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Health Information For Parents
Toddlers are more and more aware of their surroundings, so distractions might disrupt them at bedtime. Their growing imaginations can start to interrupt sleep too.
Now more than ever, a simple and consistent bedtime routine is a parent’s best bet for getting a sleepy toddler snugly into bed.
Between the ages of 1 and 2, most kids need about 11–14 hours of sleep a day, including one or two daytime naps.
At around 18 months, or sometimes sooner, most toddlers condense their two naps into one afternoon nap. A toddler who fights the morning nap is probably ready for just an afternoon nap.
Your 1- to 2-year-old should still sleep in a safe, secure crib. Before a child’s first birthday, blankets are not recommended because of the possible risk of SIDS. But at this age, it’s OK to put a light blanket in your child’s crib. Also, security items like “lovies” (a small soft blanket or stuffed animal) are OK and can provide a lot of comfort. But don’t put any extra-large soft toys or stuffed animals in the crib.
Watch out for items with ties or strings that could wind up around your toddler’s neck. Be on constant lookout for nearby objects your child might be able to reach from a standing position in the crib: curtains, window blind pulls, pictures, or wall hangings are all possibilities.
Your curious toddler may be looking for ways to climb over the crib railing to “break out” of the crib. Don’t leave a lot of toys that your child could pile up and climb onto. And remember: No bumper pads — a child might use those as a step at this age.
If you have an active climber who is getting out of the crib, make sure that the crib mattress is on the lowest possible setting. If it is, and your toddler is still trying to scale the crib, consider moving him or her into a toddler bed or “big kid” bed with a side rail. It will be hard at first to keep your toddler in it, but at least you’ll know your child won’t be hurt climbing out of a crib. For added safety, install a gate in the doorway of the room so that your child can’t wander around the house. Be sure your child’s room is childproofed.
Your toddler may begin waking up at night. Sometimes it’s because of discomfort, such as teething pain or illness. Sometimes it’s due to mild separation anxiety: “Where’s Mommy? Where’s Daddy?”
Dreams and nightmares can begin to affect toddlers, who have a hard time telling these from reality. Be mindful of books your toddler sees just before bedtime, and keep the content mild. If your child doesn’t have a comfort item like a lovie or blankey, consider getting one to help provide reassurance.
Time spent with screens (like a TV or tablet) can disrupt a child’s sleep. That’s one reason why health experts recommend:
Check for other causes of your toddler’s nighttime awakenings. Toddlers often push off the covers at night, so in the colder months you might want to dress your child in heavy pajamas for warmth.
Is there too much noise coming from another room? Toddlers will learn to sleep with some noise, but a loud TV or too much conversation close by can be disrupting. Check out your child’s room from a noise perspective. Make it someplace you would sleep soundly and chances are you’ll make it more comfortable for your toddler.
By now you’ve probably found the right combination — like a warm bath and a bedtime story — to help your child relax. Stay with it and don’t let it get too long. The backrub that seems like a treat now may not be so fun when it’s demanded night after night for longer and longer periods. Decide how many drinks of water you’ll allow and how many times you’ll get the toy that’s thrown out of the crib in defiance of bedtime.
Get used to setting the rules and sticking to them. This not only helps your child get more sleep now, but also helps you later if other, more serious discipline problems arise.
If your toddler wakes in the middle of the night, you’ll still want to quietly and quickly provide reassurance that everything is OK and you are close by. But too much interaction can backfire, so keep your nighttime “visits” brief and boring for your toddler.
If you have an early riser, help keep sunlight from waking your toddler by keeping curtains or blinds closed. Also try putting a few safe toys in the crib — they may keep your child busy in the morning.
Talk with your doctor about any sleep problems that seem severe to you, such as recurring nightmares.
The toddler months might continue to bring colds, bruises, and other minor emergencies, but you’ll also find yourself dealing with your toddler’s emerging independence.
Toddlers have little tummies, so serve foods that are packed with the nutrients they need to grow healthy and strong, and limit the sweets and empty calories.
Kids go from babies to toddlers during this time, from first steps to walking well. They also make major strides in language and communication.
You’re in for a year of changes! Midway through this year, most babies are walking and starting to lose that “baby” look.
Your toddler is probably saying a few first words now, but you may not be able to understand them all. Learn about how your child is communicating.
Teary and tantrum-filled goodbyes are common with separation anxiety, which is a perfectly normal part of childhood development.
Preschoolers sleep about 11 to 12 hours during each 24-hour period, and it’s important to help them develop good habits for getting to sleep.
Many parents struggle to get their toddlers to sleep. Get advice on how you can encourage sleep and promote habits that last a lifetime.
Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.
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