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If These Kids Could Vote

From the mouths of babes: Our kids weigh in on who will be our next president.

Sarah Jessica Parker recently revealed her 5-year-old son James' pick for president. "He's really, truly into this election...he's come to this conclusion on his own based specifically on Barack's gender. It's that deep." This made us think...who do our kids support for the race in '08?


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Friday, August 29, 2008

Top Tween (9-12) Questions

Q: My daughter wants to dress too provocatively. What do I do?

A: She walks out of her bedroom on the first day of sixth grade sporting a micro-mini and a low-cut tee. Your husband's response? "Dang that freakin' Paris Britney Lohan! She's such a bad influence!"

The pediatrician says:
"This is an easy one: Say no. It is not appropriate for tweens to act like teens. Your daughter is just asking for trouble. As parents, we own the purse strings and have to set a good example."
--Dr. Gwenn Schurgin O'Keeffe, MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

What to do
Dr. O'Keeffe suggests the following:

  • Monitor how you dress and make sure you're being a good role model.
  • Point out to your daughter media images of fashions that are more appropriate for her age.
  • Start paying attention to (and controlling) what your daughter is viewing and reading.

Mom•Logic Moms say:
"Tell your daughter that showing a little skin is attractive, but if she shows one area, she should cover up the rest," says Pam, Mom of three. "She may as well learn now that overkill in this area doesn't attract the right kind of boys."

Other Moms say:

  • "Tell her you love it! She'll take it off immediately, trust me." (Ah, the old reverse-psychology ploy....)
  • Invest in some classy fashion mags and give her some fashion 101 tips.
  • Inform her that as long as you're paying for her clothes, they have to meet your approval.
  • Make her school the bad guy. "Most schools have clothing guidelines," says a Mom of two. "Tell your daughter, 'It's not my rules, it's in the school handbook! Sorry!'"

Q: My fifth-grade daughter wants a bra, but I think she's too young. Should I get her one?

A: Hmm...do they even make 27AAAAAAA bras?

The pediatrician says:
"Yes, you should get your daughter a bra. Many kids this age wear 'training bras,' and if your daughter feels she's ready, then she's ready. Your daughter is expressing her femininity; as long as the rest of her wardrobe is age-appropriate, it's fine. It will help her fit in with her peer group. As parents, we need to go with the flow when it comes to some of these puberty rites-of-passage."
--Dr. Gwenn Schurgin O'Keeffe, MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

Mom•Logic Moms say:
"Yes, get your daughter a bra," says Pam, Mom of three. "There are some good ones out there for AA girls, so you might as well let her jump in on the lingerie thing. (Most of her friends probably have.) Choose your battles: This one's a non-issue. She's just wanting to explore her femininity. It's coming, and there's no denying it!"

Other Moms say:

  • She wants it; she feels she needs it...isn't that enough?
  • No one will be able to see it anyway.
  • It will be good for her self-esteem.

Q: What's up with my tween's mood swings?

A: Welcome to the Wonderful World of Hormones! You're going to love it here, lol.

The therapist says:
"What's up? I'll tell you: Hormones, relationships, school pressures, body changes, confusion--you name it. There isn't much about a tween's life that doesn't contribute to moodiness. Your tween is changing in ways she's never experienced before, and having feelings that are unfamiliar. Her body's changing, her friends are changing, her world changing...and all of this change is frankly alarming. She's no longer a little girl but not quite a teenager, so who is she? That's what she's trying to figure out. She's navigating in unknown waters and not feeling sure about anything. This is a really hard time for kids, because they're building new identities--whether they want to or not. They begin to strive for independence at the very time they need support. They can feel crowded by you and alone at the same time."
--Rosanne Tobey, LPC, is a New Jersey-based therapist who specializes in individual, couples and family therapy.

Coping with your tween's mood swings
Rosanne Tobey has the following advice:

  • Try to view your child's behavior with compassion. Ask yourself what it must feel like to be that upset and confused.
  • Understand that although your child may be pushing you away, she needs you now.
  • Take her concerns and feelings seriously and treat her with respect.
  • Expect the same from her: Set limits as to what behavior is acceptable and follow through with consequences when she crosses the line.
  • Hold her when she cries if she'll let you; if she won't, just quietly sit with her.
  • Assure her that everything will be all right and that you'll be there to help her through this phase. (She won't always want your help, but she will want to know you'll be there.)

Mom•Logic Moms say:
"My father has a good saying," says Pam, Mom of three. "It's this: 'When kids hit adolescence, they descend down a long, dark tunnel. Make sure you don't go down that tunnel after them.' In other words, you're the adult. Keep a level head and don't let your child's mood swings trigger your own leftover adolescent feelings. If they do, seek therapy."

Other Moms say:

  • Listen to your child and repeat back to him or her what you think they're trying to say. "Most of the time they just want to be heard," says one Mom.
  • Get used to it, because it isn't going away any time soon.
  • Be kind. You've been there yourself.
  • Inform your child that moodiness doesn't give her a free ticket to be crabby. Says one Mom, "I told my daughter, 'This will happen with your period, but it doesn't make it okay to bite our heads off. Listen to your body, know that you're going to go through this, and learn to deal with it. If you can't say something nice because you're feeling moody, don't talk!'"

My tween borrows my clothes and wrecks them. How do I deal?

A: Man--either your child must be playing dress-up, or you're really tiny. Lucky!

The parenting expert says:
"This is never the only problem--it's a symptom that your child is either generally uncooperative and disrespectful or, worse, is so angry at you that she's bent on revenge and is deliberately wrecking your stuff. (When kids do things like this, it's usually not because they don't know or don't care. Even a 5-year-old knows how not to wreck clothes!) The most efficient and least exhausting way to handle it is to focus on motivation and prevention rather than correction. If you focus on correction, there will be way too much misbehavior to correct! Besides, if consequences were that effective, our prisons would be empty."
--Noel Janis-Norton, founder and director of The New Learning Centre in London, is a learning and behavior specialist with over 30 years' experience in Britain and the United States.

To motivate your child to behave well
Janis-Norton has the following tips:

  • On a daily basis, appreciate all the nice things she does--no matter how small. "As kids get older, their parents take them more and more for granted," Janis-Norton notes. "Give her lots of regular praise."
  • Make allowance something that has to be earned. "At this age, the only money your child has is what you give her," Janis-Norton says. "Parents nowadays keep giving allowance regardless of how a child behaves, but it didn't used to be that way: Allowance used to have to be earned. Make your child 'earn' the things she wants with good behavior. If she wants a cell or whatever, she has to follow your rules. Give her a list: She has to leave your clothes alone, say 'please' and 'thank you,' go to bed when you say, stop rolling her eyes at you and saying, 'Whatever'.... Give her several things you want her to improve on."
  • Slow down and spend more quality time together. "The assumption to start with here is that your relationship with your child has deteriorated, probably because you aren't giving her a lot of positive attention," Janis-Norton says. "This occurs when kids get involved in too many extracurricular activities. When that happens, the parent basically becomes a chauffeur and is always in a rush. The result is often lots of scolding and criticism!"

Mom•Logic Moms say:
"Don't let her borrow your clothes. Be the parent and tell her no," says Krista, Mom of two. "This is what irritates me the most with parents: They act like they can't tell their kids no. No wonder our youth are so messed up! They need guidelines, and it's our job to make them. We have the right!"

Other Moms say:

  • Make sure your child understands that what she's done is not okay and that she has betrayed your trust.
  • Padlock your closet if necessary.
  • "Buy more clothes!"

I think my tween is masturbating. Is that normal?

A: You thought nothing would be more embarrassing than the time you caught your parents doing it. You thought wrong.

The pediatrician says:
"Yes, this is very normal exploratory behavior for kids aged 9 to 12. Hormones are budding; sexuality is stirring. You don't need to do a thing unless it becomes public or your child comes to you with questions."
--Dr. Gwenn Schurgin O'Keeffe, MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

Dr. O'Keeffe recommends the following:

  • Be cool and calm. "Keep in mind that the only way our kids will come to us with their sexual questions is if we remain calm and open, regardless of our own personal views," says O'Keeffe.
  • If your tween is doing it in his bedroom, respect the fact that he's attempting to be private about it. "That's the appropriate place for this behavior to occur," notes O'Keeffe.
  • If your tween's masturbating starts to interfere with other activities, talk to your pediatrician.

Mom•Logic Moms say:
"It's only a problem if your tween is doing it in public places," says Julie, Mom of two.

Other Moms say:

  • Talk to your child about the fact that desire is natural.
  • Don't make your child feel like masturbation is nasty.
  • If you "catch" your child, carry on as if nothing happened--but in the future, knock before entering his or her room.

Q: I'm worried my daughter has an eating disorder. What are the warning signs?

A: Today's celebs are really putting the old adage "You can never be too rich or too thin" to the test. It's all giving young girls a really unhealthy message: "Pretty" means "extremely skinny." If your tween is showing signs that she's fallen prey to that kind of warped thinking, take action now. Her body image--and good health--are in your hands!

The dietician says:
"If you notice any of the following signs, talk to your pediatrician. He or she will advise you how to go on from there."
--Debi Silber, RD, Whole Health Coach and author of "The Lifestyle Fitness Program: A Six Part Plan So EVERY Mom Can Look, Feel and Live Her Best"

  • Strange food behaviors
  • Skipping meals
  • Eating only small portions
  • Ritualistic eating (eating foods in a certain order; eating food in strange combinations)
  • Not eating in front of others (i.e., eating at night when no one else is awake or in the kitchen)
  • Eating a limited variety of food or just eating one kind of food (such as grapefruit)
  • Chewing food and then spitting it out instead of swallowing it
  • Spending more time in the bathroom than usual (which can indicate vomiting or laxative abuse)
  • Being in the bathroom with the door closed and the water running
  • Wearing baggy clothes
  • Sudden weight loss
  • Increased exercise
  • Mood changes (i.e., behavior indicative of blood-sugar highs and lows)
  • Expressing that she's unhappy with her body

Mom•Logic Moms say:
"It's gross, but that's one of the easiest ways to tell," says Pam, Mom of three. "If she has an eating disorder, you'll see stains or chunks of vomit in the toilet. Check under the seat, under the rim, and around the bowl--all the places she might miss when cleaning up after herself."

