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Suite #100 Rockville, MD 20850

Advice: 3 years

Nutrition

  • Kids are surprisingly well-nourished despite ‘finicky’ eating.
  • Encourage 5 servings of REAL fruits and vegetables.
  • Use appropriate food portions by using your child’s fist size
    to estimate the size of one portion.
  • Many people eat 2 1⁄2 meals per day. In adults, our 1⁄2 meal tends to be breakfast. In kids, their 1⁄2 meal tends to be dinner and that is okay.
  • Limit salt, processed snacks, and sweets.
  • Limit milk (skim, 1%, or 2%) to 20 ounces each day. Juice has no nutritional value. If you choose to give juice, limit to 4 oz per day.
  • We recommend a daily multivitamin with Vitamin D

The Screen Hack

Now is the time to take control of screen time! Limit screen time to under 1 hour a day.  Try to avoid screen at meal times or bed time – this can create bad habits that are difficult to break.  Screen time is any time spent in front of the TV, computer, or tablet. Screen time and content should be carefully monitored. It is important to engage with your kids about technology, which you can do by watching and playing with them. Looking for resources? Common Sense Media has some great recommendations!

What to expect at your 3 year visit

Check-up: Your provider will complete a comprehensive history and physical exam, review growth curves, answer any questions, and provide age appropriate guidance.

 

Vaccines: There are no routine vaccines at this visit

 

Labs: There are no routine labs at this visit

 

Screening Questionnaires:

  • Ages & Stages Questionnaire – This is a brief survey that asks questions to asses your child’s development in gross motor, fine motor, social, communication and problem solving areas

The Parenting Corner

If it feels like you’re raising a “three-nager,” you are not alone! Tantrums and meltdowns are common at this age and discipline can be challenging. When possible, use natural consequences (such as removing a toy the child is throwing) as opposed to vague or future-oriented punishments (such as taking away screen time for the week). Positive reinforcement, or praising good behaviors, often goes farther than reprimanding bad behaviors at this age. It is also a parent’s job to teach kids right from wrong and to give them skills to be resilient. You should validate a child’s feelings while also being consistent with boundaries and expectations (“it’s ok to be angry, but I can’t let you hit.”) Model emotion regulation when you feel yourself getting upset or frustrated- everyone can benefit from some deep breathing!

Looking for some book resources? You can check out Raising Good Humans, No Drama Discipline, Tiny Humans, Big Emotions or Hunt, Gather, Parent.

At this age, it is also common for kids to have questions about their bodies. Masturbation or self-stimulationcan be normal; avoid shaming your child for this. Instead, discuss how it is something that involves private parts and therefore happens in private. Use correct anatomical terms for body parts and begin talking to your children about body autonomy.

Dental Health

Fluoride varnish might be applied to your child’s teeth today. As soon as saliva meets the fluoride, it will harden and start working. Avoid sticky/chewy foods this afternoon and DO NOT brush teeth tonight. When you brush the teeth tomorrow morning, you will brush off the fluoride and that is okay. Regular and frequent exposure to small amounts of fluoride is the best way to protect tooth enamel and protect teeth against cavities.

Sugars and bacteria cause cavities in 1 in 4 children. We recommend that you:

  • Discontinue bottles and pacifiers if you haven’t already.
  • Minimize exposure to natural or refined sugars (juice).
  • Brush teeth with a smear of fluoride toothpaste in the morning and before bed.
  • Take your child to see the dentist every 6 months.

Toddler Safety

ALWAYS…  accompany your child when crossing the street and supervise them in the house and yard.


ALWAYS… supervise your child near water, even a partially filled bathtub. Fence in backyard pools.


ALWAYS…  wear sunscreen when spending time outside. We recommend SPF 30 or higher.


ALWAYS… guard windows and stairs with railings and gates.


ALWAYS… pay attention to choking hazards such as hot dogs, popcorn, hard candy, and small toys.


ALWAYS… lock cabinets with medications and household poisons such as cleaners and paint thinners.


ALWAYS… know that guns in the home are a danger to the family. If guns are kept in the house, store the gun and ammunition in two separate locations, and keep each of them locked up.


ALWAYS… use a 5-point harness car seat until your child has outgrown its height/weight limits; after that, use a booster seat until they are 4 feet 9 inches tall (typically between 10-12 years of age). Children under 13 years old should never sit in the front seat.