2. Check your child's blood pressure, vision,
and hearing using standard
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
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
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
Here are some things to keep in mind until your child's next checkup at 11 years:
Encourage your child to participate in a variety of activities,
including music, arts and crafts, sports,
after-school clubs, and other
activities of interest. But try to avoid overscheduling and allow for some downtime.
Teach your child to use technology wisely. A general rule: Don't
text, post, or send pictures online that you couldn't share with a grandparent.
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. Encourage
your child to bring questions or concerns to you. Girls usually get their first
period about 2 years after breast development (between ages 10 and 13). Boys
may have wet dreams and their voices may begin to deepen and crack.
Encourage your child to bathe or shower daily. If body odor is
a concern, have your child use a deodorant.
Remind your child that his or her private
areas are private and that no one else should touch them or ask him or
her to touch their private areas.
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. Teach your child not to give out 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.