A M E R I C A S

CHILD PASSPORT

H E A LT H G U I D E TM

B I R T H - 5 Y E A R S

Child Identification

Childs Full Name

Boy Girl

Birth Date Birth Place

Height Weight

Hair Eyes

Race Blood Type Date of Photo:

Mother's Name Phone

Father's Name Phone

Street Address City State Zip

Emergency Contact Phone Features (scars, glasses, braces, birthmarksanything describing your child)

PLACE COLOR PHOTO HERE

Close-up of child's face

Pewaukee, WI 1st Edition 2014 HealthStyle Press PRINTED IN U.S.A. www.healthstylepress.com

Your Americas Child Passport will help you:

Learn your childs needs and how to meet them. Track your childs growth and health milestones. Record important facts about your child. Prevent accidents, illnesses, and injuries.

Well-child visits are important to prevent illness and to help find problems early. Use this passport to schedule and record visits with your health care provider.

Update the passport often. Use a pencil since information may change. Take it with you on visits to your childs doc-tor and when traveling. Keep it handy for an emergency.

3Introduction

Introduction Congratulations on becoming a parent. Whether you've just had your first child or are growing your family, parent-ing brings lots of joybut children do not come with instructions. It's okay to ask for help to learn how to be a better parent. You can ask your doctor's office, hospital, community center, or church about parenting classes or support groups. You'll find help with many parenting topics and space to record health information in this passport.

Remember: you are the most important person in your children's life. Tell your children you love them and give hugs often. Act as you want them to act because they will follow your example. Develop a network of family and friends to support you and to be good role models.

Contents

Introduction Safety Finding Good Child Care Baby: Birth-1 Year Toddler: 2-3 Years Child: 4-5 Years Additional Records Resources Important Phone Numbers

3468

2227313740

5Safety

4

Safe

ty

Safety More children die or are seriously hurt from injuries than from childhood disease. But you can prevent many inju-ries. Never leave a child alone. Young children need to be watched by adults. Also, watch closely when in or near water. Safety-proof your home and car.

Home Use smoke and carbon monoxide detectors on every

floor. Test them monthly. Store matches and lighters out of reach. Store medicines, cleaning products, and other harm-

ful items in childproof containers. Keep them out of reach too.

Make sure furniture and appliances that can be climbed are secured to the wall.

Cover unused electrical outlets with plastic guards. Set the water heater to 120F or less to prevent scalds. If you have a gun, keep it unloaded and locked up.

Lock up bullets in a separate place. Pools must be fenced in and gates to pools locked.

CarNever leave your child alone in a car, even if it's just for a moment. A tired or anxious parent may forget about a sleeping child in the back seat. Always look in the back before exiting.

Proper use of car safety seats helps keep your child safe. All children 12 and under should be restrained in the back seat. The type of seat needed depends on your child's size and on the type of vehicle you have. Car safety guidelines for different age groups are included on pages 14 (Baby), 23 (Toddler), and 27 (Child). Or go to safercar.gov/parents to learn about car safety for specific ages.

Register car seats, cribs, and other child care gear, so you will be notified if there is a safety recall. You should also check the Consumer Product Safety Commission (CPSC) website for toy and product recalls at cpsc.gov.

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Make your home a smoke-free zone. Secondhand smoke raises the risk for health problems such as Sudden Infant Death Syndrome (SIDS).T

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7Child Care

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Child

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Finding Good Child Care Young children should never be left home alone. Find child care providers before you need them, so you can be choosy.

Day Care Visit and compare several child care centers or homes. Observe Are staff and children relaxed, happy, and involved? Are teachers warm and loving, responsive to children's

needs, giving one-on-one attention? Are there enough care providers for the number of kids? Is the setting safe, clean, comfortable, stimulating?Ask Questions About The background, experience level, training, and licens-

ing of the staff and center. How emergencies are handled. Find out if staff are

trained in CPR for infants and children.Check Check references and talk to other parents. Check with the licensing department in your state

about any complaints against the center. Check in often. Ask for updates on your child's prog-

ress. Visit unannounced.

