Bright Futures Parent Handout 4 Year Visit

1 Bright Futures Parent Handout 4 Year Visit Here are some suggestions from Bright Futures experts that may be of value to your family. Getting Ready for School Healthy Habits What to Expect at Ask your child to tell you about her day, Have relaxed family meals without TV. Your Child's 5 and DEVELOPING HEALTHY. PERSONAL HABITS. friends, and activities. Create a calm bedtime routine. 6 Year Visits Read books together each day and ask Have the child brush his teeth twice each day your child questions about the stories. using a pea-sized amount of toothpaste with We will talk about Take your child to the library and let her fluoride. Keeping your child's teeth healthy choose books. Have your child spit out toothpaste, but do Preparing for school Give your child plenty of time to finish not rinse his mouth with water. Dealing with child's temper problems SCHOOL READINESS. sentences. Eating healthy foods and staying active Safety Listen to and treat your child with respect.

2 Safety outside and inside Insist that others do so as well. Use a forward-facing car safety seat or booster seat in the back seat of all vehicles. Model apologizing and help your child to do so after hurting someone's feelings. Switch to a belt-positioning booster seat Poison Help: 1-800-222-1222. when your child reaches the weight or height Praise your child for being kind to others. Child safety seat inspection: limit for her car safety seat, her shoulders Help your child express her feelings. 1-866-SEATCHECK; are above the top harness slots, or her ears Give your child the chance to play with come to the top of the car safety seat. others often. Never leave your child alone in the car, SAFETY. Consider enrolling your child in a preschool, house, or yard. Head Start, or community program. Let us Do not permit your child to cross the street know if we can help. alone. Your Community Never have a gun in the home.

3 If you must CHILD AND FAMILY INVOLVEMENT AND SAFETY IN THE COMMUNITY. Stay involved in your community. Join have a gun, store it unloaded and locked with activities when you can. the ammunition locked separately from the gun. Ask if there are guns in homes where Use correct terms for all body parts as your your child plays. If so, make sure they are child becomes interested in how boys and stored safely. girls differ. Supervise play near streets and driveways. Teach your child about how to be safe with other adults. TV and Media No one should ask for a secret to be kept Be active together as a family often. from parents. TELEVISION AND MEDIA. Limit TV time to no more than 2 hours per No one should ask to see private parts. day. No adult should ask for help with his Discuss the TV programs you watch together private parts. as a family. Know that help is available if you don't feel No TV in the bedroom. safe.

4 Create opportunities for daily play. Praise your child for being active. The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. Original document included as part of Bright Futures Tool and Resource Kit. Copyright 2010. American Academy of Pediatrics. All Rights Reserved. The American Academy of Pediatrics does not review or endorse any modifications made to this document and in no event shall the AAP be liable for any such changes. PAGE 1 OF 1. Healthy Get your child on the path to Eating healthy eating. Focus on the meal and each other. Your child learns by watching you. Children are likely to copy your table manners, your likes and dislikes, and your willingness to try new foods. Offer a variety of healthy foods. Let your child choose how much to eat.

5 Children are more likely to enjoy a food when eating it is their own choice. Be patient with your child. Sometimes new foods take time. Give children a taste at first and be patient with them. Offer new foods many times. Let your children serve themselves. Teach your children to take small amounts at first. Let them know they can get more if they are still hungry. Cook together. Eat together. Talk together. Make meal time family time. FNS-451. Department of Agriculture October 2012. Food and Nutrition Service USDA is an equal opportunity provider and employer. Healthy Eating Daily Food Plan Use this Plan as a general guide. These food plans are based on average needs. Do not be concerned if your Children's appetites vary from day to day. Some days they may eat less than child does not eat the exact amounts suggested. Your child may need more these amounts; other days they may want more. Offer these amounts and let or less than average.

6 For example, food needs increase during growth spurts. your child decide how much to eat. Food group 2 year olds 3 year olds 4 and 5 year olds What counts as: Fruits cup of fruit? cup mashed, sliced, or chopped fruit 1 cup 1 - 1 cups 1 - 1 cups cup 100% fruit juice medium banana 4-5 large strawberries Vegetables cup of veggies? cup mashed, sliced, or chopped vegetables 1 cup 1 cups 1 - 2 cups 1 cup raw leafy greens cup vegetable juice 1 small ear of corn Grains 1 ounce of grains? Make half your grains whole 1 slice bread 3 ounces 4 - 5 ounces 4 - 5 ounces 1 cup ready-to-eat cereal flakes cup cooked rice or pasta 1 tortilla (6 across). 1 ounce of protein foods? Protein Foods 1 ounce cooked meat, poultry, or seafood 2 ounces 3 - 4 ounces 3 - 5 ounces 1 egg 1 Tablespoon peanut butter cup cooked beans or peas (kidney, pinto, lentils). Dairy cup of dairy? Choose low-fat or fat-free cup milk 2 cups 2 cups 2 cups 4 ounces yogurt ounce cheese 1 string cheese Some foods are easy for your child to choke on while eating.

