Preventative Care Calendar

Well Visit Checklist

Responsive Feeding

• Perform comprehensive physical exam
• Check Bilirubin Level

Feeding

• Breast feeding
  Feedings every 1.5 to 3 hours or at least 8 feedings in 24 hours
  Feedings last 15-20 each time
• Bottle Feeding
  Feedings every 2 - 4 hours or at least 6 to 8 feedings in 24 hours
  Feedings typically consist of 1-3 oz

Bathing

• Until umbilical cord falls off sponge bathe the baby only
• After umbilical cord falls off bathe baby every few days. If dry skin is a concern, a mild lotion may be used

Sleeping

• Expect your newborn to sleep 16-21 hours per day
• During the day, awaken baby every 3 hours for feedings
• Always remember to put your baby on his or her back to sleep
• Please remember that co-sleeping is a risk factor for SIDS
• Do not place anything in your baby's crib(except for your baby)

Safety

• Make sure your baby is properly restrained in a car seat
• Sunscreens are safe at this age
• Avoid exposure to sick children or adults
• Encourage hand washing for anyone around your baby
• Contact your pediatrician if your baby has a temperature of 100.4 or higher

2 Month Visit
Edinburg Postnatal Depression Screen
Postpartum Resource Guide Flat
Responsive Feeding

Well Visit Checklist

• Check Vitals
• Maternal Depression Screen
• Vaccines

Immunizations 
DTaP, Hib, HBV, IPV, PCV13, RV1

Feeding

• Breastfeeding
  Feedings typically occur every 2 to 4 hours or on demand
  You many need to pump or formula feed if mom is working
  Continue Vitamin D supplementation
• Bottle Feeding
  Feedings typically every 2 to 4 hours or on demand

Sleeping

• Baby may start to sleep 4 to 8 hours at night
• Continue putting baby on their back to sleep
• Start to develop a schedule

Development

• Baby will start to coo
• Develop a social smile
• Looks at parents and tracks objects in their line of sight
• Holds their heads up while on their stomach

Safety

• Make sure your baby's car seat is rear facing
• Keep small objects out of reach
• Never leave baby unattended on elevated surface or in bath

4 Month Visit

Well Visit Checklist

• Check Vitals
• Vaccines
• What to expect at this age

Immunizations
DTaP, IPV, Hib, PCV13, RV1

Feeding

• Breastfeeding
  On demand, typically 4-6 feedings a day
  Continue Vitamin D Supplementation
• Bottle Feeding
  On demand, typically 4-6 bottles a day

Starting Solids

• You may introduce small amounts of pureeds at this time, if you baby is showing signs of readiness.
• Signs include: decreased tongue thrust reflex
• Holds head up on forearms
• Opens mouth easily
• Sits with support
• Most babies show signs of readiness closer to 6 mos of age and deferring solids until this time is preferred.

Sleeping

• Baby may start to sleep 6 to 10 hours a night
• Continue putting baby on their back to sleep
• Put baby in crib when drowsy to allow to self soothe
• Develop a daytime schedule

Development

• Smiles spontaneously
• Enjoys social interactions
• Bring hands together
• Likes to put hands in mouth
• Drools
• Babbles vowel sounds and other noises
• May start to purposely roll over

Safety

• Make sure baby's seat is rear facing
• Sunscreen should be used if prolong sun exposure is expected
• Never leave baby unattended on elevated surfaces or in bath
• Keep small objects out of reach

6 Month Visit 
Fluoride Varnish Educational Brochure
Edinburg Postnatal Depression Screen
Postpartum Resource Guide Flat
Responsive Feeding
Solid Food 

Well Visit Checklist

• Check Vitals
• Maternal Depression Screen
• Vision Screen
• Fluoride Varnish
• Maternal Resource
• What to expect at this age
• Vaccines

Immunizations
 DTaP, PCV13, HBV, IPV, IIV  (seasonally)

Feeding

• Breastfeeding: On demand, typically 4-6 feedings a day. Continue Vitamin D supplementation
• Bottle Feeding: On demand, typically 4-6 feedings a day

Starting Solids

• Start feeding your baby rice cereal and/or Stage 1 Fruits and Vegetables with a spoon 2-3 times a day
• Allow baby to eat until finished
• You may also start finger foods at this age; however, remember to always feed your baby in a seated position
• If your water supply is from a well, ask about a fluoride supplementation

Sleeping

• Baby may start to sleep 6 to 8 hours a night
• Continue putting baby on their back to sleep unless baby can roll over and prefers tummy
• Nap schedule more stable
• Secure or remove all crib bumpers

Development

• Recognizes familiar faces
• Uses different vowel sounds and begins to use consonant sounds
• Holds head up well
• Starts to sit alone
• May begin to crawl around
• Stranger anxiety