In Your Home Follow these tips for having a friend, family member, neigh-bor, or trusted sitter watch your child in your home. Do a trial run. If the sitter is new to you, check at least

two references. Then invite the sitter to meet you and your child before hiring.

Tour the house. Point out the phones, exits, first aid kits, food and diapering supplies, and emergency contacts list.

Review the rules. Explain your rules about visitors, TV, snacks, and bedtime.

Leave written information, including: Emergency numbers. Where you will be and the phone number. An alternate trusted friend or relative. This passport of health records.

The Red Cross offers a baby-sitting course in most com-munities. This includes rescue breathing and first aid train-ing. When possible, choose sitters who have these skills.

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9Birth - 1 Year

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Birth

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Baby: Birth-1 Year Well-Child Visits Take your children for regular check-ups before they become sick to: Keep them healthy. Track their growth. Find and treat any problems early. Have your health questions answered.

During the first few years, well-child visits are frequent and important. Beginning on page 16, you and your doctor can record health information. Growth milestones are also noted so you can track how your child learns and develops. Remember that each child is different and may reach milestones earlier or later than others. Children born early may need extra time to reach milestones.

Your child's doctor will tell you how often to visit for check-ups. The American Academy of Pediatrics (AAP) recom-mends the following schedule from birth through year one.

1 week 4 months 12 months1 month 6 months 15 months2 months 9 months 18 months

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) is a Medicaid program that provides free medi-cal, mental, vision, hearing, and dental check-ups. For information, visit medicaid.gov. Food The food your baby eats can have lasting health effects. Breast feeding The AAP recommends breast milk for at least the

first year. In the first month, the baby will need 8-12 feedings in

24 hours. Feedings will be less often as your baby grows. Burp your baby often during feedings. If you have problems making milk or feeding your

baby, call your doctor right away. Formula Feeding If breast feeding is not possible, use formula. In the first month, feedings will be often: 8-12 times

in 24 hours. Each feeding will be 2-3 ounces. Burp your baby after each ounce or two. Always hold the bottle. Never leave a baby with a

propped bottle. Throw out any formula left in the bottle after a feeding.

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Foods Not to FeedUntil the baby is six months old, do not give your baby juice. Until one year, don't give your child peanuts, tree nuts, fish, or shellfish. Wait until the baby is one year be-fore using cow's milk, and then use whole milk. Babies do not need extra water. Adding Solid Foods Offer one new food at a time. Wait at least 3 days

before trying another one. Serve baby foods from a spoon, never a bottle. At 4-6 months, begin to feed iron-fortified infant cereal

or pureed meats. Mix these with formula or breast milk. At 6-8 months, children who eat cereal or pureed

meats can also have strained fruits and vegetables, added one at a time.

It can be hard to remember how many feedings your child has had, especially if a child care provider gives some of them. Keep track of feedings with a Daily Record such as the one on page 15. You can also record diapering. Around 6-8 diapers per day is normal. Sleep Babies sleep up to 18 hours a day, usually 1 to 3 hours at a time. For good, quality sleep try the tips on the next page.

Provide a safe setting for sleep. Place babies in a safety-approved crib only. Chairs, sofas, and adult beds are not safe for sleeping babies. Keep loose bedding and soft objects out of the crib. Keep the bedroom cool. The AAP recommends that parents share a room but not a bed with a child. Don't run to the rescue. If your children start to fuss, give them a minute or two to calm themselves. Learning to self-comfort and fall back asleep is an important skill. If they keep crying, check if they are hungry, sick, or have a dirty diaper. Reassure a fussy child, but don't engage in play. Keep busy during the day. During the day, make sure your child is active. Active play during the day means more rest-ful sleep at night. Make a sleep routine. A quiet routine promotes a peaceful night's sleep. Try a bath, soft music, or a bedtime story. Keep the routine the same each night.

