Whether by birth or adoption, the delivery of your infant will be a long-anticipated and emotion-filled experience. After your baby is born, the hospital will automatically notify us (if you designated us as your baby's pediatric office when you were admitted to the hospital). One of our pediatricians will examine your baby within 24 hours of delivery and again shortly before you go home. At these exams we will discuss some of the common transitions babies make in the first few days of life, and what to expect upon going home, including feedings, elimination, sleeping, visitors, and signs of problems. Remember to add your new baby to your insurance and your insurance card as soon as possible to avoid a lapse in coverage. Call the insurance directly (the number is on the back of your card) or contact your Human Resources Department (if insurance is employee chosen). After Discharge From the Hospital Our preventative well visit schedule begins with a Newborn Visit during the first week of life. Life will be full of changes, learning experiences, surprises, and "firsts," for both babies and parents. Listed below are some of the most common newborn health and care issues that come up in the first few weeks at home. While most babies are healthy, please call us if you feel you have a problem. Weight loss occurs in almost all newborns during the first week of life as they rid themselves of excess fluids. A 5-10% loss is considered normal, and babies are usually back to birth weight by the two-week visit. After that, most babies gain ½ to 1 ounce a day for several months. Sleep will vary considerably. Some babies sleep 20 or more hours a day and waken only for a feeding. Others are awake every hour or so, including through the night! It is recommended that all infants be placed on their backs for sleep. Some sleeping babies gasp, snort, groan and occasionally even pause their breathing while they sleep. It's all normal. Jaundice is a yellow discoloration of the skin caused by the build-up of "bilirubin" in the blood and fat tissues. Bilirubin is the normal result of the breakdown of red blood cells (we all have bilirubin in our bodies). Because there is so much bilirubin produced in the first few days of life (from the birth, bruising, etc.), sometimes it temporarily accumulates in the skin until the liver can break it up and help the body eliminate it. The most common time babies develop jaundice is 2-5 days after delivery. This is rarely a problem, but if you notice your baby becoming quite yellow (or "orange") and lethargic, contact us at the office. The best way to prevent jaundice is frequent feedings (every 2-3 hours) to help your baby have more stools (which is one way the body excretes bilirubin). Mild jaundice can be helped by exposing a baby to window sunlight. Newborn rash or "Erythema Toxicum" is a common rash seen in the first week or two of life. It is a widely scattered rash that consists of red raised spots with whitish centers (resembling "flea bites"). The rash has no symptoms, and no one knows why babies get it, but it usually goes away on its own by the time a baby is two weeks old. Infantile (neonatal) acne is another type of skin rash that usually shows up when a baby is two to six weeks old and is due to the stimulation of the body's oil glands by maternal hormones during the pregnancy. This appears as pink raised "pimples" and can develop anywhere on the body, but most commonly on the face, chest and upper back. Some babies get only a few pimples, while others get covered from head to toe. No treatment is needed nor recommended unless the pimples begin to look infected (increasing redness or fluid-filled pustules). Infant acne does not indicate the future presence nor severity of adolescent acne. Infant breast enlargement is normal regardless of gender and is caused by pregnancy-related hormones. Sometimes a thin white discharge may be present at the nipple. Observation is all that is needed and this should clear within a few weeks. Infant female bloody spotting, or "pseudomenstruation" is the name of the blood tinged vaginal discharge caused by maternal estrogen's effect on a baby girl's vagina and uterus. It is totally normal, and may occur on and off for the first month. Hiccoughs, sneezing, chin quivering, sudden jerking movements and random eye crossing are all normal newborn behaviors and do not mean something is wrong. A newborn's nervous system is very immature and is not used to having to coordinate all those new reflexes. Umbilical cord care usually involves observation alone. Some people still prefer to clean the base of the cord 1-2 times a day with rubbing alcohol, but avoid cleaning too frequently, as this can irritate the skin and delay cord separation. A little bleeding a few days before and after the cord falls off is normal. Dry skin is normal and varies in all newborns. Some get just a little patchy dryness, while others have peeling, flaky, cracked skin all over their bodies. With the exception of extreme cases, lotions are usually not needed nor are they helpful. The dryness will resolve into smooth "baby" skin at about the same time the oil glands mature and erupt (age 2-6 weeks). Circumcision remains a subject of controversy and opinion. There is no overwhelming evidence that supports whether a child