Book with Kaitlin 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 Kaitlin Mayo CPNP-PC Biography Kaitlin grew up in Richmond, Virginia, where her family still resides. She attended the College of William and Mary, graduating with a bachelor's degree in Neuroscience. She continued her educational journey by graduating from Virginia Commonwealth University with a Bachelor of Science in Nursing. Kaitlin met her now husband in Virginia and moved to California with him while he finished his service in the military, working there as a NICU nurse. She later moved with her husband to Minnesota and worked at Children's Minnesota Minneapolis for five years as a NICU nurse while completing her master's degree in nursing from Maryville University, graduating in 2022. She is board-certified as a primary care pediatric nurse practitioner and joined Wayzata Children's Clinic in 2023. Kaitlin has a passion for including the entire family in the plan of care with a focus on education and a love for new parents, babies, and lactation support. She also enjoys chronic conditions, gastrointestinal problems, and growth and development. Kaitlin loves to spend time on the water, hike, and hang out with family and friends in her free time. Back to Providers

We're hiring! If you or someone you know would be a good fit for one of our open positions, feel free to apply today! We're Hiring! We're hiring! If you or someone you know would be a good fit for one of our open positions, feel free to apply today! Open positions include front office schedulers, medical assistants, pediatricians, and advanced practice practitioners. Please visit our Careers page for more information. 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

Book with Nicole 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 Nicole Peterson DNP, FNP-C Biography Nicole grew up in the small West Central lake town of Glenwood, MN. She completed her bachelor of science in nursing degree at North Dakota State University in Fargo, ND. After graduation, she stayed in Fargo, working as a pediatric oncology RN at Sanford Children's Hospital for 4 years. During that time, she was accepted into graduate school at University of Mary in Bismarck, ND and met her husband. In 2020, they moved back to Minnesota to be closer to family. Nicole worked as an RN in the NICU at M Health Fairview Southdale Hospital for the next 3 years while she finished her advanced degree. She graduated in 2022 with a doctorate in nursing practice degree, specializing in family practice. She is nationally certified to care for patients of all ages. With a passion for pediatric health, Nicole was excited to join Wayzata Children's Clinic in 2023. She enjoys caring for children of all ages and assisting families to meet their health goals. Her and her husband live in Albertville, MN with their two labrador retrievers. They are excited to build their family in the next few years. In Nicole's free time, she enjoys spending time at the lake, fishing, hiking, camping, traveling, visiting with family, and exploring new places with her husband and dogs. Back to Providers

Book with Tracie 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 Awards Minnesota Monthly Magazine Best Doctor 2015 Sun Newspapers Best Pediatrician 2016, 2012 Tracie Dodig MD Biography Tracie grew up in Edina, and graduated summa cum laude from Miami University in Ohio. She earned her Bachelor of Arts degree in history in 1994, then took a year off and went to Lake Tahoe, California, to be a children's ski instructor at Squaw Valley. Dr. Dodig then returned "home" for medical school at the University of Minnesota, graduating in 1999. While she officially started at the Wayzata Children's Clinic in 2003, she was already well-known to many of our families, as she did her weekly continuity clinic here throughout her three years of pediatric residency (also through the U of M). Dr. Dodig is board certified in pediatrics, and her clinical interests include adolescent and sports medicine. She also volunteers annually as a camp doctor at a summer camp in northern Minnesota, and is on the camp’s board of directors. Tracie, her husband Jay, and sons Jimmy and Matthew live in Minneapolis and spend their free time skiing (downhill, cross-country, even helicopter!), in the hockey rink, and at their family cabin in Wisconsin. Back to Providers