Prevent SIDS: Always place children on their backs to sleep. TIP

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Health Protect children from germs. Clean surfaces in and outside of the home that are common germ sources: door knobs, phones, remote controls, water fountains, shopping carts, railings, and elevator buttons. To avoid re-spreading germs from previous wipe-ups, use paper towels or microwave sponges for 30 seconds to disinfect them. Keep toothbrushes away from the toilet. Wash linens and towels in hot water. Wash childrens hands after leaving day care. Know how to take a temperature. The type of thermom-eter to use depends on your child's age. Every tenth of a degree matters for babies less than three months old. Rec-tal temperatures are the most accurate for young children.Contact your health care provider if your child has a tem-perature of 100.4F or more.

Emotional Health. Children do best when given loving care in a safe, stable home. Praise good choices and actions. This helps your chil-

dren connect their actions with your response. Plan family time together. Talk, listen, play, and have

fun as a family. This gives children a chance to make social connections in a safe place.

Babies who have good emotional health: Look into a caregiver's eyes and smile. Coo and gurgle to show they are happy or excited. Smile or laugh a funny faces. React to changes in a caregiver's voice or touch. They

may startle, blink, cry, quiet. Try to copy changes in others' voices. Can be comforted by a familiar touch or voice.

"Time-outs" aren't just for kids. You should take a break if you fear you may lose control and hit a child or say something you'll regret. Take deep breaths or call a friend to talk it out. Return to your child when you are calm.

TIP3 mo 6 mo 3 yrs

What Thermometer to Use at Each Age

What Temperature

Indicates a Fever

100.4F

100.0F

99.0F

5 yrsBirth

Underarm

Forehead

Pacifier or oral

Digital Ear

Rectal Digital

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Safety Protect children from falls. Never leave babies alone on a bed or changing table. Block stairways with a gate and keep steps free of objects that may trip you while you're holding the baby. Use straps on high chairs and strollers. Use win-dow guards above the first floor; do not rely on screens. Protect skin from the sun. Use sunscreen and hats. Limit sun exposure. Car safety. Babies should always ride in a rear-facing safety seat. Learn CPR and First Aid. Be prepared for serious accidents. Find CPR and first aid classes at redcross.org/take-a-class.

14

Daily RecordFor each feeding in a day, record the time and amount. Note each diaper. To record more days, you may copy this page.

Date: AMLeft Breast

Time

Amount

Right Breast

Bottle

Wet diaper Dirty diaper Date: PMLeft Breast

Right Breast

Bottle

Wet diaper Dirty diaper

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Birth Record Health Care Providers: Please record test results and footprint.

Weight Length Apgar Score Hearing Tested (Y/N)

Age (in hours) at time of metabolic screen for PKU/other disorders:

Results:

Date of sickle cell screening:

Results:

Use a water-based, non-toxic ink or an inkless footprinting kit.

One WeekRecord well-child visit results such as height, weight, and head circumference. If immunizations are given, list them on pages 32-34.

Date: Test Results and NotesHeight:

Weight:

Head:

Immunizations Y NMilestones Responds to your voice and touch. Has periods of wakefulness. Looks at parents when awake. Moves in response to sights and sounds. Eats 8-12 times a day. Wets 6-8 diapers a day.

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One MonthDate: Test Results and NotesHeight:

Weight:

Head:

Immunizations Y NMilestones Raises head when lying on tummy. Responds to calming when upset. Begins to smile. Recognizes parents' voices and follows them with eyes.

Two MonthsDate: Test Results and NotesHeight:

Weight:

Head:

Immunizations Y NMilestones Smiles, coos, and comforts self. Turns head from side to side when lying on tummy. Watches and follows parents briefly with eyes. Develops different cries for hunger, sleep, and comfort.

