Caring for Caring Kids forKids Hard-to-Find Facts About Child Health &Parents Developmentfor Facts Hard-to-Find for Parents About Child Health & Development SECOND EDITION EDITION SECOND SECOND Riley Hospital for Children rileyhospital.org INDIANA’S ONLY COMPREHENSIVE CHILDREN’S HOSPITAL Caring forKids Hard-to-Find Facts for Parents About Child Health & Development SECOND EDITION by Abigail Klemsz, MD, PhD, and Patricia A. Keener, MD Sponsoring Partners Clarian Health Lilly Endowment Inc Riley Children’s Foundation® Indianapolis, Indiana How to Use this Book Dear Reader, Caring for Kids is divided into four sections. The final pages of each section contain resources, including helpful organizations, suggested books and Web sites. As the state’s only comprehensive children’s hospital, Riley Hospital for Children is proud to present its second edition of Caring for Kids, a book for all of us who care for or about children. Section One: Child Health Care As Riley Hospital’s chief medical officer, I have an opportunity to visit with many This section begins with a brief history of child health care and childhood over the last physicians across the state who are dedicated to caring for Indiana’s children. 200 years. A detailed discussion of the well-child visit is followed by a brief discussion We agree that educated families are an asset to their communities. Learning of dental and eye care. You will find information about sick child care, including when more about their children’s growth, development, health issues, safety and to keep your child home and how sick is sick. welfare can make families stronger and healthier. Section Two: Growth and Development To create Caring for Kids, our authors spent many hours getting input and recommendations from physicians, health care professionals and parents This section features interesting facts about growth and development beginning with throughout Indiana to ensure the book met our vision to be a helpful, the newborn and progressing through adolescence. You’ll find discussions of physical easy-to-read publication with information you can use. growth, emotional development, important milestones and age-related safety concerns. You will learn more about how to be safe when using the Internet. You will discover We trust this book will be a useful guide as you continue to partner with your new insights into how your child’s brain develops in “Brain Facts.” child’s physician to provide the best care for your family. Please don’t hesitate to tell your family, friends and neighbors about Caring for Kids. If they want Section Three: Nutrition more copies of the book, they can go online to the Riley Children’s Foundation’s Web site at www.rileykids.org, or call the foundation office at 317-634-4474. This section presents nutritional information for each developmental stage beginning with “Before Your Baby is Born” and proceeding through the teen years. Information Best Regards, about “Fat in Your Child’s Diet” and “What Parents Should Know about Vegetarian Diets” concludes this section. Jeff Sperring, MD Section Four: Child Safety Chief Medical Officer This section covers common childhood injuries and provides practical pointers for Riley Hospital for Children keeping your family safe. Use the Room-by-Room Checklist to make sure your home is a safe home. Acknowledgments References The original idea to produce a handbook of practical health care information for The primary references for this book include Behrman RE, Kliegman RM, families with children ages newborn to 21 was that of the Riley Children’s Foundation, Jenson HB. Nelson Textbook of Pediatrics (2007). Hagan JF, Shaw JS, Duncan PM, the fundraising arm of Riley Hospital for Children. The many tasks required to move eds. 2008 Bright Futures: Guidelines for Health Supervision of Infants, Children and the idea from concept to reality were accomplished by the dedicated staff of the Riley Adolescents. Third edition. Elk Grove Village, Ill.: American Academy of Pediatrics. Four Children’s Foundation and of course our physician authors Dr. Klemsz and Dr. Keener. other books from the American Academy of Pediatrics: Caring for Your Baby and Generous funding from Lilly Endowment Inc. made it possible to provide Caring for Young Child: Birth to Age 5 (2004); Caring for Your School-Age Child: Ages 5 to 12 Kids as a gift to every household in Indiana. (2004); Caring for Your Teenager: The Complete and Authoritative Guide (2006); and Guide to Your Child’s Symptoms (1997). Authors For specific sections, the primary references are Growth and Development — Levine MD, Carey WB, Crocker AC, eds., Developmental — Behavioral Pediatrics (1999); Abigail Klemsz, MD, PhD, associate clinical professor of pediatrics, Indiana University Nutrition — American Academy of Pediatrics: Guide to Your Child’s Nutrition (1999); School of Medicine, and Patricia A. Keener, MD, associate clinical professor of Safety — American Academy of Pediatrics: Injury Prevention and Control for Children pediatrics, IUSM, authored the text for Caring for Kids. Dr. Klemsz is part of Riley and Youth (1997). Hospital’s Developmental Pediatrics section which treats children with developmental disabilities, failure to thrive and other conditions. She is the state medical director of Reach Out and Read Indiana, a nonprofit organization that promotes early literacy in children. Dr. Keener has been recognized by several prestigious state and national The material contained in this book should not be used as a substitute awards, including the state of Indiana, Sagamore of the Wabash and the Ross Award for for the medical care and advice of your doctor. Your doctor’s advice is Lay Education given by the American Academy of Pediatrics. Dr. Keener is founder and individualized for your child’s health and circumstances. Furthermore, medical director of Safe Sitter, a national nonprofit organization that teaches young information in this book is subject to change based on medical research adolescents safe and nurturing child care techniques. and advances in medicine. Riley Hospital for Children and the Riley Children’s Foundation expressly disclaim any responsibility for any liability, loss, injury or risk — personal or otherwise — that is incurred as a consequence — directly or indirectly — of the use and application of any of the contents of this book. Table of Contents Table of Contents Section 1: Child Health Care Section 2: Growth & Development First Aid ..................................................................................................................... 2 Tracking Your Child’s Growth .....................................................................52 Child Health in the United States .............................................................. 4 Your Newborn Baby Growth and Development ........................................................................................54 Medical Home.....................................................................................................11 Birth to 6 Months Well-Child Care ...................................................................................................12 Growth and Development ........................................................................................62 Dental Care ...........................................................................................................22 Safety ........................................................................................................................69 Eye Care ..................................................................................................................26 6 Months to 1 Year Growth and Development ........................................................................................75 Immunizations ...................................................................................................29 The Toddler Years: 1& 2 Sick Child Basics .................................................................................................38 Growth and Development ........................................................................................84 Safety ........................................................................................................................91 Resources...............................................................................................................46 Preschool: 3 to 5 ........................................................................................................................ Notes 49 Growth and Development ........................................................................................92 Safety .....................................................................................................................102 School-Age: 6 to 11 Growth and Development .....................................................................................104 Safety .....................................................................................................................109 The Internet and Your Family ...............................................................................112 Adolescents: 12 to 21 A Letter to Parents ................................................................................................114 Parents: Test Your Memory ....................................................................................115 Top 10 Facts You Should Know about Adolescence ...............................................116 Growth and Development .....................................................................................118