One-Year Visit

Abstract

Taisha is an active 1-year-old brought to the pediatric clinic by her mother and father, Mr. and Mrs. Jones. Her birth weight was 2.6 kg (5.7 lb) (10th percentile), and is now 8 kg (17.6 lb) (10th percentile) which is three times her birth weight. Taisha’s length at birth was 46 cm (18.4 in.) and she is now 66 cm (26.8 in.); and her head circumference at birth was 32.4 cm (12.96 in.) and now it is 42.24 (16.89 in.), also on the 10th percentile. She is eating much less and less frequently and some days she wants more or less—while a month ago she was more consistent. The Jones’ are concerned about this. Taisha continues to be breastfed and eats a variety of table foods, enjoys finger foods, and has about three meals and two snacks a day. Mrs. Jones is trying to decide if she should continue breastfeeding and what Taisha should drink if she is not breastfeeding. Should she use a bottle or a cup. Taisha is walking holding on and enjoys it. She can hold a crayon crudely and makes marks on a paper, but still tries to put the crayon in her mouth. The apartment they live in often does not provide sufficient heat and the parents frequently resort to a space heater in the winter. The parents are concerned that Taisha will turn the heater over and get hurt. Taisha doesn’t like going to sleep in the evening and wakes up in the middle of the night crying. She naps for a long time in the morning and at about 2 p.m. She says dada and momma specific to her parents. Taisha understands “no” and “hot” but sometimes throws temper tantrums when something is denied to her. Her parents are used to disciplining older children as they each teach sixth grade. They ask about using time out at Taisha’s age. When her parents name something in the room, Taisha will look for it. She likes talking and singing games, and naming body parts.

• Are Taisha’s height and weight appropriate for her?