Other Moms say:

  • Check her room for signs of secret eating. "When my daughter was bulimic, I found lots of candy wrappers in her room and in her pockets," says one mom.
  • Note whether she goes to the bathroom immediately after eating.
  • "I caught my daughter eating while standing on the scale. That's when I knew."
  • For more information, check out the National Eating Disorders Association website

Q: My son is getting acne. Help!

A: Remember how pimply-faced boys repelled you when you were a tween? Now the shoe's kind of on the other foot.

The pediatrician says:
"It's very common for acne to develop in kids this age. Most of the time it can be handled by over-the-counter acne medications and soap. I like to have tweens start by using Neutrogena soap twice daily and Clearasil pads one to two times a day. If that strategy doesn't help, call your pediatrician to discuss other options. One word to the wise: Having acne will be very stressful for your tween. Even a small zit will look huge to him! He'll need a great deal of support to get through this, and teaching him how to take care of his skin is just one piece of the puzzle."
--Dr. Gwenn Schurgin O'Keeffe, MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

Recommended Site:

Mom•Logic Moms say:
"My son had severe acne and we put him on Accutane," says Linda, Mom of four. "It was the best decision I ever made. I know it's controversial, but it gave him his life back. He was so self-conscious before--and he was always getting teased. Now that his face has cleared up, he's confident and secure. I think it's a miracle drug!"

Other Moms say:

  • Take your son to a dermo.
  • Teach him to wash his face in the morning and before bed. (Make sure he rinses the soap off really well, as any residue can clog pores.)
  • Change his pillowcases often--they absorb oil from his face and could exacerbate the problem.

Q: How much sleep should my tween get?

A: Hint: If she falls asleep in school, she's not getting enough.

The sleep expert says:
"Tweens need approximately 10 hours of sleep at night. If a tween (or any child) goes to sleep too late, their body becomes overtired and starts producing the stress hormone cortisol. That makes the child feel wired (like he or she just drank a pot of coffee), so falling asleep will be much more difficult. Teach your tween the importance of a good night's sleep. He or she may resist an early bedtime at first (especially if friends are allowed to stay up late), but if you explain the negative ramifications of sleep deprivation, you might convince your child to get to bed at a decent hour."
--Jill Spivack, MSW, is a psychotherapist and co-founder of Sleepy Planet, where she provides pediatric sleep consultations, leads general parenting groups for first and second time mothers

Signs your tween is sleep-deprived
Jill Spivack says the following clues are a dead giveaway:

  • She has difficulty paying attention in school. (Talk to her teachers and find out if this is the case.)
  • She can't concentrate.
  • She's put on some weight. (Cortisol increases abdominal fat.)
  • She's anxious, depressed, or having mood swings.

Helping your child wind down at night
Spivack recommends the following tricks:

  • Encourage her to exercise daily--it will tire her body out. (Make sure she finishes a few hours before bedtime, though, so her heart rate has plenty of time to slow down.)
  • Limit your tween's nighttime snacking--especially on foods or drinks containing caffeine.
  • Have her turn off the TV, computer, cell phone, and/or video games at least an hour before bedtime.
  • Create a calming, comforting bedtime routine for her (one that lasts 15 to 45 minutes and involves her spending time with you or her dad).
  • Assign her some nightly reading to do in bed.

Mom•Logic Moms say:
"My tween goes to bed around 9, but stays up for another hour or so reading," says Mary, Mom of three. "She really enjoys that, but sometimes she's up until 10:30 and then has to get up at 6:30 for band practice. I just try to stay on top of it."

Other Moms say:

  • Know your child's routine.
  • Encourage your child to take a short nap when she gets home from school. "I think my tween needs more sleep than she's getting," says one mom. "She's always perkier after a nap."
  • Buy her some good window shades--people sleep more soundly in a dark room.

Q: My tween wants to be a vegetarian. Is this a good idea?

A: Fact: Fish are animals, so vegetarians can't eat them. Inform your tween that henceforth, fish sticks, lobster tails, shrimp cocktail, and crab cakes will be out. Ditto McDonald's Filet-O-Fish sandwiches.

A dietician says:
"It depends on what her reason is. Find out--and make sure it's a good one. (Kids between the ages of 9 and 12 often switch to a vegetarian diet as a means to lose weight.) Make sure she knows that a healthy vegetarian diet must be flexible, balanced, and include enough protein, fat, vitamins, and minerals. She can use foods such as tofu, eggs, nuts, beans, peanut butter, milk, yogurt, and cheese as protein sources, but you'll need to plan her diet carefully to make sure she gets adequate amounts of the other nutrients."
--Debi Silber, RD, Whole Health Coach and the author of "The Lifestyle Fitness Program: A Six Part Plan So EVERY Mom Can Look, Feel and Live Her Best"

Mom•Logic Moms say:
"My 12-year-old decided to become a vegetarian, so we talked to her pediatrician," explains Sandy, Mom of four. "She said it's fine as long as I monitored my daughter's diet to make sure she got enough iron and protein. I've started cooking tofu, too!"

Other Moms say:

  • Make sure she takes a multi-vitamin daily.
  • For more information, check out Kids Health.org

Q: How can I keep my tween safe online?

A: If you've seen To Catch a Predator, you know exactly how dangerous cyberspace can be for kids. (Shudder.)

The safety expert says:
"The risks our children take online are very real. The Internet can be a media story waiting to happen for many tweens and teens. Don't think it can't happen to your kids! Unfortunately, they are going to go into chat rooms, MySpace, and Facebook without your knowledge. (Even though they're supposed to be 14 in order to go on MySpace, they'll still find ways to get onto the site.) While you don't want to spy on your kids, you do need to make sure they're safe."
--Ross Ellis, founder and Chief Executive Officer of Love Our Children USA

Protecting your child
Ross Ellis recommends the following:

  • Keep your computer in a central location.
  • Use your parental controls. (Invest in a great Internet-monitoring software program.)
  • Talk to your child about which sites are appropriate and which aren't. (Her friends' parents may be more lax about Internet safety; your child should follow your rules no matter which computer she's using.)
  • Talk to your child honestly about strangers online; make sure she understands the dangers.
  • Monitor how much time your child spends on the computer.
  • Make sure your child knows she must never give out her real name, address, or other personal information.
  • Know all of your child's usernames and passwords--not to spy, but in case of emergency.
  • Have your child read and sign a child/parent Internet-safety agreement (you sign it, too). There's a good one at Love Our Children USA
  • For more information and advice, visit Love Our Children USA

Mom•Logic Moms say:
Says Krista, Mom of two, "Use your parental controls, set guidelines, set time limits, watch over her shoulder! If she doesn't like it, no computer!"

Other Moms say:

  • Question your child regularly about what she's doing online and who she's talking to.
  • Don't let your child use her laptop in her bedroom.
  • Use news stories about kids victimized online as teachable moments.

Top Teen (13-17) Questions

Health & Safety

Q: How do I talk to my teen about sex?

A: There's more to talking about sex than the birds and the bees. When your teen comes asking, be prepared for a frank chat.

The expert says:
"Use popular media as a jumping-off point--if you see your son watching shows or movies that contain innuendo or jokes about sex, make observations about what the characters are saying or doing and use the opportunity to ask your teen questions like 'Are other kids in your grade talking about this kind of thing? What are they saying?'"
--Sabrina Weill, editor-in-chief of Mom•Logic and the author of "The Real Truth about Teens and Sex" as well as "The Seventeen Guide to Sex and Your Body."

Convey Your Values
Be specific in what your hopes are for your teen, whether you want her to wait to have sex until she is older, or married, or in a committed relationship: be clear and let her know why you feel this way. You are the number one influence on your teen's sexual decisions--more than her friends or the media. Use your power!

Mom•Logic Moms say:
"Ask lots of questions and get the conversation to be two-way. Avoid giving a speech!" says Tanya, Mom of two.

Other Moms say:

  • It's an embarrassing conversation but an absolutely necessary one to have.
  • I brought up the subject in the car. That way, my son was trapped and he had to listen to me.
  • It's not just one conversation anymore, it's a series of conversations that last a lifetime.

Q: How do I keep my teen safe on the Internet?

A: Kids today are growing up in a whole new world... online. Don't be a foreigner in their cyber universe.

The safety expert says:
"Protecting kids online is a parenting issue, not a technology one. As a parent, you need to instill rules, guidelines and support when it comes to your teen's Internet usage. Any breaking of those rules should warrant consequences. Predators are not the only danger online. With the click of a mouse, your teen can access sites that promote violence, hate, pornography, and eating disorders. Your teen needs to understand that the Internet is a place she can go to hang out, but when she needs guidance, she should still turn to you."
--Samantha Wilson, Founder and President of Kidproof Canada/USA. A former police officer, she is an internationally recognized expert in child and family safety.

Protecting Your Child:

  • Think of the Internet as a place, not a "thing." It is a place that teens go to hang out, meet friends, and experiment.
  • Supervision (and that doesn't mean that parents need to sit beside their teen every time they are online) and communication are key.
  • Talk to your teen about what she is doing online
  • Try it yourself so that you can get a better understanding of what she is doing and seeing.
  • Pay close attention to who she talks to online.
  • Pay close attention to what she watches and information she accesses.

Mom•Logic Moms say:
"I set limits. I read my teen's email and text messages. I look at her browsing history. I have all her passwords. Some people might say I'm a spy or an intrusive parent, but I just think I'm a good Mom," says Sarah, Mom of one.