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 Caty Lingbeck CPNP-PC Biography Caty was born and raised locally, in Waconia, MN. With a passion for taking care of others, she graduated from North Dakota State University with a bachelor of science degree in nursing. After college, Caty worked as an inpatient nurse on the general pediatric unit and the pediatric intensive care unit (PICU) at Sanford Children’s Hospital in both Fargo, ND and Sioux Falls, SD. Relocating for graduate school, Caty and her husband moved back to Minnesota where she worked as an inpatient nurse at Masonic Children’s Hospital in the PICU. Caty earned her doctorate of nursing practice (DNP) in pediatric primary care from the University of Minnesota in 2018. During her doctoral degree program, she completed three pediatric rotations at Wayzata Children’s Clinic. Additionally, while at the University of Minnesota, Caty also completed a certificate in disability and policy services. Caty enjoys caring for children of all ages, with a particular interest in urologic concerns (i.e., toilet training, incontinence) and children with special healthcare needs. When not at work, Caty enjoys spending time with her husband, two sons and their rescue dog, Brynn. Together they enjoy spending time outdoors, traveling, and catching up with family and friends. Back to Providers

Book with Lyndsi 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 Lyndsi Paumen MD Biography Lyndsi grew up in Georgia before attending Concordia College in Moorhead to study biology and political science. She went on to pursue her medical degree at the University of Alabama in Birmingham, where she was surprised to find how much she enjoyed taking care of kids! She then completed pediatric residency through Emory University at Children’s Healthcare of Atlanta. She returned to Minnesota in 2019 and has settled in Rogers with her husband and kids. Lyndsi has a personal and professional interest in breastfeeding education and is a certified lactation counselor. She particularly enjoys toddlers and elementary-aged children; special areas of interest include development and education. Back to Providers

