand simple instructions.
  • Does not understand body parts such as eyes, ears, and mouth.
  • Does not respond to his or her name.
  • Does not make eye contact.
  • Does not speak.
  • Appear not to hear.
  • Does not combine two words.
  • Does not ask simple questions.
  • Does not know how to play with toys.
  • Child is attached excessively to one object or a toy.
  • Does not smile.
  • Does not participate in activities such as running and climbing.

Safety in Children

Three Years Parenting Instructions

Three Years – Parenting Tips

Your child is three years old; this is age of excitement for parents for different reasons: the child is being prepared to attend a school environment in most cases. At the end of three years, the child is expected to learn to “control expelling urine and feces at will.” Toilet training becomes a major issue, especially because of the demand of nursery school that the child be trained before they can attend the institution. This is the age at which parents need to be careful not to make excessive demands on toilet training if the child is not ready. If the parents push excessively by punitive measures for failing to achieve toilet training the child may choose to delay and hence control the parents. This is the age at which the boys begin “father’s characteristics,” and girls try to identify the mother’s social values. This is age characterized by the child developing “mental powers of choosing and deciding.” Child starts to develop autonomy, which needs to be facilitated and properly directed by parents. The development of behavioral characteristics at this age is explained by the way the child is wired, the parents and care takers respond to the child, social interactions, and information processing, which are heavily influenced by how much time the parents take to teach the child.

Injury Prevention for three years of age:
• Play supervision: supervise play with age-appropriate toys.
• Watch for small parts: they increase chance of injury.
• Pay attention to stoves, heaters, hot foods, matches, etc.
• Prevent drowning risks for three-year-old-children : never leave alone in pools.
• Observe car seat precautions: always use them with appropriate size for age.

Parenting tips of hygiene for three-years-old-children

Hygiene measures are very important for parents to observe and to teach the children starts at three years of age. At this age, parents can start measures for toilet training. Children are very different in achieving readiness for toilet training, and it is important for parents not to push strict toilet training techniques as it will invariable delay achieving the goal. Brushing teeth on a regular basis in the morning and before bed should be instituted. The last drink at night should be water; if they drink milk or juice, it needs to be followed by a small quantity of water. Leaving any sugar in the mouth at the bed-time will lead to tooth decay, and dental caries. Strict practice of dental hygiene will save a lot of money and misery in the future. Dental caries are the most prevalent preventable condition in early childhood.

Parenting Tips for Nutrition at Three Years of Age

One of the most common worries of parents of three-years-old children is the worry that their children are not eating enough. It is very normal for children at this age to slow down in the perception of quantity food they consume. Be reassured that they are getting enough food – just make it available to them; do not push them to eat. The following key points are important:
Encourage healthy snacks, such as fruits and vegetables.
Avoid snacks with carbohydrate-rich snacks.
Add vitamins.
Encourage feeding self and avoid-spoon feeding. Well-meaning parents, often worried that their child is not eating enough, have a tendency to push food into the mouths with a spoon. This probably helps to reduce the time spent on the table, and the parents may have time to take care of other pressing needs. There is a problem with that; the children do not learn independence, and may expect others to feed them for a longer period of time.

Development and Behavior at Three Years of Age

Parent’s knowledge of development and behavior at three years of age is an asset in the development of personality of the child. There are significant changes in the emotional development which are noticeable at this age. This is the for the development of imagination. There is at times a confusion between reality and fantasy. Three years is the age of pretend-play. Child at this age starts imitating actions of others around. This is the age of interaction and play with other children.

Speech development at three years of age: 

Speech develop becomes a matter of concern for many parents; we need to know that development of speech varies widely. The following could be expected:

  • Child should respond to his or her name by this age.
  • Child should be able to speak.
  • Child should be able to combine two words.
  • Child should be able to ask simple questions.
  • Child should be able to understand body parts such as eyes, ears, and mouth.