Four MonthsDate: Test Results and NotesHeight:

Weight:

Head:

Immunizations Y NMilestones Holds head up, lifts head and chest when lying on tummy. Begins to roll for objects. Moves arms and legs together. Squeals and babbles.

Six MonthsDate: Test Results and NotesHeight:

Weight:

Head:

Immunizations Y NMilestones Sits and rolls over. Recognizes familiar faces. Starts to know own name. Copies sounds others make.

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Nine MonthsDate: Test Results and NotesHeight:

Weight:

Head:

Immunizations Y NMilestones Afraid or wary of strangers. Looks to parents for comfort and play. Crawls and pulls up to standing. Repeats sounds like "ba-ba" or "ga-ga." Shows likes and dislikes.

Twelve Months (1 Year)Date: Test Results and NotesHeight:

Weight:

Head:

Immunizations Y NMilestones Speaks one or two words; jabbers in speech patterns. Waves goodbye and is upset when parents leave. Stands without help and bangs objects together. Plays games like peek-a-boo and patty-cake.

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Fifteen MonthsDate: Test Results and NotesHeight:

Weight:

Head:

Immunizations Y NMilestones Walks well and can take steps backward. Drinks from a cup and feeds self with spoon or fingers. Follows simple directions.

Eighteen Months (1.5 Years)Date: Test Results and NotesHeight:

Weight:

Head:

Immunizations Y NMilestones Walks up steps and runs. Eats with spoon and fork. Stacks blocks and scribbles with a crayon. Says at least six words. May be ready for toilet training (ask your doctor).

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2 - 3 Years

of each new food, but never force it. Be patient: It can take 10-15 tries before a child will accept a new food.

Safety In vehicles, children should ride in a rear-facing safety seat. If they reach the height or weight limit for their seat, they can switch to a forward-facing safety seat with harness.

As your toddler becomes more independent, teach and ask your child if they know these safety tips.

Toddler TestI know...

My name, address, and phone number. Never to go with anyone who doesnt know our

family code word. To ask permission before going outside. Never to let anyone inside without permission. It is never ok for others to hit me or touch my private

parts. I know to tell an adult if anyone does this. To yell No! and run from anyone who tries to take

or touch me. To dial 9-1-1 in an emergency. The family fire escape plan that we practiced. I know

to crawl under smoke and to never go back inside. Traffic safety rules. I know to hold an adults hand

on streets and in parking lots.

Toddler: 2-3 Years Food Your toddler needs 3 meals each day and 2-3 healthy snacks. The best snacks are low in sugar, fat, and salt. Meals and snacks should include the following: 3-5 ounces of grains (cereal, bread, pasta). At least

half of these should be whole grains. 2-4 ounces of meat, fish, or other protein foods. 2-2.5 cups of milk or other dairy (cheese, yogurt). 1-1.5 cups of veggies. 1-1.5 cups of fruit.

Mealtimes Provide a variety of foods. Cut foods such as hot dogs,

grapes, and carrots into small pieces to prevent choking.

Serve meals and snacks around the same time each day. Let your child decide how much to eat. Never use rewards to get your child to eat. Never use food as a reward. Never withhold food as punishment. Encourage your child to try new foods by having your child help you make meals. Ask your child to try one bite

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Twenty-four Months (2 Years)Date: Test Results and NotesHeight:

Weight:

BMI:

Immunizations Y NMilestones Runs, jumps, throws and kicks a ball. Says at least fifty words and can use short sentences. Completes sentences heard in favorite books. Imitates adultsplays "pretend" (cooking, caring for dolls). Names pictures of familiar things.

Thirty Months (2.5 Years)Date: Test Results and NotesHeight:

Weight:

BMI:

Immunizations Y NMilestones Washes hands, dresses, and brushes teeth with help. Has friends and enjoys playing with other children. Names animal sounds and actions (cows moo, birds fly). May fear change or the unexpected. Uses short phrases and can name six or more body parts.

