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Suggested Checkups and Tests for Children

The following schedule is based on recommendations from the American Academy of Pediatrics. Your doctor or insurance company may prefer a different schedule.

You may want to consider adding routine immunizations to the checklist for each age.


Newborns Age 10
3 to 5 days old Age 11, boys
1 month old Age 11, girls
2 months old Age 12, boys
4 months old Age 12, girls
6 months old Age 13, boys
9 months old Age 13, girls
12 months old Age 14, boy
15 months old Age 14, girls
18 months old Age 15, boys
24 months old Age 15, girls
30 months old Age 16, boys
Age 3 Age 16, girls
Age 4 Age 17, boys
Age 5 Age 17, girls
Age 6 Age 18, boys
Age 7 Age 18, girls
Age 8
Age 9

Newborns

  • Physical examination for height, weight and head circumference; hearing and vision; reflexes, movements and muscle tone; nose and mouth irregularities; heart, lungs and abdomen; genitalia; hip and leg movement; skin; blood pressure if at risk


  • Vitamin K injection for normal blood clotting and to prevent excessive bleeding


  • Antibiotic ointment or drops in both eyes to prevent eye infections


  • Counseling on injury prevention (car accidents, falls, burns, choking/suffocation), violence prevention, sleep positioning and nutrition


  • Blood test to detect hereditary and metabolic disorders

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3 to 5 days old

  • Physical examination including height, weight and head circumference; vision and hearing; blood pressure if at risk


  • Within 2 to 3 days of hospital discharge, assessment of feeding and jaundice


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, choking/suffocation), violence prevention, sleep positioning and nutrition

Back to top

1 month old

  • Physical examination including height, weight and head circumference; vision and hearing; blood pressure if at risk


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, choking/suffocation), violence prevention, sleep positioning and nutrition

Back to top

2 months old

  • Physical examination including height, weight and head circumference; vision and hearing; blood pressure if at risk


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, choking/suffocation), violence prevention, sleep positioning and nutrition


  • Continue with immunization schedule

Back to top

4 months old

  • Physical examination including height, weight and head circumference; vision and hearing; blood pressure if at risk


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, choking/suffocation), violence prevention, sleep positioning and nutrition


  • Continue with immunization schedule

Back to top

6 months old

  • Physical examination including height, weight, head circumference; hearing; teeth and oral health; blood pressure if at risk


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, drowning, poisoning and choking), violence prevention, sleep positioning and nutrition


  • Vision screening by a pediatrician, family physician or ophthalmologist


  • Continue with immunization schedule

Back to top

9 months old

  • Physical examination including height, weight and head circumference; vision and hearing; teeth and oral health; blood pressure if at risk


  • Screening for developmental disorders


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, drowning, poisoning and choking), violence prevention and nutrition


  • Blood test to measure the number of red blood cells (hemoglobin)


  • Lead screening (for at-risk children)


  • Update immunization schedule

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12 months old

  • Physical examination including height, weight and head circumference; vision and hearing; teeth and oral health; blood pressure if at risk


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, drowning, poisoning and firearms), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Continue with immunization schedule


  • Referral to dentist

Back to top

15 months old

  • Physical examination including height, weight and head circumference; vision and hearing; teeth and oral health; blood pressure if at risk


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, drowning, poisoning and firearms), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Continue with immunization schedule

Back to top

18 months old

  • Physical examination including height, weight and head circumference; vision and hearing; teeth and oral health; blood pressure if at risk


  • Autism screening


  • Screening for developmental disorders


  • Counseling on injury prevention (car accidents, falls, burns, drowning, poisoning and firearms), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Continue with immunization schedule

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24 months old

  • Physical examination including height, weight, BMI (body mass index) and head circumference; vision and hearing; teeth and oral health; blood pressure if at risk


  • Autism screening


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, poisoning and firearms), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Lead screening (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • Update immunizations as needed

Back to top

30 months old

  • Physical examination including height, weight, BMI (body mass index); vision and hearing; teeth and oral health; blood pressure if at risk


  • Screening for developmental disorders


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, poisoning and firearms), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Lead screening (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • Update immunizations as needed

Back to top

Age 3

  • Physical examination including height, weight, BMI (body mass index); hearing; teeth and oral health; blood pressure if at risk


