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Norfolk Medical Group

Comprehensive Care For Children

Norfolk Medical Group promotes the health of infants, children and adolescents with comprehensive child care through check-ups and programs for new mothers to help your child grow up happy and healthy. 

Our physicians and staff deliver professional, comprehensive pediatric care to children and adolescents in an environment that is family centered, with all types of pediatric services to meet their needs.

The pediatrics department at Norfolk Medical Group specializes in the care of all children – from newborns to adolescents. We provide a full wellness child exam which includes a developmental screening and general preventative care.

We also provide same-day sick exams with quick, thorough exams and answers to your biggest questions and concerns.

Milestone Tracker

CHILD WELLNESS EXAMS

Please print and fill out the Milestone Tracker according to your child's age, and call us to schedule their next wellness exam.

Milestone Tracker

Infant/Toddler Feeding

FEEDING YOUR LITTLE ONE

At Norfolk Medical Group Pediatrics, we understand feeding your child can be challenging. Our healthcare providers have created helpful charts outlining recommended serving sizes and optimal feeding times. For any questions or concerns, please reach out to our staff. Please call us for additional questions or to schedule an appointment with your pediatrician.

Infant/Toddler Feeding

Food Group Foods Daily Servings Suggested Serving Size
Milk Breast Milk On demand (usually 8-12) N/A
Milk Formula* 0-1 month 6-8 2-5 oz.
Milk Formula* 1-2 months 5-7 3-6 oz.
Milk Formula* 2-3 months 4-7 4-7 oz.

FEEDING TIPS

Nurse baby at least 5-10 minutes on each breast. Six wet diapers a day is a good sign. There's no need to force baby to finish a bottle. Putting baby to bed with a bottle could cause choking! Use of the microwave to warm breast milk or formula is not recommended. Do not prop the bottle while feeding. No juice unless recommended by your physician's office. No baby cereal unless recommended by your doctor.

Food Group Foods Daily Servings Suggested Serving Size
Milk Breast Milk 4-6 4-8 oz.
Milk Formula 4-6 4-8 oz.
Grain Baby Cereal (iron fortified) 2 1-2 tbsp.
Grain Rice 2 1-2 tbsp.
Grain Oatmeal 2 1-2 tbsp.
Grain Barley 2 1-2 tbsp.

FEEDING TIPS

May need to start baby cereal (iron-fortified). Feed only one new cereal each week. There's no need to add salt or sugar to cereal. Baby should be sitting up when eating solid foods. Do not force solids. If baby refuses, go back to formula or breast milk and try again later. Do not feed baby raw honey before 1 year.

Food Group Foods Daily Servings Suggested Serving Size
Milk Breast Milk 3-5 6-8 oz.
Milk Formula 3-5 6-8 oz.
Grain Baby Cereal (iron fortified) 2 2-4 tbsp.
Grain Bread (offer) N/A 1/2 slice
Grain Crackers (offer) N/A 2 crackers
Fruit Fruit 2 2-3 tbsp.
Fruit Fruit Juice (optional) 1 3 oz. (from cup)
Vegetable Vegetable 2 2-3 tbsp.

FEEDING TIPS

Pureed vegetables first, then the fruits, one new food every 3-5 days. Monitor for adverse effects. Add mashed or finely chopped fruits and vegetables later on. Take out of the jar the amount of food for one feeding. Refrigerate the remaining food. Make sure all foods are soft and easy to swallow. Cut items into small pieces. Juice is not necessary, but no more than 4 oz of juice per day. Any fresh foods or vegetables should be cooked with no added salt or seasonings. If stools are loose or with mucus, reduce amounts of solids and add foods more slowly.

Food Group Foods Daily Servings Suggested Serving Size
Milk Breast Milk 3-4 6-8 oz.
Milk Formula 3-4 6-8 oz.
Milk Cheese Offer 1/2 oz.
Milk Plain Yogurt Offer 1/2 cup
Milk Cottage Cheese Offer 1/4 cup
Grain Baby Cereal (iron fortified) 2-3 2-4 tbsp.
Grain Bread 2-3 1/2 slice
Grain Crackers 2-3 2 crackers
Fruit Fruit 2 3-4 tbsp.
Fruit Fruit Juice 1 3 oz. (from cup)
Vegetable Vegetable 2-3 3-4 tbsp.
Meat Chicken, beef, pork, cooked, dried beans OR egg yolks 2 3-4 tbsp.

FEEDING TIPS

Introduce new textures, avoiding hard foods that can be a choking hazard. Add strained or finely chopped meats now. Feed only one new meat every 3-5 days. Offering a variety of healthy, tasty, and nutrient-rich foods is the best way to supply the nutrition that a growing child needs. A wide variety of foods is found in the 5 food groups. Be patient. Babies make a mess when they feed themselves. Always taste heated foods before feeding them to baby. Do not feed baby raw honey before 1 year.