Other Moms say:

  • Spyware is a beautiful thing.
  • I don't allow my daughter to go in chat rooms or to have a MySpace page.
  • We have the computer in the living room right out in the open. No privacy means less chance my teen will do something stupid online without me knowing about it.

Q: My daughter has cuts on her arms but refuses to talk about it. I think she is cutting herself. What should I do?

A: Cutting is a distress call. Don't let it go unnoticed.

The pediatrician says:
"Cutting is a very serious problem and indicates deep emotional pain in a child, usually a teen or tween. Most times the cutting has been going on for a very long time before a friend alerts a parent to it or a parent discovers it by accident. Cutting needs immediate attention - not only to care for the cuts, but to make sure the kids are emotionally safe and not about to inflict more serious self-harm. In other words, most kids who cut need an emergency evaluation to be sure they are not suicidal. If you discover your child is cutting, contact your pediatrician immediately to discuss whether an outpatient evaluation or emergency ER evaluation is needed."
--Dr. Gwenn Schurgin O'Keeffe, MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

How you can help:
"A situation like this takes time to develop; it will not go away quickly and it will not go away on its own. Your daughter needs your help and professional help."
--Family counselor Rosanne Tobey, LPC, is a New Jersey-based therapist who specializes in individual, couples and family therapy.

  • Seek out a counselor that specializes in cutting. Your pediatrician can make a referral, but do your own research, too.
  • Spend more quality time with her and pay direct attention to her. Let her know you care.
  • Educate yourself about cutting and self-injurious behavior.
  • Act swiftly.
  • Make the arrangements to provide the help and support that it will take to ease your daughter's pain and help her learn a better way to cope.

Mom•Logic Moms say:
"My daughter started cutting when she was 14 after her Dad and I got divorced. I put her in counseling immediately as soon as I found out. It's very hard for a mother to admit and acknowledge that her daughter is cutting herself, but ignoring the signs could cost your kid her life," says Heidi, Mom of two.

Other Moms say:

  • At my son's school, cutting is considered cool. It's my job to convince him otherwise.
  • I noticed my daughter was wearing long-sleeved shirts in summer. That's how I found out she was into self-mutilation.
  • My daughter told me her best friend had been cutting. I made the choice to call her friend's Mom and tell her. It was the hardest call I've ever made in my life.

Q: Should I get my teen the HPV vaccine? Is it safe?

A: When the HPV vaccine hit the market, it won a lot of attention... and raised a lot of questions, too.

The pediatrician says:
"Yes, vaccinate! It is very safe and has few side effects beyond the expected discomfort. Your tween daughter should get it when she's 11 or 12. In fact, I'm planning on giving the vaccine to both my girls."
--Dr. Gwenn Schurgin O'Keeffe, MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

What Is the HPV Vaccine?
Gardasil is a vaccine that targets Human Papillomavirus or HPV. HPV, a sexually transmitted virus, is the major culprit in causing cervical cancer in women and can go undetected for years and contribute to other health problems such as infertility.

Who Should Get It:
The American Academy of Pediatrics now recommends that girls get the HPV vaccine when they are 11 or 12 to protect them before they become sexually active. While talking about safe sex helps, teens can be very impulsive so education alone is not enough protection. Studies have also shown that the virus works best if girls have not already gotten one of the HPV subtypes associated with cervical cancer.

Mom•Logic Moms say:
"I got my daughter the vaccine without question. If it could possibly save her life, why wouldn't I?" says Amanda, Mom of three.

Other Moms say:

  • Why don't they offer the vaccine for boys? Makes no sense.
  • I heard it's painful and makes some girls faint. I'm scared to put my daughter through that.
  • This vaccine should be mandatory for all girls!

Eating & Sleeping

Q: How much sleep should my teen be getting?

A: Teens who burn the midnight oil may pay the price in the morning. It's good to know how much sleep is enough.

The sleep expert says:
"Somewhere between 8 ¼ and 9 ½ hours of sleep a night is right. Many teens, especially teens involved in lots of extracurricular activities, sacrifice sleep for activities and stay up late into the night studying and talking to friends. Because teens (especially those in high school) need to get to school earlier than ever, it's even more important for them to get a good night's sleep. Approximately 20 percent of teenagers fall asleep in school, and many are at risk for lower grades, car accidents, stimulant abuse, and even depression due to sleep deprivation."
--Sleep expert Jill Spivack, MSW, is a psychotherapist and co-founder of Sleepy Planet, where she provides pediatric sleep consultations and leads general parenting groups for first and second time mothers

Helping the sleepless teen:
Try these steps to help your teen get some much-needed shut-eye.

  • Talk with your teen and explain how important sleep is for his success in school and friendships and extracurricular activities.
  • If he is too over-scheduled, encourage him to drop an activity or two so that he can make time for sleep.
  • Make sure your teen has a nice wind-down routine 30 minutes before he tries to go to sleep. (Reading before bed is a great way to wind down and get a better night's sleep.)
  • Encourage your teen to leave his drapes open so the morning light can come in to the room. Light activates your brain to wake up more easily.

For teens who sleep endlessly:
Too much of a good thing can be a sign of other problems.

  • Check whether your teen is sleeping a lot during the day because he's not going to sleep at a reasonable hour at night, or whether he is simply sleeping round-the-clock.
  • Watch your teen's moods and behavior at other times to determine if there may be an underlying depression that's causing the sleepiness or whether there may possibly be some substance abuse going on.
  • If you still can't solve the problem, take your child to the doctor. An underlying medical condition (such as anemia) can cause fatigue.

Mom•Logic Moms say:
"My 15-year-old gets eight hours of sleep a night on school nights. But on weekends, she sleeps until noon! I guess her body needs the rest," says Micah, Mom of two.

Other Moms say:

  • With all the extracurricular activities my son is in, he doesn't get enough sleep. I worry that he'll fall asleep behind the wheel someday.
  • My 15-year-old drinks coffee or Red Bull to stay awake to study, and has even pulled a few all-nighters. This worries me.
  • All my son wants to do is sleep!

Q: My teen eats so much junk food and is getting fat. I don't know how to bring it up without hurting her.

A: As women, moms know how touchy weight can be. That's what makes it especially hard to discuss it with our own daughters.

The pediatrician says:
"Rather than tell her she's fat, compare her body to fueling a car. Our bodies use food for fuel and our weight is a reflection of how our body utilizes the fuel. If we are overweight, it means we are not using the fuel correctly - we're not exercising enough and not eating the right types and amounts of food. Teens tend to be sensitive, so she may get upset, but you have to let her know you love her and that your only goal is to help her get healthy."
--Dr. Gwenn Schurgin O'Keeffe, MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

Tips for how to help:

  • Remind her that junk food and sweets are okay in moderation, but not something to eat every day.
  • Set a good example and eat healthy yourself and exercise regularly
  • Stock the house with healthy foods, keep junk food to a minimum
  • Plan family activities that involve exercise
  • Hold her accountable for her actions
  • If she refuses to listen and continues to eat too much junk food, seek professional help because overeating can be a sign of teen depression.

Mom•Logic Moms say:
"My daughter was getting chubby and eating fast food at school. I'm also overweight so we went on a diet together. So far, we've lost 25 pounds each. I just don't want her to struggle with her weight like I do," says Regina, Mom of three.

Other Moms say:

  • I try to cook healthier meals for my overweight teen and not keep as many processed foods around the house.
  • Childhood obesity is a national epidemic. The whole nation is fat. But when you see your own kid not be able to shop at the stores her friends do, then cry about it, it cuts you to the core.

Behavior

Q: When should I let my son go on his first date?

A: It's hard to imagine that your little boy may by ready to start dating. But before he goes on that first date, you want to be sure he's ready.

The expert says:
"This varies widely from teen to teen--a lot of young people feel pressured to date before they are really ready and sometimes saying they can't go can be a relief to them."
--Sabrina Weill, editor-in-chief of Mom•Logic and the author of "The Real Truth about Teens and Sex" as well as "The Seventeen Guide to Sex and Your Body."

Tips for Talking to Your Son:

  • Ask your son a lot of questions about who he's going with, how he feels about this person and what he thinks might happen on the "date."
  • Make sure he is prepared to be respectful of the girl and her feelings and that neither feels pressured to make something "happen" because it's a "date."
  • It's okay to make rules like "I have to meet her first," or "the first few dates have to be at our house." Teens may balk at rules like this but on some level they do appreciate you setting the guidelines for them.

Mom•Logic Moms say:
"I let my son go on his first date at 16. By then, I felt he was ready to make responsible decisions. But that doesn't mean I wasn't a nervous wreck, though!" says Ginni, Mom of one.

Other Moms say:

  • I let my son go on group dates at 16, solo dates at 17.
  • In our town, kids don't even date anymore. They just "hang out." It's all so confusing!
  • I tried the old 'no dating til you're 30' rule but it didn't work. Darn!

Q: I think my teen might be gay. What do I do?

A: People say a mother's intuition is strong. When it comes to knowing your child's sexuality, it may be stronger than you thought.

The expert says:
"A lot of parents -- especially Moms -- suspect their child is gay prior to knowing for sure. In general, it's a good idea not to directly ask your child if he is gay, but to let him shape the conversation. If you pry, you risk taking power away from the child. The only exception to this rule is if you suspect your child is in crisis (suicidal, inflicting injury upon himself, etc.)"
-- Gay teens expert Ritch Savin-Williams is chairman of Human Development at Cornell University and author of "The New Gay Teenager" (2005).

Tips to Help Him Come Out:
Often parents are the last people to know because parents are so important and children don't want to be rejected by them. So be patient. In time, if you are open and close to your child, he will tell you. There are, however, things you can do to let your child know that it is safe to open up.

  • Create an atmosphere where he feels comfortable.
  • Buy positive gay books and lay them around.
  • Don't make gay jokes.
  • Don't assume sexuality. If you're curious about who your son is dating, avoid pronouns and instead say, "Is there someone you're dating or someone you like?"
  • Talk about sex and sexuality with your son.
  • Suggest that your son share his private feelings with a sibling. Children will often reveal things to siblings that they wouldn't reveal to a parent.
  • The most important thing is to simply continue to love the child and let him know that you love him unconditionally.

