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Know what to expect, Year 1-4

Know what to expect! Year 1-4

Pediatric Anticipatory Guidance

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• Toddlers learn quickly.
• Your toddler will start talking, running, hopping, skipping, and jumping.
• Teach them ABCs and 123s.
• Talk, read, and sing with your toddler.
• If you have concerns about your toddler, talk with your doctor.


• Toddlers need shots at 12, 15, and 18 months.
• They might need shots at other times if they missed some.
• Toddlers need flu and COVID shots in the fall.
• At 4 years, children need 2 booster shots.


• Limit junk food and fast food.
• Offer fruits, vegetables, beans, nuts, seeds, and whole grains.
• Try for 5 vegetables or fruits every day.
• Give foods that taste and feel different. It may take 12 tries before a toddler likes
a new food. Keep offering healthy foods!
• Let toddlers eat when they’re hungry and stop when they’re not hungry. better together


• Offer mainly water to drink.
• Toddlers should have only 2 cups of milk a day.
• Limit juice, soda, and other sweet drinks.
• Don’t give toddler formulas. They have too much sugar and fat.


• Brush teeth twice a day.
• Use a little fluoride toothpaste.
• See the dentist every 6 months.


• Exercise at least 1 hour every day. Do something fun!
• Wear a helmet and pads for biking, skateboarding, scootering, horseback riding, or skiing.


• Limit screen time (phones, tablets, computers) to less than 2 hours a day.
• Don’t use screens as background noise or to keep toddlers busy.
• Keep screens out of bedrooms. Turn all screens off 1-2 hours before bed.
• Go to to make a plan for your family.


• Keep the bedroom cool, dark, and quiet.
• Have a regular, ½ hour, bedtime routine.
• Keep bedtimes and wakeup times the same every day.
• Use sunlight to help wake up in the morning.
• Keep a regular schedule of meals, play, snacks, and sleep every day.


• If you need help, go to
You can get help with food, housing, medicine, and other things.

Car Seat

• Use to get your car seat checked.
• Car seats should be in the back seat.
• Keep baby facing backward for the first 2 years.
• Toddlers need a car seat until 4 years.


• Keep vitamins, medicines, cleaners, and other dangerous stuff locked away.
• Keep the Poison Control Center number (1-800-222-1222) handy.


• Do not use or be around tobacco, e-cigarettes, vapes, Juuls, or other smoke.
• Call 1-800-NO-BUTTS and visit for free help.


• Set home water temperature to 120F or less to prevent burns.
• Never leave a toddler alone in or around water, even for a few seconds.
• Fence swimming pools on all sides.
• Check smoke detectors twice a year and replace batteries.
• Use safety guards on windows and gates for stairs.


• Protect your toddler from the sun with long sleeves and long pants.
• Put on sunglasses and a hat.
• Re-apply sunscreen every 2 hours. If swimming or sweating, re-apply every 1 hour.
• Limit time in the sun between 10am and 4pm.


• Firearms at home should be unloaded and locked.
• Ammunition should be locked separately.
• If anyone at home has depression or mental illness, keep firearms at a different location.