Nine Month Well Check


 

Pediatric Associates of Austin, P.A.

MY NINE MONTH VISIT

What I can do now

  • I am getting into everything now, either by crawling or holding on to furniture.
  • I like to babble and make long strings of sounds like "ma-ma-ma" and "da-da-da".
  • I may understand simple words like "no-no" and "bye-bye."

Help me learn what to eat

  • Continue to give me breast milk or formula with iron until I am at least a year old.
  • I would love it if you gave me more baby food and less milk now because baby food has more iron and a variety of flavors to accustom me to eating new things.
  • Let me try a sippy cup and small soft finger foods. I will be very messy.
  • I can have diluted juice now, but no more than 6 oz. total. It may interfere with tasting other new foods. Plain water is still better than juice.

Play with me

  • Hold me, talk to me, cuddle me and sing to me. I love it!
  • Play pat-a-cake, peek-a-boo with me. I like playing these games now.
  • I like to smile back at you when you smile at me.
  • Read to me. I like to hear you read. I may even have a favorite book. Play music for me.
  • Encourage me to play with toys for babies my age. I like bright colored objects or toys.
  • Talk to my doctor about my babysitters and other caretakers.

Protect my teeth

  • Wipe my teeth with a soft cloth after meals. You can try a soft brush but no toothpaste yet because I might swallow too much fluoride.
  • If I still receive a middle of the night bottle, progressively change to just water in the bottle to keep my teeth from getting cavities.
  • If I am only getting water, I might decide to give up this feeding and let you get more sleep!

Keep me safe

  • Never shake me.
  • Do not let me eat chips, hard candy, nuts or grapes yet because I may choke on them.
  • Place gates at all stairs, top and bottom. Do not put me a walker. They will not help me learn how to walk, and I may trip on them.
  • To keep me safe, block access to electrical outlets, pad sharp corners; place locks on drawers and cabinets.
  • Do not let me play with plastic bags or balloons.
  • I can pick up small things now so do not let me play with small toys or sharp objects.
  • Always keep me buckled up in a car seat that faces the back of the car. The middle seat in the back is the safest for me.
  • Do not leave me alone in a tub of water. Take me with you if the phone or door bell rings.
  • Use a broad-spectrum sunscreen, making sure to cover all exposed areas, especially my face, nose, ears, feet, and hands, even the backs of my knees. Use a cap that shields my face.

Mom and Dad’s concerns

Sleeping

  • I may wake up at night more often now.
  • Help me go to sleep by myself by putting me to bed awake and having a bedtime routine.
  • A small stuffed animal, another favorite toy, or pacifier may calm me at bedtime.
  • Having a consistent response to my awakenings will help me get back into sleeping through the night.

Illnesses

  • On average, babies have 8 to 10 illnesses in their first year.
  • I may show that I am ill by having fever, congestion, cough, vomiting, diarrhea or skin rash.
  • I may not want to eat, and I may act irritable.
  • You can help by having a thermometer at home and knowing how to take my temperature
  • Write down what is wrong with me, my temperature and any questions you may have before calling the clinic nurse. This will help you get your questions answered.
  • It will also help to have acetaminophen infant drops or ibuprofen for infants to bring down fevers and an oral electrolyte solution for vomiting and diarrhea.

Family relationships

  • My brothers and sisters may be jealous of me. Have them do simple things to help with my care, but do not let them carry me or feed me.
  • Spend some time with them alone if you can so they feel they are important too.
  • I need both my parents to spend time with me and play with me.
  • Continue to take time for yourself and each other.

Before my 12 month visit, I will

  • Probably start walking or standing alone.
  • Use a cup to drink.
  • Become picky about what I eat.
  • Act more independent
If your child is seriously ill, please call us directly at (512) 458-5323

If your child is seriously ill, please call us directly at (512) 458-5323