Make sure no one food group is completely left out. If this happens for a few days, don’t worry. Prolonged neglect of a food group could keep your child from getting enough nutrients. Snacks make up an important part of childhood nutrition. Children must eat frequently. With their small stomachs, they cannot eat enough at meals alone for their high-energy needs. Three meals and 2 or 3 healthy snacks a day help children to meet their daily nutrition needs.

Food Group Foods Daily Servings Suggested Serving Size
Milk Whole milk, yogurt 4 1/2 cup
Milk Cheese 4 1/2 oz.
Milk Cottage Cheese 4 1/4 cup
Grain Cereal, pasta, or rice 6 1/4 cup
Grain Bread, muffins, rolls 6 1/2 slice
Grain Crackers 6 2 crackers
Fruit Cooked or juice 2 3 oz.
Fruit Whole 2 1/2 medium
Vegetable Cooked or juice 3 3 oz.
Vegetable  Whole 3 1/2 medium
Meat  Fish, chicken, turkey, beef, pork 2 1 oz.
Meat  Cooked dried beans or peas 2 1/4 cup
Meat  Egg 2  1

FEEDING TIPS

Add whole milk now. Offer small portions and never force your toddler to eat. A very irregular appetite is normal. Just offer foods from all food groups. Respect your toddler’s likes and dislikes. Offer rejected foods again. Make meals fun and interesting. Serve colorful foods that are crunchy, smooth, or warm. Toddlers need meals and snacks. Feed your toddler at least 2 snacks every day.

* If you are bottle feeding, use iron-fortified formula. Don’t worry if your baby eats a little more or less than this guide suggests. The suggested serving sizes are only guidelines to help you get started.

Dosage Charts

RESOURCES FOR PARENTS

As parents we always worry and have questions. At Norfolk Medical Group, we listen and care about your concerns. Our For Parents area is devoted to addressing, educating, and informing parents about some of the common issues and topics that we hear about as pediatricians. We are proud to provide several resources and you can easily access different topics and categories by using the Sections Links on this page. Please contact us with questions.

Dosage Charts

Indications: Treatment of fever and pain

  • Age Limit: Don’t use under 12 weeks of age. Reason: Fever during the first 12 weeks of life needs to be documented in a medical setting. If present, your infant needs a complete evaluation. Exception: Fever from immunization if infant is 8 weeks of age or older.
  • Dosage: determine by finding child’s weight in the top row of the dosage table.
  • Measuring the dosage: Use a special measuring or dosing device. If possible, use the syringe or dropper that comes with the medicine. If not, medicine syringes are available at pharmacies. If you use a teaspoon, it must be a measuring spoon. Regular household spoons are not accurate. Also, remember that 1 level teaspoon equals 5 mL and that 1/2 teaspoon equals 2.5 mL.
  • Brand Names: Tylenol, Feverall (suppositories), generic or store-brand acetaminophen.
  • Caution: Acetaminophen (Tylenol) can be found in many prescription and over-the counter medicines. Read the labels to be sure your child is not getting it from 2 products. If you have questions, call your child’s doctor.
    Caution: Do not alternate acetaminophen (Tylenol) and ibuprofen products. Reason: No benefit over using 1 med alone and a risk of overdose. Exception: Your child’s doctor has instructed you to do this.
  • Frequency: Repeat every 4-6 hours as needed. Caution: Don’t give more than 5 times a day. Reason: danger of liver damage.
  • Meltaways: Dissolvable tabs that come in 80 mg and 160 mg (jr. strength).
  • Suppositories: Acetaminophen also comes in 80, 120, 325 and 650 mg suppositories. The rectal dose is the same as the dosage given byy mouth. Suppositories may only be available at local drugstore pharmacies (not grocery store pharmacies). Have the caller phone their local drugstore first to confirm availability of Feverall or generic suppositories.
  • Avoid Extended-Release: Avoid 650 mg oral products in children. Reason: They are given every 8 hours.
  • Concentration: Dosage charts are for U.S. products only. Concentrations may vary with international pharmaceuticals. Always double check the concentration if product bought from outside the U.S.

Child's weight (pounds) 6-11 lbs 12-17 lbs 18-23 lbs 24-35 lbs 36-47 lbs 48-59 lbs 60-71 lbs 72-95 lbs 96+ lbs
Total amount  40 mg  80 mg  120 mg  160 mg  240 mg  325 mg  400 mg  480 mg  650 mg
Syrup 160 mg/5 ml  1.25 ml  2.5 ml  3.75 ml  5 ml  7.5 ml  10 ml  12.5 ml  15 ml  20 ml
Syrup 160 mg/1 teaspoon    0.5 tsp  0.75 tsp  1 tsp  1.5 tsp  2 tsp  2.5 tsp  3 tsp  4 tsp
Chewable 80 mg tablets      1.5 tabs  2 tabs  3 tabs  4 tabs  5 tabs  6 tabs  8 tabs
Chewable 160 mg tablets        1 tab  1.5 tabs  2 tabs  2.5 tabs  3 tabs  4 tabs
Adult 325 mg tablets            1 tab  1 tab  1.5 tabs  2 tabs
Adult 500 mg tablets                1 tab  1 tab

Indications: Treatment of fever and pain.