should or should not be circumcised, so the decision is left to the parents. If the decision is to circumcise, take care of the freshly circumcised penis by gently washing away debris with warm water. Follow with an application of petroleum jelly and a fresh gauze pad (to prevent the diaper from sticking to the healing site) until there is no more drainage on the gauze pads. Most circumcisions are healed and well-protected within 2-3 days. If the decision is to remain uncircumcised, the care of the foreskin consists of gently removing accumulated secretions with a soft cloth during bath time. It is not necessary to vigorously retract the foreskin during infancy; it will gradually separate over time and eventually become fully retractable. When this occurs, your son can be taught to clean this area on his own. Bathing is initially done with a washcloth or sponge and the baby laying on a towel. When the cord falls off and there is no more drainage from the cord area, bathing your baby is a small tub or sink is fine (remember to put a non-slip pad or washcloth on the bottom of the tub for safety). Most babies need only 1-2 baths a week, as parents clean the dirty areas frequently anyway (around the mouth, nose, neck, and diaper area). Avoid soap on the face, and use it sparingly on the scalp and body (unscented mild soaps are the least irritating and drying). Healthy ears are self-cleaning, and cotton-swabs are never recommended. Baby powder is also not recommended because of the risk of inhalation of the talc and subsequent lung irritation. Room temperature should be determined by what is comfortable for you (68-72 degrees is average), and we advise dressing your baby appropriate for the conditions. For example, if you like your house on the cooler side, an extra undershirt for baby is a good idea. Resist the urge to overbundle. If you take your baby outside (even if only from the house to the car), protect her from the elements (wind, cold, heat, sun, rain, blowing dirt/sand) with a lightweight blanket over her infant carrier. Visitors and outings really need to be limited in your baby's first few weeks of life. This is very difficult for most parents, as the adrenaline is pumping and you are so excited to show your baby to the world. But, having too many visitors to your house or taking your baby to someone else's house is surprisingly exhausting, for parents and babies. Plus, this immediate and often uncontrolled exposure to illness (illness that we adults consider mild and routine) can be serious to a newborn. Remember (and remind visitors) to wash your hands frequently, and always before touching or picking up your baby. Crying is a baby's way of communicating, and does not necessarily mean that the baby is angry. All babies cry, some much more than others. Eventually you will get to know your own baby's cries and be able to distinguish between the "feed me," "change me," "dress me," "hold me," and "leave me alone" cries. Each baby has a separate personality and temperament, which is often what determines how a baby will respond to changes or stimulation. Some babies are very mellow and barely squeak when really hungry. Other babies go into a full cry when their arms accidentally sneak out of the blanket a little. If you feel that your baby is crying inconsolably for more than an hour or two, or longer than you feel comfortable with, please call us. Familiarize yourself with Shaken Baby Syndrome and know who you would call for help if you needed a break from your baby's crying. Pacifiers and thumbs are topics sure to stimulate intense conversation with friends and relatives! In general, all babies need to suck to console themselves; they have no other way to calm down. To deprive a baby of this natural sucking need will deprive him or her of a natural reflex and will likely lead to fussiness. Some babies are very "oral," while others really only suck when feeding. There are certainly advantages and disadvantages of both the pacifier and thumb for these oral babies. Early on, babies usually cannot hold anything in the mouth without help (the pacifier pops right out, or the thumb gets yanked away when the baby startles). If the baby is breastfeeding, and is having a hard time getting the hang of it, pacifiers and bottles are not recommended until the nursing improves. When the sucking strength improves, the thumb is handy because it's always there (especially in the middle of the night). But, pacifiers can eventually be thrown away. Once teeth start coming in, both the pacifier and to a greater extent the thumbsucking can cause displacement of the teeth and an increase to the arch (roof) of the mouth. Newborn Health 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