Safety

• Make sure your baby's car seat is rear facing
• Start childproofing your home
• Insect repellants are now safe to use ("family" or "child approved")
• Keep small objects out of reach as your baby will begin to put objects in his or her mount
• Remember water safety and be aware of potential ingestions/poisonings

9 Month Visit
SEEK Parent Questionnaire
CPA Resource List
Fluoride Varnish Educational Brochure

Well Visit Checklist

• Check Vitals
• SEEK
• Fluoride Varnish
• Ages and Stages Developmental Screen (ASQ)
• What to expect at this age
• Seasonal Flu Vaccine 

Immunizations
 IIV (seasonally)

Feeding

• Breast feeding
  On demand typically 4 feedings a day
  Continue Vitamin D Supplement
• Bottle Feeding
  On demand, typically 4-5 bottles per day

Solids

• You should be feeding your baby a combination of pureed foods (stage 2) and finger foods at least 3 times a day
• Allow your baby to determine when he or she is finished
• If you water supply is from a well, continue fluoride supplementation

Sleeping/Hygiene

• Most babies will sleep 8-10 hours at night and take 2-3 daytime naps
• Nighttime awakenings may increase due to separation anxiety
• Develop a consistent bedtime routine and allow baby to put self to sleep
• Try not to pick up or talk to your baby during nighttime awakenings
• Briefly soothe and allow him/her to put him/herself back to sleep

Development

• Lots of social interaction
• Stranger anxiety
• Separation anxiety
• Using lots of sounds
• Developing object permanence
• Plays peek-a-boo and so big
• Crawls, pulls to stand, cruises

Safety

• CHILDPROOF your baby's environment
• Water safety/accidental falls/poisonings
• Make sure your baby's car seat is rear facing
• Sunscreen and Natural or DEET containing insect repellants are safe to use
• Remember, exploring babies are dangerous babies

12 Month Visit 
Fluoride Varnish Educational Brochure
Picky Eaters
Finger Foods

Well Visit Checklist

• Check Vitals
• Vision Screen
• Fluoride Varnish
• Anemia & Lead Test
• What to expect at this age
• Vaccines 

Immunizations
HAV, PCV13, IIV, Hib, Hemoglobin/Lead Level

Feeding

• Breast feeding - On demand, typically 4 feedings a day, continue Vitamin D supplementation
• Bottle Feeding - Wean to cup, change to whole milk, provide 3 dairy servings daily

Solids

• Most babies will be on table/finger foods and self feeding with hands
• A portion size is about the size of your baby's fist
• Avoid peanut butter and shellfish until 2 years old
• If you water supply is well, continue with fluoride supplementation

Sleeping/Hygiene

• Should be sleeping through the night with only occasional nighttime awakenings
• 1 to 2 naps per day
• Continue a consistent bedtime routine and allow baby to put self to sleep
• Start brushing teeth at bedtime to develop good oral hygiene

Development

• May be walking
• Stands alone
• Likes to imitate sounds and gestures
• Waves bye-bye
• 1-2 non-specific words
• Separation anxiety continues
• Follows simple directions

Safety

• Sunscreen and Natural or DEET containing insect repellant are all safe to use
• Remember to CHILDPROOF your child's environment
• Remember water safety and be aware of potential ingestions/poisonings

15 Month Visit
Fluoride Varnish Educational Brochure

• Check Vitals
• Fluoride Varnish
• What to expect at this age
• Vaccines

Immunizations
MMR, VAR, IIV (Seasonally)

Feeding

• Should be on table/finger foods
• Self feeding should be improving and you may introduce utensils
• You baby should no longer be receiving bottles, however, if you are still weaning to a cup, make sure bottles are NOT given at bedtime
• Continue to avoid peanut butter and shellfish until 2 years old
• If your water supply is from a well, continue fluoride supplementation

Sleeping/Hygiene

• May start to have night terrors
• May wean to 1 nap a day
• Continue brushing teeth at bedtime to develop good oral hygiene
• Continue a consistent bedtime routine

Development

• Points/Grunts/pulls others to wanted items
• 1-2 non-specific words other than "Mama" and "Dada"
• Walks well/stoops and recovers easily
• Follows simple commands
• Starts to have tantrums
• Able to drink from a cup

Safety

• Car seat safety -Keep up with current AAP guidelines
• Sunscreen and DEET(<10%) containing insect repellant are safe to use
• Remember gun safety
• Keep sharp and small objects out of reach
• Remember water safety
• Be aware of potential ingestions/poisonings

18 Month Visit
MCHAT 
Fluoride Varnish Educational Brochure
Picky Eaters

Well Visit Checklist

• Check Vitals
• Fluoride Varnish
• What to expect at this age
• MCHAT-R (Autism Screen)
• Ages and Stages Developmental Screen (ASQ)
• Vaccines 

