DOCUMENT RESUME

ED 472 556 PS 030 994

AUTHOR Landry, Susan H.; Ramey, Craig T.

TITLE Healthy Start, Grow Smart: Your Eleven-Month-Old.

INSTITUTION Department of Agriculture, Washington, DC.; Department of

Education, Washington, DC.; Department of Health and Human

Services, Washington, DC.

PUB DATE 2002-00-00

NOTE 41p.; This publication was an initiative of Laura Bush as the

First Lady of Texas and sponsored by the Texas Department of

Health.

AVAILABLE FROM ED Pubs, Education Publications Center, U.S. Department of

Education, P.O. Box 1398, Jessup, MD 20794-1398. Tel: 877-

433 -7827 (Toll Free); Tel: 800-872-5327 (Toll Free); Fax:

301-470-1244; e-mail: edpubs@inet.ed.gov; Web site:

http://www.ed.gov/pubs/edpubs.html/. For full text:

http://www.ed.gov/offices/OESE/earlychildhood/ healthystart/.

PUB TYPE Guides Non-Classroom (055)

EDRS PRICE EDRS Price MF01/PCO2 Plus Postage.

DESCRIPTORS Child Health; Child Rearing; Child Safety; Childhood Needs;

Cognitive Development; Developmental Stages; *Infant Care;

*Infants; *Parent Child Relationship; Physical Development;

Play

ABSTRACT

Distributed by the U.S. Departments of Agriculture,

Education, and Health and Human Services, this pamphlet provides parents with

information and advice about their infants in the eleventh month of life.

Following a brief description of developmental characteristics at this age,

the pamphlet offers advice on a variety of topics, including: preventing

fires and burns, early intervention and baby's developing skills, handwashing

after diaper changes, building skills through play, working with child-care

providers, and avoiding second-hand smoke. The pamphlet concludes with a list

of relevant information resources for families. (HTH)

Reproductions supplied by EDRS are the best that can be made

from the original document.
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U.S. DEPARTMENT OF EDUCATION

Office of Educational Research and Improvement

EDUCATIONAL RESOURCES INFORMATION

CENTER (ERIC)

This document has been reproduced as

received from the person or organization

originating it.

CI Minor changes have been made to

improve reproduction quality.

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° Points of view or opinions stated in this

document do not necessarily represent

official OERI position or policy.

Start,

grow-Swart

Start,

grew- Smta,rt

You" 11-Mottk-OU

Prepared by:

U.S. Department of Agriculture

U.S. Department of Education

U.S. Department of Health and Human Services

2002
This publication was an initiative of Laura Bush as the First Lady of Texas

and sponsored by the Texas Department of Health. President Bush and Mrs.

Bush have asked that this series of booklets be revised and distributed by

the U.S. Department of Agriculture, U.S. Department of Education and the

U.S. Department of Health and Human Services.

We would like to thank the Texas Department of Health for their cooperation and assistance in bringing this publication to families across the

United States. In addition, we recognize the contributions that Susan H.

Landry, Ph.D., Craig T. Ramey, Ph.D. and many other individuals made in

the development of this magazine.
What's Iktsid&

Growing Up Big and Strong 1

Questions Parents As 2

Prevent Fires and Burns 4

What To Do in Case of Fire 6

Use a Smoke Alarm 8

Early Intervention and Your Baby's Developing Skills 9

Avoid Food Battles 10

Tips for Working Moms 12

Hand Washing after Diaper Changes 13

What's It Like To Be 11 Months Old? 14

Prepare To Visit the Dentist 15

Welcome to "NO!" 16

Helping Babies Build Brains 18

Discovering Your Baby's Temperament 19

Safety Firstat Every Age 20

Separation Anxiety 20

Baby Walkers 21

Building Skills Through Play 22

Toys, Toys, Toys 23

Managing Your Time 24

Working with Child-Care Providers 28

Stay Away from Second-Hand Smoke 29

Information Resources for Families 30
7
Gro Up, alta Itrotti

Frei a,Put Rapptofrta' et/wetting ready

for Jacob's entry into toddlerhood. Their

baby seems to be mastering new skills every

day. Yesterday he was trying to pull himself

up at the kitchen table. Today he's pushing

a chair around the living roomand

walking! He's not steady on his feet, but

Ramona and Fred know that he'll soon be

harder to keep up with.

Jacob is 30 inches tall and weighs 25 pounds. His parents are a little sad

that their son is growing up so quickly. He doesn't look much like a baby

anymore. But they are proud of the many things he can do. Jacob points to

his body parts. He takes off his shoes and socks. He waves good-bye. He

likes to make his parents laugh. He is also learning to test limits and loves

to shake his head "no."

And what about your 11-month-old? Read this issue to learn more about

how to help your baby learn, grow and stay healthy.
Quzs-tiokts Pa,istits- Ask

my thre&-year-olict soc, Josh, sometimes

hits the baby. He seems to hate him. What

should I do?

