What to Expect During This Visit
Your doctor and/or nurse will probably:
1. Check your child's weight and height, calculate body
mass index (BMI), and plot the measurements on growth
charts.
2. Check your child's blood pressure, vision,
and hearing using
standard testing equipment.
3. Ask questions, address concerns, and offer advice about your
child's:
Eating. Schedule three meals and one or two nutritious snacks
a day. Serve your child a well-balanced diet that includes lean protein, whole grains,
fruits and vegetables, and low-fat dairy. Kids this age should get 3 cups (720 ml)
of low-fat milk daily
(or equivalent low-fat dairy products or fortified milk substitute). Aim for five
servings of fruits and vegetables per day. Limit high-sugar and high-fat foods and
drinks, and offer no more than 8 ounces (240 ml) of 100% juice per day.
Sleeping. Kids this age need about 9–12
hours of sleep per night. Lack of sleep can make it hard to pay attention at school.
Set a bedtime that allows for enough sleep and encourage your child to follow a relaxing
bedtime routine. Keep TVs and digital devices out of your child's bedroom.
Physical activity. Kids this age should get at least 60 minutes
of physical activity
per day. Set limits on screen
time, including TV, DVDs, video games, smartphones, tablets, and computers.
Growth and development. By 10 years, it's common for many kids
to:
- show more independence from family and begin to prefer being with friends
- have friends of the same gender
- read to learn about a topic of interest
- accomplish increasingly difficult tasks in school, like gathering and organizing
information into a book report
- begin to take on chores at home and handle more homework
- begin to show the signs of puberty (oily
skin, acne, body odor). Girls may start breast development
and grow hair in the armpit and pubic area. Boys also may develop body hair in addition
to testicle and penis enlargement.
4. Do a physical
exam. This will include listening to the heart and lungs, examining the
back for any curvature
of the spine, and checking for the signs of puberty. A parent, caregiver, or chaperone
should be present during this part of the exam, but siblings should remain outside
in the waiting room to give your child privacy.
5. Update immunizations. Immunizations can
protect kids from serious childhood illnesses, so it's important that your child get
them on time. Immunization
schedules can vary from office to office, so talk to your doctor about what to
expect.
6. Order tests. Your doctor may check your child's risk for anemia, high
cholesterol, and tuberculosis
and order tests, if needed.