Mom•Logic Moms say:
"I knew my son was gay from the time he was 5. I've just encouraged him and supported him all along. He finally came out to me last year, at age 17. I hope that I've allowed him to grow up in a house where he knows I love him exactly how he is without judgment," says Olivia, Mom of three.

Other Moms say:

  • Wait. I was convinced my son was gay at 7, but am convinced he's not at 14. Kids change so much. Just let them be who they are.
  • I talked to my best friend and my therapist about it but would never bring it up with him.
  • Let them bring it up with you instead of vice versa.

Q: My teen is constantly texting on her cell phone. How can I get her back to the real world?

A: You thought buying her that cell phone would make it easier for you to reach your daughter. Instead, it's turned her into a speed-typing, acronym expert.

The parenting expert says:
"Often parents assume that texting is getting in the way of communication. Usually the texting is the teen's solution to poor communication at home. It is much more rewarding for a teen to communicate with her friends who completely support and understand her than to communicate with her parents who nag all of the time. The way to get your daughter to put down her cell phone at home is to improve communication and cooperation with her."
-- Learning and behavior specialist Noel Janis-Norton is founder and director of The New Learning Centre in London, is a learning and behavior specialist with over 30 years' experience in Britain and the United States

Putting the Phone Down:

  • When she gets home, have her hand her cell phone to you. She only gets it back when her homework and chores are done.
  • Talk to your cell phone company about a plan that would limit her texting.
  • Kids are so dependent on electronics that they can't imagine what to do without them. Suggest alternative forms of entertainment and communication with friends.
  • Avoid lecturing and nagging your daughter and instead create an open dialogue where you discuss your expectations of her.
  • Be clear about your values. Rather than say, "I don't want you to text all the time," which is vague, tell her what times and places are appropriate to text her friends.
  • Praise her for the everyday things she does well so she can feel appreciated and know that you notice her and are interested in her.

Mom•Logic Moms say:
"OMG! I am going through this right now. I just don't allow texting at the dinner table, or after 7:00 pm. That way, I know we get family time and that my kids' studies won't suffer," says Kiley, Mom of two.

Other Moms say:

  • I'd love to throw my kid's phone away. But I guess this is how my own parents felt when I was on the phone constantly growing up, talking about nothing. I guess it's just part of growing up.
  • The worst part is when she texts to her friend who's sitting right next to her. I know they are texting about me!

Q: My kid's an average student. How can I help him get into college?

A: Not every kid is Harvard bound, but that doesn't mean that there isn't a school out there that's right for yours.

The therapist says:
"Don't buy into college name-dropping. Yes there are some glamorous schools out there, but if a successful college education is what you really want for you son, you'll want to focus on what is right for your son, not what will impress the neighbors. The great thing about higher education in America is there is a college for everyone. And you'll find one for your son. Just remember that this can be a very intimidating time in a child's life. Now is the time for you to be there for him by showing that you believe in him, so that he can believe in himself."
--Family therapist Rosanne Tobey, LPC, is a New Jersey-based therapist who specializes in individual, couples and family therapy.

Tips to Finding the Right Match:

  • First, choose a school that is a right fit where he will feel comfortable and succeed.
  • Don't try to get your son accepted into a school where all of the students are super competitive. His guidance counselor should be able to assist with this.
  • Encourage your son to do the best he can in the classes that he is currently taking.
  • Submit a college application that boasts his strengths rather than highlights his weaknesses
  • Consider an S.A.T. tutor. Practicing and learning test taking skills can reduce test anxiety and potentially improve his score.
  • Pay attention to your son's needs, not what is going on around him.
  • This is a time to encourage your son. Don't focus on the schools that won't accept him. Concentrate on the ones that will. Help him to see that there is more than one way to achieve something and that there is a right situation for everyone.

Mom•Logic Moms say:
"We have a tutor. I help my son study for at least two hours a night. It's hard after working all day but I feel I owe it to my son to give him the best future I can," says Stacy, Mom of one.

Other Moms say:

  • Not every kid is Einstein. Figure out what his other strengths are and encourage those.
  • My oldest son started out in a community college, then moved on to a bigger school two years later.

Top Preschooler (3-5 years) Questions

Health & Safety

Q: The dentist wants to fill a cavity in my preschooler's mouth. I'm worried. Should I do it?

A: Many adults are terrified of the dentist themselves, so it's no wonder they want to protect their kids from the dreaded drill....

The doctor says:
"Cavities can be a serious problem in children and may lead to lifelong problems with their adult teeth. Filling cavities is sometimes preferred over removing diseased teeth. Parents who have concerns about any suggested medical or dental treatments or procedures for their little ones should make sure they discuss those concerns in detail with their doctor, dentist, or other healthcare provider before agreeing to go through with them. Sometimes getting a second opinion helps relieve concerns as well."
--Dr. Rachel Franklin, Mom of twins, Associate Professor of Family Medicine and author of "Expecting Twins, Triplets and More: a Doctor's Guide to a Healthy and Happy Multiple Pregnancy"

Mom•Logic Moms say
"My dentist wanted to fill a 'pinpoint cavity' in one of my son's baby teeth," says Linda, Mom of four. "But since it wasn't causing him pain and would probably fall out soon anyway, we decided just to leave it. I was really worried about the anesthesia, so I'm glad we didn't do it."

Other Moms say:

  • Trust your instincts.
  • It's not that big of a deal. One mom says, "My 4-year-old had a crown!"

Q: Should my preschooler get a flu shot?

A: This year, for the first time, the Centers for Disease Control are recommending that all children age 6 months to 5 years get a flu shot. (In previous years, the age range was 2 to 5.) Why the change? Studies have shown that children under 2 are more likely to be hospitalized by flu--especially if they have asthma or other chronic health problems. (Babies under 6 months of age are too young to be vaccinated.) The best time to get your child vaccinated is October or November; kids getting the flu shot for the very first time will need two doses, so have your child get the first one in September. For more information, go to cdc.gov/flu/protect/children.htm.

The doctor says:
"Yes, your preschooler should get a flu shot. Small children are at higher risk of becoming seriously ill from the flu, and they're one of the groups that's most likely to spread this serious infectious disease to the elderly and infirm--who have the highest risk of dying from it. Soon it may not even be a question of choice: The Centers for Disease Control are considering making the annual flu vaccine a requirement for young children. As with certain other vaccines, they'll have to get it before they can attend day care or preschool."
--Dr. Rachel Franklin, Mom of twins, Associate Professor of Family Medicine and author of "Expecting Twins, Triplets and More: a Doctor's Guide to a Healthy and Happy Multiple Pregnancy"

Mom•Logic Moms say:
"I have given my kids a flu shot in preschool," says Julie, Mom of two. "It was recommended by the doctor, so I did it."

Other Moms say:

  • While you're at it, get vaccinated yourself--and have your husband, your nanny, and anyone else who watches your kids get the flu shot too.
  • Your doctor will most likely let you know when it's time for your child to get the shot each year.
  • If your child has asthma or allergies, make sure they get the shot every year before flu season starts.

Eating & Sleeping

Q: How much sleep should my preschooler be getting?

A: It's one of the most difficult choices in life: Should you 1) Withhold naptime from a child who might need it, and risk having said child throw a tantrum in Wal-Mart at 5 p.m., or 2) Force naptime on a child who might not need it, and risk having said child be jumping on beds at midnight?

The sleep expert says:
"Your preschooler should continue to nap until he's unwilling to do so. The loss of the nap often starts with your child being unable to nap on certain days but not others. Follow your child's lead, allowing him to snooze when he needs to. If he doesn't nap on any particular day, you'll want to move his bedtime up so it's 30 to 60 minutes earlier than normal, as he'll be very tired. Once he gives up the nap completely, aim for a nice early bedtime--say, 7:00 p.m.--so he'll get enough sleep."
--Jill Spivack, MSW, is a psychotherapist and co-founder of Sleepy Planet, where she provides pediatric sleep consultations, leads general parenting groups for first and second time mothers.

Mom•Logic Moms say:
"Is your child impossible at dinnertime without a nap? That's a sign they're not ready to give it up," says Jackie, Mom of three. "But if daytime sleep means your child is up till all hours, you may want to tolerate a little tired behavior at the end of the day just to save your sanity at night. My son dropped naps right at his third birthday. My second son is trying to drop them now, and he's almost 2 ½. It depends on the kid."

Other Moms say:

  • Don't push it.
  • While transitioning, your child may nap at school but not on weekends--or vice versa.
  • Kids shouldn't stop napping until they're close to 4.
  • Even if your child doesn't want to nap, a quiet, restful period in the afternoon can help make for a more peaceful evening: Mandate 30 minutes of "head on the pillow" time during the day.

Q: Does my preschooler still need a nap?

A: Most preschoolers would rather eat broccoli than admit they're sleepy. Not to worry: They have lots of other ways of letting you know when they're not getting enough rest.

The sleep expert says:
"Many children give up their naps around their third birthdays, but some continue to nap until they're four. Kids who nap one and a half to three hours during the day generally need 10 to 11 hours of sleep at night; those who don't nap will need 11 to 12 hours at night."
--Jill Spivack, MSW, is a psychotherapist and co-founder of Sleepy Planet, where she provides pediatric sleep consultations, leads general parenting groups for first and second time mothers.

Mom•Logic Moms say:
"My 4-year-old gets a two-hour nap every day and sleeps about 10 hours at night," says Diane, Mom of three. "I don't know if 12 hours is enough for this age, but she's happy most of the time. If she skips her nap or stays up past her bedtime, she's a nightmare!"

Behavior

Q: My preschooler plays too rough with his baby brother. How do I get him to stop?

A: Sad but true: Sibling rivalry starts young.