It is natural for an older child to feel jealous

of a baby brother or baby sister. Josh was

once the center of your attention. Now he

sees you giving more time to the baby. He

may feel pushed aside. He may fear that you

no longer love him. These can be strong

feelings. And Josh doesn't know how to deal

with them.

First stop the hitting. Grasp Josh's hand and say firmly, "No hitting. That

hurts." You might add, "I won't let anyone hurt the baby. And I won't let

anyone hurt you."

Help Josh express his feelings in words. Help your older child find the right

wordseven angry ones. Don't let him act on his words by hitting,

pinching or teasing the baby.

Find ways to give Josh attention. You might do this when the baby is asleep.

Take Josh in your lap and talk to him. Or get down on the floor and play with

him. You might get a relative or a friend to care for the baby for an hour.

Take Josh for a walk. Go to the park and have a picnic of cheese and crackers.

Healthy Start, grow-Swart Your 11-Mod:h.-Old
Think about the routines you have with Josh. Your bedtime routine might

go like this: Make sure the TV is off. Have a snack of graham crackers and

milk. Brush teeth. Have a playful bath. Read or tell a story. Hug and kiss

goodnight.

Look for things throughout the day that make Josh feel special. "You have

sharp eyes. You can see the squirrel in the tree." Call attention to things he

can do that the baby cannot. "You put your shoes on by yourself. What a big

boy you are!" When he says something to you, stop what you are doing and

really listen to him.

Show Josh ways to play gently with the baby under your supervision. This

will help him feel strong and smart. A three-year-old can share the pictures

in a book or stack boxes, for example. Playing together will help each child

gain respect for the other.

As your children grow, there will be times when they won't like each other.

Make it clear that you don't allow hitting and hurting. Help each child feel

special. Show affection and let both children know that you love them.

A brother or sister needs to be old enough, mature enough and aware of

how to take care of your baby before you can even consider leaving your

baby with them, even for a short period of time. Most older brothers and

sisters must be at least in their teens and have had a lot of experience

handling the baby under your direct supervision before you can consider

leaving them alone together.

WPA.114fJ1 furl- 6M/it afiA oh 1 Nnur 11..A4nuat.../Vd.
Prviatt mot Rams

cm/ staff- in many areas of your home. Once started, a fire can

rage out of control. Protect your family. Prevent fire before it starts. Guard

against these hazards.

Skuo Most deaths in home fires are caused by careless smoking.

Someone falls asleep in bed with a lit cigarette. Or someone leaves a

cigarette on the edge of a table. Don't let anyone smoke in your home. If

people must smoke, ask them to go outside. Provide an ashtray or tin can

for matches and butts. You don't want them to flick butts into dry grass or

leaves.

Heaters: Place space heaters away from bedding, clothing, drapes and

anything else that can catch fire. Don't warm yourself by standing close to

heaters. If you're cold, put on extra socks or a sweater. Teach children not

to run or play around heaters.

Electrical system,: Ask your landlord how old the electrical system is.

Older houses were not wired to carry today's electrical loads. You may need

heavy-duty outlets for the stove, washer and other large appliances. You

may need more outlets for things like clocks, the TV and lamps.

Don't plug several appliances into one outlet. Overloading can cause a fire.

Use only the correct size fuses. If a fuse blows out again and again, call for

repair. If you feel a tingle when touching a toaster or other electrical device,

unplug it. Replace it or have it repaired.

Don't run cords under rugs or carpets. The cord can become damaged and

set a carpet on fire. When you leave the house, make sure all appliances are

turned off. Never leave an electrical appliance running when you're gone.

Healthy Shirt, grow-Swart Your 11-Moittiv-Olot
Kitckm: Most kitchen fires occur as a result

of cooking. Keep towels and other flammable

things away from burners. Never leave the

kitchen when something is cooking. While

cooking, watch your child closely. Turn pot

handles to the back of the stove. Use the back

burners whenever possible.

Keep your child away when you open a hot oven. If a fire starts on the

stove, cover it with a large pot lid or baking pan. Don't throw water on

burning grease. It can send the hot grease flying and spread the fire.

Instead, douse a grease fire with salt or baking soda. Store matches in a

glass jar with a tight-fitting lid. Store them out of your child's reach.

Storage areas: Remove piles of trash, old clothes and other things that

can burn. Get rid of kerosene, paint thinner and other flammable liquids.

If you must use them for a time, keep these products away from heat. Use

them only where the air is moving freely. Let paint and polish rags dry

thoroughly. If you stuff them into a garbage can on a hot day, the vapors

can ignite. Never store gasoline indoors. Never use it to start a fire.

GCottii Check the labels of your child's clothing and bedding. Don't use

any items that say, "Flammable."

Ho decoratiokts: Keep lighted candles away from paper, curtains

and other things that can burn. If you use a live Christmas tree, keep it in a

container of wet soil or water.

1
To o it4/ Cais. of Pi,r&

Gat/tee-you, ckildreKA Leave your home right away. Forget about

what you're wearing. Don't grab valuables. Just get your family out.