Immunizations
 DTaP, IIV (Seasonally)

Feeding

• Start to use utensils better
• Offer wide variety of foods with different tastes and textures
• Don't give up if your toddler refuses a new food
• Toddlers may need to see and play with new foods before trying them
• If your water supply is from a well, continue with fluoride supplementation

Sleeping/Hygiene

• May still have night terrors
• Continue a consistent bedtime routine
• Continue brushing teeth at bedtime to ensure good hygiene

Development

• Becoming more independent
• Offer 2 choices whenever possible
• Likes to scribble
• Points to at least one body part
• Speaks at least 5-10 words spontaneously/imitates more
• Provide consistent discipline
• Catch them "being good" and offer lots of praise
• Walks well and begins to run
• May start hitting/biting
• Begin "Time Out"
• May begin to show some interest in toilet training

Safety

• Car seat safety -Keep up with current AAP guidelines
• Sunscreen and DEET(<10%) containing insect repellant are safe to use
• Remember gun safety
• Keep sharp and small objects out of reach
• Remember water safety
• Be aware of potential ingestions/poisonings

24 Month Visit
MCHAT
SEEK Parent Questionnaire
CPA Resource List
Fluoride Varnish Educational Brochure
Picky Eaters

Well Visit Checklist

• Check Vitals
• SEEK Questionnaire
• Vision Screen & Hearing Screen
• Anemia & Lead Test
• MCHAT-R (Autism Screen)
• Ages and Stages Development Screen (ASQ)
• Fluoride Varnish
• What to expect at this age
• Vaccines 

Immunizations
HAV, IIV (Seasonally)

Feeding

• Uses utensils fairly well
• Drinks from a cup
• May switch to a chewable multivitamin
• Keep offer wide variety of foods and offer them repeatedly

Sleeping/Hygiene

• May be ready to transition to toddler or twin bed
• Continue a consistent bedtime routine
• Continue brushing teeth at bedtime to ensure good oral hygiene
• Schedule first dental exam

Development

• Imitates adults well
• Pretend play increases
• Parallel play with other children increases
• Vocabulary of at least 50 words
• Uses 2 word phrases
• Enjoys reading
• Makes lines and circles with crayons
• Kicks a ball and jumps
• Follows 2 step commands
• Offer lots of praise
• Consistent discipline and time out
• Toilet training

Safety

• Car seat safety - Follow AAP Guidelines
• Sunscreen and DEET(<10%) containing insect repellant are safe to use
• Remember gun safety
• Keep sharp and small objects out of reach
• Remember water safety
• Be aware of potential ingestions/poisonings
• Always wear a helmet! Even on tricycles!

Well Visit Checklist

• Check Vitals 
• Ages and Stages Developmental Screen (ASQ)
• Fluoride Varnish 
• What to expect at this age 
• Seasonal Flu Vaccine 

IIV (seasonally)

Feeding

• Continue to offer a wide variety of foods
• Continue chewable multivitamin
• Offer at least 3 servings of dairy per day

Sleeping/Hygiene

• Continue brushing teeth at bed time to ensure good oral hygiene
• Continue a consistent bedtime routine

Development

• Increase in pretend play and starts to play "with" other children
• Brushes own teeth with help
• Copies vertical line
• Points to at least 6 body parts
• READ, READ, READ!
• Uses short phrases
• Strangers can understand 50% of language
• Starts to develop fears of new situations or events
• Toilet training ongoing
• Jumps up and down
• Throws ball overhead
• Provide consistent discipline
• Puts on clothes with help

Safety

• Car seat safety - Follow AAP Guidelines
• Sunscreen and DEET(<10%) containing insect repellant are safe to use
• Remember gun safety
• Keep sharp and small objects out of reach
• Remember water safety
• Be aware of potential ingestions/poisonings
• Always wear a helmet! Even on tricycles!

3 Year Visit
Fluoride Varnish Educational Brochure
Picky Eaters

Well Visit Checklist

• Check Vitals
• Vision Screen 
• Fluoride Varnish
• What to expect at this age
• Seasonal Flu Vaccine 

Immunizations
IIV (Seasonally)

Feeding

• Continue to offer a wide variety of foods
• Continue chewable multivitamin
• Offer at least 3 servings of dairy per day

Sleeping/Hygiene

• Continue brushing teeth at bed time to ensure good oral hygiene
• Continue a consistent bedtime routine
• May not need a nap daily

Development

• More imaginative and interactive play
• Indentifies self as boy or girl
• Carries on good conversation
• Can name a friend
• Provide consistent discipline
• Toilet trains during the day and possibly at night
• Builds a tower of 6 to 8 blocks
• Draws circle/person with 2 body parts
• READ, READ, READ

Safety

• Car seat safety - Follow AAP Guidelines
• Sunscreen and DEET(<10%) containing insect repellant are safe to use
• Remember gun safety
• Keep sharp and small objects out of reach
• Remember water safety
• Be aware of potential ingestions/poisonings
• Always wear a helmet! Even on tricycles!

