5 years Nutrition Most children are very interested in what will make them smarter, faster, stronger, and bigger, so this is a great age to enlist your child's help in food choices and safe preparation. Keep a copy of the "USDA Food Pyramid" visible in your kitchen as a reference. Milk is still recommended at about 2 cups a day (skim or 1%), but yogurt and calcium-fortified orange juice are appropriate calcium substitutes for children who do not care for milk (Vitamin D may need to be supplemented). Children give in to temptation easily, so avoid having large amounts of high fat or low nutrient foods available (candy, chips, pop). Teach your child that unhealthy foods are never helpful to the body and should be reserved for special occasions. Try to make mealtime a social, family event. Offer 3 meals and 1-2 snacks a day of the same healthy foods you serve everyone else, and ignore negative comments. Your child's likes and dislikes will change as she eats more with other children. Quietly remove uneaten foods; if she is hungry shortly after a meal, remind her of when the next meal or snack will come. Wellness Visits Children still need 8-12 hours a night, and naps often become "rest periods." Your child may want to negotiate a change in bedtime. Fears are still common. Sleep Remember that all children have accidents (daytime and nighttime). Try to remain positive and not focus on the issue. If wetting becomes excessive or bothersome to your child, consult your health care provider. This is a good age to help your child become more independent with her toilet hygiene. Elimination It is recommended that all children remain in appropriately sized, federally approved car restraints (booster seats), and all children under 12 should continue to ride in the back seat. Teach consistent seatbelt use by your own good example. Discuss "good" and "bad" touch and appropriate contact with strangers. Make sure your child knows her full name, phone number, address and parents' names before attending kindergarten. Use sunscreen (at least SPF 15) during all outdoor daytime activity. Enforce helmets (without exception) for biking and in-line skating. Never leave your child unattended near water, even if she can swim. Wear life vests when boating (it's a Minnesota State Law) or in deep water. Consider swimming lessons. Continue to update your childproofing, and assess all locations your child may visit (such as a friend's house or grandparent's house). Keep all medications and toxic household products in a locked cabinet and make sure all have working safety caps. We also recommend that you keep the Poison Control Center (800-222-1222) phone number handy next to all of your home phones and programmed into your cell phone. Safety Whether your child looks forward to kindergarten this year or next, it promises to be an exciting, and stressful, time (for your child and probably you, too). Most children struggle for independence, but learn it can carry responsibility they may or may not be ready for (or just may not like!). Every child develops at an individual pace. Some children learn to write their names while others are trying to get rid of the training wheels on their bikes. Similarly, some children are earlier than others developing comfort separating from a parent and adjusting to a new situation. You know your child best. Anticipate the initial school challenges, and prepare your child as needed. Regression (in behavior, self-care skills, etc.) is common. Regardless, praise all efforts that are pointed in the right direction. Encourage your child to develop friendships and interests in a variety of activities, but continue to limit TV and idle computer time. Plan and encourage participation in family events. We look forward to seeing your child again at age SIX. No vaccines are anticipated. By then your child will probably want to be involved in every activity under the sun! Please try to be at least 10 minutes early for all scheduled well-child visits. Strive for the balance! School Preparation Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

6, 7 years Nutrition To help your body become bigger, smarter, stronger, and faster, you need to eat three meals a day and snacks of healthy foods. You can probably think of many healthy foods that you like. Believe it or not, the foods you eat today will help you feel better not just tomorrow but also in 50 years! Remember that your body never needs junk food (candy, cookies, chips, soda-pop). These things sure taste good but do not help you grow or stay healthy. They also can cause cavities in your teeth. It is O.K. to have these treats for special times, but your body does not need them every day. You only have one body, so give it the best! Every once in awhile, try a food you did not think you liked. Just like the rest of your body grows and changes, your taste buds in your mouth do, too. You just may surprise yourself by liking something new. And don't forget to tell your mom or dad if you would like to help with the shopping or in making your meals. They would probably be very happy to have your help. Wellness Visits Pretty soon you will notice that you will start losing your teeth and new ones will grow in their place. Maybe you have already lost some. These new teeth are called "permanent" teeth. That means that you will have them for the rest of your life. No new teeth will come after these, so brushing your teeth 2-3 times a day is very important. You should also see the dentist for a tooth check-up 2 times a year. Teeth Your body needs 10-12 hours of sleep a night so it can store up energy for the next day. Sometimes it is hard to go to bed if you are doing something fun, but you know you are giving your body the best. Sleep Continue to sit in a booster seat while in the car. This will help the seatbelt keep you more safe, and will actually be more comfortable. Also, remember to continue sitting in the back seat (until you are 12). Always wear sunscreen if you are playing outside (summer and winter). Always wear your helmet if you are riding your bike or scooter or skateboard or if you are roller-blading, even if no one else does. You will be the smart person. Never go near water (lakes, pools, or rivers) without an adult nearby. Remember to wear your life-jacket if you are ever on a boat (it's a Minnesota State Law). Never take medicine (including vitamins) without your parents helping you figure out how much you need. Some medicines could make you very sick if you take too much or if you really do not need them. You are in charge of your body and who touches you. The only people who ever touch or look at your private parts are doctors and nurses (in a clinic or hospital), or your parents (if you ask