12 months Nutrition Whole milk has largely replaced breastfeeding or formula by this time, with most children taking 12 to 16 ounces per day. This is an excellent time to wean your child to a cup if you have not already done so. Carrying a bottle around the house can lead to cavities in the front teeth, and is a difficult habit to stop. Having your child eat only in his high chair (for all meals and snacks) encourages him to be a part of the family meal, and avoids "grazing" habits and potential choking situations. Your child can have most table foods, and will probably wish to feed himself without your help. Fingers will work much better than utensils, although most children can start to use a spoon. Regular table meats are usually not chewed well by toddlers and should be cut into very small pieces (as with all other table foods). Appetites usually fall off at this age as a child's growth rate slows. 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. Your responsibility is to provide healthy food choices and praise whatever is eaten. You cannot make your child eat. See our handout "Feeding Your Toddler, Age 1 to 3" if you are interested in more information on age-appropriate serving sizes and choices. Remember...parents are encouraged to brush their child's teeth daily. This is a good age to introduce the toothbrush, as molars are soon to erupt. Toothpaste is unnecessary, but a small dab may be just the incentive for a resisting toddler. Wellness Visits Many 1 year-olds sleep 10-12 hours each night with 1-2 naps during the day. Your child may cry when placed in the crib for sleeping; be gentle but firm with night and nap routine. See our handout on "Sleep Concerns" if you need some ideas. Sleep Believe it or not, you have already started toilet-training your child. Every time you acknowledge his 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 some undigested food in your child's stool. This is normal when he eats table foods. Elimination You now have a "touch and go" child. He touches everything in sight and then goes on to something new! Recheck all previously child-proofed areas, including the garage and lawn. Walking and crawling children at this age have more courage and often go down unguarded stairways or fall off furniture; constantly supervise. Everything goes into the mouth of a one-year old. 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 at this age. Irons, curling rods, lamps, light bulbs, lighted cigarettes, candles and hot liquids are all becoming within reach. Remember, children should remain facing backward in their carseats until they are at least 20 pounds. And, they're in the back seat until age 12. 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. 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). Call the Crisis Connection (612-379-6363) or Minneapolis Crisis Nursery (763-591-0100) if you're at the end of your rope. We would like to see your child again for a routine checkup at age FIFTEEN MONTHS. Talking, walking and social skills pick up by then, as do tantrums! The final PCV7 and HIB vaccines are due at that visit. Please try to be at least 10 minutes early for all scheduled well-child visits. Every day will bring something new. Watch for it! Safety Many parents ask when it is appropriate to begin disciplining their children. We probably begin at birth. The definition of the word "discipline" is " to teach socially acceptable behavior." We each have our own set of values that influence the behaviors we encourage or discourage. Additionally, as adults, we carry with us the way we were raised and disciplined by our own parents. Evaluate what you want, and do not want, to bring with you in your parenting. The following are a few basic principles you may want to consider when responding to your child's behavior: Be positive. One of our main goals in child rearing is to raise happy, competent children. We teach them how to behave correctly, versus telling them what they are doing wrong. Catch your child being good and tell him what to do versus what not to do. For example, "Write on paper only" versus "Don't write on the table." A good way to get a repeat performance of any behavior is to follow the first one with attention (positive or negative). Keep this in mind when you want your child to play nicely with toys, or when you want him to stop digging in the plants. Attention comes in many forms; eye contact, talking, and touch are the strongest. Know you limits. Take some time to decide how you want to handle a situation. It will be much easier to act appropriately when you know what you want to accomplish. Remember that a child's behavior turns to misbehavior when it goes beyond your limit. Set those limits clearly, and they are much more likely to be followed. All people have their own limits that are important, and others that are not as important. Consistency in parenting (and with all caregivers) greatly improves the chances that children will behave. And remember — the number one way children learn is by imitation. Be specific. Children need to know exactly what you expect of them. For example, "Please keep your feet still" is more direct and effective that "Stop wiggling around." Preserve your child's self-esteem while correcting behavior. Refrain from labeling or other demeaning comments. For example, "Swearing is not allowed in this house" directs the discipline at the behavior, while "You are a bad boy for swearing" directs the negativity at the child. Whenever safely possible, allow your child to learn by experience. For example, having a child touch something warm (with supervision) is more valuable in teaching the concept of "hot" than 20 reminders from the parent. Act quickly in your discipline. Giving a child too many chances, reminders or warnings suggests that you do not really mean what you say. Children quickly learn how many chances their parents will give. State your limit once, then calmly and appropriately do something. Stop negative behavior immediately and avoid verbal arguments. The longer a conflict persists between a parent and a child, the more out of control both become. Parents are good at having tantrums, too! When a child is arguing with you, he is in control. Set your limit, then refuse to argue about it. Walk away. Follow through on everything you say. If you say no, mean no. When a child can repeatedly get you to change your mind by having a tantrum, by screaming, begging, being defiant, or by being suddenly sweet-and-cuddly, he learns that "no" means "maybe." He also learns that he had great power over you which will be quite confusing to him. Spanking invites revenge. Whenever a child is hit, slapped, or spanked, discipline becomes punishment and usually the child's attention is diverted from his behavior to his pain and anger. He may totally forget that he just used his crayon to draw on the wall; he just gets angry that you hit him and his hand hurts. Again, children learn best by imitation. What do you want your child to imitate? Let your child know when he may get another chance. This reinforces trust, teaches forgiveness, and gives kids hope for better days. For example, "I'm setting aside your crayons for today; you can try using them correctly tomorrow." Do not be afraid to encourage the best in other children. You are not meddling by setting your own personal limits with other people's children. For example, if you expect good manners from your children, it is reasonable to expect them from other children when they are around you. Your children will notice this, and will see that your standards are consistent. Above all, remember that both you and your children are human and not perfect. We all make mistakes. Acknowledge this, be patient with yourself, and apologize to your child if you feel you have made a mistake. We are all grateful that children are young and forgiving! Enjoy your growth together. Discipline 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 (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. 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, 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, drink alcohol, or ride in a car with someone who has been drinking. Delay sex until you're 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, 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. 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 Even though you are probably at your adult height, your weight and clothing size may still increase as your body continues to "proportion" itself and strengthen muscles and bones. This is normal. Your periods should be fairly regular (about once a month or so). It is recommended that all young women start having routine pelvic exams at age 18-21 (regardless of sexual history); your health care provider will then check your reproductive system more closely and start screening you for cervical cancer. It is also recommended that you start routine monthly breast exams. We will teach you how to do this. 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