7 Skip hard, small, whole There are many ways to divide the Daily Food Plan into meals and snacks. View foods, such as popcorn, nuts, seeds, and hard candy. Cut up foods such as hot dogs, the Meal and Snack Patterns and Ideas to see how these amounts might look grapes, and raw carrots into pieces smaller than the size of your child's throat about on your preschooler's plate at the size of a nickel. 10. tips kid-friendly Nutrition Education Series veggies and fruits 10 tips for making healthy foods more fun for children Encourage children to eat vegetables and fruits by making it fun. Provide healthy ingredients and let kids help with preparation, based on their age and skills. Kids may try foods they avoided in the past if they helped make them. 1 6. smoothie creations frosty fruits Blend fat-free or low-fat yogurt or milk with fruit Frozen treats are bound to be popular in the warm pieces and crushed ice.

8 Use fresh, frozen, months. Just put fresh fruits such as melon chunks in canned, and even overripe fruits. Try bananas, the freezer (rinse first). Make popsicles by inserting sticks berries, peaches, and/or pineapple. If you into peeled bananas and freezing. freeze the fruit first, you can even skip 7. the ice! bugs on a log Use celery, cucumber, or carrot sticks as the log and 2 delicious dippers add peanut butter. Top with dried fruit such as raisins, Kids love to dip their foods. Whip up a quick dip cranberries, or cherries, depending on what bugs you want! for veggies with yogurt and seasonings such as 8. herbs or garlic. Serve with raw vegetables like broccoli, homemade trail mix carrots, or cauliflower. Fruit chunks go great with Skip the pre-made trail mix and make a yogurt and cinnamon or vanilla dip. your own. Use your favorite nuts and dried fruits, such as unsalted peanuts, cashews, walnuts, or sunflower seeds mixed with dried apples, 3 caterpillar kabobs pineapple, cherries, apricots, or raisins.

9 Add whole-grain Assemble chunks of melon, apple, orange, and cereals to the mix, too. pear on skewers for a fruity kabob. For a raw veggie 9. version, use vegetables like zucchini, cucumber, squash, potato person sweet peppers, or tomatoes. Decorate half a baked potato. Use sliced cherry tomatoes, peas, and low-fat cheese on the potato 4 personalized pizzas to make a funny face. Set up a pizza-making station in the kitchen. Use 10. whole-wheat english muffins, bagels, or pita bread put kids in charge as the crust. Have tomato sauce, low-fat cheese, and cut-up Ask your child to name new veggie or fruit creations. vegetables or fruits for toppings. Let kids choose their own Let them arrange raw veggies or fruits into a fun favorites. Then pop the pizzas into the oven to warm. shape or design. 5 fruity peanut butterfly Start with carrot sticks or celery for the body. Attach wings made of thinly sliced apples with peanut butter and decorate with halved grapes or dried fruit.

10 United States DG TipSheet No. 11. Department of Agriculture June 2011. Center for Nutrition USDA is an equal opportunity Policy and Promotion Go to for more information. provider and employer. VACCINE INFORMATION STATEMENT. MMR Vaccine (Measles, Mumps and Rubella). Many Vaccine Information Statements are available in Spanish and other languages. See What You Need to Know Hojas de informaci n Sobre Vacunas est n disponibles en espa ol y en muchos otros idiomas. Visite 1 Why get vaccinated? 2 Who should get MMR vaccine and when? Measles, mumps, and rubella are serious diseases. Before vaccines they were very common, especially among Children should get 2 doses of MMR vaccine: children. First Dose: 12 15 months of age Measles Second Dose: 4 6 years of age (may be given earlier, if Measles virus causes rash, cough, runny nose, eye at least 28 days after the 1st dose). irritation, and fever. Some infants younger than 12 months should get a dose It can lead to ear infection, pneumonia, seizures of MMR if they are traveling out of the country.