Kids @ Kingston

Compiled by our MCH & Immunisation Nurses

Issue

No 4

START THE DAY WITH

BREAKFAST

Why is breakfast important? Children who miss breakfast are often reported as a)

having poor behaviour

b) having lower concentration levels

c) unable to meet their daily nutrient requirevments

d) more likely to be overweight or obese.

Eating breakfast helps children to learn and establish

healthy eating habits early in life.

Healthy breakfast choices Creamed corn on toast

Untoasted muesli and tinned fruit

High fibre cereal with chopped fruit

Fruit smoothie

Raisin toast with mashed banana

Porridge with sultanas and milk

Baked beans on toast

Boiled eggs and toast soldiers

Tinned spaghetti on toast

Fruit salad and yoghurt

English muffins with jam

Grilled cheese on toast

Qld Health Communicating with fam-

ilies Information sheets

WHAT CAN I DO ABOUT…. TANTRUMS !

Why do Toddlers have

tantrums?

Tantrums are common in two year olds, but if managed well

are less common in three and four year olds. As children

learn to solve problems in other ways they throw fewer tan-

trums. Children may not grow out of tantrums without help

from their parents. Part of your task as a parent is to teach

your child to manage frustration and express anger in appro-

priate ways.

Tantrums occur when children feel angry or frustrated.

Toddlers often get frustrated when:..

They are told No.

Things don't go the way they expect.

They are unable to manage difficult tasks.

They do not know the words to say what they want.

They are overtired.

There is no obvious reason.

Children learn to continue throwing tantrums if they get

what they want. They learn to escalate behaviour to make

people give into their demands.

How to Manage tantrums

Try to distract child

Have quiet time together away from the disputed con-

cern.

If child is unresponsive then use ‘time out’. Rule of thumb

is 1 minute per age of child.

Be consistent and persistent.

Do not comfort when your child throws a tantrum.

Reference: Tantrum Tip sheet by DHS

Communication, Language & Play

4 Months

Language begins with sounds Babies communicate their needs from birth

They cry to let you know they need something (like

food, nappy change, sleep)

Things parents say at 4 months

“I didn’t realise you could have a ‘conversation’ with such a little baby. Now at change time, we take turns. I watch for ‘her turn’ - she wriggles and coos. When it’s ‘my turn’, she goes completely still and just listens—it’s amazing.” “I thought I’d feel silly doing ‘baby talk’ and copying the sounds he makes, but you can see he just loves it”.

Talk to your MCH Nurse if your baby

Doesn’t respond to noises

Doesn’t make any sounds

Doesn’t enjoy eye contact with you

Talk

Copy and exaggerate the sounds your baby makes

Talk about what you are doing and the things around

you. Feeding, bathing and nappy changes are good

times for this

Sing songs, tell rhymes—baby loves your voice

Play

Look your baby in the eyes

Cuddle and hold your baby close

Get down and play at your baby’s level—face to face

Read

Show your baby bright, colourful pictures

Prepared by the Centre for Community Child Health,

Royal Children’s Hospital

Baby Vegetarian

A vegetarian diet does not

change the basics of early

eating.

Appropriately planned

vegetarian diets are health-

ful, nutritionally

adequate, and provide health benefits in the prevention

and treatment of certain diseases. Families find

guidelines useful in planning and preparing vegetarian

meals for children.

Principles

Breastfeeding alone is adequate to around 6 months

(a healthy diet for a vegan mother is important).

A supplement of Vitamin B12 is a good idea for the

mother.

Around 6 months babies need suitable solids.

At 7-8 months protein-rich foods can be included:

Lentils, beans, chickpeas or tofu.

At 12 months most children enjoy family meals.

Breastfeeding maycontinue, children may change to

cows milk as a main drink, around 600 mls daily is ad-

equate to meet calcium needs. If a soy based drink is

preferred it needs to be calcium fortified.

Community Paediatric Review

Vegetarian Lasagne

Preparation time—40 minutes

Freezing—suitable

1 large zucchini 2 tablespoons tomato paste

1 eggplant 1 cup water

1 onion 220g instant lasagne

1 large carrot 375g ricotta cheese

1 teaspoon oil 1 quantity cheese sauce /

1 clove garlic, crushed white sauce

Wash zucchini and eggplant, cut into slices, place in colander

and lightly sprinkle with salt. Allow to stand 1/2 hour. Wash

and drain well. Slice onion and carrot into rings. Brush oil

over the bottom of a large heavy bottomed frypan. Add

garlic, onion, carrot, zucchini and eggplant. Brown quickly. Mix

tomato paste with water, add to vegetables and simmer gently

until tender.

