2. Check your child's blood pressure using standard testing equipment.
Your child's hearing may be checked.
3. Ask questions, address concerns, and offer advice about your
Eating. At this age, kids should begin making healthy food choices
on their own. Your child's diet should include lean protein, whole grains, fruits
and vegetables, and low-fat dairy. Kids this age should get 3 cups (720 ml) of low-fat or nonfat milk (or
of low-fat or nonfat dairy products or milk alternative) daily. Aim for five servings
of fruits and vegetables 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 all 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 daily limits on screen
time, including TV, DVDs, video games, smartphones, tablets, and computers.
Growth and development. By 11 years, it's common for many kids
After talking with you, the doctor may request some time alone with your child
to answer any additional questions.
4. Do aphysical
exam. This will include looking at the skin, 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
Provide a quiet place to do homework.
Minimize distractions, such as TV and devices.
As schoolwork gets harder, your child may struggle academically.
If this happens, work with the school staff to find the cause, such a learning or
attention problem, bullying, or other stressors.
Peer pressure can lead to risky behaviors, such as drinking or
smoking. Make sure you know who your child spends time with and that an adult is monitoring
Spend time with your child every day. Share mealtimes, be
active together, and talk about things that are important
to your child.
Set rules and explain your expectations. Have fair consequences
for rule-breaking. Praise good choices.
Be prepared to answer questions
about puberty and the feelings associated with those changes. Be open
to questions about gender identity and sexuality. Encourage your child to bring questions
or concerns to you.
Preteens should continue to ride in the back seat and always wear
a seatbelt while in a vehicle. Your child should use a belt-positioning
until he or she is 4 feet 9 inches (150 cm) tall, usually between 8 and 12 years of
Make sure your child wears a helmet while riding
a bike, skateboard, or scooter.
of SPF 30 or higher at least 15 minutes before your child goes outside and reapply
about every 2 hours.
Monitor your child's Internet
usage. Keep the family computer in a place where you can watch what your
child is doing. Install safety filters and check the browser history to see what websites
your child has visited.
Talk to your child about online safety and cyberbullying.
Warn of the risks of sharing personal information.
Protect your child from gun
injuries by not keeping a gun in the home. If you do have a gun, keep
it unloaded and locked away. Ammunition should be locked up separately. Make sure
kids cannot access the keys.
Talk to your doctor if you're concerned about your living situation.
Do you have the things that you need to take care of your child? Do you have enough
food, a safe place to live, and health
insurance? Your doctor can tell you about community resources or refer you to
a social worker.
These checkup sheets are consistent with the American Academy of Pediatrics
(AAP)/Bright Futures guidelines.