Casual Provider 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 Morgan Abens DNP-PC Biography Morgan was born and raised in northern Idaho and received her Bachelor of Science in nursing degree at Lewis-Clark State College in 2017. After graduating, she moved to Minnesota where she worked for several years at North Memorial Medical Center as a bedside nurse and at Lion’s Children’s Hearing and ENT as an RN Care Coordinator. While working, Morgan attended the University of Minnesota, where she graduated with her Doctor of Nursing Practice degree in 2021, specializing as a pediatric nurse practitioner in primary care with a certification in disability policy and services. Morgan joined Wayzata Children’s in 2021 and is excited to partner with parents as they strive to raise healthy and joyful children. Her specific clinical interests include newborn care, pediatric oncology, blood disorders, ENT concerns, and the preschool years. Morgan and her husband live in Mound near their large extended family, and are currently working to grow their own family through adoption. Outside of work she enjoys playing volleyball, visiting family, playing piano, trying new restaurants, and playing hide-and-go-seek with her plethora of nieces and nephews. Back to Providers

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

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost. Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of their bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3095. Your Right to a Good Faith Estimate 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

Locations With 4 clinic locations, you'll have a great experience every time. Chaska (952) 448-3847 111 Hundertmark Rd #420, Chaska, MN 55318 Hours & More Delano (763) 230-2780 916 St Peter Ave E #120, Delano, MN 55328 Hours & More Maple Grove (763) 324-8000 9325 Upland Ln N #111, Maple Grove, MN 55369 Hours & More Minnetonka (952) 473-0211 14001 Ridgedale Dr #100, Minnetonka, MN 55305 Hours & More

Why We're Different Our clinic is proudly owned by the physicians that work here. We are committed to remaining strong and independent. What does this mean for patient families? Our appointments are longer than the community average, which allows our providers to spend more time with our patients and make special accommodations if needed. Our average charges are lower than the community average. Our providers live in, volunteer in, and care about the well-being of the communities surrounding our clinics. Our providers and staff are chosen carefully for not only their expertise, but also, for their empathy and kindness. Provider and medical assistant (MA) one-on-one pairing: the same MA works with the same provider the majority of the time. This allows patient families to form a relationship with their provider and MA pair to provide consistent care. Your experience with us matters. We want our patients to have a great experience every time they visit us so they can trust us and feel comfortable. We specialize in the ongoing needs of your child or adolescent in an environment that is family-friendly, convenient, and compassionate. We provide lactation and integrative medicine services As an independent group, all clinical and business decisions are made here. There are no higher-ups. Our staff members work well together across all departments. The providers set the standard for excellent service and are on the same team as our staff. They are collegial and respectful, inspiring the same qualities in all staff members, which further enhances the care we provide for our patient families as a team. Patient Testimonials Every experience over the last 11 years has been positive! At our home clinic or the walk-in clinic, I have always felt great about the care we receive. I've been with you for 17 years with two kids (one with special needs) and I've had excellent service from everyone with whom I've come in contact on every single occasion. Every experience and all staff at WCC are amazing and we have been coming for 40 years! Love the staff! Keep doing what you are doing! We love the clinic and I refer you to everyone! I love how the office is always clean and the staff are very responsive. My children have been seen at your clinic for 11 years now. Both kids are extremely comfortable with your staff and doctors. Everyone has been so friendly and warm with them. As a parent it's so nice to have kids that want to go to the doctor vs being scared or nervous. Thank you for creating such a great environment for kids! We love Wayzata Children's Clinic! I have recommended this clinic to several friends who now bring their children to the clinic and are grateful for the recommendation! 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

Call to Book 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 Mara Liss MD Biography Mara is another Minnesota native, having grown up in Golden Valley. She went east for college and graduated from Tufts University in Massachusetts with an undergraduate degree in biology. After living in Washington D.C., she chose to move back to the Twin Cities for medical school and her pediatric residency at the University of Minnesota. She then completed an integrative medicine fellowship at the University of Kansas before starting at Wayzata Children’s Clinic in 2013. Dr. Liss is board certified in pediatrics, and aims to bring holistic, root-cause medicine to patients and families by way of consultation-based visits that encompass the many aspects of health. She has a specialized interest in how nutrition contributes to health, and believes that food is medicine. She works with families to develop plans that allow even young patients to be full participants in their health, which allows for optimal well-being. She is also a certified lactation counselor. Mara, her husband Adam and their daughter live in St. Louis Park and enjoy exploring the Twin Cities, the outdoors, spending time with family and traveling. Dr. Liss is a specialty Provider who sees patients on a consultation basis for integrative medicine and lactation visits. She works collaboratively with your child's primary care provider. Integrative medicine blends the best of traditional, complementary and alternative medicine. It is based on the belief that the human body has innate healing ability and addresses not only a person’s physical symptoms, but also the social, psychological, environmental and spiritual aspects of health and illness. We believe in empowering patients and families in their own care as well as provide them with healthcare choices that are proven to be safe and effective. Back to Providers

