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Expert Q&A:
Is it time to move my 16-month-old from a crib to a bed?

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Linda Jonides
Answered by Linda Jonides R.N., C.P.N.P.
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"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 time to move my 16-month-old from a crib to a bed?

Answer


If you haven't already, lower the crib mattress as far as you can. Since she is smaller, it may be a little while longer before she can climb out of the crib. But you know her best and her abilities and how far she can reach. So, if you think there's any possibility she can climb out of the crib, I would suggest moving her to a regular bed. Many parents will just put a mattress on the floor and make the limit the child's room by putting a gate at the door or a latch so the child can't get out and cruise the house. This way if the child rolls off of the mattress, it's not very far. Of course you need to completely safety-proof the child's room. And, with your toddler's new freedom, it will take her several nights to understand that this is her new bed and she should stay there to sleep. Keep your bedtime routine the same as much as possible. Good luck!
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