Cool, lightly brush a lasagne dish with oil. Place a small

quantity of vegetable mixture in the bottom, place lasagne

sheets on top, cover with more vegetable mixture, half the

ricotta cheese, then lasagne. Repeat, finishing with lasagne.

Cover with cheese sauce. Bake at 200°C for 45 minutes.

Serve with crisp salad and crusty bread. Serves 4 adults.

Moo Moo Jersey Cow

Moo moo jersey cow

Have you any milk?

Yes sir, yes sir, three buckets full.

One for the boy, and one for the girl, And one for the

little cat who lives out the back.

Breast massage and manual milk

expression

Use 3 or 4 fingers to draw a

circle in sequence from

outtside to the areola.

Manual expression requires

some training.

Now use the entire palm to

gradually stroke the breast

from the edge toward and

over the nipple from all sides.

This must not hurt.

Place your thumb and index

finger around the areola.

Stroke gently and express

horizontally to the chest

(Figures 5 & 6).

Repeat around the breast so

that all the milk chambers

are emptied. Do not squash

the breast tissue together

and do not draw the nipple.

Do not lose skin contact while expressing, but roll the

thumb and fingers forward as if intending to milk a

cow. With this gentle pressure, the milk chambers will

empty. The Wireltern and Medela adviser

Childrens’ Feet

Many adult foot problems have

their origins in childhood.

Therefore, it is very important

that any foot problems are

addressed early and particular

attention paid to good fitting

shoes.

It is advisable to see a

podiatrist if your child has

any of the following:

Childrens’ Shoes

Poorly fitting shoes can result in a

number of adult foot problems,

such as hammer toes, ingrown toe-

nails, corns, calluses and bunions.

Children, in many cases don’t tell

you if their shoes are too small or

uncomfortable.

What to look for in a child’s shoe Good fit, generally a thumb’s width between the end of the

shoe and the foot.

When looking at the bottom of the shoe, the sole should be

relatively straight.

The fastening mechanism should hold the heel firmly in the

back of the shoe.

The back of the shoe should be strong and stable.

The shoe should bend where the foot bends across the ball

of the foot.

Leather and natural materials are preferable.

Contact your MCH Nurse or local Podiatrist for more details

Foot pain eg: heels, toes,

arches

Knee pain

Leg pain

Night leg pain

Flat feet

Toe walking

Smelly feet

Ingrown toenails

Warts/papillomas

Knock knees

Frequently tripping over

The Doorbell A man is walking down the street one day when he notices a very small boy trying to press a

doorbell on a house across the street. However, the boy is very small and the doorbell is too high

for him to reach.

The man walks up to the boy and places his hand kindly on the child’s shoulder, leans over and

gives the doorbell a solid ring for him.

Crouching down to the child’s level, the man smiles benevolently and asks, “And now what, my little man?”

The boy replies, “Now we run !!”

Is it time to Immunise ?

For further

Immunisation Information

Contact the City of Kingston Immunisation Service on 9581 4870

Or Your local Doctor

Check out these useful

websites

www.health.vic.gov.au

www.medicareaustralia

.gov.au

Birth

4 yrs

Pre-pregnancy

6 mths

2 mths

4 mths

12 mths

18 mths Year 7

Year 10

50 yrs

65 yrs

Hepatitis B Tetanus, Diphtheria, Whooping Cough & Polio

Pneumococcal

Hepatitis B & Hib

Tetanus, Diphtheria, Whooping Cough & Polio

Pneumococcal

Hepatitis B & Hib

Tetanus, Diphtheria, Whooping Cough & Polio

Pneumococcal

Measles, Mumps & Rubella

Hepatitis B & Hib

Chicken Pox

Tetanus, Diphtheria, Whooping Cough & Polio

Measles, Mumps & Rubella

Hepatitis B

Chicken Pox

Tetanus, Diphtheria, Whooping Cough & Polio

Measles, Mumps & Rubella

Chicken Pox

Whooping Cough

Tetanus, Diphtheria & Whooping Cough (ADT)

Pneumococcal

Influenza

Humanpapillomavirus