3 years Nutrition Offer 3 meals and 2-3 snacks a day, consisting of the same healthy foods that you serve the rest of the family. Let your child decide how much of those foods to eat. Most children at this age are influenced by the eating habits of other people (family, friends, daycare, etc.) and can make a big deal over the color, appearance, and smell of certain foods. Try to downplay any commotion, and praise whatever is eaten. Mealtime should be as pleasant as possible, and you have already established control by offering good choices. A minimum of 2 cups (about 16 ounces) of skim or 1% milk is recommended daily for most children. If your child attends daycare or preschool, ask about the foods served and your child's eating habits and manners away from home. Most children are interested in what will make them bigger, faster, smarter, and stronger, so take a beginner's look at the USDA Food Pyramid (ask us if you would like a copy) with your child and explain why good food choices will help her be better at whatever she chooses to do. You are still your child's primary tooth brusher. Brush at least twice a day with a small amount of toothpaste. Dental visits are recommended every 6 months. Wellness Visits Most children sleep 8-12 hours a night and may take a 1-2 hour nap. Naps sometimes become "rest periods" at this age but still allow both the child and caregiver to have a break. Try to make bedtime as pleasant as possible. As the imagination develops, dreams may seem more real and can be frightening. It is often helpful to establish, with your child, a series of questions your child can ask herself if frightened (Is the frightening object real or pretend? Was the noise one I've heard before?). Or, establish actions your child can take to help herself (turn on the light, look at a book). See handout on "Common Childhood Sleep Concerns" if needed. Sleep Toilet training can be a thrilling developmental stage, or a time of power struggles. It is important to understand your child's need to follow her own timing. If already trained, she may occasionally regress (especially at times of stress, such as changes in the household, vacations, starting preschool, illness). If not yet trained, your child will train quickly when interested and ready, and not a minute sooner!! Your job is to support and praise her for her successes, help her understand that accidents do happen, and remove all attention from unwanted behavior. Elimination Minnesota law requires all children to be in appropriately sized, federally approved car restraints until they are age 4 and 40 pounds. Know where your child is at all times, and supervise play activities. Start discussing "good" and "bad" touch and appropriate contact with strangers. 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) number handy. Remember: children imitate parents, so avoid taking medications in front of your child. Use sunscreen (at least SPF 15) during all outdoor daytime activity. Animals are very attractive, but can harm if provoked. Teach your child to approach all animals (even your own) with caution and respect. 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. Teach pedestrian safety skills, and always wear helmets when biking. Supervise all water activity and wear life vests when boating (it's the law). 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 At this age, children begin to distinguish right from wrong and occasionally behave as expected! Safe, consistent limits and a predictable daily schedule are important. Encourage your child to control her behavior for positive attention and approval, and explain why certain behaviors are unacceptable. Adjustment to a sibling is a continuous process. At each new stage of development (of either child), rivalry may resurface. Attempt to let your children work things out on their own. Effective conflict resolution starts young. We look forward to seeing your child again at age FOUR. No vaccines are usually due. 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

20, 21 years (female) Nutrition Try to eat 3 healthy meals a day and make this a habit for life. Your performance in school and at work and even during your free-time activity still depends on your diet. Even if you feel you're done growing, you still need 3-4 foods a day high in calcium to support the completion of your bone density and continued bone strengthening. Also, 2-3 iron-rich foods a day are still recommended to support your blood. Read food labels to see how much fiber you need and how much you are actually getting — fiber is known to prevent colon cancer and heart disease. Avoid the "traps" that often affect people your age out on their own. Junk foods taste great but can deprive your body of what it really needs and can put on the excess weight (as can alcohol). Also, avoid habits that will be tough to break later on, such as always eating in a rush or in front of the TV, or eating when stressed or while studying. If you are unhappy with your appearance or performance, take a good look at your eating and see what you could change. There is no vitamin or "energy" supplement nearly as good as just eating a healthy diet, drinking plenty of water, and exercising regularly. This becomes even more important if you are a college student or at a job where you feel you are not as active as you used to be (or would like to be). See your dentist every six months for regular cleanings and exams. Wellness Visits Keeping your body on a fairly regular wake/sleep schedule (even on weekends) will help you get the sleep you need. Try not to save all of your "think time" or studying for bedtime — it often delays falling asleep. Sleep Always wear your seatbelt in the car and your helmet when biking or in- line skating. NO ONE thinks an accident will happen to them. Wear sunscreen if you are outside. A great tan is not worth cancer. Take your body seriously. Tobacco, drugs, and irresponsible alcohol use change lives, and usually not for the better. Far too many adults have regrets about past decisions they wish they could change. If you feel you have made a past mistake, re-contract with yourself and make better future decisions. Delay sex until you're truly emotionally ready for this step. If you already are sexually active, or planning to be, be smart and responsible. If you have questions or concerns about sex, your sexuality, HIV, pregnancy, or STDs, please talk with another adult whom you trust and respect. If you live away from home and return for a visit, expect that your parents will still want to know where you are and who you're with (yes, they have their own adjustments to make regarding your independence at home!). More injuries occur in unorganized sports ("pick-up games" or "a quick jog") than ever before. Warm-up and stretch well before any exercise. Safety Continue to prioritize your demands — the ones you place on yourself as well as the ones others place on you. You will find that balancing all the parts of your life (including your free time) is the key. Try to talk to your family frequently, even if by phone. You may be surprised by how many more agreements you have now! This can be a fabulous, and stressful, time. On one hand, increasing independence and decision-making power is great. On the other hand, stresses of school and money, lack of familiar support, and increasing responsibilities and uncertainty can take their toll. If you find yourself getting stressed out more than you feel you should or can reasonably handle, please talk to someone. A friend, parent, favorite professor or coach, counselor, or health care provider can offer support and help. Social, Family, & School Your body will continue to "proportion" itself and strengthen muscles and bones. It is recommended that all young women now have routine pelvic exams (regardless of sexual history); your health care provider will then check your reproductive system more closely and screen you for cervical cancer. It is also recommended that you start routine monthly breast exams. This is a good time to start making your own health appointments (if you haven't already) and looking into an adult health clinic. Be sure you have a copy of your health history (including vaccines) as you move away from home. We recommend yearly physicals. Please call with any concerns you have about yourself. 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

18, 19 years (male) Nutrition Try to eat 3 healthy meals a day and make this a habit for life. Your performance in school and at work and even during your free time activity still depends on your diet. Even if you feel you are done growing (or close to being done) you still need 3-4 foods a day high in calcium to support the completion of your bone growth and density and continued bone strengthening. Also, 2-3 iron-rich foods a day are still recommended to support your blood. Read food labels to see how much fiber you need and how much you are actually getting — fiber is known to prevent colon cancer and heart disease. Avoid the "traps" that often affect people your age out on their own. Junk foods taste great but can deprive your body of what it really needs and can put on the excess weight (as can alcohol). Also, avoid habits that will be tough to break later on, such as eating in a rush or in front of the TV, or eating when stressed or while studying. If you are unhappy with your appearance or performance, take a good look at your eating and see what you could change. There is no vitamin or "energy" supplement nearly as good as just eating a healthy diet, drinking plenty of water, and exercising regularly. This becomes even more important if you are a college student or at a job where you feel you are not as active as you used to be (or would like to be). See your dentist every six months for regular cleanings and exams. Wellness Visits Keeping your body on a fairly regular wake/sleep schedule (even on weekends) will help you get the sleep you need. Try not to save all of your "think time" and studying for bedtime — it often delays falling asleep. Sleep Always wear your seatbelt in the car and your helmet when biking or in- line skating. NO ONE thinks an accident will happen to them, and then it does. 