The parenting expert says:
"This can usually be attributed to jealousy. Parents tend to carry their babies around as a matter of course, and that kind of rubs the older child's face in it--it turns the baby into a wonderful object that the older child wants to get at all the more. As far as the preschooler's concerned, they've been booted out of the throne room and there's a new king or queen in town!"
--Noel Janis-Norton, learning and behavior specialist, mom of three, and creator of the Calmer, Easier, Happier Parenting program.

Lessen your older child's jealousy
Noel Janis-Norton recommends the following:

  • Comfort your crying baby in other ways--don't make picking him up your default reaction. "Most people carry their babies around too much," Janis-Norton says. "It teaches the baby that being picked up is their only comfort--that the only right place to be is in his parent's arms. Instead, goo and gah and stroke him where he is, whether he's in his crib or bouncy seat or on the floor."
  • Ensure that you and your husband each commit to spending quality time alone with your preschooler every day. "Even 10 minutes will do," Janis-Norton says. "What's important is that your child knows it's coming. Doing this will feed your preschooler's need for attention, so he won't be driven to get it in negative ways."
  • Protect your older child's playtime. "Preschoolers get annoyed when crawling babies get into their Lego constructions or whatever," Janis-Norton notes. "Make sure your older child can play undisturbed. It's hard to be friendly to someone who's wrecking your game!"

Mom•Logic Moms say:
"Show your older child the right way to touch baby. I had my son practice on a doll," says Kathi, Mom of two. "It worked!"

Other Moms say:

  • Don't just correct him when he's being rough--praise him when he touches baby gently. ("You're being so sweet, you're not making the baby cry. Good job, honey!")
  • Empower him by emphasizing the fact that he's older. (Say, "You're a big boy, so you need to treat the baby gently.") That way, he'll want to obey.

Q: My preschooler won't poop in the potty anymore. What is happening and how can I stop it?

A: You ask your child why she won't poop in the potty, and she says, "I'm afraid." Afraid of what, you wonder--the Ty-D-Bowl man? Granted, he was kinda creepy....

The pediatrician says:
"During potty training, some kids become fearful of leaving behind a poop. This is very common, even if there were some early successes. For kids who were pooping well, lack of pooping may mean constipation, so the first step is to call your pediatrician and sort out whether this is a behavioral or medical problem. Once you figure that out, your pediatrician can guide you to the best treatment for your child. I've always felt that the term 'potty training' is a misnomer: It should be called 'potty guiding.' I suggest that you back off a bit: If left to their own devices, the majority of children will become fully potty-trained by the time they're 4."
--Dr. Gwenn Schurgin O'Keeffe, MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

Dr. O'Keeffe's potty-guiding tips:

  • Allow your child to continue to use pull-ups.
  • Reward her when she recognizes that she needs to have a bowel movement.
  • Continue to encourage her to use the potty, but let it be on her time frame and not yours.

Mom•Logic Moms say:
"As frustrating as it can be, don't freak out," says Jackie, Mom of 3. "My potty-trained preschooler regressed for a bit too--I think because his little brother got attention when his diaper was changed. I just kept reminding him that big boys poop in the potty."

Other Moms suggest:

  • Reward your child for proper pooping. Give him or her stickers; if your child poops in the potty five times in a row, make a special trip for new underwear (let your child pick it out).
  • Try to understand your child's point of view. "I went to a child psychologist," says one Mom. "She said that some kids see flushing their poop as discarding part of themselves, and this is very troubling to them. I thought that was an interesting perspective!"
  • Tell a white lie. One Mom admits, " I bought a new brand of training pants and told my son that they would not work for poop, only if he had to pee when he was asleep at night. There was some whining and moaning but it got him on the potty."
  • Don't bribe your child with food. Says one Mom, "My best friend gave her kid chocolate ice cream every time she'd poop in the potty. It was going great until one day out of the blue she pooped in her underwear. My friend asked, 'Why didn't you poop in the potty?' and her little girl said, 'Because we're out of ice cream!'"
  • Don't make a big deal out of it.

Q: Other Moms in my preschooler's class encourage competition between the kids. I don't agree. How do I avoid that?
A: Think scary soccer-Mom syndrome only happens in high school? Think again.

The therapist says:
"Competition in life is inevitable, but a competitive environment is not ideal in a preschool. It's supposed to be a positive experience! Talk to the teacher and find out if she encourages competition in the classroom. If you don't like the answer you get, look for a new school for your child--one in which the philosophy is closer to your own, and where you'll be more liable to find like-minded parents."
--Rosanne Tobey, LPC, is a New Jersey-based therapist who specializes in individual, couples and family therapy.

If it isn't possible to enroll your child in a different school....
Rosanne Tobey suggests that you:

  • Give extra support to your child to help him or her thrive in this potentially negative environment.
  • Use the fact that you feel differently from other Moms as an opportunity to teach your child lessons about patience, acceptance, and inclusion.
  • Get your child to share his or her school-day experiences with you. During playtime, talk to him about how his day was. Ask what they do at school and how they do it. If he expresses any concerns, explain to him that different people have different approaches to life--not better, just different. Says Tobey, "With a bit of effort, you can use this experience to help your child develop valuable coping skills that will serve him well throughout his life."

Mom•Logic Moms say:
"When parents make dumb comments like, 'Sarah's doing so much better at her letters than Johnny is,' I always remind them that every child develops differently and that it's not a competition," says Tina, Mom of two. "I mean, c'mon, this is preschool, people! They'll have plenty of time to be competitive in high school. Let kids be kids!"

Other Moms say:

  • Encourage your child to just do the best she can.
  • Tell your kids to follow the teacher's rules, not other parents'.
  • Make sure your child knows he won't always win.

Education

Q: Should I start my daughter in kindergarten at age 4 or age 5?

A: It's a tough decision. The last thing you want is to have your child be held back later on!

The therapist says:
"Kindergarten is the first step in your child's formal educational career, and it's important that your child's experience is a positive and encouraging one. Therefore, you don't want to rush your child into something she's not ready for. If you do, you run the risk of putting her in a situation where she's struggling to keep up with the class--and that could undermine her self-confidence. If you question your child's readiness for kindergarten, talk to her pediatrician. Also, many schools screen children prior to accepting them into their kindergarten program. Ask these professionals for input, then go with your instinct. Do you feel your daughter's ready for kindergarten? There's a big difference developmentally between age 4 and age 5; if you or any of the people you consulted feel that she isn't ready, don't push it. Instead, enroll her in one of the many 4+ programs that are now available. A 4+ class will help her develop the necessary skills to succeed in kindergarten when she eventually does go."
--Rosanne Tobey, LPC, is a New Jersey-based therapist who specializes in individual, couples and family therapy.

Mom•Logic Moms say:
"Schedule a meeting with the principal or admissions director at the kindergarten you'd like to attend," suggests Jean, Mom of two. "Ask them what they expect of entering kids. Visit the class. What is the average age? How would your child fare in the classroom environment? Once you have all of the information, go with your gut--you know your child best."

Other Moms say:

  • Let your child's maturity level--not his or her intelligence--be your guide.
  • Ask your child's preschool teacher what he or she would advise.
  • When in doubt, wait.

Q: I'm not happy with my child's preschool--but my child is happy. Should I change schools?
A: The real question is: Should you trust a 3-year-old's judgment? We're talking about a person who thinks The Wiggles are amazingly talented....

The therapist says:
"It really depends on what you're unhappy about and how much time your daughter has left at her school. If she's unsafe or the school is in any way inappropriate, you should change immediately--even if she's obviously happy. However, if she's in her last year and she's safe and well cared for, then I would let her finish out the year without change. That said, if your daughter's at the beginning of her preschool career and you can find a school that both meets your expectations and provides for your daughter's needs, I would definitely suggest changing--even if it's just for one year. A school that you approve of and appreciate will positively impact your attitude, which in turn will enhance your daughter's experience. (She'll notice how much more supportive, upbeat, and involved you are.) The bottom line is, she could be happy anywhere. If you're happy as well, you'll both enjoy the preschool experience more."
--Rosanne Tobey, Licensed Professional Counselor

Mom•Logic Moms say
"If you're not happy with your child's school, there's probably a good reason for it," says Stefanie, Mom of three. "I'd trust your gut and change schools. Kids are highly adaptable; they could have fun at a factory for the day. My child still talks about an absolutely horrible preschool we visited about five times before I realized the place was filthy and they sat the kids in front of TV when the parents weren't around."

Other Moms say:

  • If your child's education is being compromised, switch. But if you just have a personal issue (like, you hate the other parents) but the school is fine, suck it up.
  • Take your concerns to the teachers and school administration before you decide.
  • Nothing in life is perfect. Sometimes you have to learn to deal with the good and bad. Running away is not the answer!

Q: Other kids in preschool are already reading--my kid's not. Should I push the issue?
A: Every mom wants her child to be "normal," so when other kids seem to be developing faster, it's hard not to fall into the comparison trap.

The therapist says:
"No. The main purpose of preschool is to help socialize children and prepare them for kindergarten. While it's true that some preschools have become more than that, your child is still successful if he can write his name and play well with others. Children generally don't learn to read until they're 6 or 7 years old. It's great that some of the kids in your son's preschool class are reading already, but there's nothing wrong with your son because he isn't. It doesn't mean he's behind. Reading is a developmental issue, so don't push him if he's not ready. If you do, you run the risk of pressuring him to learn tasks that he doesn't currently have the ability to perform--and therefore setting him up to fail. That could have a significant negative impact on his academic experience for years to come."
--Rosanne Tobey, LPC, is a New Jersey-based therapist who specializes in individual, couples and family therapy.


To gently encourage your child's interest in reading...

Rosanne Tobey recommends the following:

  • Read to your child each day.
  • Leave books your child might enjoy around his or her room.
  • Support your child and build his confidence by praising him for the gifts he does have.

