Suggested Checkups and Tests for Children

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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; and skin
  • 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; nutrition
  • Blood test to detect hereditary and metabolic disorders

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2 to 4 days old

  • Physical examination including height, weight and head circumference; vision and hearing
  • Developmental/behavioral assessment
  • Counseling on injury prevention (car accidents, falls, burns, choking/suffocation); violence prevention; sleep positioning; nutrition

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1 month old

  • Physical examination including height, weight and head circumference; vision and hearing
  • Developmental/behavioral assessment
  • Counseling on injury prevention (car accidents, falls, burns, choking/suffocation); violence prevention; sleep positioning; and nutrition

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2 months old

  • Physical examination including height, weight and head circumference; vision and hearing
  • Developmental/behavioral assessment
  • Counseling on injury prevention (car accidents, falls, burns, choking/suffocation); violence prevention; sleep positioning; and nutrition

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4 months old

  • Physical examination including height, weight and head circumference; vision and hearing
  • Developmental/behavioral assessment
  • Counseling on injury prevention (car accidents, falls, burns, choking/suffocation); violence prevention; sleep positioning; and nutrition

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6 months old

  • Physical examination including height, weight, head circumference and hearing (refer to information on vision exam for children age 6 months)
  • Developmental/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

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9 months old

  • Physical examination including height, weight and head circumference; vision and hearing
  • Developmental/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)

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12 months old

  • Physical examination including height, weight and head circumference; vision and hearing
  • Developmental/behavioral assessment
  • Counseling on injury prevention (car accidents, falls, burns, drowning, poisoning and firearms); violence prevention; and nutrition
  • Tuberculosis test (for at-risk children)

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15 months old

  • Physical examination including height, weight and head circumference; vision and hearing
  • Developmental/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)

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18 months old

  • Physical examination including height, weight and head circumference; vision and hearing
  • Developmental/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)

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Age 2

  • Physical examination including height, weight and head circumference; vision and hearing
  • Developmental/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)

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Age 3

  • Physical examination including height, weight and blood pressure; hearing (refer to information on vision exam for children age 3)
  • Developmental/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)
  • Cholesterol check (for at-risk children)
  • Vision screening by a pediatrician, family physician or ophthalmologist

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Age 4

  • Physical examination including height, weight and blood pressure; hearing and vision
  • Developmental/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)
  • Cholesterol check (for at-risk children)

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Age 5

  • Physical examination, including height, weight and blood pressure; hearing and vision
  • Developmental/behavioral assessment
  • Counseling on injury prevention (traffic, water and fire safety and firearms hazards); violence prevention; and nutrition
  • Urinalysis
  • Tuberculosis test (for at-risk children)
  • Hemoglobin test (for at-risk children)
  • Cholesterol check (for at-risk children)
  • Vision screening by a pediatrician, family physician or ophthalmologist

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Age 6

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/behavioral assessment
  • Counseling on injury prevention (traffic, water and fire safety and firearms hazards); violence prevention and nutrition
  • Tuberculosis test (for at-risk children)
  • Cholesterol screening (for at-risk children)

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Age 8

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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)

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Age 10

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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)

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Age 11, boys

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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, urinalysis (to detect infections) and screening for sexually transmitted diseases

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Age 11, girls

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/behavioral assessment
  • Counseling on injury prevention (sports, water and traffic safety and firearms hazards); violence prevention; nutrition
  • Tuberculosis test (for at-risk children)
  • Cholesterol screening (for at-risk children)
  • If sexually active, urinalysis (to detect infections), pelvic examination, Pap test and screening for sexually transmitted diseases
  • Blood screening (for hemoglobin levels) for menstruating females

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Age 12, boys

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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, urinalysis (to detect infections) and screening for sexually transmitted diseases

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Age 12, girls

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/behavioral assessment
  • Counseling on injury prevention (sports, water and traffic safety and firearms hazards); violence prevention; nutrition
  • Tuberculosis test (for at-risk children)
  • Cholesterol screening (for at-risk children)
  • If sexually active, urinalysis (to detect infections), pelvic examination, Pap test, and screening for sexually transmitted diseases
  • Blood screening (for hemoglobin levels) for menstruating females

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Age 13, boys

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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, urinalysis (to detect infections) and screening for sexually transmitted diseases

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Age 13, girls

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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, urinalysis (to detect infections), pelvic examination, Pap test and screening for sexually transmitted diseases
  • Blood screening (for hemoglobin levels) for menstruating females

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Age 14, boys

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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, urinalysis (to detect infections) and screening for sexually transmitted diseases

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Age 14, girls

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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, urinalysis (to detect infections), pelvic examination, Pap test and screening for sexually transmitted diseases
  • Blood screening (for hemoglobin levels) for menstruating females

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Age 15, boys

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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, urinalysis (to detect infections) and screening for sexually transmitted diseases

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Age 15, girls

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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, urinalysis (to detect infections), pelvic examination, Pap test and screening for sexually transmitted diseases
  • Blood screening (for hemoglobin levels) for menstruating females

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Age 16, boys

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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, urinalysis (to detect infections) and screening for sexually transmitted diseases

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Age 16, girls

  • Physical examination including height, weight and blood pressure; vision; and hearing
  • Developmental/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, urinalysis (to detect infections), pelvic examination, Pap test and screening for sexually transmitted diseases
  • Blood screening (for hemoglobin levels) for menstruating females

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Age 17, boys

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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, urinalysis (to detect infections) and screening for sexually transmitted diseases

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Age 17, girls

  • Physical examination including height, weight and blood pressure; vision and hearing
  • Developmental/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, urinalysis (to detect infections), pelvic examination, Pap test and screening for sexually transmitted diseases
  • Blood screening (for hemoglobin levels) for menstruating females

External Resources

American Academy of Pediatrics: Recommendations for Preventive Pediatric Health Care (RE9535), Committee on Practice and Ambulatory Medicine, March 2000.
Policy Statement: Vision Screening for Infants and Children, American Academy of Ophthalmology, 2000.
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