Never o L a/ door Mat feets- kot. A hot door may mean a fire is

blazing on the other side. If you open the door, you could be killed by the

heat and smoke. Try another escape route. Or call for help.

S144.40 area., crecart ofrtith& JZoor Smoke tends to rise. It will be

thinnest near the floor. Never use an elevator. Elevators may fill with hot

air and smoke. And the fire may damage the cable or operating machinery.

ifyoar clothifrtg catche,s- firs "stop, drop- eutAd roff."Don't run.

Running will make the fire worse. Instead, drop to the ground and cover

your face with your hands. Roll to put out the fire. If it's your child's

clothing, roll him on the ground. Or wrap him in a coat or blanket to put

out the fire.

Healthy Start, grourSkuart 3

Your 11-Montiv-Old
Plait, escape, routes

Plan ahead for how your

family would escape in

case of fire. You need to

plan ahead to avoid panic.

Find at least two escape routes from each room, especially the bedrooms.

A door will provide one path. A window may provide another. For upstairs

windows, you may need to keep a ladder or rope within easy reach.

If you use a dead-bolt lock on doors, keep the key in the lock or hanging

nearby. You don't want to spend time looking for it in case of a fire.

Make sure escape windows unlock and open easily. Learn how to remove

screens and safety bars.

If you live in an apartment, find the fire exits and the fire escape. Don't

plan on using an elevator.

Find a spot to meet outside. This could be a tree or a streetlight. Here is

where the family will check in.

Show children pictures of firefighters. Explain that they are helpers. Their

masks could frighten children and cause them to panic.
use Skuok& Alarkt4/

Mafrty & death's- occur between

midnight and 4 a.m., when the family

is asleep. Fire produces smoke and

gases that can numb your senses. If a

fire breaks out, you may not wake up,

or you may not be able to think

clearly. That's why you need a smoke

detector. This will sound an alarm

when a fire starts. Then you can get

your family to safety.

* Make sure you have a smoke detector. Ask your landlord for one. You

can buy a smoke detector for as little as $10.

* Make sure the smoke detector is installed correctly: on a ceiling, at

least six inches from the wall or on a wall 6-12 inches from the

ceiling, away from windows, doors and vents.

* Check the battery every six months. Do it when you change the clocks

for Daylight Savings Time. That's an easy way to remember. Brush or

vacuum dust from the unit. Dust can cause it to malfunction.

* Detectors are sensitive to cooking fumes, fireplace smoke and

cigarettes. When the alarm sounds, teach your children to stay calm.

* For more information on fire safety, contact your local fire

department or visit the U.S. Fire Administration Web site at

www.usfa.fema.gov/.
Att&rv-emti/oktiaitut You" &thy's

Vevelo Skiffs

Childfat, leaykt, skills as they grow. These

skills happen by certain ages. A child learns

skills at his own pace. You can see how your

baby is doing. Watch when he starts to

crawl, walk, talk and feed himself.

If you are concerned that your baby is

learning skills too slowly, talk to your

doctor. You can also call 1-800-695-0285 to

get information. The call is free. When you ,

call, you will be told how to contact the

early intervention program in your state. Staff at your state's early

intervention program can assist you in finding help in your state.

What 1s- ail, ea4 ifrttexvortiok progru44,?

An early intervention program helps children from birth to age three. Early

intervention staff can help your baby learn to roll over, sit up, crawl and

grasp toys. They also help children who are having problems seeing, hearing

and talking.

Hour does ai early ifrtterventiokt/ il-rogra,144. help'?

It can help your child with needed services and also help you join a

support group.

Your family and early intervention staff can work together to plan services.

These services teach basic skills and can be done in your home or during

child care.

Healtitu Start. Grow- Stuart 1 your
Avoid Food Sattle's

8a,t-des Otter od often occur when

parents are too concerned about what, how

much and when their children eat. Avoid

making mealtime a battleground. Your baby

is testing his independence. This means

that he'll try to do things his waynot

yours. Relax and accept your baby's unusual

food choices. As he matures, your baby will

follow your lead more easily.

* Don't insist on eating foods in a certain order. Resist saying dessert is

a treat for "plate cleaners" only. This power struggle makes dessert

more desirable to your 11-month-old.

* Instead, serve a nutritious and balanced meal. Let your baby eat it in

whatever order he chooses.

* Don't restrict food combinations. If your baby wants to dip his toast

in pudding or mix his spinach with rice, let him. He's trying out new

tastes. He's eating nutritious food. Try to respect his harmless

investigation.

* Don't force your baby to eat. For example, carrots are an important

part of a baby's diet. But even a healthy food like a carrot is not worth

a battle. Offer him a choice of healthy foods. Follow his cues about

when he has had enough.

Healthy Start, grow-Suutrt Your 11-Moutk-Old
Ea.thtj too atti,&?

Do you think your baby is not eating enough? Relax. Offer nutritious foods

at regular times in a pleasant atmosphere. No baby will starve himself! To

reassure yourself, check these points.

