Your next question in your risk assessment of Jessie is:

Is Jessie using a baby bottle?

Betsy tells you that Jessie is still using the baby bottle and that she allows her to fall asleep at night with the baby bottle. She states that she would like to get Jessie off the bottle, but Jessie cries too much at night when an attempt is made to wean her from it. She admits she puts fruit juice and occasionally Kool-Aid in the bottle to get Jessie to go to sleep quicker.

Your response to Betsy could be:

Attempts should be made to get Jessie off the bottle. Weaning from a bottle should occur between 12 and 14 months, as stated earlier in this online course, in most cases. At 6 months of age a baby should be offered a cup for water or juice. If Jessie stays on the bottle for any longer, place water in the bottle - it is the only dentally-safe liquid. Never place a sweetened liquid that can contribute to decay in the bottle. Another reason toddlers like Jessie should be weaned from the bottle is that toddlers who continue using baby bottles may overconsume milk and/or juice and may not eat a balanced diet required for optimal growth.