Health The AAP recommends 3 well-child visits during years 2-3.

2 years 2.5 years 3 years

Good exercise habits learned early helps prevent childhood obesity. A Body Mass Index (BMI) test shows if a child's weight is at a good level for his or her height and age. Limit the time your child spends looking at screens (TV, game, or computer) to 2 hours each day or less. Try crafts or outdoor activities instead. Kids need active play every day.

Toddlers who have good emotional health: Can part from a parent with little or no fuss. Can "read" non-verbal clues like body language and

tone of voice. Have a range of feelingsjoy, anger, sadnessand

can get along with others with some adult help. Setting Boundaries Set boundaries, but never hit, threaten, or bully a child when rules are broken. Discuss the reasons for rules. Help your child express feelings when upset. Stay calm and con-sistent: it may take many tries to correct behavior.

Teach handwashing. To ensure that hands are washed fully, count to 20 or sing Twinkle Twinkle while washing.TI

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4 - 5 Years

Child: 4-5 Years Safety Keep kids safe in and outside the home. Monitor your children's activity when they use computers and electronic games. While biking or playing sports, kids need helmets and protective pads. If walking or biking to school try to find your child a buddy to go with.

In vehicles, children should ride in a forward-facing safety seat with harness. Once they outgrow the safety seat, buckle them in a booster seat.

Health The AAP recommends 2 well-child visits during years 4-5.

4 years 5 years

Continue to feed healthy meals and monitor what your child eats at school. You can help your child stay fit and make friends through sports, scouts, and activities at school or in the community.

Swim lessons teach water safety and provide fitness and fun. Look for classes through local schools, YMCAs, or the Red Cross. In any activity, cheer for your child and don't make winning the only goal.

Three YearsDate: Test Results and NotesHeight:

Weight:

BMI:

Immunizations Y NMilestones Eats and dresses with little or no help. Is fully toilet trained. Can have a conversation. Knows own gender (boy or girl). Knows the name and purpose of a cup, ball, spoon,

and crayon. Rides a tricycle. Balances on one foot for one second. Builds a tower of eight blocks. Can copy a circle and draw a simple person with two

or more body parts.

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Children who have good emotional health: Feel good about themselves and will try new things. Can state their own feelings. They listen to others'

ideas and are polite if views differ. Respect all cultures, no matter what skin color

or language. Can learn to be responsible. Assign chores around the

house. Set goals for school and let your children know you expect them to try their best.

Four YearsDate: Test Results and NotesHeight:

Weight:

BMI:

Immunizations Y NMilestones Catches a ball, hops, and balances on one foot. Can sing a song or say a poem from memory. Knows first and last name. Knows at least four colors by name. Plays board and card games. Brushes teeth without help. Can copy a cross shape and

draw a person with three or more body parts.

Rather than nag, use the "When-Then" technique to get kids to do chores. For example, say, "When the toys are put away, then you may have your snack." Good chores for this age includes making the bed, dusting, and clearing the table.

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Five YearsDate: Test Results and NotesHeight:

Weight:

BMI:

Immunizations Y NMilestones Skips, hops, and balances on one foot. Ties a knot. Holds a pencil correctly. Prints some letters and numbers. Draws a person with six or more body parts. Can copy squares and triangles. Counts to ten and names at least four colors. Tells a simple story with full sentences. Listens and follows simple directions.

Additional Records Immunizations An immunization (or vaccine) is a medicine given to prevent a disease. Health care providers give it by shot or by mouth.

Your doctor can tell you what immunizations your state requires. The AAP recommends yearly flu vaccines for all children age 6 months to 18 years. Be sure to record all vac-cines by at least one of these three ways: Bring this booklet with you when your child's vaccines

are given and record them on pages 32-34. Some states require their own record-keeping card,

which you can keep with this book. Bring both with you when your child's vaccines are given.

