Well Check Visits - Pediatrics
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Well Checks

 

Girl with doctor for check up

​​​​​​​​​​​​​​​At well check visits, you can learn about and track your child’s developmental milestones with your pediatrician. Each visit includes a complete physical exam, checking for growth and changes. Write down any questions and concerns and bring them to each well check visit!

During the first two years, your baby will have 10 well check visits. Learn what to expect at each baby well check.​

  • What to Expect at Your Baby’s Check-up

    • Weight
    • Length
    • Head Circumference

    Next Visit

    • 2 Weeks

    Information

  • What to Expect at Your Baby’s Check-up

    • Weight
    • Length
    • Head Circumference

    Next Visit

    • 2 Months

    Information

    • Sleep

      By 2 weeks of age, most babies are waking up two to four times a night to feed. A reasonable goal is for your baby to sleep through the night by 4 to 6 months of age.

    • Nutrition
      • Breastfeeding: Your baby should be eating every two to four hours during the day.
      • Starting Solid Foods: Solid foods are often introduced at 4 to 6 months of age. The American Academy of Pediatricians updated their recommendation on the order of starting baby foods based on science.
      • Vitamin D: Recent studies have shown that there is not enough vitamin D in breast milk and recommends giving your baby 1 ml/day. Vitamin D drops (400 IU) are also available. Consult your pediatrician for your child’s dosage. Mothers who are nursing need to continue their prenatal vitamins.
  • What to Expect at Your Baby’s Check-up

    • Immunizations
      • HIB–Protects your infant against spinal meningitis caused by bacteria Haemophilus Influenza type B.
      • Polio–We only recommend the injectable form. It is safer because it is a killed virus.
      • DTaP–This is an injection containing antigens of Diptheria, Pertussis (Whooping Cough) and Tetanus.
      • Hepatitis B–Protects against Hepatitis B.
      • Rotavirus–Protects against rotavirus, which causes severe vomiting, diarrhea and dehydration.
      • Prevnar–Protects against 13 strains of the pneumococcal bacterial which can cause ear infections, sinus infections, pneumonia and meningitis
      • If your child is not up-to-date on immunizations, he or she may receive vaccinations at this visit.
    • Weight
    • Length
    • Head Circumference

    Next Visit

    • 4 Months

    Information

    • Development

      Your baby should have developed a social smile and enjoy interacting with people.

    • Vitamin D

      Recent studies have shown that there is not enough vitamin D in breast milk and recommends giving your baby 1 ml/day, until your baby drinks 15 ounces of formula or whole milk per day. Vitamin D drops (400 IU) are also available. Consult your pediatrician for your child’s dosage.

  • What to Expect at Your Baby’s Check-up

    • Immunizations
      • Your child will receive the same series of immunizations as at the 2-month visit.
      • HIB–Protects your infant against spinal meningitis caused by bacteria Haemophilus Influenza type B.
      • Polio–We only recommend the injectable form. It is safer because it is a killed virus.
      • DTaP–This is an injection containing antigens of Diptheria, Pertussis (Whooping Cough) and Tetanus.
      • Hepatitis B–Protects against Hepatitis B.
      • Rotavirus–Protects against rotavirus, which causes severe vomiting, diarrhea and dehydration.
      • Prevnar –Protects against 13 strains of the pneumococcal bacterial which can cause ear infections, sinus infections, pneumonia and meningitis
      • If your child is not up-to-date on immunizations, he or she may receive vaccinations at this visit.
    • Weight
    • Length
    • Head Circumference

    Next Visit

    • 6 Months

    Information

    • Development

      This is an exciting period in your life as you notice your child developing new skills. When infants began to babble, they like the people around them to talk back. Have fun talking, singing, reading and playing games with your child.

    • Teething

      At this age, most infants are drooling, which means their salivary glands are now beginning to work. Most infants get their first tooth at about 6 months of age.

  • What to Expect at Your Baby’s Check-up

    • Weight
    • Length
    • Head Circumference

    Next Visit

    • 9 Months

    Information

    • Development
      • Babies at this age are babbling, laughing and crying. Use your instincts and interact with your baby whenever possible. One parenting strategy is to use baby sign language starting around 6 to 8 months of age to develop communication skills.
      • At this age, babies are usually rolling over and beginning to sit by themselves. About the time your baby crawls (7 to 10 months of age) you will notice their vision has improved significantly. Your baby will see well enough to notice when you leave the room and recognize strangers. If you see any eye-crossing at this age, please bring it to our attention, as it is not normal after 4 to 6 months of age.
    • Sleep

      Most 6-month old babies are sleeping through the night and taking two naps per day.

  • What to Expect at Your Baby’s Check-up

    • Immunizations
      • If your child is not up-to-date on immunizations, he or she may receive vaccinations at this visit.
    • Weight
    • Length
    • Head Circumference

    Next Visit

    • 1 Year

    Information

    • Safety

      To prevent injuries, watch your child at all times and baby-proof your home. Make sure you have the Poison Control Center number (402-955-5555) easily accessible.

    • Dental

      Once your child has teeth, you should become concerned about prevention of tooth decay. Clean teeth daily with a soft toothbrush or soft cloth. The best times are after breakfast and before bed.

