2. Check your child's blood pressure using standard testing equipment.
3. Ask questions, address concerns, and offer advice about your
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
of low-fat dairy products or fortified milk alternative). 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
to 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
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 9 years, it's common for many kids
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
handle 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
Here are some things to keep in mind until your child's next checkup at 10
Encourage your child to participate in a variety of activities,
arts and crafts, sports, after-school clubs, and other activities of interests. But
try to avoid overscheduling
and allow for some downtime.
Teach your child to use technology wisely. General rule: Don't text, post, or
send pictures online that you wouldn't want a grandparent to see.
Spend time with your child every day. Share mealtimes and be
active together. Talk about things that are important to
Set rules and let your child know your expectations. Use fair
consequences for breaking the rules. Praise your child's
Be prepared to answer questions
about puberty and the feelings associated with those changes. Encourage
your child to bring questions or concerns to you. Girls
usually get their first period about 2 years after breast development
(between ages 9 and 16). Boys may have wet dreams and their voices
may begin to deepen and crack.
Encourage kids to bathe or shower daily. If body odor is a concern,
have your child use a deodorant.
Tell your child that no one else should touch or ask to see his or her private areas
or ask him or her to touch their private areas.
Kids should brush their teeth
twice daily, floss once a day, and see a dentist once every 6 months.
Your child should continue to ride in the back
seat of the car and use a belt-positioning booster
seat until he or she is 4 feet 9 inches (150 cm) tall, usually between
8 and 12 years of age.
Make sure your child wears a helmet while riding
a bike, skateboard, or scooter.
Teach your child to
swim, but do not allow swimming unless an adult is watching.
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
kids are doing. Install safety filters and check the browser history to see what websites
your child has visited. Teach your child not to share 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.