  • Vision screening by a pediatrician, family physician or opthalmologist


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, poisoning and firearms), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Lead screening (for at-risk children)


  • Update immunizations as needed

Back to top

Age 4

  • Physical examination including height, weight, BMI and blood pressure; hearing and vision


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (car accidents, falls, burns, poisoning and firearms), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Lead screening (for at-risk children)


  • Cholesterol check (for at-risk children)


  • Update immunizations as needed

Back to top

Age 5

  • Physical examination, including height, weight, BMI and blood pressure; hearing and vision


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (traffic, water and fire safety and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Lead screening (for at-risk children)


  • Update immunizations as needed

Back to top

Age 6

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing; teeth and oral health


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (traffic, water and fire safety and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Lead screening (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • Update immunizations as needed

Back to top

Age 7

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing; teeth and oral health


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (traffic, water and fire safety and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Update immunizations as needed

Back to top

Age 8

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • Update immunizations as needed

Back to top

Age 9

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (traffic, water and fire safety and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Update immunizations as needed

Back to top

Age 10

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Hemoglobin test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • Update immunizations as needed

Back to top

Age 11, boys

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behaioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, screening for sexually transmitted infections


  • Update immunizations as needed

Back to top

Age 11, girls

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, pelvic examination, Pap test and screening for sexually transmitted infections


  • Blood screening (for hemoglobin levels) for menstruating females


  • Update immunizations as needed

Back to top

Age 12, boys

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, screening for sexually transmitted infections


  • Update immunizations as needed

Back to top

Age 12, girls

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, pelvic examination, Pap test, and screening for sexually transmitted infections


  • Blood screening (for hemoglobin levels) for menstruating females


  • Update immunizations as needed

Back to top

Age 13, boys

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, screening for sexually transmitted infections


  • Update immunizations as needed

Back to top

Age 13, girls

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, pelvic examination, Pap test and screening for sexually transmitted infections


  • Blood screening (for hemoglobin levels) for menstruating females


  • Update immmunizations as needed

Back to top

Age 14, boys

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, screening for sexually transmitted infections


  • Update immunizations as needed

Back to top

Age 14, girls

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, pelvic examination, Pap test and screening for sexually transmitted infections


  • Blood screening (for hemoglobin levels) for menstruating females


  • Update immunizations as needed

Back to top

Age 15, boys

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, screening for sexually transmitted infections


  • Update immunization schedule

Back to top

Age 15, girls

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, pelvic examination, Pap test and screening for sexually transmitted infections


  • Blood screening (for hemoglobin levels) for menstruating females


  • Update immunization schedule

Back to top

Age 16, boys

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, screening for sexually transmitted infections


  • Update immunizations as needed

Back to top

Age 16, girls

  • Physical examination including height, weight, BMI and blood pressure; vision; and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, pelvic examination, Pap test and screening for sexually transmitted infections


  • Blood screening (for hemoglobin levels) for menstruating females


  • Update immunizations as needed

Back to top

Age 17, boys

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, screening for sexually transmitted infections


  • Update immunizations as needed

Back to top

Age 17, girls

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol screening (for at-risk children)


  • If sexually active, pelvic examination, Pap test and screening for sexually transmitted infections


  • Blood screening (for hemoglobin levels) for menstruating females


  • Update immunizations as needed

Back to top

Age 18, boys

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol test


  • If sexually active, screening for sexually transmitted infections


  • Update immunizations as needed

Back to top

Age 18, girls

  • Physical examination including height, weight, BMI and blood pressure; vision and hearing


  • Developmental assessment


  • Social/behavioral assessment


  • Counseling on injury prevention (sports, water and traffic safety, and firearms hazards), violence prevention and nutrition


  • Tuberculosis test (for at-risk children)


  • Cholesterol test


  • If sexually active, pelvic examination, Pap test and screening for sexually transmitted infections


  • Update immunizations as needed

Source:

AAP Committee on Practice and Ambulatory Medicine, Bright Futures Steering Committee. Recommendations for preventive pediatric health care. Pediatrics. 2007;120(6):1376. Accessed January 9, 2008.

This article was reviewed and updated June 2007.



 
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