them to). Talk with your family about what you would do if you needed help. Do you know how to use the "911" emergency system? Does your family have a fire safety plan? What would you do if a stranger came up to you? What if a dog you did not know started running toward you? Safety Most people your age spend a lot of time in school, learning from the teacher and making new friends. You will be really good at some things, and will need to work harder at others. Everyone is like this, even grown-ups. If you always try your best you can be very proud of yourself. Have fun with your friends and your different activities (sports, music, scouts) but remember that your family also wants to spend time with you. You may not always agree with members of your family or their rules. The best way to solve problems is to use your words and tell others how you feel. We also recommend that you spend no more than 2 hours a day playing video games, computer games, and watching TV. Check with your parents on what TV shows and games are OK. We look forward to seeing you again for a check-up next year. By then you will be a few inches taller, a lot smarter, and have more fun stories about your life to share with us! Please try to be at least 10 minutes early for all of your check-ups. Do something that makes you happy every day! School & Family Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Due to recent events, the supply of baby formula is very limited. You may not be able to find the brand of formula you're used to buying. National Baby Formula Shortage Due to recent events, the supply of baby formula is very limited. You may not be able to find the brand of formula you're used to buying. We understand that this situation is frustrating. To help ease the burden, the MN Department of Health has shared an approved formula substitution list. Compounding these issues, some manufacturers have recently announced recalls for certain lot numbers of baby formula. If you recently purchased Similac, Alimentum, or Elecare, please click here to check if your formula is affected by this recall. You may return your products to the store you purchased from for a refund or exchange. Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Tips for keeping your little ones happy and healthy throughout their childhood years. Never smoke around your child, never allow people to smoke in your home, and monitor second-hand smoke exposure away from home. Avoid gun possession in your home. If you do have one, make sure the gun itself is safety locked, is physically locked up (out of sight), and the ammunition is locked in a separate location with a separate lock. Make sure you have the appropriate car seat, booster seat, or seatbelt for your growing child. All children should sit in the back seat until age 13. Don't forget the safety belt with grocery carts and strollers, too. Set your hot water heater at 120 degrees or lower and check the temperature every few months. Learn CPR and basic first-aid. Make sure all sleeping areas (as well as other living areas) have working smoke detectors. Check them every month to make sure they work, and change the batteries every six months. Devise a fire plan for your home, and involve your child when you feel he or she is old enough. Install a carbon monoxide detector near all sleeping areas. Teach caution, safety, and respect around animals, especially your own. Always wear bike helmets for biking, skateboarding, in-line skating and while riding a scooter. It all starts with parents modeling, then enforcing, this rule. Constantly supervise cooking areas, and avoid drinking anything hot while near your child. Constantly supervise your child near water (including bathtubs and buckets). Start swimming lessons as soon as your child is ready. Always wear lifejackets when near deep water or while boating (Minnesota State Law requires all children under age 10 to wear a lifejacket when on a boat). Never drink alcohol (even a small amount) and drive, whether or not your child is in the car. Start using sunscreen during infancy and continue forever. Avoid using commercially-available insect repellents containing the chemical DEET until your child is at least two months old. If your child is involved in organized (or pick-up) sports as he or she gets older, make sure the playing fields or courts are safe and well maintained. Also make sure that all protective equipment fits well and is in good condition. Never take medication in front of children, regardless of their age. Make sure all medications have safety caps and are never accessible (the most common danger areas are unlocked medicine cabinets, cupboards, drawers, and purses). Many household plants and garden flowers/plants are toxic even with minor ingestion. Research the ones you have or are planning to purchase and eliminate any that are poisonous. Keep matches and lighters out of sight and inaccessible. Teach children (starting at appropriate ages) correct use of scissors, knives, tools, and electrical appliances. Climbing on furniture is dangerous, and causes many early trips to the emergency room for stitches. Start the rule when your child is an infant — climbing is not allowed. Continually update your childproofing. Keep small items out of sight and reach, even long after you've allowed supervised permission to play with these items. Keep the Poison Control phone number (800-222-1222) handy next to all of your home phones and programmed in your cell phone. Make sure your child's sleeping area is safe. The windows should only slightly open, the crib or bed rails should meet federal safety standards, the crib mattress should be lowered sooner than you feel you need to, sharp furniture should be padded or removed from the room, and exposed light bulbs should be covered and lamps placed up high with no dangling cords. Avoid using your cell phone when driving. Minnesota State Law prohibits provisional license holders (license holders under age 18) and permit holders from using a cell phone while driving. Make sure you have a list of numbers you can call (this can include friends, relatives, neighbors, health hotlines, etc.) in the event you need help with your child. Circumstances can include everything from health emergencies to parental stress. Learn about Shaken Baby Syndrome and make sure your child's caregivers know what this is, also. Never, ever, shake or hit a child. Discuss strangers with your children frequently. Help them be comfortable yet cautious around people they do not know, and guide their behavior around strangers. Also remind them that they should always check with a parent before going off with another person (even if the person is known to your child) Regardless of your child's age, get prepared to answer questions or initiate discussion about sexuality and health risks (smoking, alcohol, drugs). It is recommended that your child's blood be tested for lead if he or she: lives in or attends daycare in a home built before 1950 lives in or attends daycare in a home built between 1950-1978 with peeling or chipping paint lives in or attends daycare in a home known to have lead water pipes or lead-based paint (on the woodwork, walls, or outdoor siding) lives or attends daycare near a heavily traveled highway lives or attends daycare near a long-term construction site has lived in a major metropolitan area within the past 10 years has a sibling or close daycare acquaintance with high blood lead levels Safety Through The Ages Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

