Baby’s First Year

Newborn Characteristics

Some movements in newborns that concern parents are not signs of illness. Most of these harmless reflexes are due to an immature nervous system and will disappear in 2 or 3 months:

  • Chin trembling
  • Lower lip quivering
  • Hiccups
  • Passing gas (not a temporary behavior)
  • Sleep noise from breathing and moving
  • Sneezing
  • Spitting up or belching
  • Startle reflex or brief stiffening of the body (also called the Moro or startle reflex)    following noise or movement
  • Straining with bowel movements
  • Throat clearing (or gurgling sounds of secretions in the throat)
  • Yawning

Irregular breathing — Any irregular breathing pattern is normal if your baby is content, the rate is less than 60 breaths per minute, a pause is less than 6 seconds, and your baby doesn’t turn blue. Occasionally, infants take rapid, progressively deeper, stepwise breaths to completely expand the lungs.

Trembling or jitteriness of arms and legs during crying is common, but convulsions are rare. During convulsions babies also jerk, blink their eyes, rhythmically suck their mouths, and don’t cry. If your baby is trembling and not crying, give him or her something to suck on. If the trembling doesn’t stop during sucking, call your doctor immediately because your infant may be having a convulsion.

2 Weeks Check-up

Baby

  • Will look at your face briefly and can recognize your voice
  • Will startle to loud noises
  • May cry 2-4 hours a day – could be hungry, tired or bored
  • May be lifting his/her head up a little

Feeding

  • Your baby needs only breast milk or formula
  • Most breast-fed babies want to nurse every 2-3 hours during the early weeks, many will have “cluster feedings” where they want to eat every hour
  • Formula fed babies should be drinking 2-4 ounces every 2-4 hours
  • Your baby should have at least 6-8 wet diapers and 4-8 dirty diapers a day

Safety

  • Make sure your home has a smoke alarm and that it works
  • Car seats are a MUST – baby is to ride in the backseat, facing backwards – never in the front with a passenger air bag
  • Turn your hot water heater down to 120 degrees or less
  • Put baby to sleep on BACK to lower your baby’s risk for SIDS (Sudden Infant Death Syndrome)
  • Never leave your baby alone in a tub or sink of water
  • Keep home and car smoke free
  • Never leave your baby alone with your pets
  • Never shake your baby

More

  • Remember, Mom and Dad need rest too – nap when baby naps
  • You can’t spoil your baby at this age – when you respond to crying, you are showing that he/she can trust you
  • Most of all — ENJOY YOUR BABY!

2 Months Check-up

Baby

  • Will look at your face briefly and can recognize your voice
  • Will startle to loud noises
  • May cry 2-4 hours a day – could be hungry, tired or bored
  • May be lifting his/her head up a little

Feeding

  • Your baby needs only breast milk or formula
  • Most breast-fed babies want to nurse every 2-3 hours during the early weeks, many will have “cluster feedings” where they want to eat every hour
  • Formula fed babies should be drinking 2-4 ounces every 2-4 hours
  • Your baby should have at least 6-8 wet diapers and 4-8 dirty diapers a day

Safety

  • Make sure your home has a smoke alarm and that it works
  • Car seats are a MUST – baby is to ride in the backseat, facing backwards – never in the front with a passenger air bag
  • Turn your hot water heater down to 120 degrees or less
  • Put baby to sleep on BACK to lower your baby’s risk for SIDS (Sudden Infant Death Syndrome)
  • Never leave your baby alone in a tub or sink of water
  • Keep home and car smoke free
  • Never leave your baby alone with your pets
  • Never shake your baby

More

  • Remember, Mom and Dad need rest too – nap when baby naps
  • You can’t spoil your baby at this age – when you respond to crying, you are showing that he/she can trust you
  • Most of all — ENJOY YOUR BABY!