* Look at his growth. Check the growth chart at his next visit with the

doctor. Is the upward curve on the weight and height chart steady? If

so, he's eating enough.

* Look-at his energy level. Is he moving around all day? Does he sleep

well and wake happy? Is he interested in new things? If he's active, he's

eating enough.

* Look at his milk intake. Is he breastfeeding eagerly or drinking 24 to

32 ounces of formula a day? If so, most of his nutritional needs are

being met.

Using a. cup

Weaning is a gradual process. It moves babies from a bottle or breastfeeding

to drinking from a cup. For bottle-fed babies, weaning to a cup usually

happens around a baby's first birthday.

Now that your baby is feeding himself, it's a good time to offer a cup with

his meals. Using a cup with two handles will improve your baby's coordination skills. Gradually substitute a cup for the bottle at the noon meal.

Once your baby adjusts to that, do the same at the morning meal.

The evening bottle will probably be the last to go. Your baby is used to the

bedtime bottle as a comfortable, secure ritual. Try substituting water in the

bottle for the formula. Then just offer your baby a cup of water before bed. If

you continue to hold and cuddle at bedtime, weaning will go more smoothly.

14.1. oft- 18 44 eli
Tips- Workimg Moms

yom; e jokt& backto work or school

full time, you can still breastfeed your baby.

You can maintain this special relationship

for another year or more. You'll need to

express (force out) your breast milk. Then

your baby's caregiver can feed your baby

breast milk from a bottle or a cup when you

are away.

Use a pump or your hands to express breast

milk. You can learn how from a public

health nurse, a WIC breastfeeding counselor or lactation specialist. Ask

your doctor or WIC for the name of someone who can help. As you learn, be

patient with yourself. Practice. Before long, you'll be an expert.

Express breast milk into a clean container. Refrigerate or freeze it right

away. Breast milk will keep up to 48 hours in the refrigerator. It will keep

longer if it is frozen. You will waste less milk if you store it in small, small,

two- to four-ounce containers. Write the date the milk was expressed on the

containers. If you are taking the milk to a caregiver, write your baby's name

on the container, too.

How lemg cakt, I fre&z& breast kr/filk,?

You can store breast milk in the freezer that has a separate door from the

refrigerator for up to three months.

Make sure your baby's caregiver follows these safety rules:

* Defrost frozen breast milk in the refrigerator for several hours. Or

thaw it by running the container under cool water. Don't thaw it by

leaving it out at room temperature.

Healthy Start, grour.fncart ,.t 19 Your 11- Mouth -Old
* You can refrigerate thawed breast milk for up to 24 hours. It cannot be

refrozen.

* Never use a microwave oven to defrost breast milk.

* Throw away any defrosted and warmed breast milk that the baby

doesn't drink. Don't keep it at room temperature. Don't refrigerate it

for later use.

To learn more about breastfeeding, you may want to contact your local

health department, WIC clinic, hospital, La Leche League or doctor. You

can call La Leche League at 1-800-LALECHE or visit their Web site at

www.lalecheleague.org/.

Hai/tot waskitig aft&r Di/apex dtaktg&s

Hata,// wasItimg th,e, best way to prevent the spread of disease. Build

healthy hand-washing habits now. Help wash your baby's hands after every

diaper changewhen you wash your own. Your baby can go with you into

the bathroom. Help him stand at the sink. Keep a stepstool, liquid soap and

a drying towel handy.

Talk about what you are doing as you wash. For example, say, "Up on the

stool. I'm turning on the water. Let's wet your hands. The water is warm.

Now we'll add a little soap and rub, rub, rub. The soap gets your hands nice

and clean. Now we'll rinse off all of the soap. We'll dry with this towel. This

is where we hang it up. Down from the stool now. I'll close the bathroom

door behind us. Let's go and look at a book."

It's fun to sing a song while washing. Try this one. Sing it to the tune of

"Row, Row, Row Your Boat." Wash, wash, wash your hands. Wash them to

this rhyme. Rub and rub and rub and rub, Away goes all the grime.

Health.), Start, grow-Smart 2 0 Your 11-Montk-Old
What-3s L 4tJ o 8e 11 Mot/elks- Olot?

';-

* The soft spot on the top of my head

is almost closed.

* My legs look bowed when I stand up;

my feet look flat.

* My sitting balance is good.

* I like to use my fingers to pick up

small things like toys and food.

* I can stack two or three small boxes,

and I like to knock them down.

If you hold my hands, I can walk. I'm almost ready to take my first

steps by myself.

* I point to things I want, even if they are far away.

* Tasting and touching are my favorite ways to explore new things.

* I love being the center of attentionand making you smile.

* When you call my name, I look for you.

* I like to imitate sounds like coughing, laughing, lip smacking and

tongue clicking.

* I can pull off hats, shoes and socks but need your help getting them

back on again.

* I know about getting dressed and usually cooperate when you put on

my clothes.