2 months Nutrition Most babies nurse 5-8 times a day or take 20-32 ounces of iron-fortified formula (or a combination of the two). No solid foods are advised yet. We recommend always holding your baby for feedings. Wellness Visits Infants may start "sleeping through the night" between 3 and 8 weeks of age. This is typically a 6-hour stretch of uninterrupted sleep. Naps will vary in number and length. We recommend routinely putting your baby in his crib, on his back, for sleep. Babies occasionally wake during sleep, but can start settling alone. Sleep Most breast-fed infants continue to have frequent loose stools, but this can change dramatically in the next few months. Some breastfed babies can have a stool once a week or less! As long as these stools are soft there is no need to worry or "treat" your baby for constipation. Bottle-fed babies typically have pasty, soft or semi-formed stools. Frequency and color will vary greatly. Constipation is the difficult or painful passage of hard, pellet-like stool. Please tell your health care provider if you feel your baby is having problems with this. Elimination ALWAYS use an approved car seat, and face it backward in the center back seat of the car until your baby is 20 pounds and age 1. All children should ride in the back seat until age 12. Your baby will be rolling over soon. To prevent falls, never leave him unattended on a sofa or changing table. Be cautious of burns. Do not smoke cigarettes or drink hot liquids while holding your baby. Falling ashes or spilled coffee can result in significant burns. In addition, tobacco smoke is irritating to a baby's developing lungs and may contribute to the development of asthma and ear infections. WE STRONGLY DISCOURAGE THE USE OF INFANT WALKERS!! These rolling seats provide a young infant much more mobility than he or his parents are ready for. Walkers flip over easily, and many infants have gone roaring down stairways, even with protective baby gates in place. Walkers also speed access to open oven doors, space heaters, broken glass, etc. Childproof your baby's environment. Remove small objects (buttons, coins, pins), bags, balloons, food, or toys with detachable parts that could cause choking. Never tie a pacifier around your infant's neck - it could become entangled on a crib or other furniture. Sunscreen and insect repellent are now considered safe and recommended. If you feel your baby is crying a lot (not related to illness) and you are at your wit's end, put your baby in a safe place and take a break. Call a relative, friend, or the Parent Warmline (612-813-6336) for support. If your frustration is increasing, call Crisis Connection (612-379-6363) or Minneapolis Crisis Nursery (763-591-0100). Safety This is a good time for parents to plan an outing away from the baby (to reestablish their relationship or individual interests). Leaving your infant with a trusted sitter is very appropriate at this age. You will miss your baby more than he will miss you! Weather permitting, stroller rides are a nice break, too. Family Adjustments If your baby is uncomfortable due to fever or leg soreness from the injections, you may give Acetaminophen as often as every four hours. A dosing sheet can be found in your clinic baby book. If your baby has a temperature greater than 104 degrees (rectally), is inconsolably irritable for 2-3 straight hours, or is more irritable than usual for more than 24 hours, please call us. Your baby's next regular health care visit is at age FOUR MONTHS. By that time he will probably be reaching out and grabbing things, learning to roll over, and smiling at everyone. We will discuss starting solid foods at that time. The scheduled vaccines are the second DTaP, Hib, Polio, PCV7, HBV and oral Rotavirus. Please try to be at least 10 minutes early for all scheduled well child visits. The first smile makes it all worthwhile! Immunizations Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

4 months Nutrition Breast milk and/or iron-fortified formula are still your baby's main food sources. Most babies nurse 4-6 times a day or take 20-36 ounces of formula. Solid foods (if desired) supplement, but do not replace, milk. Babies often give clues as to their need to start solids (see our handout on "Starting Solids"). Your baby should be able to sit with support and keep her head steady enough to be able to spoon feed. Solid foods should not be started arbitrarily based on weight or age. Wellness Visits Finally, the majority of babies are sleeping 8-12 hours at night, and taking 2-3 naps. It is recommended to always place infants on their backs for sleeping. Putting your baby in her crib for all naps and bedtimes will help her learn the skill of falling asleep alone. This makes it easier for her to do this in the middle of the night should she start waking. Sleep Starting solids will affect the color, consistency, odor, and frequency of stools. Breast-fed infants often have thicker less-frequent stools. Elimination Car seat: Make sure your baby's car seat still fits her appropriately (babies often need to advance to the next car seat size when they reach 20 pounds) and is in good shape. For the best protection, keep your infant in the center back seat of the car and facing backward until she is 1 year of age and 20 pounds. All children should ride in the back seat until they are 12 years old. Like seatbelts, car seats only work when used correctly and consistently. Life-preservers: Minnesota State Law requires all children under the age of 10 to wear a life-preserver when on any private boat. Find one that fits well. Falls: This is the most common age for babies to roll off beds, couches, and changing tables. Make sure safety straps are intact and applied correctly, or the crib rails up, if you need to walk away from your baby. Taking into consideration siblings and pets, the floor is often a safe place for a baby, and also enhances development. Grabbing