INITIAL HISTORY

MEASUREMENTS :

• Length/Height and Weight
• Blood Pressure (if risk factors)
• BMI

SENSORY SCREENING

• Vision/Hearing (if risk factors)

DEVELOPMENTAL/BEHAVIORAL HEALTH

Psychosocial/Behavioral Assessment: Parent Screening Questionnaire (SEEK)
Developmental Screening: ASQ-3

Nutrition

Discuss With Parents

•  Increasing their child’s awareness of new foods by making sure the child sees family members and friends trying and enjoying them
•  Teaching their child about new foods by growing, preparing, and talking about them.
•  Sharing stories, drawing pictures, and singing songs about food to help their child become familiar with them.
•  Helping their child become more fit (stability, agility, endurance, and coordination).
• Placing their infant in a high chair (using a safety belt) to sit with the family during mealtime.
•  Turning off the television during mealtimes.
•  Limiting total entertainment media time (watching television, playing computer or video games) to no more than 1 to 2 hours of quality programming a day.
•  Encouraging interactive activities (talking, playing, singing, and reading together).

PHYSICAL EXAMINATION

PROCEDURES:

Influenza: This infection causes high fever, chills, severe muscle aches, headaches, pneumonia, swelling of the brain and death. There are still thousands of deaths every year in the U.S. from influenza related complications

Anemia (if risk factors)

ORAL HEALTH

Fluoride Varnish

ANTICIPATORY GUIDANCE

The first priority is to attend to the concerns of the parents. In addition, the Bright Futures Early Childhood Expert Panel has given priority to the following topics for discussion in this visit:

Family routines

• Day and evening routines, enjoyable family activities, parental activities outside the family, consistency in the child’s environment
• Maintain regular family routines (meals, quiet bedtime)
• Encourage family exercise; take advantages of museums, zoos
• Maintain social contacts; do things outside the family
• Reach agreement with all family members on how best to support child’s emerging independence while maintaining consistent limits

Language promotion and communication

•  Use of simple words and reading together
• Read together every day; go to the library
• Listen when child speaks; repeat, using correct grammar