Healthy Start grourfnutrt 21 Your 11-Montk-Old
To Viso Vatti/siChiate Pt. tuato have their first dental visit when they're about one

year old. Call your dentist now for an appointment.

The dentist will check many things:

* Are the teeth coming in correctly?

* Is there tooth decay?

* Is there any gum disease?

Tk,e, alemii.st way ask, yow quzstioku- like,:

* Does your baby eat lots of sugary foods?

* Are you breastfeeding your baby or does your baby use a bottle?

* Do you clean your baby's teeth daily?

If there is a problem, the dentist can treat it. Treatment now can avoid big

problems later. The dentist will also show you how to clean your child's teeth.

Ask when to come for another checkup. Every six months is a good idea.

Make dental visits pleasant. Don't tell scary stories about what dentists do.

You might say, "We're going to the dentist. We want you to have strong

teeth." You and the dentist can work together to keep your baby's teeth

healthy.

Heaitlw Start-. Grow Swart- Your 11-Montiv-Old
Weizoot& to "NO!"

b mtheir first birthdays,

babies learn the meaning of "no."

They spend lots of time shaking their

heads "no"even when they mean

"yes!" This may be frustrating for

you. But it means your baby is growing up. He is becoming independent.

He feels secure enough that he's sometimes able to risk your disapproval.

He's beginning to learn right from wrong.

To get your attention, your baby might do these kinds of things:

* Turn the knobs of the radio to a blast of noise.

* Throw food on the floor.

* Push the buttons on the telephone.

* Pull the dog's ear.

* Bite while he's nursing.

Your baby will test his limitsand yours. As he moves toward the

telephone, for example, he may look back at you. He may have a guilty

look on his face. He needs an immediate response from youa facial

expression or a gesture that says, "I'm paying attention to you. It's not OK

to play with the telephone."

Don't overreact. Avoid yelling and strong corrections. These give your

baby the attention he wants, and he will likely repeat the behavior just to

get your attention again.

Instead, try to anticipate your baby's behavior. Have you left him alone

for too long? Is he bored with his playthings? Does he need a hug? Give

him positive attentionhe'll be less likely to do something that you

disapprove of.

Healthy Start, grourfstart 0 23 Your 11-Mmth-Old
You can also distract your baby. Offer a different activity. Move the

attractive, but forbidden, object out of your baby's reach.

Avoid saying "No!" too often. The word will lose its impact. Save it for

important times, like when safety is an issue. In the examples above, respond

firmlydon't smileand tell your baby the right way to do the activity.

For example, if your baby is banging on the table with a spoon, stop him by

gently holding his hand. Say, "This spoon is for eating. Would you like

another spoonful of peaches? After dinner let's find a big box for you to

bang like a drum."

Give him information he can use in the future. Let him know your limits.

Enforce your rules the same way every time.

spoil itti youx baby?

Parents often wonder if they can spoil their baby by answering his calls for

attention. Babies need contact with you. Contact builds trust and security.

Responding to your baby helps him be brave enough to learn independence.

Don't be tempted to let your baby cry without going to him. At this age

babies have needsnot wants. They can't figure out problems; they can't

use logic. They don't understand that you might be busy with something

else. They aren't selfishthey just aren't old enough to understand your

point of view. Babies who are left to cry are usually anxious and more

demanding.

Parents who respond to their babies are not spoiling them. They are

helping their babies develop trust, security and confidence.

1". Oh 24 t ...Al- n/ J
Rabies guild 8ratims

1-le*yoar baby develop-his brain with these activities:

* Support and respect your baby's

unique personality.

* Hold, rock and touch your baby.

Stroke your baby's skin to

increase brain activity.

* Respond to your baby's likes and

dislikes. You will be able to

understand his body language

long before he talks.

* Talk, read and sing to your baby. Language increases brain activity and

learning.

* Label objects and actions for your baby (ball, walking, washing, etc.).

* Keep the environment calm. Protect your baby from emotional stress.

It's hard for him to concentrate if there's loud music and constant

television noise.

* Help your baby safely explore using all five senses. Help him use taste,

touch, smell, hearing and seeing. Talk to your baby and name the

tastes and textures (sour, sweet, etc.).

* Avoid interrupting when your baby is concentrating. Your baby needs

playtime to explore and imitate. This happens through play. Stand

back and watch. Try to understand what your baby is working on.

Healthy Start, grour Smart Your 11-Montle -Old
D&,otie,r Your baby's T aotattYou, baby k,as a. axperavtent. Temperament can make a person

behave in a certain way. For example, one baby may cry and hide at the

sight of a large animal. Another baby may be cautious and interested. And a

third may be fearless and try to play with the animal right away. The first

temperament is sometimes called "slow-to-warm-up." You may hear the

second called "adaptable." The third is often called "feisty." Some babies

combine these three temperamentsbeing shy sometimes and adaptable or

feisty at other times. Knowing your baby's temperament will help you help

your baby.

Some babies are shy. They turn away from new people. They do not adapt to

change quickly. Let your baby take the lead in new situations. Encourage

strangers not to get right in your baby's face and force eye contact. Avoid

loud outbursts. These may be frightening to a shy baby. Introduce new

people slowly.

Some babies are relaxed and easygoing. They are eager to explore new

places and things. They respond quickly to change. They can often calm

themselves in times of stress. These babies are likely to be sound sleepers

and eager eaters.

Some babies are strong willed and intense. They find change distressing.

They react strongly to new events and situations. They need a regular

routine for eating, sleeping and outings. They sometimes need extra

physical contact with you. Whatever the temperament, your job is clear.

Identify and respect your baby's temperament. Then you can support his

growth, confidence and abilities.

Hea /Wu/ Start. brow -St art YOU, 11-MO -0111
Ettexy Age/

Alwar remtePuber

Buckle your baby into a car safety seat before you start the car. Keep the

seat facing backward until your baby is one year old and weighs at least 20

pounds. The back seat is the safest place for babies and children.

Stay with your baby when he is playing near or in water. Never leave your baby

alone in a bath or a pool. Babies can drown in just a few inches of water.

Never, ever shake your baby.

Keep your baby away from things that could burn him. Don't eat, drink,

smoke or carry anything hot while holding him.

Put your baby to sleep on his back unless your doctor has told you to do

otherwise. Insist that others who care for your baby do the same.

Serve healthy foods. Avoid sweetened, salty or fatty ones.

Lock up guns, alcohol, drugs and chemicals such as cleaning solutions.

These can kill your baby.

Put away knives, matches and other items that can hurt your baby. Put

them in a place your exploring baby can't reach or open.

Se-paratioti/ AK/xl-ay

Your baby ~is- to be, with/you/. You are the person your baby knows

and loves best. He knows when you are not with him. This creates a fear

that you will not return. This distress is called "separation anxiety." It is an

important part of growing up.

Healthy Start, grow-Skuart 0 27 Your 11-Moulk-OU
Help your baby separate from you. Avoid leaving when he is hungry, tired

or sick. Ask the caregiver or baby-sitter to sit nearby and hold an

interesting toy. Let the baby warm up to the new person. Offer your baby a

security object like a stuffed toy or a soft, familiar blanket. This can help

your baby comfort himself while you are away.

Your baby may cry loudly, but don't sneak away. Tell your baby what will

happen while you're gone. Say when you will return. Tell him, for example,

"I need to leave now. Auntie Meg will play with you and give you lunch. I'll

be back before nap time. I love you." Give your baby a kiss and leave. His

cries will end soon. Over time he will learn that you always come back.

gahy IWalicerskw/parody ar&eagerfor their baby to walk. They think that a baby walker

will help the process along. In fact, walkers make learning to walk a slower

process. They strengthen muscles in the lower leg. But they don't help develop

muscles in the upper leg and hipthe muscles most needed in walking.

Walkers also make getting around too easy. They don't help babies learn

balance and coordination.

Even worse, walkers are a safety hazard. They can tip over easily. In a

walker, babies are more likely to fall down stairs. They can also roll into

dangerous places.

A walker is an example of expensive, unnecessary equipment made for

babies. Instead of buying a walker, get a sturdy wagon or push car. Show

your baby how to push the car around the room or playground. This will

help build the muscles and coordination he needs for walking.

Lion/ 41, MU I,- CNA /I 1,÷ Vitur 11..AAntil4-17/d.
Aids Through/ Play

Help your baby build learning skills. The following activities use materials

that you're likely to have around the house.

Pkysicat skiffsOver and under: Your baby is discovering that his size is changing. Some

spaces are now too small to scoot under. Now he can reach new things.

Help him explore his size. Make a tunnel from cardboard boxes taped

together. Encourage him to crawl through the tunnel. Place a toy on the

sofa just out of his reach. Encourage him to stretch to reach it.

Laktiaag&

Animal sounds: Cut pictures of animals from old magazines. Share the

pictures with your baby. Tell him the name of the animal. Point out the

animal's features. Say things like, "This is a blue bird. It flies. See its

feathers." Make the sound each animal makes. Encourage your baby to

repeat the sound.

Ekttotiottal

Check the hat: Gather several hats, plastic bowls and lightweight pots.

Show your baby how to put each on his head. Show him his reflection in a

mirror. Laugh and talk with your baby throughout this "fashion show."

Social skidsCooking together: Give your baby a pot and a wooden spoon. As you empty

a container, give it to your baby. He will imitate youpouring and stirring.

Expect some banging, too!

feel&dual ski/1,c

Balls in a muffin tin: Give your baby a muffin tin and several balls the size

of a tennis ball. Show your baby how to put the balls in the holes.

Encourage him to move the balls from space to space. Do the same activity

using a clean egg carton and plastic eggs.

i001011111111111"..... Healthy start grow-Swart 0 29 Your 11-Montiv-Old
Toys, Toys, Toys

Toys am lazy toots- for babies. Often,

simple household objects like pots and

wooden spoons are great toys. If you buy

toys, make sure they are safe for your baby.

Don't let your baby play with anything that

has parts he can choke on. Check for sharp

edges and points that can cause injuries.

Offer the following kinds of toys to your 11-

month -old. His muscle control and balance

will improve. He will begin to use his

imagination. These toys also help him

understand sizethe beginning of math skills.

* Stacking toys in different sizes, colors and shapes

* Unbreakable mirrors

* Wheeled toys like cars and trucks that are made of flexible plastic

* Balls of all sizes

* Cardboard books with realistic pictures

* Toy telephones

* Toys that make noisemusic boxes, busy boxes that squeak and

squeeze toys, for example

Save the following "beautiful junk" for your baby's play. When the

containers become ragged, toss them away. You'll almost always have a

clean, sturdy replacement.

* Paper tubes

* Empty boxes

* Plastic egg cartons that you have washed with soap and water

* Empty and clean milk or juice jugs (without caps)

Lie 14-1111 (11-A v4- 40Am- Cm. A ,- VA..." 11_ I "dd.
You" Tiote.

Foryowtg /watts, there is often not enough time. How can you

manage time to better care for your child and yourself?

Try this. Get a sheet of paper. On the left

side, write the hours of your day. Start with

when you wake up and end with when you

go to bed. Keep track of how you spend

each 15-minute period. Here's a sample of

how one hour might look:

6:00 a.m. Get dressed.

6:15 a.m. Feed the baby

6:30 a.m. Dress the baby.

6:45 a.m. Finish dressing.

7:00 a.m. Take the baby to day care.

Do this every day for a week. After a few days, you will notice habits. You

will get a clear idea of where your time goes.

At week's end, review what you have done. Circle all the important things

such as baby care, work, meals and sleep.

Maybe you had some surprises. On Wednesday, for example, the sink

clogged up. You had to stop what you were doing and clean out the drain.

Maybe there were days when you wanted to do something important, like

exercise. But you didn't have time.

Healthy Start Grote-Suture 31 Your 11-Montk-Old
Looking back at your week, what could you easily have done without?

Maybe chatting on the phone? Or watching TV? Everyone needs time to

relax and enjoy friends. But you might limit such activities. When a friend

calls, say, "Sorry, I can't talk now. Can I call you Sunday?"

You might choose one or two favorite TV programs a week and watch them

as a family. Limiting TV time is a good habit to begin now. When your

children are in school, they will need time to do homework.

Use &thtutg tia44,& better

Maybe you spent 10 minutes one morning looking for your keys. Instead,

put your keys in a regular placesuch as a hook in a kitchen cabinet.

If you always seem rushed in the morning, get organized the night before.

Set out clothes for yourself and the baby. Pack the diaper bag. Make your

lunch and put it in the refrigerator.

When standing in line at the store, play a simple game with your baby. You

might point to things in your basket and name them.

Healdw Start, arm-Swart Your 11-Montk-0I4
Moutagitig You, Ta/pt&

Ptait altea4t

Plan menus a week or more in advance. Make a

list of needed groceries and shop only once a

week. Instead of shopping Saturday afternoon

when the store is busy, go on a weekday night.

Combine errands into one trip whenever

possible. The day before a doctor's appointment,

write down the questions you want to ask.

Siocp4 uritem, Laos-5-1,61e/

Find a simple hairstyle that needs only washing and brushing. Choose

clothes that look fresh without ironing.

When faced with a big job, avoid the temptation to put it off. Instead, break

it into small parts. Ask about anything you don't understand. Do one part at

a time. Reward yourself when it's done.

Pre& up, tug

Maybe you can wake up 15 minutes earlier than your baby. You might use

this for exercise or quiet time for yourself.

Divide up chores among family members. When cooking, double the recipe.

Freeze half for when you're too busy to cook. When someone asks you to do

something, consider saying no.

Healthy kart, grourIkart 33 Your 11-Montk-Old
Now plan your time for the coming week. Be realistic. Remember that

unexpected things may happen. Be flexible. Keep refining your schedule in

the weeks ahead. You may still feel busy and miss doing some things you

want to do. If so, be patient. In a few years, your child will be in school

most of the day. Your schedule will change.

For now, give yourself a pat on the back. You are doing important things for

yourself and your family. The ways you spend your time now will shape the

rest of your child's life.
Workiktg cka-Ca,m Provide,a

low& pet,reitts eAroa their children in child-care centers. Some use

family day-care homes. And some rely on relatives to care for their babies.

In any case, you and the child-care provider will work together. Your

partnership will keep your baby strong and healthy and help him grow.

Use these tips to make your child-care choice work.

* Share information. Explain your baby's schedule, habits and needs. For

example, tell the provider that your baby uses a security blanket at nap

time. Make sure the provider knows how to reach you in an

emergency.

* -Pay on time. Being late with payments isn't fair.

* Set up regular conferences. Talk with the provider about your baby's

needs. Review what works and what doesn't. Ask the provider about

your baby's developing skills.