and choking: Everything a four month old baby can get her hands around goes straight to the mouth. Watch out for jewelry, eye-glasses, tablecloths, coffee cups, small pieces of food, toys with detachable parts, coins, loose buttons (on your clothes and hers), hot or sharp items, etc. Anything that can fit inside an infant's mouth is a potential choking hazard. Use a playpen as an island of safety during times when your attention is needed elsewhere, but avoid using it for long periods of time. Your baby does need the opportunity to safely explore her world. Remember, if your baby is crying a lot put her in a safe place and take a break. Call someone to help you or call the Parent Warmline (612-813-6336). If you continue to feel frustrated or feel you could harm your baby, call Crisis Connection (612-379-6363) or Minneapolis Crisis Nursery (763-591-0100). Safety The four-month age is thought to be the most social of the first year of life. Your child will often smile and coo at anyone, including doctors and nurse practitioners! Siblings often think babies are more "fun" now, as they can get the baby to respond to actions and talking. We encourage parents to evaluate their own personal time needs and arrange to have those needs met. Family Adjustments Please let us know of any side effects other than a low-grade fever or local tenderness at the injection site. Your baby's next regular health care visit will be at age SIX MONTHS. By then she will be on the edge of mobility, getting more specific at grabbing things, babbling more, and possibly getting a little cautious of strangers. We will discuss advancing solid foods at that time. The scheduled vaccines are the third DTaP, Hib, IPV, PCV7, HBV and oral Rotavirus. The Influenza vaccine is also encouraged for all children ages 6-23 months (depending on the time of year). Please try to be at least 10 minutes early for all scheduled well-child visits. Aim to be human, not perfect, in your parenting. Immunizations Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

2 years Nutrition Offer 3 meals and 2-3 snacks a day. Most toddlers do not have huge appetites and may eat only 1-2 good meals; your job is to offer only healthy choices so that no matter what your child eats, you will both be successful. Most children can have skim or 1% milk (12-16 ounces daily) and can be encouraged to increase daily water and fiber intake. Remember that your child will mimic your eating habits. Offer what you prepare for everyone else. Even though food jags are common (when a child wants to eat only one food for a period of time), you'll want to avoid becoming a "short-order cook" and allowing mealtime to become a battleground. Quietly remove and dispose of food not eaten at a meal. Toothbrushing should take place twice daily with a soft toothbrush and minimal toothpaste. Since toddlers are just developing fine-motor skills, it is recommended that you follow up your child's brushing until he is school-aged. Wellness Visits Most children sleep 10-12 hours a night and may take a 1-2 hour nap. It is not uncommon for bedtime resistance to develop, as going to bed means separation from a parent or from playtime. Establish gentle but firm bedtime routines, and follow the same steps if you are away from home. It is sometimes helpful to mention something that will happen the next day to reassure your child that you will see him soon (for example, "I'll see you when the sun comes up again"). If your child climbs out of his crib, place the mattress on the floor and start looking for the bigger bed. Falls are a big risk at this age. Also, if you are expecting another child, making the move to a regular bed 2-3 months prior to the new sibling's arrival will help your toddler adjust. He will see the new bed as a "right of passage" rather than having his crib taken by the new baby. Sleep The average age of toilet training is 2 ½-3, but go by your child's signs of readiness. These include, 1) awareness of the need to urinate or have a bowel movement (demonstrated by facial expression, telling you, or by hiding); 2) ability to stay dry for 2-3 hours; 3) dislike of wet or soiled diapers (may take them off); and, 4) desire to use the toilet chair and imitate you. Explain the process in simple, relaxed terms, and decrease attention to the diapering process. Believe it or not, most children almost train themselves when the time is right. Elimination Minnesota law requires all children to be in appropriately sized, federally approved car restraints until age 4 and 40 pounds. A toddler's incredible speed and ambition can lead to dangerous falls, haste into streets, parking lots, and onto unsafe playground equipment. Accidental ingestions are one of the biggest safety hazards of this age. Keep the Poison Control (800-222-1222) number handy. Remember that children imitate parents, so avoid taking medications in front of your child. Coins are never toys or entertainment. Children choke on these even under strict supervision. Keep purses and piggy banks out of sight. Burns occur quickly. Evaluate all potentially hot items (water, candles, matches, curling/clothes irons, coffee cups, pots/pans) for accessibility. Animals are very attractive at this age, and most children do not have fear. Teach your child to approach all animals (even your own) with caution. If you have a gun, lock it out of site and lock the ammunition separately. If your child spends time away from home (friend's home, daycare, grandparents' home, etc.), ask to see if guns are accessible. Shaken Baby Syndrome is preventable by taking breaks before you are desperate. Discuss this with your child's caregivers, too, and make sure everyone has the Crisis Connection phone number available (612-379-6363) Safety The best way to decrease illness in the family is to wash your child's hands often and teach him to do this for himself. Change household towels often. Illness This is a good age to assign simple tasks to your child, as this will heighten his sense of accomplishment and belonging (at an age when he'll actually enjoy having a household chore!). Continue to keep consistent limits while encouraging exploration of his world beyond you. We look forward to seeing your child again at age THREE. Interest in "school" learning (counting, colors, ABC's, more detailed drawing) is usually more evident by then. Please try to be at least 10 minutes early for all scheduled well-child visits. Family Adjustments Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

