Don't forget to watch what you say and do around your child: Imitation is one of the ways toddlers learn socially acceptable behavior. ||A great deal of body heat is lost through a bare head, so make sure your baby wears a hat if she will be in a cold environment ||Infant constipation is the passage of hard, dry bowel movements — not necessarily the absence of daily bowel movements ||Trim your baby’s nails weekly after a bath when the nails are softened ||Don't let your baby nap in the car seat after you're home as a substitute for crib since it's harder for young babies to breathe in that position ||Bathe baby for no more than ten minutes in warm water especially if he shows signs of skin eczema. ||Until your baby is 6 months old, he'll get all the hydration he needs from breast milk or formula, even in hot weather ||Every milestone is an accomplishment, but it means your child is more independent and needs you a little less ||To help your kid stand up to negative peer pressure, encourage him to talk, use role playing with him, get to know the parents of your child's friends and finally deal with your own peer pressure. ||During growth spurts - around 6 weeks after birth — your newborn might want to be fed more often ||
Children and illness


Deciding when to exclude sick children from school and when to return them back can be difficult for many parents

 

These are the most important causes of sick child missing school

 

1 - Cold or Cough

  • Runny Nose
  • Scratchy / irritated throat
  • Coughing
  • Sneezing
  • Watery eyes
When to exclude?

If child has a fever with behavior change, looks or acts very ill, severe or uncontrolled cough, rapid or difficulty breathing, wheezing

When to return?

Once exclusion criteria have been resolved

 
2 - Diarrhea
  • Frequent loose or watery stools compared to child’s normal pattern
  • Abdominal cramps

When to exclude ?

If child has 2 or more episodes of diarrhea in a 24 hour period, blood or mucus is in the stool, abnormal color of the stool for child, no urine output in 8 hours, skin or eyes are yellow (Jaundice), fever with behavior change, looks or acts very ill

When to return?

Once child has been diarrhea free for 24 hours, or cleared by a health professional for bloody diarrhea.

 

3 - Eye Irritation Mucus in the eye

  • Pink color instead of white of eye
When to exclude?

If child has bacterial infection (as determined by his/her physician)

When to return?

Once on medication at least24 hours.

 

4 - Fever

When to exclude?

  • Temperature above 38 and the child feels ill and acts ill
When to return?

Once fever free for 24 hours and able to participate.

 
5 - Itching
When to exclude?
  • If child has chickenpox, scabies, impetigo, ringworm or headlice they should be excluded.
  • If they have pinworm, allergic or irritant reactions and eczema they do not need to be excluded unless it appears infected or the itching interferes with learning.
When to return?
  • Once seen and cleared by a health professional, on medication at least 24 hours if indicated.
  • Headlice: Follow policy of school or daycare center.
  • Chicken pox: Pox needs to be dried and scabbed over
 
6 - Pain
  • Earache
  • Headache
  • Mouth Pain
  • Sore Throat
  • Stomach Ache
When to exclude?
  • Earache & Headache: If unable to participate or care would decrease staff’s ability to teach and care for other children.
  • Mouth Pain or Tooth Ache: If child has mouth sores, tooth pain, drooling or difficulty swallowing.
  • Sore Throat: If child is unable to swallow, has excessive drooling, fever with behavioral changes.
  • Stomachache: If child is uncomfortable, pain lasts more than two hours, has been injured, bloody or black stool, no urine output for 8 hours, diarrhea, vomiting, fever with behavioral changes, looks or acts very ill.
When to return?
  • Once pain has resolved, child able to participate.
  • With strep throat your child may return to school after 24 hours on antibiotics.
 
7 - Vomiting
When to exclude?

Vomiting two or more times in the last 24 hours, recent history of head injury, looks or acts very ill, vomit that appears bloody or green.

When to return?

Until vomiting resolves for at least 24 hours or a healthcare provider decides it is not contagious

 

This article is based on (Managing infectious disease in children and school American Academy of pediatrics , 2005)

 

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