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, have sex, drink alcohol, or ride in a car with someone who has been drinking. It only takes one mistake to change your life forever, and far too many adults have regrets about past decisions they wish they could change. 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, pregnancy, STDs, drugs, alcohol, or tobacco, please talk with another adult whom you trust and respect. If you live away from home and return for a visit, expect that your parents will still want to know where you are and who you're with (yes, they have their own adjustments to make regarding your independence at home!). Remember that driving is a privilege, not a right. You are an adult by law. More injuries occur in unorganized sports ("pick-up games" or "a quick jog") than ever before. Warm-up and stretch well before any exercise. Safety Continue to prioritize your demands — the ones you place on yourself as well as the ones others place on you. You will find that balancing all the parts of your life (including your free time) is the key. Try to talk to your family frequently, even if by phone. You may be surprised by how many more agreements you have now! This can be a fabulous, and stressful, time. On one hand, increasing independence and decision-making power is great. On the other hand, stresses of school and money, lack of familiar support, and increasing responsibilities and uncertainty can take their toll. 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 professor or coach, counselor, or health care provider can offer support and help. Social, Family, & School You have probably gone through most of your growth by now, but your body will continue to "proportion" itself for years (as your muscle mass increases and bones strengthen). It is now recommended that all men do routine monthly self-testicular exams. Some men are uncomfortable doing this at first, but we will teach you how to do this and discuss why it is important, even at your age. Testicular cancer affects more younger men than older men. This is a good time to start making your own health appointments as you transition from adolescent to adult care. Be sure you have a copy of your health history (including vaccines) as you move away from home. We are happy to continue seeing you for the next few years if you choose, and we recommend another routine physical next year. Please call with any concerns you have about yourself. 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

15 months Nutrition Most children need 12-16 ounces of whole milk a day. This is an excellent time to completely wean your child to a cup if you have not already done so. Bottle habits can lead to cavities in the front teeth and, depending on what's in it, decreased mealtime appetite. Having your child eat only in his high chair (for all meals and snacks) encourages him to be a part of the family, and avoids "grazing" and potential choking situations. Your child can be offered almost everything you make for yourself (with the exception of choking foods, such as raw vegetables, nuts, whole grapes, popcorn, hotdogs, etc.), and will probably want to feed himself. Fingers still work the best, but most children can start using a spoon and fork. Continue to cut meats very small. Mealtime is usually not a toddler's shiniest moment! The typical toddler eats well at only one or two meals each day (dinner is usually the pickiest) and eats better away from home. Avoid battles at the table. Since you cannot make your child eat, provide healthy food choices and praise whatever is eaten. This way you both win. If your child seems disinterested or finished, casually remove his food (and perhaps him) from the table, and inform him with your actions that the next meal or snack will come as usual (not necessarily when he decides it should be!) See our handout "Feeding Your Toddler, Age 1 to 3" if you are interested in more information. Parents are the main toothbrushers until school age, with children helping as much as they want. A toothbrush is recommended as soon as the first molars erupt. You do not need toothpaste, but a small dab may be just the incentive for a resistant toddler. Wellness Visits Most toddlers sleep 10-12 hours each night and take one nap during the day. Your child may cry when put down for sleep, as he dislikes being separated from you (this is another attachment age). Be gentle, but firm, with your sleep routine. Stay with the crib as long as you are able, but transition to the bed if your child climbs out. Sleep Believe it or not, toilet-training has begun! Every time you acknowledge your child's wet, dry, or messy diaper you are giving information about his body that will be used later when he learns to use the toilet. Remember to choose positive messages. Also, do not be alarmed if you see a small piece of undigested food in your child's stool. This is normal when he eats a variety of table