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Expert Q&A:
Is it safe for a 9-month-old to wear a necklace?

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Linda Jonides
Answered by Linda Jonides R.N., C.P.N.P.
"I have worked as a pediatric nurse practitioner (P.N.P.) for over 30 years," says Linda Jonides. "I continue to thoroughly enjoy forming new relationships with parents and newborns and working with them through infancy, childhood, and adolescence."

Linda Jonides is a pediatric nurse practitioner in a private pediatric practice in Ann Arbor, Michigan. She received her Diploma in Nursing and Certificate as a Pediatric Nurse Practitioner from The Johns Hopkins Hospital. She is a past recipient of the Michigan PNP of the Year Award. She has a B.S. in Nursing from Eastern Michigan University. She has published articles and lectured on childhood obesity, infant colic, role of the P.N.P., growth and development issues, and infectious diseases. She was an author of "Clinical Insights Column," published biannually in the Journal of Pediatric Health Care for nine years. Jonides is past president of NAPNAP. Currently, she is a steering group work member of NAPNAP's HEAT (healthy eating and activity together) project. One outcome of this group's work is the clinical practice guideline, "Identifying and Preventing Overweight in Childhood," that was published as a supplement to the March/April '06 issue of the Journal of Pediatric Health Care.

Ms. Jonides has been married to John, a university professor, since 1971.
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Question


Is it safe for a 9-month-old to wear a necklace?

Answer


Any object around the neck of any infant or young child has the potential for injury. Such situations are rare, but they can occur. If the necklace gets caught on another object, it could be pulled tightly around the child's neck and cause problems. I can appreciate the value of such a treasured item for your daughter given by her grandparents. Certainly you could put it on her for brief periods when you are holding her, to have her photograph taken for example, or during her baptism or christening ceremony. But don't allow her to cruise around on her own wearing it.

I have not seen any specific recommendation for ages when a necklace is considered safe. During active playtime, even for older children, any jewelry could get caught or entrapped in a piece of equipment, a clothing tag, or another child, and possibly cause harm. Allow your daughter to wear her jewelry when you can closely supervise.
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