4 Year Visit
Fluoride Varnish Educational Brochure

Well Visit Checklist

• Check Vitals
• Vision Screen & Hearing Screen
• Fluoride Varnish
• What to expect at this age
• Seasonal Flu Vaccine 

Immunizations
DTaP, IPV, MMR, VAR, IIV

Feeding

• Continue to offer a wide variety of foods
• Continue chewable multivitamin
• Offer at least 3 servings of dairy per day
• Don't force child to "clean" the plate

Sleeping/Hygiene

• Continue brushing teeth at bed time to ensure good oral hygiene
• Continue a consistent bedtime routine
• May completely give up daytime nap
• May or may not be dry at night

Development

• Describes features of him/herself (gender, age, hair color, etc)
• Gives first and last name
• Speech is clearly understandable
• Hops on one foot
• Copies a cross
• Fantasy Play
• Tells and listens to stories
• Sings songs from memory
• Names at least 4 colors
• Can dress self, and brush own teeth

Safety

• Car seat safety - Follow AAP Guidelines
• Sunscreen and DEET(<10%) containing insect repellant are safe to use
• Remember gun safety
• Keep sharp and small objects out of reach
• Remember water safety
• Be aware of potential ingestions/poisonings
• Always wear a helmet! Even on tricycles!

5 Year Visit
Fluoride Varnish Educational Brochure

Well Visit Checklist

• Annual Check-Up Visits
• Check Vitals
• Vision Screen & Hearing Screen
• Fluoride Varnish
• What to expect at this age

Immunization
IIV(seasonally)

Feeding

• Limit high calorie snack foods
• Teach child to make healthy food choices
• Provide opportunities for daily exercise

Sleep/Hygiene

• Continue a consistent bedtime routine
• Continue teaching good self care habits
• May or may not be dry at night
• Continue teaching good oral hygiene

Development

• Prepare child for school
• Consistent discipline
• Lots of praise
• School adjustment issues possible
• Get to know your child's school teacher
• Determine Kindergarten readiness: Counts to 10, names 4 colors, mature pencil hold
• Draws picture with 6 body parts, can balance on one foot, can copy a square and triangle, can tell a simple story

Safety

• Car seat safety - Follow AAP guidelines
• Remember gun safety
• Remember water safety - formal swimming lessons
• Remember to use a bike helmet with bikes, scooters, skates, skateboards, etc
• Remember the importance of sunscreen and insect repellent
• Teach stranger safety

6 Year Visit
Fluoride Varnish Educational Brochure

Well Visit Checklist

• Annual Check-Up Visits
• Check Vitals
• Vision Screen & Hearing Screen
• Fluoride Varnish
• What to expect at this age

Immunizations
IIV (Seasonally)

Feeding

• Limit high calorie snack foods
• Teach child to make healthy food choices
• Provide opportunities for daily exercise

Sleeping/Hygiene

• Continue a consistent bedtime routine
• Continue teaching good self care habits
• May have sleep disturbances if anxious or stressed
• Continue teaching good oral hygiene

Development

• School progress
• May start to do simply household chores
• Makes friends easily
• Educate about bullying at school and how to handle situations
• Encourage impulse control
• Teach anger management techniques
• Establish family routines and traditions
• Limit TV and video game exposure
• Get to know your child's teacher
• Stay involved in school activities

Safety

• Car seat safety - Follow AAP guidelines
• Remember gun safety
• Remember water safety - formal swimming lessons
• Remember to use a bike helmet with bikes, scooters, skates, skateboards, etc
• Remember the importance of sunscreen and insect repellent
• Teach stranger safety

Eleven Year Check-Up

Well Visit Checklist

• Check Vitals
• Vision Screen & Hearing Screen
• Patient Symptom Checklist
  • Patient Health Questionnaire
• Fluoride Varnish
• What to expect at this age
• Seasonal Flu Vaccine 

Twelve to Fifteen Year Check-Ups

Well Visit Checklist

• Check Vitals
• PHQ-9 Depression Screen 
• Vision Screen (12 & 15 years)
• Fluoride Varnish (up to age 13)
• What to expect at this age
• Vaccines as needed 

Sixteen+ Year Check-Ups

Well Visit Checklist

• Check Vitals
• PHQ-9 Depression Screen 
• Lipid Panel (16 years, once between 16-18)
• Vision Screen (18 years)
• Sexually Transmitted Infection Screen (based on risk assessment)
• HIV Screen (once between 16-18, based on risk assessment)
• What to expect at this age
• Vaccines