4 Months Check-up

Playtime

  • Can hold a rattle briefly
  • Will begin to look at and play with his/her hands and feet (in the next month)
  • Will begin to make sounds such as gurgling, cooing, babbling
  • Can smile at you
  • Can lift head up when laying on his/her tummy
  • Enjoys when you sing and talk to him/her
  • Should have one sleep time that lasts 6-7 hours
  • Will stay awake for longer periods of time without fussing
  • Examples of safe, age appropriate toys for ages 1-3 months: mobiles, mirrors, music boxes, stuffed animals without detachable parts, rattles

Feeding

  • From 2-4 months of age, baby should be taking 5-7 ounces of formula every 3-5 hours
  • Your baby need only formula or breast milk
  • Some spitting up is normal – keep baby upright after feedings and burp frequently

Safety

  • Never leave your baby alone
  • Use a car seat each time your baby is in the car
  • Baby should face backwards
  • Baby should sleep on back

Immunizations

Immunizations (vaccinations / shots) are very important for your baby’s health

There may be some side effects from the shots such as a fever, crying, fussiness

Use acetaminophen (Tylenol) every 4-6 hours for the next 24 hours

More

  • Your baby is getting more interested in his/her environment and in you – ENJOY!
  • Playtime on the floor with “tummy-time” is important so baby can practice motor skills
  • Baby can sleep through the night without a feeding
  • Talk, sing, and read to your baby

6 Months Check-up

Playtime

  • Can roll over easily
  • Has good head control
  • Can sit with support or leaning forward on hands
  • Can reach, grab, and hold own bottle
  • Can imitate sounds that you make
  • Will explore objects with mouth
  • Can sleep through the night without a feeding
  • Good toys: “busy box”, soft books, rattles, small blocks baby can hold, mobiles, squeak toys, play gym
  • May begin to fear strangers

Feeding

  • Should be progressing with solid food – cereal, vegetables, and fruit by spoon
  • Formula feedings should be about 32 ounces a day
  • Breastfeeding should be about 5-6 times a day
  • Formula and breastfeeding amount will begin to decrease as baby takes more food from the spoon
  • Start meats about 7 months of age
  • Baby should be fed 3 meals a day from the spoon

Safety

  • Car seat facing backwards in the backseat
  • Check all toys for small parts that can choke
  • Use plastic plug covers in all electrical outlets
  • Use gates at the top and bottom of stairs
  • Lock up all medicine and keep purses out of reach
  • Keep all cleaning products out of reach
  • “Walkers” are not encouraged because they can be dangerous

Immunizations

  • Immunizations (vaccinations / shots) are very important for your baby’s health
  • There may be some side effects from the shots such as a fever, crying, fussiness
  • Use acetaminophen (Tylenol) every 4-6 hours for the next 24 hours

More

  • In the next few months, baby will start to scoot, crawl and even pull up on furniture to stand. This means baby can pull things over on him/herself – so watch out!
  • The more active baby becomes, the more danger there is for baby – stay one step ahead!
  • Keep talking to your baby and answer when baby tries to talk
  • Let baby stretch out on a blanket on the floor and practice motor skills
  • By 6 months of age, baby should have doubled his/her birth weight
  • Baby may cut first tooth at 6 months of age or later

9 Months Check-up

Playtime

  • Sits by self, may be crawling, and soon will be standing and cruising around furniture
  • Can pinch and poke with thumb and forefinger
  • Has many sounds and will talk “baby talk”
  • Give baby plenty of floor time to practice motor skills
  • Good toys: blocks, soft toys, “chubby” books, activity crib toys, dolls, soft trucks and cars, pop-ups, squeeze toys, pictures of real people, soft keys
  • Give baby a special cabinet or drawer in the kitchen that he/she can empty and fill back up. (Use his/her toys or plastic bowls, wooden spoons, etc.)