12, 13 years (female) Nutrition Try to eat 3 healthy meals a day and limit the "junk" so your body can do its' best work (in school, sports, etc.). Your need for calcium increases to 3-4 servings a day (more than the Food Pyramid suggests) because your bones are soon going to be at their peak of strengthening and growth. Milk, yogurt, or calcium-fortified orange juice are good choices. Also, increase your iron (2-3 foods a day of iron-fortified cereal, meat, eggs, or green leafy vegetables). Your eating habits now will always pay you back later, for better or worse. Many adults wish they had known to eat better when they were younger. Some illnesses could have been prevented by eating more fiber (fruits, vegetables, breads, cereals). Try not to get into habits that will be tough to break, such as eating on the run or in front of the TV. And as your life gets busier, try to eat with your family once a day. If you are unhappy with your body's 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 naturally grow at its' own pace. 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 Your sleep needs may increase as your growth increases. 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, 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. Wear your life jacket if boating or near deep water, even if you swim well. Never take medicine (including vitamins) without knowing your dose. Evaluate what it will take to give your body the best. 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, 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. 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 Your friends and school activities are important, but try to participate in a "family" event at least once a week, and sit and talk with your mom or dad a little every day. You may not always agree on things (such as household jobs, curfew, or friends) but talking about your differences helps you respect and understand each other better. And remember to take some "free time" just for yourself every day. Family Many girls notice the body changes of "puberty" happening now (they can start anywhere between ages 8-14). These include fast height growth, breast development, armpit and pubic hair, body odor, acne, and interest in boys. Most girls start their periods between ages 10-16 (average 12-13). In regards to acne, the best prevention and treatment is staying healthy on the inside (eating well, drinking water, getting sleep and exercise). Wash your face no more than 2 times a day with your hands and very mild soap and limit make-up. Boys usually start puberty by ages 12-14, with their growth spurt at ages 13-16. Body changes can make people excited, nervous, or embarrassed, so respect other people's privacy. If you have questions or concerns about your health, body changes or sexuality, please talk with your mom or dad or your health care provider here. There are also many good books available on these topics. 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