  • What to Expect at Your Baby’s Check-up

    • Immunizations
      • MMR - Vaccine to prevent Measles, Mumps and Rubella. Up to 10 percent of children who receive this vaccine run a fever is 7 to 10 days. Try not to schedule this visit one week before a holiday, etc.
      • Varicella - Vaccine to prevent Chickenpox.
      • Hepatitis A - This mandatory immunization protects from Hepatitis A infections. Hepatitis A is a virus that is usually transmitted by eating contaminated food. Your child will need two injections. The first is usually given at 1 year of age, and the second needs to be at least 6 months after the first.
      • Prevnar and HIB - May be given at the 1-year or 15-month exam.
      • Influenza - May be given dependent on the time of year.
    • Weight
    • Length
    • Head Circumference

    Next Visit

    • 15 Months

    Information

    • Nutrition
      • At 1 year of age most children are eating entirely from the table.
      • Vitamin D– Switch from formula to milk in a cup. Whole milk is no longer necessary unless you feel your child needs extra calories. We recommend your child drink whatever the rest of the family drinks. 600 IU/day of vitamin D is recommended from ages 1 to 69. Your child needs to drink three cups of milk per day to meet this requirement.
      • Iron–Toddlers 1 through 3 years of age should have an iron intake of 7mg/day. This would be best delivered by eating red meats, cereals fortified with iron, vegetables that contain iron and fruits with vitamin C, which augments the absorptions of iron. For toddlers not receiving this iron intake, liquid supplements are suitable for children 12 through 36 months of age and chewable multi-vitamins can be used for children age 3 and older. Seafood and other meats are also good sources of dietary iron.
    • Dental

      Remember to clean your child’s teeth daily. Pediatric dentists see children at 1 year of age.

  • What to Expect at Your Baby’s Check-up

    • Immunizations
      • Your child can receive the following immunizations at the 15 or 18 month visits: Prevnar and HIB.
      • The Hepatitis A shot will be administered during the 18 month visit.
      • If your child is not up-to-date on immunizations, he or she may receive vaccinations at this visit.
    • Development

      At the 18 month visit, a developmental screening will be administered to verify your child’s development is progressing appropriately.

    • Weight
    • Length
    • Head Circumference

    Next Visit

    • 18 Months

    Information

    • Nutrition
      • At 15 months of age, your child may be eating less and mealtimes are often inconsistent. This is because growth rate has slowed and so has the appetite. Offer a diet consisting of meats, dairy products, fruits, vegetables and whole-grain foods. Avoid juices and sugar in the diet. The goal is to have three meals a day and mid-morning, afternoon and bedtime snacks.
      • Feeding– At this age, your child is showcasing growing independence through trying to feed himself. Until your child acquires the coordination to use a fork and spoon, provide him with finger foods. Make sure to cut the food into small pieces to avoid choking.
    • Safety

      It is time to evaluate your child’s car seat. The American Academy of Pediatrics (AAP) recommends a backward-facing car seat for as long as possible. Each car seat is different, so you should read your car seat manual for specific height and weight limits. For up-to-date car seat safety information, visit healthychildren.org.

    • Dental

      Daily brushing with a small amount of toothpaste (about the size of a grain of rice) containing fluoride is now recommended. AAP suggests that parents begin preventative dental examinations when the child’s first tooth appears – no later than 1 year of age.

  • What to Expect at Your Baby’s Check-up

    • Immunizations
      • Annual influenza vaccine if needed.
      • If your child is not up-to-date on immunizations, he or she may receive vaccinations at this visit.
    • Weight
    • Length
    • Head Circumference

    Next Visit

    • 24 Months

    Information

    • Nutrition
      • At this age, your child is trying to become more independent. Your child will try to feed himself/herself with a spoon and fork and begin to show more likes and dislikes for certain foods. Try to get in something from each food group.
        • Meat, fish, poultry, eggs
        • Milk, cheese and other dairy products
        • Fruits and vegetables
        • Cereals, potatoes, rice, flour products
      • Vitamin D– Whole milk is no longer necessary unless your child needs extra calories. We recommend your child drink whatever the rest of the family drinks. 600 IU/day of vitamin D is recommended from ages 1 to 69. Your child needs to drink three cups of milk per day to meet this requirement.
      • Iron– Toddlers 1 through 3 years of age should have an iron intake of 7mg/day. This would be best delivered by eating red meats, cereals fortified with iron, vegetables that contain iron and fruits with vitamin C, which augments the absorptions of iron. For toddlers not receiving this iron intake, liquid supplements are suitable for children 12 through 36 months of age and chewable multi-vitamins can be used for children age 3 and older. Seafood and other meats are also good sources of dietary iron.
  • What to Expect at Your Baby’s Check-up

    • Immunizations
      • Annual influenza vaccine if needed.
      • If your child is not up-to-date on immunizations, he or she may receive vaccinations at this visit.
    • Weight
    • Length
    • BMI

    Next Visit

    • 30 Months

    Information

    • Nutrition

      Your child’s growth rate will continue to slow down for the next four years. The average child gains about 4 pounds and grows 2.5 inches per year.

    • Development

      Your child is full of movement and personality at this age. You should be impressed by your child’s activity and improving coordination. Running, climbing stairs, climbing on furniture and throwing objects are a few of the skills he is acquiring. Your child should also be able to use a spoon and fork at mealtime. You will hear his vocabulary increase and notice he is putting words together.

    • Safety
      • The American Academy of Pediatrics recommends that you use a car safety seat with a harness until your child has passed the highest weight or height allowed by the car safety seat’s manufacturer. For up-to-date car seat safety information, visit healthychildren.org​.
      • It may be time to baby-proof your house again, as your toddler is now taller and more skilled at opening doors and getting into mischief. Many parents go through every room in their house and move valuable, dangerous or messy items out of their child’s reach. Because of your child’s mobility and lack of knowledge about what is dangerous and expensive, he must be constantly monitored.

 

 

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