Feeding

  • Baby should be eating 3 meals with 2 snack times a day
  • Snacks should be healthy – fruit or toast make good choices
  • Breastfeeding only 3-4 times a day now
  • If bottle-feeding, baby needs only 16-24 ounces of formula per day
  • Offer a cup (goal is to get baby off bottle by one year of age)
  • Seat baby in a highchair to be with the rest of the family
  • Offer safe finger foods – small soft pieces
  • No hard candy or peanuts or anything else that can choke baby
  • Over the next 2-3 months, baby will graduate to table food

Safety

  • Remember electric plug covers, gates for stairs, and cabinet locks
    Put baby’s “special” play cabinet away from the cooking area – Baby can be burned by spilled grease or hot water
  • Lock up all poisons, medicines, alcohol, and cleaning supplies
  • Keep the Poison Control number by all your phones —
    POISON CONTROL CENTER 1-800-222-1222
  • Empty wash buckets and keep the bathroom door shut. (Baby can drown in only 2 inches of water.)
  • Use a car seat and face it backwards in the car

Testing

  • A hemoglobin and lead test may be done today – these tests are for anemia and lead poisoning

More

  • Read, talk, and sing to your baby – this helps your baby learn
  • Television and movies should never take the place of human interaction
  • This is a good time to use the word “NO”. Be loving but firm, if you are consistent, baby will learn better.
  • Baby may become afraid of strangers – this is normal. Help your baby become comfortable around new people by holding and reassuring him/her.
  • Time to begin to wean baby off pacifier

12 Months Check-up

Playtime

  • Baby is pulling up on furniture, cruising, crawling, and may be walking
  • Baby has a good “pinch” now with finger and thumb and can pick up small things
  • “Peek-a-boo” and “patty-cake” are fun games, so are stacking blocks and putting them in bowls or boxes
  • Your baby should be making “ma-ma” or “da-da” sounds, and may be saying 1-3 words
  • Keep talking and naming objects. This helps your baby develop his/her language
  • Good toys: push and pull toys, toy lawn mowers, telephones, blocks, toys that can be taken apart, pounding toys, wooden puzzles, plastic bowls and wooden spoons.

Discipline

  • A firm “no” is good. Children at this age do not understand a spanking
  • If baby continues the behavior after being told “no”, move baby to another room, take away the toy, etc.
  • Limit the number of rules
  • Be consistent. Don’t let baby do something one day, then punish him/her the next.
  • Turn your hot water heater down to 120 degrees or less
  • Put baby to sleep on BACK to lower your baby’s risk for SIDS (Sudden Infant Death Syndrome)
  • Never leave your baby alone in a tub or sink of water
  • Keep home and car smoke free
  • Never leave your baby alone with your pets
  • Never shake your baby

Feeding

  • Baby should be drinking whole milk now, 16-24 ounces a day
  • Cups, not bottles
  • Give baby table food and let baby learn to feed him/herself. Keep teaching the spoon, but let baby use fingers.
  • Baby’s appetite may drop off now, as he/she is not growing as quickly
  • Insist baby sit for all meals with the family

Testing

  • Your baby is changing quickly. Baby has probably tripled his/her birth weight and may have 6-8 teeth.

15 Months Check-up

Playtime

  • Can roll over easily
  • Has good head control
  • Can sit with support or leaning forward on hands
  • Can reach, grab, and hold own bottle
  • Can imitate sounds that you make
  • Will explore objects with mouth
  • Can sleep through the night without a feeding
  • Good toys: “busy box”, soft books, rattles, small blocks baby can hold, mobiles, squeak toys, play gym
  • May begin to fear strangers

Feeding

  • Should be progressing with solid food – cereal, vegetables, and fruit by spoon
  • Formula feedings should be about 32 ounces a day
  • Breastfeeding should be about 5-6 times a day
  • Formula and breastfeeding amount will begin to decrease as baby takes more food from the spoon
  • Start meats about 7 months of age
  • Baby should be fed 3 meals a day from the spoon

Safety

  • Car seat facing backwards in the backseat
  • Check all toys for small parts that can choke
  • Use plastic plug covers in all electrical outlets
  • Use gates at the top and bottom of stairs
  • Lock up all medicine and keep purses out of reach
  • Keep all cleaning products out of reach
  • “Walkers” are not encouraged because they can be dangerous

Immunizations

  • Immunizations (vaccinations / shots) are very important for your baby’s health
  • There may be some side effects from the shots such as a fever, crying, fussiness
  • Use acetaminophen (Tylenol) every 4-6 hours for the next 24 hours