16, 17 years (female) Nutrition Try to eat 3 healthy meals a day and make this a habit for life. Your performance in school and other activities and your ability to finish growing and heal yourself will depend on the foods you put into your body. You need 3-4 foods a day high in calcium (milk, yogurt, calcium-fortified orange juice) to support the completion of your bone growth and continued bone strengthening. Also, 2-3 iron-rich foods (iron-fortified cereal, meat, eggs, or green leafy vegetables) a day are recommended to support your blood. Fiber is known to prevent stomach and colon illnesses (such as cancer) and heart disease. By reading food labels and planning ahead you will have more control over your diet. "Junk" foods taste great but can deprive your body of what it really needs and can put on excess weight. Try not to get into eating habits that will be tough to break later on, including eating on the run or in front of the TV. Make a point to eat with your family at least once a day. It's a good time to get together on otherwise busy days. If you are unhappy with your appearance or performance, take a good look at your eating and see what you could change. If you eat well, drink plenty of water, and exercise regularly, your body will look, grow and perform at its' best. If you are concerned about your size or growth, please talk to your health care provider. Wellness Visits If you find that you need more sleep than you are getting, try to go to bed earlier instead of sleeping in; getting up late can alter your normal body rhythm and make you even more tired during the day and sleepless at night. Also, try not to save all of your "think time" for bedtime — it often delays falling asleep. Sleep Always wear your seatbelt and helmet (when biking or in-line skating), even if no one else does. We see permanent, life-changing injuries resulting from simple accidents, and NO ONE thought it would happen to them. Wear sunscreen if you are outside. A great tan is not worth cancer. Take your body seriously. Make the decision not to smoke, take drugs, drink alcohol, or ride in a car with someone who has been drinking. Practice what you would say if someone pressured you. Delay sex until you are truly emotionally ready for this step. It only takes one mistake to change your life forever. If you feel you have made a past mistake, remember that you can always re-contract with yourself and make a better decision from now on. If you have questions about sex, HIV or AIDS, pregnancy, sexually transmitted diseases, drugs, alcohol, or tobacco, please ask your mom, dad, or doctor or nurse practitioner. Introduce your friends to your family, negotiate your curfew times reasonably, and expect that your parents will want to know where you are (yes, they are still responsible for you). Earn respect and trust by demon-strating that you are responsible and deserving of the privileges you want. Remember that driving is a privilege, not a right. Take this seriously. And in case you didn't know, Minnesota State Law prohibits all drivers under age 18 from using a cell phone while driving. If you are in sports, make sure the playing areas are kept up well, and all protective equipment fits and is in good shape. Never share head gear. Safety Most teenagers are developing longer-lasting and more personal relationships with others. It is often difficult to balance friends, school, extra activities and family. Prioritize the demands on you, and try to sit and talk with your mom or dad a little every day. You may not always agree on things, but talking about your differences will help you understand each other better. This age can also be a stressful time for teenagers. They can feel the pressure to look for the right college, hang out with the right people, dress in the latest styles, get better grades, get a part-time job, or develop individuality. The future can be an exciting, and scary, thought. If you are finding yourself getting stressed out more than you feel you should or can reasonably handle, please talk to someone. A friend, parent, favorite teacher or coach, counselor, or health care provider can offer support. Social, Family, & School Most young women have completed their "puberty" development by now and are at their adult height. Weight and clothing size will still increase as the body continues to "proportion" itself and strengthen muscles and bones. This is normal. It still may take a few years for periods to become regular. The guys, however, will probably notice body changes for years. Continue to respect other people's privacy. If you have questions or concerns about your health, body changes or sexuality, please ask your mom or dad or your health care provider here. We look forward to seeing you again for a check-up next year! Growth Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

The deadline to renew has been extended to August 1, 2023. Renew Your Medical Assistance or MinnesotaCare Coverage! Covered by Medical Assistance or MinnesotaCare? Re-apply so you don’t lose insurance coverage. Follow these three important steps! Update your contact information so DHS can contact you about your renewal. Look up when you need to renew so you’ll be ready. Watch for your renewal paperwork in the mail from DHS and complete it right away. The deadline to renew has been extended to August 1, 2023 (originally July 1, 2023), but the state urges you to complete the renewal as soon as possible to avoid any lapse in coverage. Questions? Visit the Department of Human Services (DHS) website for more information: mn.gov/dhs/renewmycoverage/ Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

2 weeks Nutrition Offer breast milk or formula only. Most babies will nurse every 2 to 4 hours, or take 18 to 24 ounces of prepared formula per day. No solid foods are recommended at this time. Feedings usually take 20-30 minutes. After a brief period of weight loss, your baby will begin to gain weight steadily (approximately one ounce per day). Your baby's appetite may vary, just as yours does, and will depend on many factors (including growth rate and activity level). The American Academy of Pediatrics recommends that breastfeeding babies (and any baby taking less than 17 ounces of formula per day) start a daily over-the-counter liquid multi-vitamin containing at least 200 I.U. (units) of Vitamin D per dose. There are several commercial brands available. Also, if you have well water that you will be using at home, we recommend having it tested for fluoride content. Please ask us for information on testing. A fluoride supplement, if necessary, begins at 6 months. Wellness Visits Sleep patterns vary greatly among infants. Most sleep 12-20 hours a day in 3-5 hour stretches. It is recommended to place infants on their backs for sleep. Sleep Stool frequency varies from one every feeding, to once a week or less. Bottle-fed infants' stools are usually soft, green or brown. Nursing infants have