Q. I didn’t take my child for a flu shot during the Fall, and now I wonder if it’s too late? We’ve been fortunate so far. He’s had only a few sniffles.

A.We encourage you to vaccinate your child in the Fall to give his body a chance to build up immunity as protection from the virus. Because flu season can extend into the late winter months, a flu shot is still a good idea. Remember, the vaccine is not approved for children under 6 months old.
Kenneth Levin, MD/South Hills Pediatric Associates, Brentwood & Jefferson Hills, Children’s Community Pediatrics

Q. I want my kids to be active – even indoors. How can I make sure it’s safe enough.

A. Have you thought about crawling around on your hands and knees to check for potentially dangerous areas of the room from your child’s point of view? Cover sharp corners of tables, electric outlets and doorknobs. Install childproof locks for sliding doors and safety latches for drawers with sharp implements. To prevent televisions, shelving or furniture from toppling, anchor them to the wall if possible. Supervision is always the most reliable way to keep your children safe.
Victoria Jewel, MD/Moon & Wexford, Children’s Community Pediatrics

Q. How can I keep my 11-year-old daughter from hanging out with a child who I believe is a bad influence?

A. You want your children to learn to make wise decisions, including the friends they keep. Talk calmly with your child to explain why you object to her friend’s behaviors. Be specific and careful not to criticize the other girl’s character. This will keep the lines of communication open. Encourage your daughter to develop friendships with other children by arranging fun activities.
Daniel C. Zove, MD/Natrona Heights, Children’s Community Pediatrics

Q. How can I get my 7-year-old son to stop biting his nails?

A. You may not like to hear that he’ll likely outgrow this common childhood habit. What about right now? Don’t threaten or punish him. Instead, encourage him to think about how he can stop himself – like keep his hands busy drawing pictures. Nail flavors or applications that discourage nail biting are useful only as reminders when he is older and motivated
to stop. If he’s anxious or under stress, discuss his nail biting with his pediatrician.
Antoinette Beaman, MD/Oakland, Children’s Community Pediatrics

Q. My grade school kids were on winter vacation for only two weeks, yet they’re having trouble readjusting to school night bedtimes. What can I do?

A.Talk about bedtime routines during the day. Help your kids start winding down 30 minutes before bedtime. After they go to the bathroom, wash their hands and faces and brush their teeth, read a book together. Let your final good night be a good night kiss.
Thomas G. Lynch, MD/Armstrong, Kittanning & Sarver, Children’s Community Pediatrics