12 mo

Gross Motor: stands independently, walks with one hand held. Persistent toe walking may indicate spasticity.
Fine Motor: fine pincer grasp, helps turn pages of book. Hand dominance prior to 18 mo may indicate weakness in contralateral hand.
Language: 2-4 words, follows 1 step command with gesture. Referral Guidelines for speech delay
Personal/Social: points to indicate wants
Reflexes: Plantar grasp extinguishes 9-12 mos
Nutrition: No honey or corn syrup, until after age 1 year. Change from formula to whole milk.
Supplement with Vit D if <500 cc/day of formula or strictly breast fed - Vitamin D Supplementation.
Juice and Water: 1-6 years old can get 4-6 oz per day.
Dental: 7 mos: bottom central incisors, 8 mos: top central incisors and bottom lateral incisors, 9 mos: top lateral incisors, 13 mos: all 1st primary molars
Growth: Head circumference 7-12 mos: 0.5 cm/month, 1-3 yrs 0.25 cm/month. Average HC at 1 y/o: males 47 cm, females 46 cm. In first year, should grow 25 cm/year (10 inches). Average height: 75 cm (30 inches, 1.5 feet). Birth weight doubles within 5 months and triples within a year. Anterior fontanelle closes 13 mos (7-19 mos). Teeth: should have all incisors, and by 13 mos all 1st molars also.
PE: Stills murmur 3-6 y/o, but occasionally in infancy. Should have testicles down by now. Refer if still cryporchidism. Also need to refer if has had persistent hydrocele.
Elim:
Sleep: Back to sleep, through first year of life, especially in first 6 mos. May have been sleeping fine for weeks or months, then return abruptly to a late night wakeup schedule, usually related to growth spurts increasing the need for food (Feeding spurts), or teething or developmental changes.
Immunizations:
Health:
Safety:
Screening Labs: Vision-Screening, Hb screening at 9 mos per AAP, CHDP requires  it at age 1.
Next visit in
Expect: