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POCKET GUIDE - Bright Futures - American Academy of Pediatrics

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15 monThs<br />

Interview Questions<br />

■ Are you breastfeeding your child? Are you giving her<br />

bottles? Milk in a cup? What kind <strong>of</strong> milk does she drink?<br />

how much?<br />

■ how much fruit juice or how many sweetened drinks<br />

(fruit drinks, s<strong>of</strong>t drinks) does your child drink? is the<br />

juice 100% fruit juice? When does she drink them?<br />

■ Which foods does your child like to eat? Are there any<br />

foods she doesn’t like?<br />

■ Describe your child’s mealtimes. Does she eat with<br />

the family?<br />

■ Does she ask for food between meals and snacks?<br />

if so, how do you handle this?<br />

■ Does your child throw tantrums over food? if so,<br />

how do you handle them?<br />

■ What kinds <strong>of</strong> physical activities does your child enjoy?<br />

■ What concerns do you have about your child’s weight?<br />

Screening and Assessment<br />

■ evaluate the child’s progress in developing large motor<br />

skills. Children should be actively playing with a<br />

parent daily.<br />

Anticipatory Guidance<br />

discuss with Parents<br />

■ <strong>of</strong>fering their child food every 2 to 3 hours. (Children’s<br />

capacity to eat at any one time is limited.)<br />

■ giving their child opportunities to develop eating skills<br />

(chewing, swallowing) by <strong>of</strong>fering a variety <strong>of</strong> foods and<br />

eating at a family table.<br />

■ <strong>of</strong>fering age-appropriate foods (cut food into small<br />

pieces) and continuing to monitor the size <strong>of</strong> foods.<br />

(Chewing and swallowing functions are not completely<br />

developed until about age 8.)<br />

■ Making eating easier for their child by using spoons,<br />

cups, and dishes with steep sides (bowls).<br />

■ Being patient as their child’s skill at eating a variety <strong>of</strong><br />

foods increases.<br />

■ Providing a relaxed atmosphere during meals and<br />

snacks. (Children should not be rushed, because trying<br />

new foods takes time.)<br />

■ Discouraging television viewing and encouraging<br />

interactive activities (talking, playing, singing, and<br />

reading together).<br />

33<br />

<strong>Bright</strong> FUTURES<br />

Early Childhood

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