What To Expect In Your Child’s Routine Checkup
posted by Dr. Hall | October 14, 2016
One of the most important functions of your family medicine provider is performing well-child visits, also known as routine checkups, wellness exams or annual physicals. The American Academy of Pediatrics (AAP) recommends that infants have nine checkups during their first two years. These exams allow your provider to screen for medical and developmental issues, look for age-appropriate milestones, provide required immunizations and build a lifelong relationship with the whole family. These visits also give you a chance to ask questions about your child’s health and raise any concerns you may have about development and behavior.
Growth is rapid, and the developmental changes are exciting. At your child’s annual exam, your provider may:
This is a good time to talk about how toilet training is progressing and get advice about easing the transition out of diapers. Your provider may also assess language abilities by asking a series of questions. Two-year-olds typically have a 100-word vocabulary and are learning to put words together.
Your provider will weigh and measure your child to make sure he or she is growing at a healthy, steady rate. Blood pressure, heart rate and breathing will also be checked.
After consulting your child’s immunization record, your provider will administer any vaccines that are new or have been missed. Your provider will also provide the shots your child needs to start school, including the DTaP, MMR, chicken pox, polio and hepatitis A vaccines.
By age five, most children are speaking in full sentences. Your provider may also inquire about school and friends to gauge how your child is adapting to new experiences and to determine the development of appropriate social skills and peer relationships.
Annual wellness exams help your growing child move through the challenging preteen years with good health habits and an empowered sense of responsibility for his or her well-being. Prior to the start of the school year is the perfect time to schedule a well-child visit.
Yearly checkups for 10- to 12-year-olds might include:
The Centers for Disease Control and Prevention recommend that all boys and girls ages 11 or 12 be vaccinated for HPV, the most common sexually transmitted infection. “Nearly 80 million people—about one in four—are currently infected in the United States. About 14 million people, including teens, become infected with HPV each year,” reports the CDC. Talk with your child’s physician about any other vaccinations that are recommended.
This is also a good time to discuss the importance of healthy lifestyle habits with your developing child. I’ll try to assess their vulnerability for risky behaviors. Questions may include:
Your provider may look for signs of emotional or psychological distress and ask questions such as:
You might discuss nutrition with your child’s physician during a routine checkup too. Children age 12 need between 1,600 to 2,500 calories each day, and active children need even more. Dietary questions include:
Preteens need at least 9 hours of sleep each night on a regular basis. Your provider may bring up your child’s sleeping habits to determine if emotional stress or environmental factors are interfering with his or her ability to obtain adequate rest.
Remember that your family medicine provider can act as an advocate for you in an often-complex health care system. Your collaborative relationship thrives on effective interpersonal communication. Let your provider know whenever your child sees a new specialist or receives care in an emergency situation. Although electronic health records can often convey this information automatically, it’s a good policy to always request that a record of recent care be sent to your family doctor. This allows your child’s physician to coordinate your care with other providers and subspecialists when needed to ensure all of your medical needs are met.
Would you like to partner with a Board-Certified Family Physician who you can trust to support your family’s wellness through all cycles and seasons of life? Dr. Hall’s family medicine clinic offers compassionate, patient-centered care in a broad range of disciplines including internal medicine, pediatrics, obstetrics and gynecology, and geriatrics.
Revere Health’s family medical practice in Lehi specializes in weight control, depression management, skin care, hormone replacement, cardiac conditions and cholesterol management, and we strive to provide our patients and their families with quality healthcare services. The number one way to provide safe, effective healthcare is to educate patients and make sure I listen to and understand their story and what they want to get out of their healthcare. Patients who understand their options and the ramifications of those decisions can intelligently tailor their own healthcare plan.
This information is not intended to replace the advice of a medical professional. You should always consult your doctor before making decisions about your health.