Mom•Logic Moms say:
"Some little kids are way into drawing; others really like letters and/or numbers," says Stefanie, Mom of three. "You should always let your child's interest level be your guide. There's no reason to rush kids into learning something they aren't ready to learn. My daughter is pre-reading, but that's only because she loves looking at letters and learning their sounds. She has no interest in learning to pick up after herself, however."

Other Moms say:

  • Your child will probably learn how to read in kindergarten.
  • Even siblings learn to read at different paces.
  • It never hurts to chat with your child's teacher.
  • Read to your child at bedtime each night; it will foster a love of books.

Top Big Kid (5-8) Questions

Health & Safety

Q: I worry that my son has ADHD. What should I do?

A: If your child fidgets a lot, has trouble sitting still, daydreams frequently or is easily distracted, he could have ADHD (otherwise known as Attention Deficit Hyperactivity Disorder). But then again, you probably exhibit those same symptoms on a daily basis yourself (most busy Moms do)! According to the National Institute of Mental Health, just 3 to 5 percent of kids actually have ADHD--a surprisingly low percentage, considering how often it seems to be diagnosed. (FYI: Contrary to popular belief, ADHD isn't a byproduct of the Information Age: It was first identified way back in 1845!)

The pediatrician says:
"Talk to your pediatrician. There are simple questionnaires you can fill out to see if there are symptoms of ADHD going on. Child psychologists can sometimes help with this, too, and if meds are needed, child psychiatrists are the folks to consult. (There are many choices of meds these days beyond Ritalin.) Keep in mind that if your child is doing fine in school and just shows signs of inattention or overactivity at home, ADHD is the wrong diagnosis to explore: True ADHD interferes with learning and school. If your child is having trouble learning, his school owes it to him--and you--to help sort out what's going on. Push them to test your kid!"
--Dr. Gwenn Schurgin O'Keeffe, MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

For more information, check out these websites:

Mom•Logic Moms say:
"Talk to your pediatrician before self-diagnosing the problem," advises Julie, Mom of two. "I was worried about this with my own son, but the doctor said he's just 'spirited.'"

Other Moms say:

  • Have a psychologist test your child.
  • Make sure that whoever tests your child is reputable, whether they're a pediatrician, a family doctor, or a psychologist. Quacks are quick to give an ADHD diagnosis--and even quicker to medicate!
  • Don't automatically put your child on prescription meds; they change children's brain chemistry before their brains are mature. Instead, try natural treatments--such as exercise--first. Yoga and sports that train kids to focus are especially effective.

Q: My first grader hasn't lost a tooth yet. Should I be worried?

A: Champing at the bit to play tooth fairy, are we? Too bad your kid's teeth aren't cooperating!

The doctor says:
"Don't worry...yet. Most children will have lost their first tooth by the end of first grade. That said, I recommend that every school-age child see a dentist every six months for regular followups. The dentist can help monitor for cavities, poor formation of enamel (the hard protective tooth covering) or growth problems that can cause lifelong trouble for children."
--Dr. Rachel Franklin, Mom of twins, Associate Professor of Family Medicine and author of "Expecting Twins, Triplets and More: a Doctor's Guide to a Healthy and Happy Multiple Pregnancy"

Mom•Logic Moms say:
"My son hasn't lost a tooth either, and he's in first grade," says Julie, Mom of two. "Our dentist said this isn't a problem. In fact, he said that the later you lose baby teeth, the better it is for your adult teeth."

Other Moms say:

  • Worrying doesn't help. Ask the dentist!
  • Seize the moment: Teach your child about proper tooth care (including flossing) now, so it will become second nature by the time his adult teeth come in.

Q: My son is a bed-wetter. Is he sick?
A: To a child, the worst thing about bedwetting isn't sleeping in wet, smelly sheets--it's the fear of being found out and ridiculed (or punished). Sleep-overs especially become something to dread, which is sad because they're one of the great joys of childhood!

The pediatrician says:
"This is a tough question to answer without knowing whether the child has ever been dry at night. Assuming the answer's no (which is the most common situation), it sounds like a simple case of 'nocturnal enuresis'--nighttime bedwetting caused by an immature urinary system. It's very normal in kids; in fact, 23 percent of 5-year-olds and 20 percent of 7-year-olds wet their beds on occasion. It's usually not caused by illness, but in rare cases it can indicate a plumbing problem in the urinary tract (such as a low-grade urinary infection), so you should take your child to a pediatric urologist. He or she will do some very simple outpatient tests and X-rays to make sure the bedwetting isn't the result of a medical issue."
--Dr. Gwenn Schurgin O'Keeffe, MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

Coping with bedwetting

  • Dr. O'Keeffe offers the following advice:
  • Don't blame your child. "Bedwetting is 100 percent a developmental problem, and is therefore totally out of a child's control," she says.
  • Don't let it keep your kid from enjoying sleep-overs. "There are medications that can help keep a child dry at night during sleep-overs, which is very reassuring for kids," she says.
  • There's an entire industry built around manufacturing pull-ups that look like undies. Buy some!
  • Give "potty alarms" a try--they effectively train some kids to wake up out of a deep sleep so they can make it to the toilet in time.
  • Train your child to limit fluid intake after dinner.
  • Wake your child before you turn in and have him or her go to the bathroom one final time before morning.
  • Don't despair: Once your child's urinary system matures, his body will wake him up when he needs to potty.

Check out these websites for more info:

Eating & Sleeping

Q: My daughter is chubby. How do I teach her better eating habits?

A: "Chubby" kids this age often aren't overweight--they're undertall. In other words, your daughter may experience a growth spurt in the next few years, shooting up several inches in height and becoming a relatively svelte teen. Still, this is a golden opportunity to begin teaching her positive lifelong lessons about food, exercise, and how important it is that she love her own body.

The dietician says:
"The best way to teach is by example! Show your daughter that moderation, variety, and balance are key. To help her understand the importance of eating well, get her involved in meal planning and preparation, and take her food shopping, too. Teach her to eat only when she's hungry, and help her identify the signs of hunger (i.e., grouchiness or a rumbling tummy). Tell her that her hunger should determine when and how much she eats--not the clock or the size of the plate. Also, get her moving!"
--Debi Silber, RD, Whole Health Coach and author of "The Lifestyle Fitness Program: A Six Part Plan So EVERY Mom Can Look, Feel and Live Her Best"

Mom•Logic Moms say:
"With kids this age, you pretty much have complete control over what they eat," says Julie, Mom of two. "Your daughter isn't old enough to drive to McDonald's, so don't you take her there, either! Similarly, I would start making your daughter's lunch every day. I'm disturbed by the fattening foods they serve in my son's school cafeteria!"

Other Moms say:

  • Keep healthy snacks (such as raisins and fresh fruits and veggies) in easy-to-reach places; hide sweets and processed foods on upper shelves.
  • Practice what you preach--limit your own portions, don't binge on sweets in front of her, etc.
  • Start a new ritual: the family after-dinner walk. Stroll away from home for 15 minutes or more after dinner, then come back--good for her, good for you, and good for bonding, too!

Q: How much sleep should my grade-schooler get?

A: Children do need more sleep than adults (their bones, muscles, skin, and brains require lots of rest in order to grow!). The good news about big kids? They're more likely to take the guesswork out of it by flat-out telling you, "Mom, I'm sleepy."

The sleep expert says:
"Children between the ages of 5 and 8 need approximately 10-12 hours of sleep at night. You'll know your child's getting enough sleep when he or she is generally in a good mood during the day, shows good physical coordination, and is alert while learning and playing."
--Jill Spivack, MSW, is a psychotherapist and co-founder of Sleepy Planet, where she provides pediatric sleep consultations, leads general parenting groups for first and second time mothers

Mom•Logic Moms say
"It really bothers me when I see kids up and running around at 11 p.m.," says Krista, Mom of two. "I put my kids to bed at 8:30 sharp every night. Regular sleep is so important for health!"

Other Moms say:

  • Likewise, have them get up at the same time every day (even on weekends). If they learn good sleep habits early, chances are they'll have fewer problems sleeping when they grow up.
  • Twenty-minute naps in the afternoon are healthy for everyone--kids and adults!
  • Check out the National Sleep Foundation's website for kids: http://www.sleepforkids.org.

Behavior

Q: My kid is being bullied. What should I do?

A: It's every Mom's nightmare: Your kid comes home with a fat lip, a tear-stained face, and a horror story about being pushed around regularly by a kid twice his size. But it's tricky: If you handle it the wrong way, you could actually make things worse for your kid at school. (Children have a twisted "code of honor" that makes parental involvement in cases like this practically verboten. You know, because you saw it in A Christmas Story.)

The safety expert says:
"Don't overreact, but do take action. Coping with bullying can be difficult, but your child has the right to feel safe and secure."
--Ross Ellis, founder and Chief Executive Officer of Love Our Children USA

Tips for your child
Ross Ellis suggests that he or she try the following defense tactics:

  • If your child is fairly empowered/confident, have him or her face the bully, yell, "Stop!" and then walk away.
  • If your child is shy/timid, tell him or her to ignore (or pretend to ignore) the bully and just walk away. "Bullies are looking for a reaction," notes Ellis. "If they don't get one from your child, they'll choose another victim." Sometimes silence is the best ammo!
  • Encourage your child to use the buddy system (i.e., become joined at the hip with a friend or friends). "Bullies hardly ever pick on people if they're in a group," says Ellis.
  • Tell your child that if the bullying persists, they should inform you or a trusted teacher.

Mom•Logic Moms say:
"Schools now have counselors and systems designed to deal with this very problem," says Pam, Mom of three. "They'll take a more professional, calm, objective approach. Tell them you're not going to tolerate this, and they shouldn't, either. Let them call the bully's parents. If you do it yourself, things might escalate!"

