Texas Health and Human Services / Texas Health Steps
Interactive Anticipatory Guidance Provider Guide
Early Childhood icon

12-Month Checkup

  • Family Well-Being
    • Keep a usual family routine
    • Make one-on-one time for each child in family
  • Keeping Child Safe
    • Do not shake or hit baby
    • Keep child in rear-facing car seat in back seat of car until at least 2 years old or until child is over the height and weight limit set by seat maker
    • Choose safe, quality child care
    • Do not leave alone in bathwater
    • Stay within an arm’s length when baby is near water
    • Empty all buckets of water
    • Ensure home is safe from fire and carbon monoxide poisoning
    • Assess home risk for exposure to lead
    • Lock up guns
    • Cover electrical outlets
    • Keep cleaning supplies and medicine away from baby
  • Healthy Feeding
    • Do not put baby in bed with bottle
    • Begin weaning from breast or bottle and offer only water in bottle
    • Provide three nutritious meals and two snacks a day
    • Limit sweets and high-fat foods
    • Provide spoon for eating and cup for drinking
  • Regular Care and Routines
    • Clean teeth with soft toothbrush two times a day
    • Establish ongoing care with dental provider
    • Establish a consistent bedtime routine
  • Healthy Progress
    • Limit TV and screen time to one to two hours a day
    • Encourage supervised outdoor play
    • Praise good behavior
    • Promote language using simple words
    • Provide age-appropriate toys
    • Provide favorite toy for self-soothing during sleep time
    • Read books and talk about pictures and story using simple words
    • Use distraction or choice of two appropriate options to avoid/resolve conflicts
    • Use time-out of one minute per year of age for discipline