frequent, loose, watery, yellow stools. Elimination PLEASE MAKE EVERY RIDE A SAFE RIDE! Use an approved infant car seat, facing backward in the center back seat of the car until your infant is 20 pounds and 1 year of age. Check your hot water heater to be sure the water temperature is no hotter than 120 degrees F. Always be near your baby while she is in the bathtub. Never attach a pacifier around your baby's neck. To warm refrigerated breast milk or newly-made formula, place the bag or bottle in a bowl of warm water. If you warm formula in a microwave oven, always test the temperature of the liquid before feeding your infant. Containers may remain cool while the liquid becomes dangerously hot. Serious burns have resulted. If you feel your baby is crying a lot (not related to illness) and you are at your wit's end, put your baby in a safe place and take a break. Call a relative, friend, or the Parent Warmline (612-813-6336). If your frustration is increasing, call Crisis Connection (612-379-6363) or Minneapolis Crisis Nursery (763-591-0100). Two-week-old babies can accidentally flip themselves over while on a flat surface or flip out of an infant seat. To guard against falls, never leave your baby unattended while on a changing table, sofa, etc. If your baby is in an infant seat, place the seat on the floor and secure the safety strap. Safety Welcoming an infant into your life is considered one of life's major stresses! Whether this baby is your first or fifth, the next few weeks will be a time of adjustment. We encourage you to recognize this and give yourself the time, rest, and support needed to deal with the unexpected changes. Siblings need to hold, touch, and feel close to the baby. Some siblings get overly excited and helpful, but can also feel displaced and rejected. The way in which they respond will depend on their temperaments. Negative behaviors are often directed toward mom or dad because they are the ones who are holding the new baby, saying "just a minute" or "don't do that!" and are also more tired than usual. It's common to see more sibling temper tantrums, clingy behaviors, sleep disturbances and toileting regressions. It helps to talk openly about how the older child feels, and to find some uninterrupted "special time" daily to spend alone with him or her. It is also important that you continue to maintain your limits. Pets often experience adjustment time, too! Family Adjustments If you feel your baby is ill (is more irritable or lethargic than usual, is not eating as much as usual, is coughing more than usual, etc.) or has a temperature over 100.4 degrees (always taken rectally at this age), call us right away. Your baby's next health care visit is at age TWO MONTHS. By that time she will probably be smiling, cooing, and much more interested in her environment. We ask that you review the printed information about the Diphtheria-Tetanus-acellular Pertussis (DTaP), Haemophilus influenzae type B (Hib), Polio (IPV), Pneumococcal Conjugate (PCV7), Hepatitis B (HBV) and oral Rotavirus vaccinations. Please try to be at least 10 minutes early for all scheduled well-child visits. Enjoy your new adventure! Illness Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Tips for caring for common childhood illnesses. JUMP TO SECTION: Simple Illness Care Bug Bites Insect bites cause itchy, red bumps; some bites may be painful Mosquitoes breed in water. Eliminate standing water near your home Many bugs and mosquitoes are prevalent in woods and grassy areas Home Care Avoid scented soaps, perfume and hair spray (these attract insects) Wear light colored clothing covering most of the body Keep children indoors from dusk to dawn, which is when mosquitoes bite Insect repellent containing a concentration of 10% to 30% DEET appears to be safe for children over the age of 2 months. Insect repellant is not recommended for children under the age of 2 months Apply DEET sparingly to exposed skin and NOT under clothing Always wash DEET off skin with soap and water when returning indoors and wash treated clothing If the bite is itchy apply calamine lotion; If bit is very itchy apply 1% hydrocortisone Has an infected looking bite Has a bite that becomes very tender Has any other symptoms that are a concern Call Office if Child: Chickenpox Acute viral illness that is very contagious; exposure approximately 2 weeks ago to someone with chicken pox Can have a mild fever Generalized rash begins on the chest, back, underarms, neck, and face Rash begins as red bumps and develop a fluid filled center, blister, breaks open and small brown scab forms Rash will continue to develop over the next 4-5 days in crops When all sores have crusted over child is no longer contagious; generally takes 5-7 days Home Care Itching - baking soda baths (add ¼ cup of baking soda to the tub) or an oatmeal bath Benadryl Acetaminophen DO NOT GIVE IBUPROFEN or ASPIRIN Trim nails short to prevent infecting sores Offer soft foods, encourage fluids Has chicken pox sores that look infected Develops a speckled, red rash Is acting very sick Complains of eye pain Has Fever >105 or fever returns after going away for 24 hours Is < one month of age Has any new chicken pox after day 6 Has any other symptoms that are a concern Call Office if Child: Colds A viral infection of the nose and throat Most common symptoms include runny or congested nose, sore throat and cough Nasal drainage (even if viral) can vary in color from clear, to cloudy, yellow or green Typically the first symptom noted is a sore throat Healthy children average 6 colds a year Home Care Increase humidity in child's room if the air is dry (cool mist humidifier) or have child sit in steamy bathroom with shower running for 10-15 minutes For infants use bulb syringe to help remove nasal secretions from nose May use saline drops in nose to help with congestion at any age Encourage extra fluids Elevate head of bed or have child sleep with head on more pillows (avoid laying flat in bed) Multi-symptom cold medications not recommended No cold medication recommended under age 4 years May give fever reducers for fever as needed Has a fever that persists for more than 3 days or if > 105 F Pulling at ears/or complains of ear pain Has symptoms for 10–14 days Is not taking fluids well Is not sleeping well Is wheezing Has any other symptoms that are a concern Call Office if Child: Cough The sound made when the cough reflex expels air and secretions from the lungs A cough spasm is more than 5 minutes of continuous coughing Home Care Increase humidity in child's room if the air is dry (cool mist humidifier) or have child sit in a steamy bathroom with shower running for 10-15 minutes Elevate head of bed or have child sleep with head on pillows (avoid laying flat) Encourage fluid intake Warm fluids like apple juice may help Cough medication is not recommended for children under 4 years of age Sounding congested in the chest Is wheezing Seems to be working hard to breath Has a fever lasting for more than 3 days Has a cough lasting more than 2 weeks Has any other symptoms that are a concern Call Office if Child: Croup The narrowing of the air passage through the larynx (voice box) and the trachea (windpipe) Is most often caused by a virus Symptoms can occur suddenly, often at night Symptoms may come and go for 5-6 days getting better during the day and worse at night Harsh barky cough Retractions ("pulling in" of the chest or hollow of the neck with breathing) Home Care Run shower to steam up the bathroom, sit with your child 15-20 minutes to breathe in the warm moist air In cold weather wrap child up warmly and take outside to breath in cold air for about 10 minutes, or open the freezer door and have child breathe in cold air Cool mist humidifier in childs room at night may help Is breathing in cold air or steam for 10-15 minutes and it does not help Child is having retractions ("pulling in" of the chest or hollow of the neck with breathing) Is refusing to drink Is drooling Has any other symptoms that are a concern Call Office if Child: Diarrhea Noted to be a sudden increase in the number and looseness of stools (bowel movements) Typically caused by a virus Can last 5-14 days with the most severe diarrhea on days 1-2 Can be isolated or can also occur with vomiting Home Care Encourage to breast feed or give formula to infants as tolerated; avoid plain water Avoid fruit juices and other drinks high in sugar as these will make diarrhea worse If diarrhea is frequent and watery, pedialyte or another oral rehydration solution may be offered to help prevent dehydration (no longer than 12-24 hours) Encourage more starchy food--bananas, rice, applesauce, toast, noodles, crackers, etc. Yogurt can be helpful in restoring healthy bacteria into the stomach, offer plain or vanilla yogurt as tolerated Has signs of dehydration: no urine output noted for more than 8 hours, no tears with crying, very dry mouth, and increased drowsiness Has blood or mucous in stools Has fever persisting more than 3 days or if > 105 F Is having more than 8-10 episodes in a day Has severe stomach cramps that don't go away with the passage of the diarrhea stool Has any other symptoms that are a concern Call Office if Child: Earache/Ear Pain Pain or discomfort in or around the ear Usually due to an ear infection Ear infections peak at age 6 months to 2 years Onset of ear infections peak on day 3 of a cold Only way to know if ear infection present is to have ear examined Home Care May give fever/pain reducers as needed May apply either cold washcloth or local heat (warm washcloth, heating pad on low setting, hot water bottle) to outer ear for 20 minutes to reduce pain Ear drops not recommended until ear pain evaluated Has a fever that persists for more than 3 days or if >105 F Ear pain gets severe Drainage noted from ear Is not taking fluids well Is not sleeping well Pulling or tugging at ear Fussy or irritable Has some loss of hearing Has any other symptoms that are a concern Call Office if Child: Eye Discharge Yellow or green discharge from eye Home Care Place a wet warm wash cloth on the eye as needed Avoid wearing contact lenses Has continuous discharge from eye Has redness or puffiness around eye Has a fever or cold symptoms Is complaining of ear pain Has any other symptoms that are a concern Call Office if Child: Fever Is a symptom and not a disease Is the body's normal response to infections and plays a role in fighting them Fever is present > 100.4 F The height of the fever does not relate to the seriousness of the illness, the behavior of your child is the best indicator of the severity of the illness Fever causes no permanent harm until it reaches 107 F Home Care Encourage extra fluids Keep clothing to a minimum, do not bundle up Acetaminophen (Tylenol) or Ibuprofen (Motrin) may be given following the guidelines in Over the Counter Dosage Information AVOID aspirin in ALL children under the age of 21 years Is under 3 months of age and has a temp > 100.4 F rectally Has a fever > 105 F Is very irritable and unable to console Complains of stiff neck with a headache Has a fever persisting over 3 days Has any other symptoms that are a concern Call Office if Child: Hay Fever An allergic reaction of the nose and sinuses to an inhaled substance, usually pollen Clear nasal drainage with sneezing, sniffing and nasal itching Eyes may also itch and water or look pink No fever Noted to have had similar symptoms during same time of the previous year Most common pollens are grass, trees and ragweed Can also be caused by allergens from cats, dogs, horses, rabbits and other animals Home Care Give antihistamine continuously during the pollen season May use warm water or salt water nose drops to wash pollen out of the nose – put 2-3 drops in each nostril and then blow nose Shower and wash hair every night before bed Stay away from pollen and other things that may cause symptoms to develop or worsen Keep windows closed in the house and car Avoid playing outdoors on a windy days Wash eyes to clean away any pollen May apply cold washcloth to eyes/eyelids for 10 minutes Develops a fever Develops sinus pain or pressure Has congested sounding cough in chest Continues to have symptoms with no improvement noted after taking antihistamine continuously for >2 days Has any other symptoms that are a concern Call Office if Child: Poison Ivy A very itchy blistering rash caused by contact with the poison ivy plant Rash is shaped like streaks or lines Leaves, stems, roots and berries of these plants cause the rash More than 50% of people are sensitive to the oil of the poison ivy plant Onset 1-2 days after being in a forest or field; usually last two weeks Poison Ivy is not contagious to others but may be carried by pets Home Care If you think your child has come in contact with a poison ivy plant, wash the skin with soap and water as soon as possible The oil from the plant may be on pet"s fur or on shoes or clothes. Wash it off pets or clothes with soap and water Soak the involved area in cold water or massage with an ice cube for 20 minutes as often as necessary Apply 1% hydrocortisone cream 4 times a day to reduce itching If itching persists give Benadryl orally Has rash lasting longer than 3 weeks Looks infected Has severe itching Poison ivy on face, eyes, lips or genitals Rash covers more than ¼ of the body Has any other symptoms that are a concern Call Office if Child: Sore Throat Most sore throats are caused by viruses and are part of a cold (usually noted at the beginning of a cold) About 10% of sore throats are due to strep bacteria A rapid strep test or throat culture is the only way to distinguish strep throat from a viral sore throat Children that sleep with their mouth open often awaken with a dry mouth and a sore throat Home Care Acetaminophen (Tylenol) or Ibuprofen (Motrin) may be used for severe discomfort or fever Over 1 year of age: sip warm chicken broth or apple juice Over 4 years of age: suck on hard candy or lollipops Over 6 years of age: gargle with warm salt water (Mix ¼ tsp of salt per 8oz glass of water) Encourage extra fluids Offer a soft diet; easy to swallow foods Has a Fever lasting more than 3 days Has a sore throat lasts more than 2 days Seems dehydrated Is drooling Has any other symptoms that are a concern Call Office if Child: Stye An infection of the hair follicle of the eyelash Will look like a red bump at the base of the eyelash,(either upper or lower eyelid) Usually comes to a head and forms a pimple in 2-3 days Will usually drain in about 6 days but may last up to several weeks Will feel tender to touch Home Care Apply warm packs to the eye for 10 minutes 4 times a day Keep hands away from eye, as rubbing may cause more styes Do not try to open the stye yourself Eye lid becomes red and swollen Has a fever Stye comes to a head and has not drained after 3 days or has not completely healed by 10 days Stye comes back Has any other symptoms that are a concern Call Office if Child: Sunburn Burning, redness, or blistering of the skin caused by sun overexposure Can happen within 15 minutes of being in the sun Minor sunburn is a first degree burn which turns skin pink or red Prolonged sun exposure can cause blistering and a second degree burn Sunburn never causes a third degree burn or scarring Pain and swelling start at 4 hours, peaks at 24 hours, and improves after 48 hours Home Care Give child Ibuprofen Apply 1% hydrocortisone cream 3 times a day to sunburn Apply cool compresses to area several times a day Encourage child to drink extra water Leave closed blisters alone For broken blisters, trim skin with a fine scissors cleaned with rubbing alcohol For open blisters, apply over the counter antibiotic ointment Has a sunburn covering a large part of the body Is extremely painful or if blisters have formed Has a fever Feels faint or confused Has signs of dehydration Has symptoms of infection Has any other symptoms that are a concern Call Office if Child: Swimmer's Ear Infection or irritation of the skin that lines the ear canal Associated with swimming/water activities Ear canals can be itchy and somewhat painful; ear feels plugged Discomfort noted when earlobe is moved up and down Can have a slight amount of clear drainage from the ear Home Care May give pain reducers as needed May apply local heat (warm washcloth, heating pad on low setting, hot water bottle) to outer ear for 20 minutes to help with pain and drainage Reduce/avoid swimming until symptoms are improved Pain gets severe and / or symptoms last more than 3 days Has any other symptoms that are a concern Call Office if Child: Swimmer's Itch Skin rash caused by an allergic reaction to certain parasites that normally live on water fowl and freshwater snails Occurs typically in calm freshwater lakes and ponds Parasites burrow into the skin causing symptoms of burning, tingling or itching Parasites are unable to live off humans so they soon die Usually only affects exposed skin (skin not covered by swimsuits, waders, wetsuits) Rash may appear up to 48 hours after swimming in infected water and clears up on its own within a few days Swimming or wading frequently in contaminated water can lead to more intense and immediate symptoms Sometimes itching without a rash is the only symptom Itching at rash too much may lead to secondary bacterial infection Home Care Rinse skin immediately after swimming and then vigorously dry skin with a towel Launder swimsuits after Apply cool compresses to affected areas Soak in a bath with baking soda or oatmeal Stir water into baking soda until it makes a paste and then apply to affected areas Use over the counter antihistamine or anti-itch creams as directed by label on product Avoid swimming in areas where swimmer's itch is a known problem If itching not relieved by over the counter medications Develops signs of infection due to itching (ie increased redness, fever, drainage at site) If symptoms last more than one week Has any other symptoms that are a concern Call Office if Child: Vomiting Is the forceful emptying of the stomach contents (throwing up) Spitting up is the effortless regurgitation of one to two mouthfuls of stomach contents Vomiting usually stops in 12 – 24 hours Dehydration (getting dried out) can be dangerous, but is unlikely in the first 12 hours of vomiting Home Care If no vomiting has occurred for at least ½ hour begin to offer clear liquids (for younger children pedialyte, for older children flat 7-up, Gatorade freeze pops, chicken broth); begin with ½ oz every 15 minutes; if no vomiting after 1 hour begin to double the amount of fluid every other time. If vomiting occurs again wait ½ hour and begin offering ½ oz of clear liquid Once the child is able to drink a normal amount of fluid without vomiting (usually 12-24 hours of clear liquids) ok to begin solid foods ie: toast, crackers, and rice Help your child go to sleep; sleep will often help empty the stomach and relieves the need to vomit Has signs of dehydration (no urine output for over 8 hours, dry mouth, no tears when crying) Has blood in the vomited material Starts to act very sick Has abdominal pain lasting over 12 hours Has vomiting over 24 hours Is under 12 weeks of age and has vomited more than 2 times Seems confused or difficult to arouse Has ingested any TOXIC material call the poison center 1-800-222-1222 Has any other symptoms that are a concern Call Office if Child: Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Forms, helpful information, and more. Resources Billing & Insurance Pay your bill or review other billing and insurance information. View Forms View, download, and print forms prior to your appointment. View Simple Illness Care Remedies and treatments for common childhood illnesses. View Immunizations Review our lab and immunization schedule for your child. View Dosages Dosage calculator for acetaminophen and ibuprofen. View Newborns What to do after you take your newborn baby home. View Antibiotic Resistance Learn more about this issue and what you can do to help. View Feeding & Lactation Helpful information on nursing your baby. View Free & Local Resources A list of free and local resources for families. View Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now