Behavior  at three years of age:

One key feature of a two-to-three-years-old is the development of self: they basically see things at their own point of view. Not sharing toys with other children is a very common behavior. At this age, most of the children are ready to move on from the crib to a bed. They develop verbal and listening skills and begin to learn rules. Resisting rules becomes a common reaction. They may use words to express their needs often in three-word sentences. Temper tantrums, breath-holding spells, head-banging, thumb-sucking, and whining are common expressions of resisting rules.

Safety in Children

Four Years Parenting Instructions

Four Years – Parenting Tips

Parenting instructions for 4 years

Injury Prevention:

Always use the car seat-belt.
Supervise play activities.
Attention to safe toys needed.
Make sure that bike riding is done only in safe environments.
Establish home-safety rules.
Make sure that the child knows name address and telephone numbers.

Hygiene:

Make sure that child takes a bath every day.
Brush teeth in AM and before bed.
Continue toilet training related issues.
Make sure that the last drink before bed is water.

Parenting practices

Encourage to participation in peer interactions.
Establish sleep schedules.
Do not have a television in the child’s room.
Teach chores and responsibilities.
Encourage appropriate play time.
Limit the total screen time to 2 hours per day
Establish rules and limits.
Be consistent with rules and consequences.
Answer questions from the child honestly using your convictions.
Arrange exploratory trips.

Nutrition and feeding:

Always set aside time for an one-family meal minimum.
Be careful about portion size.
Provide a well-balanced meal.
Try to prevent obesity by reducing drinks with high-sugar content.

Behavior problems at four years of age:

  • Temper tantrums
  • Breath-holding
  • Head-banging
  • Thumb-sucking
  • Whining

Safety in Children

Five Years Parenting Instructions

Five Years – Parenting Tips

Parenting instructions – five years of age

Instructions for Parents of Five-Year-old Children

Injury Prevention

  • Teach bike safety
  • Teach fire safety
  • Memorize name address and phone number

Hygiene

Parenting instructions – five years

  • Teach proper dental care
  • Brush teeth in AM and before bed time
  • Teach self-care
  • Teach safe toilet practices
  • Teach self-dressing

Nutrition

  • Eating healthy foods in sufficient quantity only
  • Maintain a happy meal-time
  • Do not force-feed
  • Do not insist on finishing the plate
  • Avoid excessive drinks of high sugar contents

Development and Behavior

Discipline: Parents should have set rules in what is expected of the children. Both parents need to develop uniform instructions on what to do what not to do and avoid conflicting messages.

Chores: Parents need to assign chores and explain how and when they need to be done.

Peer interaction: Parents need to facilitate interaction with peers.

School readiness: Most children have attended daycare centers or other facilities by this time. It is very important to pay attention to make sure that the children are ready to attend the school.

Following directions and rules: Rules have to be made clear for the children at this age. This is one way of preparing them for following rules set by schools.

Physical skills: Parents need to identify the physical skills developed by their child and to promote a specific skill for which the child is better at doing. Some natural skills need to be promoted such as skill in certain sports and artistic talents.

Caution:

There are certain issues that could raise an alarm concerning the deviation from normal developments. Following are some issues to keep in mind:

  • Any regression in social skills.
  • Regression in communication
  • Excessive temper-tantrums and emotional swings.
  • Poor motor coordination.
  • Particular fixation on certain objects.
  • Always insisting on carrying certain objects everywhere.
  • Repetitive purposeless behavior.
  •  Constantly playing oneself avoiding playmates.
  • Excessively resisting changes in routine.
  • Exhibiting self-injurious behavior.
  • Lack of fear of danger.
  • Does not like to be hugged or touched.
  • Extreme hyperactivity.
  • Appear not to hear.
  • Over-sensitivity to sound or touch.
  • Unusual sleep patterns.
  • Appears spaced-out.

When you come to the office with your five-year-old child at the preventive care visit with your pediatrician, the following areas are explored:

  • Preparing the child for school.
  • Issues related to chores and responsibilities.
  • Sex education.
  • Discipline.
  • Individual concern or problems.
  • Examination, assessment, and discussion of findings.
  • Specific family concerns.