Other Moms say:

  • Alert your child's regular teacher--he or she is the one adult most likely to witness the bullying and be able to directly intervene at the time.
  • If the school's response doesn't satisfy you, call a conference with the bully's parents (but only as a last resort, unless you know them well).
  • Remind your child of the axiom, "Do unto others as you would have them do unto you." Now's the time to practice it!
  • Tell your kids, "You can't change others. You can only change yourself and how you react to the situation." It will empower them and help them regain their sense of control.
  • Explain to your child that he or she isn't doing anything wrong; sometimes kids just do bad things because they want attention.

Q: My son is addicted to video games! How can I set limits that work?

A: He was so excited when he opened that Nintendo box on Christmas morning, he almost "Wii-d" himself. You felt like it was the best several-hundred-bucks you'd ever spent! But now he practically lives in front of the TV, and you think: "I've created a monster--a monster who totally kicks ass at Guitar Hero, but a monster nonetheless." What to do?

The parenting expert says:
"It's not difficult to set limits, but of course your child is going to be upset when you follow through. Empathize that and let him feel his feelings; don't try to argue him out of them. Also, if your child has a video-game obsession, chances are you contributed to it, and you should acknowledge that (even if just to yourself). Lots of parents have admitted to me that they've plunked their children down in front of the TV when it was convenient for them--whether they did it to keep siblings from fighting, keep a mischievous kid zombified, or just keep their kids out of their hair for a while so they could get something done. It makes you wonder how parents coped from the dawn of history until about 50 years ago. Well, I'll tell you how: They let their kids entertain themselves!"
--Noel Janis-Norton, founder and director of The New Learning Centre in London, is a learning and behavior specialist with over 30 years' experience in Britain and the United States

To wean your child from video games...
Janis-Norton suggests that you try these techniques:

  • Teach him how to play by himself, sans TV/computer/cell phone. Start by assigning him a small amount of time each day to play solo. If you have more than one child, have each play alone in a different room. "Solitary play builds a child's inner resources and problem-solving skills," notes Janis-Norton. "Both of those things will help them in school and later on in life."
  • Make clear rules. "Tell your child exactly when he can have screen time (i.e., when all his homework's done), what it will entail, and how long he will get."
  • Be firm. "Don't ask him to limit his screen time, tell him," says Janis-Norton. "You're the parent!"
  • Form a united front. "Make sure your husband's on the same page, because you have to be consistent when setting boundaries," says Janis-Norton. "If your child knows that his dad will play video games with him all night long, he won't take your new rule seriously."
  • Feed your child's need for novelty in healthier ways. "The more things kids have to do, the happier they are," says Janis-Norton. "Also, the fewer toys they have, the happier they are--believe it or not! I tell parents to box up 4/5 of the toys in their child's room and rotate them every few months instead of buying new things. It works!"

Mom•Logic Moms say:

  • Explains Julie, Mom of two: "We limit 'screen time' to one hour a day, and that includes computer, TV, and video games. When the hour is up, that's it! It's been working really well--our son's life seems pretty balanced."

Other Moms say:

  • Make sure your kids go outside every day.
  • Limit their exposure to screens of all types--including cell phones/texting.
  • Make sure your child's face-to-face contact with friends is greater than his face-to-screen contact.
  • Don't let your child play video games on school days.
  • For every hour your child spends playing video games, have him or her spend an hour reading a book.

Q: I hate my kid's best friend. How do I deal?
A: Children may be pure and innocent and sweet when they're born, but as they grow up they tend to reflect their parents' attitudes. Which means that some of them can be real a**holes--er, little terrors. (It's true!)

The therapist says:
"'Hate' is a strong word to use on such a young child. Before taking action to limit the friendship, you should first ask yourself what it is about this child that bothers you so much. If your negative feelings really have nothing to do with the friend or your child, you might just want to leave it alone and find another way to work out the issue--one that won't impact their friendship. (That friend is making your kid very happy!) That said, you might have a good reason to dislike the child. While it's fun watching our little ones establish their own friendships, not all of them are going to be ones we approve of! When that occurs, you don't need to encourage the relationship. Just because your child has determined that this person will be his or her best friend, it doesn't mean that you must support the bond if you feel it isn't right."
--Rosanne Tobey, LPC, is a New Jersey-based therapist who specializes in individual, couples and family therapy.

What to do
Rosanne Tobey advises the following:

  • Resist the temptation to "forbid" the relationship--that will only make your child want to see the friend more.
  • Limit your child's exposure to the friend. "As the parent, you have the power to regulate how much and what kind of time the children spend together," notes Tobey. "Simply adjusting their ability to gain access to each other will have a significant impact. Your child won't be happy about it at first, but he or she will eventually adjust."
  • Don't feel guilty. "Your job as a parent is to protect your child and choose appropriate situations for him or her," Tobey says. "Children need us to oversee situations and create ones that are safe and appropriate for them."

Mom•Logic Moms say
"If the friend is harming your child or influencing your kid do bad things--like dropping the F-bomb, shoplifting candy, or skipping school--that's one thing," says Rachel, Mom of three. "But if it's just his personality and nothing is truly wrong with the best friend, let them hang out."

Other Moms say:

  • Ask your kid to tell you all the things he likes about this child and why he's his best friend. The answers may change your mind.
  • If you have specific beefs, tell your child. "We explained exactly why the friend wasn't really such a nice person," says one mom. "Our kid cares about our opinion, so he took it to heart."
  • Introduce your child to other people his age. "Friends many times are transient," says a mom of three. "If you just take it in stride, without a lot of intensity surrounding the relationship, then it will probably go away by itself."
  • You can't control who your kids hang out with at school, but outside of school you have the right to not allow certain people over to your house.
  • The worst thing you could do is make your son or daughter feel bad for liking someone.

Q: My son likes to "play doctor" with a neighborhood girl. Is this okay?

A: Sadly, "playing doctor" rarely involves a child pretending to have a successful career as a brain surgeon. (Sigh.) And this is one time you really don't want your child to "practice."

The pediatrician says:
"'Playing doctor' is very normal for kids this age--they're very interested in their own bodies and want to know if other kids have similar parts. Comparing body parts is part of how kids normalize who they are and obtain a gender identity. Children this age are particularly interested in the opposite gender, because they know the parts they have but are curious to see what their friends have."
--Dr. Gwenn Schurgin O'Keeffe, MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

The best way to address a child's healthy curiosity:
"Very calmly and matter-of-factly, explain that private parts are private and that it is not socially appropriate to show them in public," says Dr. O'Keeffe. "Then use age-appropriate books to help your child understand gender differences a bit better."

One book we like for kids this age
Amazing You: Getting Smart About Your Private Parts, by Gail Saltz. Check it out at Amazon

Mom•Logic Moms say:
"I looked out my kitchen window one day to see my 6-year-old daughter and the little neighbor boy standing there with their pants down, studying each other's genitals," says Jeannie, Mom of two. "I totally panicked, but as I rushed outside to stop them, all I could think was, 'Don't warp her mind. Don't warp her mind.' My solution was to pretend nothing unusual had occurred at all. I greeted them with a smile, pulled up their pants without comment, and told the little boy in a bright voice, 'Tommy, your Mom says it's time to come home.' Whew!"

Other Moms say:

  • It happens--and it's always cringe-inducing! Notes one Mom, "I would not be happy about my first-grader doing this with a girl, and I doubt the other parent would be, either."
  • Make sure your child knows that he or she can come to you with any and all body-related questions.
  • If you catch your child and another kid "red-handed" (so to speak), discreetly let the other child's parents know what has occurred, so they can explain things to him or her.

Q: It takes my daughter so long to do her homework. How can I motivate her?

A: It's so heartbreaking to open a child's bedroom door at night and find that she's fallen asleep with her face in a schoolbook. What will happen when her classes get harder? Something's got to give!

The parenting expert says:
"This isn't necessarily a motivation issue. There's a reason your daughter is struggling--something about the work is difficult; she got too late of a start, so she's tired; her blood sugar is low.... Whatever the issue is, don't get sucked into helping her do it! That's the worst thing you could do, because it could turn homework into an attention-seeking tool."
--Noel Janis-Norton, founder and director of The New Learning Centre in London, is a learning and behavior specialist with over 30 years' experience in Britain and the United States.

What to do
Janis-Norton advises the following:

  • Try to determine what the problem is. "Sit with your daughter while she does her homework a few times and watch what she's doing," says Janis-Norton. "Does she refuse to even pick up the pencil? Write down an answer that's almost right, and then stew over it? Write down something that's completely from a different planet? You may be able to offer constructive advice that will facilitate the process."
  • Call the school and find out how long her homework is supposed to take. "It's often printed in the school's handbook," she says. "If it isn't, her teacher will know. The load doesn't vary widely from day to day, so that can be your guide.
  • If the teacher says a certain assignment should take 20 minutes or whatever, don't let your child spend a minute longer than that on it, even if she's just staring at the paper. "Whether your child is doing the homework or not, you mustn't allow her to sit over it," says Janis-Norton. "That's not education, that's torment! It's totally soul-destroying."
  • As soon as the time limit expires, say, "Well, time's up," and take your child's books away--even if she screams, "My teacher will kill me!" "The purpose of homework is to learn something, not to get the homework done," says Janis-Norton. "Don't buy into the 'you're supposed to finish it!' idea. If your child doesn't complete the assignment in the time allowed, write the teacher a note: 'We spent the right amount of time on this, and this is what my child achieved.'"

Mom•Logic Moms say:
"After spending some time being poky with homework, kids figure out that if they get done, they can go outside and play," says Krista, Mom of 2. "They figure out that it's their time that they're wasting. Eventually they 'get it.'"

Other Moms say:

  • Set a timer for 45 minutes.
  • Don't let your child play video games or watch TV until his or her homework is done.
  • Give your child the adage that if something's unpleasant, it's better to get it over with quickly.

Top Baby (0-12 months) Questions

Health & Safety

Q: How can SIDS be prevented?

