Healthy child control
Healthy child control
Childhood is a time of rapid growth and change. Children have pediatric controls of healthy children more often when they are younger. This is because development is faster during these years.
Each pediatric control includes a complete physical examination. In this test, the doctor checks the growth and development of the baby or the young child in order to find or prevent problems.
The health care provider will record the child's weight, height and other important information. Also, hearing, vision and other tests will be part of some consultations or controls.
Even if your child is healthy, healthy child checks are a good time to focus on your child's well-being. Talking about ways to improve care and prevent problems helps keep your child healthy.
During healthy child visits or checks, you will receive information on topics such as:
• Childhood illnesses
• What to expect as the child grows
Write down your questions and concerns and take them with you. This will help you get the most out of your consultations.
The health care provider will pay special attention to how the child is growing compared to normal developmental patterns. The child's height, weight, and head circumference are recorded on a growth curve. This chart will be part of the child's medical history. Talking about a child's growth can be a good starting point for the conversation about the child's overall health. Ask your health care provider about the Body Mass Index (BMI) curve, which is the most important tool for identifying and preventing obesity.
Your health care provider will also talk to you about other wellness issues such as family relationships, school, and access to community services.
There are several schedules for routine healthy child checks for healthy babies.
Below is a schedule recommended by the American Academy of Pediatrics.
CALENDAR OF PREVENTIVE HEALTH CARE
A consultation with the health care provider before the baby is born can be especially important for:
Parents for the first time
Parents with high-risk pregnancies
Any parent who has questions about issues such as feeding, circumcision and issues related to the child's overall health.
After the baby is born, the next consultation should be between 2 and 3 days after the baby is taken home (for children who are being breastfed) or when the baby has 2 to 4 days (for all babies given hospital discharge within 2 days of being born). Some health care providers delay the baby's consultation until he/she reaches 1 to 2 weeks in case parents previously had children.
Thereafter, it is recommended that consultations be given at the following ages (your health care provider may ask you to add or omit consultations depending on the child's health or the parents' experience):
• 1 month
• 2 months
• 4 months
• 6 months
• 9 months
• 12 months
• 15 months
• 18 months
• 2 years
• 2 1/2 years
• 3 years
• Every year thereafter until the age of 21.
You should also call or visit a health care provider any time your baby or child becomes ill or when you have concerns about your child's health or development.
Elements of a physical examination:
• Auscultation (listening to the sounds of the heart, breathing and stomach)
• Heart sounds
• Infant reflexes and deep tendon reflexes as the child grows
• Jaundice of the newborn (during first consultation only)
• Standard ophthalmic examination
• Measurement of temperature (see also normal body temperature)
• General information about vaccines (immunizations)
• Babies and injections
• Diphtheria vaccine
• DTP vaccine
• Hepatitis A vaccine
• Hepatitis B vaccine
• Hib vaccine
• Human papillomavirus (vaccine)
• Flu vaccine
• Meningococcal meningitis vaccine
• Triple viral vaccine
• Whooping cough vaccine
• Pneumococcal vaccine
• Polio vaccine
• Rotavirus vaccine
• Tetanus vaccine
• Tdap vaccine
• Varicella vaccine
• Age-appropriate diet (balanced diet)
• Diet and intellectual development
• Fluoride in the diet
• Formulas for infants
• Obesity in children
Growth and development calendars:
• Development of the newborn baby
• Development of children who start walking
• Pre-school child development
• School-age child development
• Adolescent development
• Important development milestones or events
• Record of development milestones at 2 months
• Record of development milestones at 4 months
• Record of development milestones at 6 months
• Record of development milestones at 9 months
• Record of development milestones at 12 months
• Record development milestones at 18 months
• Record of development milestones at 2 years
• Record of development milestones at 3 years
• Record of development milestones at 4 years
• Record of development milestones at 5 years
Preparing a child for a medical appointment is very similar to preparing for an examination and procedure.
The preparation steps are different depending on the child's age:
• Preparing a baby for an exam or procedure
• Preparing a young child for an exam or procedure
• Preparing a preschooler for an exam or procedure
• Preparing a school-age child for a test or procedure