Safety in Children

Eight Years Parenting Instructions

Eight Years – Parenting Tips

Ten Years Parenting Instructions

Ten Years – Parenting Tips

With Child

  • Health habits and self-care; Need to bathe every day
  • Diet and appropriate weight; Need to reduce carbohydrates if obese
  • Physical activity and athletics; Participate in games and sports of your choice
  • Dental hygiene; Need to brush teeth twice a day
  • Bike and vehicle safety; Bikes and motor bikes should be handled with care
  • Drug, alcohol, and tobacco use; Stay away from friends with alcohol and tobacco use
  • Sleep; Inform physician if you cannot fall asleep
  • Sex education at home and at school
  • Seatbelt use
  • TV; It is very important to limit the duration of TV watching as it will affect school grades
  • Social interaction; It is important to be associated with good friends
  • Educational activities; A daily educational revision of the day's school work

With Parents

  • Good parenting activities
  • Rules and expectations
  • Communication & Spending time with adolescent
  • Supervision
  • Allowance
  • Affection
  • Safety concerns
  • Power tools
  • Water and all terrain vehicles
  • Firearms
  • Sex education
  • TV

Fourteen Years Parenting Instructions

Fourteen Years – Parenting Tips

With Child

  • Health habits and self-care; Need to bathe every day
  • Diet and appropriate weight; Need to reduce carbohydrates if obese
  • Physical activity and athletics; Participate in games and sports of your choice
  • Dental hygiene; Need to brush teeth twice a day
  • Bike and vehicle safety; Bikes and motor bikes should be handled with care
  • Drug, alcohol, and tobacco use; Stay away from friends with alcohol and tobacco use
  • Sleep; Inform physician if you cannot fall asleep
  • Personal safety practices; Avoid situations which you could be incriminated
  • Sex education appropriate to individual and family concerns; Teenage pregnancy and sexually transmitted diseases are common in teenagers involved in sexual activities
  • Social interaction; It is important to be associated with good friends
  • Communication with family and peers; poor communication or lack of communication with family and peers could be a sign of impending problem
  • Extracurricular activities; It is important to be involved in some extracurricular activities
  • TV; It is very important to limit the duration of TV watching as it will affect school grades
  • Educational activities; A daily educational revision of the day's school work for about three hours will be helpful for academic success

How many childhood immunizations do you need by 14 years?

  • Hepatitis B Vaccine - Three doses
  • DTaP (Diphtheria, tetanus, pertussis) - Five doses
  • HiB - Four doses
  • Polio - Four doses
  • Pneumococal Vaccine - Four doses
  • MMR - Two doses
  • Tetanus/Diphtheria - One dose
  • Varicella (Chicken pox) - One dose

With Parents

  • Good parenting activities
  • Establishing rules
  • Spending time with adolescent
  • Communication
  • Supervision
  • Privacy
  • Allowance
  • Role Model
  • Independence
  • Showing affection

Sixteen Years Parenting Instructions

Sixteen Years – Parenting Tips

Coming Soon

Eighteen Years Parenting Instructions

Eighteen Years – Parenting Tips

Guidance is provided to the teenager dealing with the following areas:

  • Health-habits and self-care.
  • Diet appropriate for age.
  • Physical activity.
  • Dental hygiene.
  • Vehicle safety.
  • Drugs, alcohol, and tobacco use,
  • Sleep hygiene.
  • Personal safety practices.
  • Sex education appropriate for age.
  • Social interaction.
  • Communication with family and peers.
  • Extracurricular activities.
  • Plans for future.

A visit with your pediatrician at 18 years of age is an important one; it may be the last time you may have a preventive check-up with your pediatrician; it may be the last visit at which parents are given guidance for taking care of their eighteen years-old child. Many pediatricians do not see patients older than 18 years; some do see up-to 20 years of age. At this visit, your pediatrician takes the opportunity to review your immunization schedule and make it up-to-date. You are given guidance on future immunizations also. A pediatrician will in addition review with you all the aspects mentioned above. Most pediatricians will help you find an internist and transfer you for further care in the future.