foods. Elimination You now have a "touch and go" child. He touches everything in sight and then goes on to something new! Protection is essential for his sake. Recheck all previously child-proofed areas, including the garage and lawn. Walking children have more courage and often go down unguarded stairways or fall on toys and furniture; use utmost care and constant supervision. Toddlers still test objects by putting them in their mouths. We suggest 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. Burns happen quickly. Irons, curling rods, lamps, cigarettes, candles and hot liquids are all within reach of a curious, walking child. Remember, Minnesota State Law requires all children under age 10 to wear a life-preserver when on any private boat. Find one that fits well. Toddlers are wonderful, but can be frustrating. Avoid the potential for Shaken Baby Syndrome by taking breaks from your child before your temper flares. Call a relative or friend for help, or the Parent Warmline (612-813-6336). If you're at the end of your rope, call the Crisis Connection (612-379-6363) or Minneapolis Crisis Nursery (763-591-0100); they can help you get a break. We would like to see your child again for a routine checkup at age EIGHTEEN MONTHS. The daily thrills (and challenges!) of your child learning to talk, run, throw, identify objects, and imitate your every move are ahead. Your child's DTaP and Hepatitis A booster vaccines are recommended at that visit. Please try to be at least 10 minutes early for all scheduled well-child visits. We all wonder where they get their energy! Safety 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

14, 15 years (male) Nutrition Try to eat 3 healthy meals a day. Your performance in school and other extra activities will respond to what you put into your body (good or bad). You need 3-4 foods a day high in calcium because your bones are approaching their peak growth and strengthening. Milk, yogurt, or calcium-fortified orange juice are good options. And don't forget the fiber — it is known to prevent illnesses such as cancer and diseases of the stomach. Your body does need more calories now than ever before, but try not to cheat it with the chips, fries, pop, and donuts. No one can deny that these "junk" foods taste great, but they can quickly replace what your body really does need and can lead to future weight problems. Try to limit these foods for special occasions. Also, try not to get into habits that will be tough to break later on, such as eating on the run or in front of the TV. Make a point to eat with your family at least once a day; as your life gets busier this may be the only time you actually see each other some days! If you are unhappy with your performance or appearance, 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, please talk to your health care provider. Wellness Visits If you want your teeth and gums to be healthy your entire lifetime, take care of them now. Brush well 2-3 times a day and see your dentist 2 times a year. Teeth 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 in the car and your helmet when biking or in- line skating. 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. Wear your life jacket if boating or near deep water, even if you swim well. Take your body seriously. Make the decision now not to smoke, take drugs, drink alcohol, or have sex. Practice what you would say if someone pressured you. It only takes one mistake to change your life forever. If you have questions about sex, HIV or AIDS, pregnancy, drugs, alcohol, or tobacco, please ask your mom or dad or your 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. 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. Remember that driving is a privilege to be taken seriously. Practice. And in case you didn't know, Minnesota State Law prohibits permit holders from using a cell phone while driving. Safety Your friends and school activities are important, but try to do a "family" event at least weekly, and sit and talk with your mom or dad a little every day. You may not always agree on things (such as grades, household jobs, curfew, or friends) but talking about your differences helps you understand each other better. You may find that you have special interests in school or in the community, and are starting to think about what you may be interested in doing in the future. This is also often the time of increasing interest in developing relationships with others. Family & School Many boys notice the body changes of "puberty" happening now (fast height growth, armpit and pubic hair, deepening voice, body odor, increased penis and testicle size, and acne). These changes can continue through high school. In regards to acne, the best treatment is staying healthy overall (eating well, drinking water, getting sleep and exercise). Wash your face and other acne-prone areas (back, chest) no more than 2-3 times a day with your hands and mild soap. Girls have usually experienced most of their body changes by now. All these changes can be exciting or embarrassing, so respect other people's privacy. If you have any questions about your health, body changes or sexuality, please ask your mom or dad or your health care provider here. There are also many good books. 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