A: Sudden infant death syndrome--the term used when a baby dies unexpectedly, with no explanation--is rare, but it's still the leading cause of death among infants one month to one year of age. Though tons of research has been done, no one has been able to determine exactly why SIDS occurs, and there are no identifiable warning signs or symptoms. No wonder it's so scary!

The pediatrician says:
"There's a strong correlation between SIDS and sleep position. Since 1992, when the National Institutes of Health initiated the 'Back to Sleep' campaign (which advocates putting babies on their backs or sides to sleep, even for naps), incidences of SIDS have dropped 40 percent in the United States. An annoying side effect of having babies sleep on their backs is that their heads kind of flatten out; you can avoid that by alternating which side of the crib you place your baby's head on each night, and by practicing 'tummy time' when the baby is awake and supervised."
--Dr. Gwenn Schurgin O'Keeffe MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

More Steps You Can Take
"As parents, the best we can do is to control what we can and not become too paralyzed by the 'what ifs,'" Dr. O'Keeffe says. To further minimize the risk of SIDS, she recommends the following:

  • Get good prenatal care (prematurity has been linked to SIDS).
  • Avoid drugs, alcohol, and cigarettes during pregnancy.
  • Protect your baby from secondhand smoke, which has been found to increase the risk of SIDS.
  • Avoid overheating your baby with extra clothes and blankets.
  • Have your baby sleep on a very firm mattress.

Also, Dr. O'Keeffe notes that anything that boosts your baby's overall health will reduce his or her SIDS risk. So:

  • Breast-feed your baby.
  • Get regular well-baby visits and immunizations.

Mom•Logic Moms say:
Julie, Mom of two, says that stuffed animals and comforters can overheat your baby and pose a suffocation risk. Keep them out of the crib.

Other Moms say:

  • Be especially vigilant when your baby is between two and four months old--that's when most SIDS deaths happen.
  • Don't have any loose bedding in the crib; just put a fitted sheet on the crib mattress.
  • Keep the baby's room at a temperature that's comfortable for you. If you're not too hot, chances are your baby won't be, either.

Q: Can I prevent autism? How do I know if my baby has it?

A: Autism--a developmental disorder that impairs a child's ability to interact socially--is genetic, so there's no known way to prevent or cure it. But many of the symptoms can be improved with therapy, so the earlier it's diagnosed, the better. (FYI, boys are four times more likely to have it than girls.)

The pediatrician says:
"The American Academy of Pediatrics recently came out with some screening guidelines that are really helpful and focus on language and communication. Worried parents should talk to their pediatricians as early as they have concerns."
--Dr. Gwenn Schurgin O'Keeffe MD, FAAP, is the CEO and Chief Editor of Pediatrics Now

According to Dr. O'Keeffe, early signs that an infant or toddler may have autism include:

  • Not turning when the parent says the baby's name.
  • Not turning to look when the parent points and says, "Look at that."
  • Not pointing themselves to show parents an interesting object or event.
  • Lack of back-and-forth babbling.
  • Smiling late.
  • Failure to make eye contact with people.

For more information, check out these links:

Mom•Logic Moms say:
"I was worried my son had autism after he got his MMR vaccine at 18 months," says Debbie, Mom of three. "He just didn't have the same 'spark' in his eyes and wasn't hitting his milestones as frequently. We saw a specialist and luckily were able to get some early intervention. No one knows your child like you do. Be on the lookout for warning signs, and if you suspect something is wrong, see your pediatrician. If your pediatrician brushes off your concerns, see someone else."

Other Moms say:

  • Trust your instincts.
  • Separate the MMR shot, just to be safe.
  • Consider participating in a clinical trial. Even if it doesn't help your child, the information gleaned may help other kids in the future. Go to http://www.clinicaltrials.gov/search/term=%22Autism%22 for more information.
  • Many autistic kids get a lot better as they age, so don't despair!

Q: What is cradle cap?
A: It sounds like something adorable that your grandma might knit but unfortunately, the reality is far from cute.

The doctor says:
"Cradle cap is a condition called 'seborrhea,' which is similar to dandruff. It usually goes away on its own by the time baby is six months old. Initial treatment includes gentle shampooing every day with a soft washcloth and baby shampoo or dandruff shampoo. Applying mineral oil to the scalp can soften the crusty stuff and help you remove it. If the area is large or doesn't respond to treatment, see your doctor about it."
--Dr. Rachel Franklin, Mom of twins, Associate Professor of Family Medicine, and author of "Expecting Twins, Triplets and More: a Doctor's Guide to a Healthy and Happy Multiple Pregnancy"

Mom•Logic Moms say:
"My daughter had this forever," says Julie, Mom of two. "It's a gross scaly substance all over the child's head--a really hard crust. I was told that the only thing that removes it is baby oil."

Other Moms say:

  • It's really yucky.
  • Use cradle cap oil and comb the heck out of the baby's hair.
  • Babies even get it in their eyebrows!

Q: Can I give my child medicine to help him sleep on a plane?

A: Is there anything worse than being seated next to a screaming kid on a six-hour flight? Yes: Being that kid's mom--and enduring the stink-eye glares of other passengers. Where's that drink cart when you need it?

The doctor says:
"For the longest time, we docs made off-the-cuff suggestions for tricks to try--including giving children diphenhydramine (sold as Benadryl) and other medicines (and even herbs) known to cause drowsiness. Can't do it anymore: The FDA has made strong recommendations that we try to avoid using medicines for any child under 6 months old, and to use these medicines with extreme caution for children under 2 years old. They were never tested in babies, and there have been some reports of serious harm done to little ones by these drugs."
--Dr. Rachel Franklin, Mom of twins, Associate Professor of Family Medicine, and author of "Expecting Twins, Triplets and More: a Doctor's Guide to a Healthy and Happy Multiple Pregnancy"

What do to instead:
Dr. Franklin recommends feeding the baby on the plane just before and during take-off and landing (even you breast-feeding moms!). "It helps keep their ears from clogging up (which is what usually causes the screaming), and prepares them for an in-flight nap," she says.

Mom•Logic Moms say:
Go ahead and try Benadryl--but do a test run before you travel.
"My friend once gave her daughter Benadryl before a flight," says Julie, Mom of two. "Instead of making the little girl sleepy, it had the opposite effect: At 2 a.m., she was standing in her plane seat on a redeye screaming, 'Wake up, everybody!' Total nightmare!"

Other Moms say:

  • Try a half-dose first--your child may not require the full amount.
  • Whether or not you choose to medicate your child, bring lots of toys and snacks (a.k.a. "distractions") for the flight.

Eating & Sleeping

Q: How long can I refrigerate and/or freeze breast milk?

A: If your child is old enough to drive, you've kept it too long.

The dietician says:
"Within four hours of pumping breast milk, refrigerate or freeze it ASAP. It's fine for up to eight days when kept between 32 and 39 degrees Fahrenheit. Frozen breast milk can last between three and six months, depending on freezer temperature."
--Debi Silber, RD, Whole Health Coach and the author of "The Lifestyle Fitness Program: A Six Part Plan So EVERY Mom Can Look, Feel and Live Her Best"

Mom•Logic Moms say:
"Once the baby touches the nipple, he or she has got to finish the milk in the bottle within two hours," says Rachel, Mom of three. "So don't ever pour in too much. Breast milk is golden!"

Other Moms say:

  • Don't overfill the bottle.
  • If there's any doubt as to whether or not the milk is still good, taste it yourself before giving it to your baby.
  • Get a big freezer. "Right before I went back to work with my second child, my freezer was overflowing with breast milk," says Kim, mom of 2. "I was very tempted to get a backup generator for that freezer, because if the power would have gone out, I think I would have absolutely died!"

Q: How much sleep does my child need?

A: Quick answer: Not as much as you wish she needed (especially between midnight and 6 a.m.)!

The sleep expert says:
"Children's sleep needs vary considerably between birth and age 4 months--it just depends on the baby. For children between 4 and 8 months of age, the average nighttime need is 11 to 12 hours; they also need three to four hours of sleep in the daytime, made up in three naps per day. Children between 8 and 12 months of age still need 11 to 12 hours at night, but they don't require quite as much sleep in the daytime--just two to three hours, typically made up in two naps."
--Jill Spivack, MSW, is a psychotherapist and co-founder of Sleepy Planet, where she provides pediatric sleep consultations, leads general parenting groups for first and second time mothers.

Mom•Logic Moms say:
"Every baby is different, but they all need a lot of sleep," says Stefanie, Mom of three. "If your baby shows signs that she's tired--if she's cranky or keeps rubbing her face--put her down. There's no such thing as a baby who 'just doesn't need a lot of sleep.' But in the beginning there will be no set pattern, so just let your baby be your guide."

Other Moms say:

  • Follow your baby's cues.
  • Start "sleep training" when your baby is 4 months old. "It changed our lives," says Julie, mom of two. "Our son went from going to bed at 10 or 11 to going to bed at 7 sharp! My husband and I had our lives back, and our son was so much happier because he was getting enough rest."
  • Never wake a sleeping baby if you can possibly help it.
  • Remember: Sleep whenever your baby sleeps.

Q: Are plastic bottles safe for my baby?

A: Clear plastic bottles contain a chemical compound called bisphenol-A, otherwise known as BPA. Rumor has it that BPA could cause health problems ranging from brain and behavioral disorders to cancer--but the FDA says it's safe. What to do?

The doctor says:
"There's currently little scientific data and lots of consumer concern regarding BPA in baby bottles. BPA is found in many plastic products, including the water bottles from which many of us drink. The FDA has said they believe the compound as it appears in bottles is safe, but they are looking into it further. Meanwhile, the risk of infection from poor sterilization, broken glass bottles and/or of choking on brittle, broken nipples is much greater than the risk of BPAs as we currently understand them."
-- Dr. Rachel Franklin, mom of twins, Associate Professor of Family Medicine and author of "Expecting Twins, Triplets and More: a Doctor's Guide to a Healthy and Happy Multiple Pregnancy"

To lower your child's exposure to BPA's: