Guest post by Alison Leighton, Child Life Specialist at Wentworth-Douglass Hospital, and Seana Hallberg, Family Resource Coordinator for Children’s Hospital at Dartmouth’s clinic at Wentworth-Douglass Hospital
In our work with children and parents at Wentworth-Douglass Hospital, we get a lot of questions. Each day, we meet with families who are dealing with pediatric medical issues and try to help in any way we can, from answering questions and acting as a sounding board to connecting them with community resources and specialist care.
No matter who we meet or where we go, we find we get a lot of the same questions about child development. We recently spent time at the Children’s Museum of NH’s Toddlerfest and took questions from new parents and it was no exception. Their concerns were typical of what we are asked most often.
So here are our Top 3 Toddler Development Questions, along with the answers we can practically give in our sleep!
1.) “My child has used certain words before but when prompted, he does not want to mimic. Is this normal?”
Children who are typically learning to speak are also seeking “mastery” of their new skills. This often involves practicing the skill repeatedly, but on their own terms. A general rule of thumb is by 12 months of age a child should use simple gestures as a way to communicate like waving, or simple signs. You can begin modeling simple signs as early as five months and doing hand-over-hand with your children to model the sign. Children as young as nine months are seen making approximations of simple signs. What’s most important is that your child is moving forward in her communication skills — using his sounds, gestures and facial expressions in increasingly complex ways. If you have concerns about where your child is developmentally, you should speak with your pediatrician.
2) ” My child is resistant to being potty trained. What do I do?”
Our general feeling surrounding this issue is that children need to show signs of readiness before we begin the stages of using the potty. Often a child will tell you that they are about to go, or after they have gone, they begin to hide when voiding, or they are dry at night. This shows they are beginning to have bladder/ bowel control. Every child gets to this place at different times. It is important to remember to make potty training exciting by reading books about potty training, talking about the potty, practicing sitting on the potty. Rewards can work wonders (such as giving a sticker for each time they go). If a child isn’t ready, it often becomes a source of anxiety and stress for the entire family and they do not gain the sense of accomplishment or mastery of an important new skill.
3) “I feel like my child only eats particular foods and I worry she isn’t getting all of the important vitamins and nutrients she needs. What should I do?”
As we all know, children can be extremely picky. Toddlers love to turn their noses up at the food we often want them to eat and those meals we slave over. It is important to remember to expose your child to a variety of foods beginning at a young age. Don’t assume your child may not like something … give it a chance. If your child does not like the food initially, they will begin to try if it is offered repeatedly. Children are more likely to resist if they are forced to do something. Try to be creative when making foods. Make smoothies with ingredients that they will not eat raw. Make fun snacks, etc. using cookie cutter shapes. In the process of making food, involve your children as they will be much more likely to try something they created.
– About Alison Leighton, Child Life Specialist, Wentworth Douglass Hospital: As a child life specialist, I ease the stress and anxiety for families in the medical environment using the child’s method of communication, play to teach, learn and cope.
– About Seana Hallberg, Family Resource Coordinator for CHaD at Wentworth-Douglass Hospital: As a Family Resource Coordinator, I am able to support families with the stressors of a child’s medical diagnosis and can assist families in finding socializing opportunities, educational and financial information and behavioral counseling.