* Insist on good health practices. Is food prepared and stored properly?

Are diaper changing areas clean and germ free? Do adults and children

wash their hands before meals and after using the toilet? All of these

measures help keep your baby healthy.

* Show that you respect the provider. Pick up your baby on time. Say

"thank you" often.

Healthy Start, Grow-Sniart 35 Your 11 -Montle -Old
S, Away oki4/ Secota-1-tiowt St/Pu)ke,

seepia-kaptd 57420k,& is what you get

when you're around a smoker. It's the

smoke the smoker breathes out. It's the

smoke that comes from the burning end of

a cigarette, cigar or pipe.

This smoke contains many irritants and

poisons. It is especially dangerous for babies

and young children. Their lungs are delicate.

Children who breathe this smoke are more likely than other children to get

sick. They may have more mucus. The fluid in their middle ears may build

up and cause ear infections. They may develop pneumonia, bronchitis and

other lung infections. If they have asthma, it may get worse.

Second-hand smoke is harmful for everyone. It contains more than 40

cancer-causing substances.

It can also harm the heart. Anyone who lives with a smoker is at risk of

developing lung cancer and having a heart attack.

wkat caivow do?

* Don't allow anyone to smoke in your house. If people must smoke,

ask them to do it outside.

* Avoid homes, cafes and other places where people smoke. Go to

smoke-free places only.

* If other people care for your baby, make sure they don't smoke.

* If you or your partner smokes, stop. If you have trouble quitting, ask

your doctor for help.

* Set a good example. Children learn by watching what you do.

* For your baby's healthand your ownstay away from second-hand

smoke.

Hea.igm, &nw- (WAY* 36 11-AAnti4,-171/L
Iarwatiofrt/ ke,sou,rc e ftr Pavitiii&s

Families who are enrolled in the WIC program (Special Supplemental

Nutrition Program for Women, Infants and Children) can get information

on breastfeeding, formula feeding and nutrition at their local WIC office.

Families eligible for WIC receive nutrition counseling and supplemental

foods such as baby formula, milk and cereal. To find the WIC office nearest

you, call your state health department or visit the WIC Web site at

www.fns.usda.gov/wic/. Many public libraries offer free access to the

Internet and provide help for first-time users.

For information about early childhood education initiatives, you may

contact the U.S. Department of Education at 1-800-USA-LEARN or visit

their Web site at www.ed.gov/offices/OESE/teachingouryoungest/.

To learn about child care options, you may contact the U.S. Department of

Health and Human Services, Child. Care Aware by phone at 1-800-424-2246

or visit their Web site at www.childcareaware.org/.

For more information and resources on postpartum depression, breastfeeding and many other women's health issues call The National Women's

Health Information Center (NWHIC) at 1-800-994-9662

(1-800-994-WOMAN). You can visit their Web site at www.4woman.gov/.

Healthy Start GrourSuurt Your 11-Montk-Old
To learn more about breastfeeding, you may call La Leche League at

1-800-LALECHE or visit their Web site at www.lalecheleague.org/.

To learn more about free or low-cost health insurance for children, you can

call the U.S. Department of Health and Human Services Insure Kids Now

Program at 1-877-KIDSNOW. You can also visit their Web site at

www.insurekidsnow.gov/.

The American Association of Poison Control Centers (AAPCC) poison

control hotline, 1-800-222-1222, should be on your list of emergency

numbers. To learn more, you can visit the AAPCC Web site at

www.aapcc.org/.

Families who cannot afford a car safety seat can contact the National

Highway Traffic Safety Administration. They can provide information on

resources that help low-income families purchase or borrow child car seats.

You may call them at 1-800-424-9393 or visit their Web site at

www.nhtsa.dot.gov/.

To learn more about safety, you can call the Consumer Product Safety

Commission at 1-800-638-2772 or you can visit their Web site at

www.cpsc.gov/.

For information on disabilities and disability-related issues for families, you

can call the National Information Center for Children and Youth with

Disabilities (NICHCY) at 1-800-695-0285 or visit their Web site at

www.nichcy.org/.

For information about programs that teach adults how to read, you can call

America's Literacy Directory at 1-800-228-8813 or visit their Web site at:

www.literacydirectory.org/.

Healt lw Start, arour Stuart Your 11-Montk-Old
COMikti NW"- MOK.114/

Hea.itk aitot safety

Routhtes aft,d Rituals

gat-i;4g H&IpDvie,Cop-Pktekt.tal Stages

...aiti;t tau come!
This pamphlet is distributed by the U.S. Departments of Agriculture,

Education and Health and Human Services, and is in the public domain.

Authorization to reproduce it in whole or in part is granted. While

permission to reprint this publication is not necessary, the citation should

be: U.S. Department of Agriculture, U.S. Department of Education and U.S.

Department of Health and Human Services, Healthy Start, Grow Smart,

Your 11-Month-Old, Washington, D.C., 2002.

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