Preventative Care Calendar
Newborn 1st Visit
2-5 Day Visit
Well Visit Checklist
- Perform comprehensive physical exam
- Check Bilirubin level
- Review anticipated growth and development
- Hepatitis B Vaccine if not given in hospital
Newborn Follow up 1-2 Week Check-Up
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
Two Month Check-Up
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
Four Month Check-Up
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
Six Month Check-Up
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
Nine Month Check-Up
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
Twelve Month Check-Up
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
Fifteen Month Check-Up
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
Eighteen Month Check-Up
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
Twenty Four Month Check-Up
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!
Thirty Month Check-Up
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!
Three Year Check-Up
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!
Four Year Check-Up
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!
Five Year Check-Up
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
Six Year Check-Up
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