More

  • In the next few months, baby will start to scoot, crawl and even pull up on furniture to stand. This means baby can pull things over on him/herself – so watch out!
  • The more active baby becomes, the more danger there is for baby – stay one step ahead!
  • Keep talking to your baby and answer when baby tries to talk
  • Let baby stretch out on a blanket on the floor and practice motor skills
  • By 6 months of age, baby should have doubled his/her birth weight
  • Baby may cut first tooth at 6 months of age or later

18 Months Check-up

Playtime

  • Can roll over easily
  • Has good head control
  • Can sit with support or leaning forward on hands
  • Can reach, grab, and hold own bottle
  • Can imitate sounds that you make
  • Will explore objects with mouth
  • Can sleep through the night without a feeding
  • Good toys: “busy box”, soft books, rattles, small blocks baby can hold, mobiles, squeak toys, play gym
  • May begin to fear strangers

Feeding

  • Should be progressing with solid food – cereal, vegetables, and fruit by spoon
  • Formula feedings should be about 32 ounces a day
  • Breastfeeding should be about 5-6 times a day
  • Formula and breastfeeding amount will begin to decrease as baby takes more food from the spoon
  • Start meats about 7 months of age
  • Baby should be fed 3 meals a day from the spoon

Safety

  • Car seat facing backwards in the backseat
  • Check all toys for small parts that can choke
  • Use plastic plug covers in all electrical outlets
  • Use gates at the top and bottom of stairs
  • Lock up all medicine and keep purses out of reach
  • Keep all cleaning products out of reach
  • “Walkers” are not encouraged because they can be dangerous

Immunizations

  • Immunizations (vaccinations / shots) are very important for your baby’s health
  • There may be some side effects from the shots such as a fever, crying, fussiness
  • Use acetaminophen (Tylenol) every 4-6 hours for the next 24 hours

More

  • In the next few months, baby will start to scoot, crawl and even pull up on furniture to stand. This means baby can pull things over on him/herself – so watch out!
  • The more active baby becomes, the more danger there is for baby – stay one step ahead!
  • Keep talking to your baby and answer when baby tries to talk
  • Let baby stretch out on a blanket on the floor and practice motor skills
  • By 6 months of age, baby should have doubled his/her birth weight
  • Baby may cut first tooth at 6 months of age or later

2 Years Check-up

Playtime

  • Can roll over easily
  • Has good head control
  • Can sit with support or leaning forward on hands
  • Can reach, grab, and hold own bottle
  • Can imitate sounds that you make
  • Will explore objects with mouth
  • Can sleep through the night without a feeding
  • Good toys: “busy box”, soft books, rattles, small blocks baby can hold, mobiles, squeak toys, play gym
  • May begin to fear strangers

Feeding

  • Should be progressing with solid food – cereal, vegetables, and fruit by spoon
  • Formula feedings should be about 32 ounces a day
  • Breastfeeding should be about 5-6 times a day
  • Formula and breastfeeding amount will begin to decrease as baby takes more food from the spoon
  • Start meats about 7 months of age
  • Baby should be fed 3 meals a day from the spoon

Safety

  • Car seat facing backwards in the backseat
  • Check all toys for small parts that can choke
  • Use plastic plug covers in all electrical outlets
  • Use gates at the top and bottom of stairs
  • Lock up all medicine and keep purses out of reach
  • Keep all cleaning products out of reach
  • “Walkers” are not encouraged because they can be dangerous

Immunizations

  • Immunizations (vaccinations / shots) are very important for your baby’s health
  • There may be some side effects from the shots such as a fever, crying, fussiness
  • Use acetaminophen (Tylenol) every 4-6 hours for the next 24 hours

More

  • In the next few months, baby will start to scoot, crawl and even pull up on furniture to stand. This means baby can pull things over on him/herself – so watch out!
  • The more active baby becomes, the more danger there is for baby – stay one step ahead!
  • Keep talking to your baby and answer when baby tries to talk
  • Let baby stretch out on a blanket on the floor and practice motor skills
  • By 6 months of age, baby should have doubled his/her birth weight
  • Baby may cut first tooth at 6 months of age or later

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