  • Age Limit: Don’t use under 6 months of age. Reason: not FDA approved. Exception: Your child’s doctor has instructed you to use.
  • Dosage: Determine by finding child’s weight in the top row of the dosage table.
  • Measuring the Dosage: Use a special measuring or dosing device. If possible, use the syringe or dropper that comes with the medicine. If not, medicine syringes are available at pharmacies. If you use a teaspoon, it must be a measuring spoon. Regular household spoons are not accurate. Also remember that 1 level teaspoon equals 5 mL and that 1/2 teaspoon equals 2.5 mL.
  • Brand Names: Motrin, Advil, generic or store-brand ibuprofen.
  • Caution: Do not alternate acetaminophen (Tylenol) and ibuprofen products. Reason: No benefit over using 1 med alone and a risk of overdose. Exception: Your child’s doctor has instructed you to do this.
  • Frequency: Repeat every 6-8 hours as needed.
  • Adult Dosage: 400 mg.
  • Ibuprofen Drops: Ibuprofen infant drops come with a measuring syringe.
  • Concentration: Dosage charts are for U.S. products only. Concentrations may vary with international pharmaceuticals. Always double check the concentration if product brought from outside the U.S.
  • Calculating Dosage: 3-5 mg/lb (5-10 mg/kg). Do not recommend dosages above the OTC adult dosage listed above, unless directed by the protocol or recommended by the patient’s PCP.

Child's weight (pounds) 12-17 lbs 18-23 lbs 24-35 lbs 36-47 lbs 48-59 lbs 60-71 lbs 72-95 lbs 96+ lbs
Total amount  50 mg  75 mg  100 mg  150 mg  200 mg  250 mg  300 mg  400 mg
Infant Drops 50 mg/1.25 ml  1.25 ml  1.875 ml  2.5 ml  3.75 ml  5 ml      
Liquid 100 mg/1 teaspoon  0.5 tsp  0.75 tsp  1 tsp  1.5 tsp  2 tsp  2.5 tsp  3 tsp  4 tsp
Liquid 100 mg/5 milliliters  2.5 ml  4 ml  5 ml  7.5 ml  10 ml  12.5 ml  15 ml  20 ml
Chewable 100 mg tablets      1 tab  1.5 tabs  2 tabs  2.5 tabs  3 tabs  4 tabs
Junior-strength 100 mg tablets          2 tabs  2.5 tabs  3 tabs  4 tabs
Adult 200 mg tablets          1 tab  1 tab  1.5 tabs  2 tabs

  May Give Every 14-17 lbs. 6-11 mo. 18-23 lbs. 12-23 mo. 24-35 lbs. 2-3 yr. 36-47 lbs. 4-5 yr. 48-59 lbs. 6-8 yr. 60-85 lbs. 9-11 yr.
Benadryl (red) Syrup 12.5 mg/5 ml  6 hours  DNU*  DNU*  1 tsp.  1 tsp. 2 tsp. 2 tsp.
Benadryl Fast Melts 12.5 mg 4-6 hours DNU DNU DNU* DNU* 1 to 2 tabs. 1 to 2 tabs.
Benadryl Tablet 25 mg 6 hours DNU DNU DNU DNU 1 tab. 1 tab.
Claritin 5 mg/5 ml 24 hours DNU* DNU* 1/2 to 1 tsp. 1/2 to 1 tsp. 1 to 2 tsp. 2 tsp.
Claritin Reditabs 5 mg 24 hours DNU DNU DNU 1 tab. 2 tab. 2 tab.
Claritin Tablets 10 mg 24 hours DNU DNU DNU DNU 1 tab. 1 tab.
Dimetapp Cold and Allergy 4-6 hours DNU* DNU* DNU* 1 tsp. 2 tsp. 2 tsp.
Triaminic Cold and Allergy 4-6 hours DNU* DNU* DNU* 1 tsp. 2 tsp. 2 tsp.
Zyrtec 5 mg/5 ml 24 hours DNU* DNU* 1/2 to 1 tsp. 1/2 to 1 tsp. 1 to 2 tsp. 1 to 2 tsp.
Zyrtec Chewable Tablets 5 mg 24 hours DNU DNU DNU 1 tab. 1 to 2 tabs 2 tab.
Zyrtec Tablets 10 mg 24 hours DNU DNU DNU DNU 1 to 2 tsp. 1 tab.

IMPORTANT NOTICE: If you have questions about any of this information consult your child’s physician.
DNU = Do Not Use
DNU* = Do Not Use unless prescribed by your child’s physician.

Immunization Schedule

At Norfolk Medical Group, we understand that parents may have concerns and questions about their child's immunization schedules. That's why we are dedicated to providing parents with the necessary resources and information to make informed decisions about their child's healthcare. On this page, you can access various recommended immunization schedules for children of different ages.

Click to view Immunization Schedule

Immunization Schedule