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

Newborn Nutrition After a brief period of weight loss, your baby will begin to gain approximately one ounce per day. Babies at this age get all their nutrition from breast milk or formula. Many babies spit up when they feed. If your baby spits up often, keep his or her head raised for at least 30 minutes after feeding. Spitting up small amounts is harmless as long as your baby is gaining weight and is not in pain. Spitting up usually ends by age six to nine months. After feeds, gently burp the baby by holding the baby on your chest, upright and gently patting or stroking the back. Do this for 2 to 5 minutes. Your baby may not burp after every feeding. Do not prop bottles in your baby’s mouth. Do not add cereal to your baby’s bottles. Do not give your baby extra water. Do not give your baby honey. Wellness Visits Breastfed babies should nurse on demand when he or she is showing hunger cues at least 8 to 12 times in 24 hours. If your baby is sleepy, you may have to undress him or her, tickle the feet or rub the back to wake him or her for feeds. Breast Feeding Make sure to always use iron-fortified formula. At first, give your baby 1-2 oz of prepared formula every 2 to 3 hours, which amounts to about 18-24 oz per day. As she grows and appetite increases, you will need to prepare largeramounts. If your baby doesn’t finish all the prepared bottle, you may refrigerate it and use it for the next feed. Do not mix this formula with new formula. Further, if the formula has been heated and has been out of the refrigerator for 1hour or more, discard it. Never heat a bottle in a microwave; if you wish to warm a bottle, a hot water bath is recommended. If you are thinking about switching brands of formula, talk to a doctor first. Formula Feeding Most infants sleep 12-20 hours a day in 2-4 hour stretches. Most babies are loud sleepers. Observe your baby’s noises to learn the difference between active sleep and real awakenings. Your baby may be signaling they are between sleep cycles rather than truly waking. Maximizing the difference between night and day (for example, dim vs. abundant light, hushed vs. normal noise) helps your newborn establish a circadian rhythm, though this may not occur right away. A supine position (“back to sleep”) is best for babies, including premature babies because it reduces the risk for SIDS (Sudden Infant Death Syndrome). Room sharing is recommended with the baby in a separate, but nearby sleep space. Bed sharing (sleeping in the same bed as the parents, another adult, or a child) is not recommended because it increases the risk of SIDS. Likewise, sleeping together on a non-bed surface, such as a sofa or chair places a baby at risk for entrapment, suffocation, and death. Sleep Stool frequency varies from one every feeding, to once a week or less. Bottle-fed infants' stools are usually soft and green or brown. Nursing infants have frequent, loose, watery, yellow stools. Apply a barrier cream such as Aquaphor between diaper changes to protect the skin from irritation. 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 2 years old. Check your hot water heater to be sure the water temperature is no hotter than 120 degrees F. Always be near your baby while he is in the bathtub. Never attach a pacifier around your baby's neck. 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). Never leave your child alone in a car for any reason, even briefly. Start developing habits that will help prevent you from ever forgetting your baby in the car. Consider putting an item that you need, like your purse, cell phone, or employee ID, in the back seat of the vehicle, so you will see your baby when you retrieve the item before leaving the car. Safety Welcoming an infant into your life is one of life's major stresses! Whether this baby is your first or fifth, the next few weeks will be a time of adjustment. Recognize this and give yourself the time, rest, and support needed to deal with the unexpected changes. It is normal for you to feel uncertain, overwhelmed, and very tired at times. Making sure to rest and sleep when the baby sleeps is one way to help you maintain your sense of well-being. Another is to let your partner and other family members participate in the care of the baby by holding, bathing, changing, dressing, and calming him. 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. 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 temper tantrums, clingy behaviors, sleep disturbances and toileting regressions. Talk openly about how the older child feels and find some uninterrupted "special time" daily to spend alone with him or her. Family Adjustments All newborns receive an initial hearing and heart screen before being discharged from the hospital. If the hearing screen was not done yet or was failed, your baby will be referred to a hearing specialist for testing. The results from the newborn blood test collected in the hospital will be available around the time of your baby’s 2 week visit. Screening If you feel your baby is ill (for example, 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 regular health care visit is at age TWO WEEKS. Please try to be at least 15 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

12, 13 years (male) Nutrition Try to eat 3 healthy meals a day and limit the "junk" so your body can do its' best work (in school, sports, etc.). Your need for calcium increases to 3-4 servings a day (more than the Food Pyramid suggests) because your bones are soon going to be at their peak of strengthening and growth. Milk, yogurt, or calcium-fortified orange juice are good choices. You will probably find that you are now eating more than you used to of all foods as your body has a growth spurt. Your eating habits now will always pay you back later, for better or worse. Many adults wish they had known to eat better when they were younger. Some illnesses could have been prevented by eating more fiber (fruits, vegetables, breads, cereals). Try not to get into habits that will be tough to break, such as eating on the run or in front of the TV. And as your life gets busier, try to eat with your family once a day. If you are unhappy with your body's 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 naturally grow at its' own pace. 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 Your sleep needs may increase as your growth increases. 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, 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 good tan is not worth cancer. Wear your life jacket if boating or near deep water, even if you swim well. Never take medicine (including vitamins) without knowing your dose. Evaluate what it will take to give your body the best. 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, 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. Safety Your friends and school activities are important, but try to participate in a "family" event at least once a week, and sit and talk with your mom or dad a little every day. You may not always agree on things (such as household jobs, curfew, or friends) but talking about your differences helps you respect and understand each other better. And remember to take some "free time" just for yourself every day. Family Many boys start to notice the body changes of "puberty" happening now (they can start anywhere between ages 10-16). These include fast height growth, armpit and pubic hair, deepening voice, body odor, increased penis and testicle size, acne, and interest in girls. Puberty changes can continue for years (many boys even have changes after high school). In regards to acne, the best prevention and treatment is staying healthy on the inside (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 usually have noticed many body changes by now and are often taller than boys at this age. Body changes can be exciting or embarrassing, so respect other people's privacy. If you have any questions or concerns 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 available on these topics. 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