Some states have internet registries that allow parents and doctors to access an electronic record.

Even if children have missed vaccines, they may not need to start over. Check with your child's doctor to complete any needed shots.

Health Care Providers: Please mark and explain any new or changed immunization recommendations. Complete records in ink. Combination vaccines should be recorded under each individual part.

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Vacc

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Date

Next

Due

HepB

Hepatitis B

1 2 3 4*

RV

Rotavirus

1 2 3

MMR

Measles

Mumps

Rubella

1 2*F

ourt

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Hib

Haemophilus

influenzae

type b

1 2 3 4

IPV

Inactivated

Poliovirus

1 2 3 4

HepA

Hepati-

tis A

1 2

VAR

Varicella

(Chicken-

pox)

1 2

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Vacc

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Date

Give

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Date

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PCV

Pneumococcal

1 2 3 4

DTaP

Diphtheria

Tetanus

Pertussis

1 2 3 4 5

Vacc

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Give

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Flu

Health History Check off any illness your child gets. Record the date and any additional health notes.

Date Date

Asthma Hand, Food, and Mouth Disease

Chickenpox Impetigo

Conjunctivitis (Pink Eye)

Pertussis (Whooping Cough)

Croup Scarlet Fever

Fifth Disease Strep Throat

Date Illnesses, Surgeries, Allergic Reactions, Emergencies

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Dental History Your child should have dental cleanings and exams every six months, starting at age one. Record your visits here.Date Age Procedures/Results

Resources Child Health Information American Academy of Pediatrics aap.org or 847-434-4000 American Academy of Pediatric Dentistry mychildrensteeth.org Nemours Foundation's Center for Children's Health kidshealth.org Mental Health America nmha.org or 1-800-969-6642

Find a Health Care Provider findahealthcenter.hrsa.gov healthgrades.com zocdoc.com

Food Videos, food plans, food budget tips, recipes choosemyplate.gov Healthy Recipes healthyeating.nhlbi.nih.gov Academy of Nutrition and Dietetics tips kidseatright.org

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Safety safecar.gov/parents Consumer Product Safety Commission - cpsc.gov safemedication.com redcross.org/take-a-class Find quality child care childcareaware.org or 1-800-424-2246 American Association of Poison Control Centers aapcc.org or 1-800-222-1222 Crisis support contacts preventchildabuse.org or 1-800-CHILDREN (244-5373)

Financial Aid Women, Infants, and Children Program (WIC) www.fns.usda.gov/wic or 703-305-2746 List of groups that help with the cost of medicine www.1.usa.gov/ND5PC2 Affordable Care Act information hhs.gov/healthcare Medicaid.gov

Foreign Language Health Information Hotlines Spanish: 1-866-783-2645 Chinese: 1-800-582-4218 Korean: 1-800-582-4259 Vietnamese: 1-800-582-4336

Information Sources American Academy of Pediatrics. Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents. American Academy of Pediatric Dentistry American Red Cross National Center for Infants, Toddlers, and Families Zero to Three Program National Center for Missing and Exploited Children National Institutes of Health National Sleep Foundation US Centers for Disease Control US Consumer Product Safety Commission US Department of Agriculture US Department of Health and Human Services - Health Resources and Services Administration

Image Credits Cover: Susie Weber.

This guide is provided to help you. It is not a substitute for professional medical advice, diagnosis, or treatment. You should not alter or stop any treatment without first consulting your health care provider. Therefore, HealthStyle Press will not be liable for the accuracy or use of this content.

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Emergencies: Dial 9-1-1

Police

Medical

Doctor Phone

Hospital Phone

Medicaid Policy #

Insurance Policy #

Dental Insurance Policy #

Child Care

Day Care

Sitter

Sitter

1 (800) 222-1222 Poison Control (National)

Dentist Phone

Pharmacy Phone

Covered Employee Name

Preschool/School

Sitter

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Important Phone Numbers

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