Your Child's Checkup: 11 Yearsenparents out what this doctor's visit will involve when your child is 11.Your Child's Checkup: 11 Years, checkup, checkups, check up, check ups, check-up, check-ups, well-child visit, well-child visits, well visit, well visit, doctor's visit, doctor's visits, doctors visits, going to the doctor, development, physical exam, physical examination, routine exam, routine visit, routine examination, examination, examinations, your child's growth, milestone, milestones, what should my child be doing, 11-year-old, 11 year old, 11 years, 11 years old, 11, eleven, eleven-year-old, eleven year old, eleven years, eleven years old, turning 11, turning eleven, just turned eleven, going to fifth grade, going to 5th grade, starting fifth grade, starting 5th grade, fifth grade, 5th grade, fifth grader, 5th grader, fifth-grader, 5th-grader, getting ready for fifth grade, getting ready for 5th grade, elementary school, going to sixth grade, going to 6th grade, starting sixth grade, starting 6th grade, sixth grade, 6th grade, sixth grader, 6th grader, sixth-grader, 6th-grader, getting ready for sixth grade, getting ready for 6th grade, independence, reading, book reports, chores, puberty, oily skin, acne, body odor, breast development, breasts, testicles, testicle enlargement, penis, penis enlargement, music, arts and crafts, sports, afterschool clubs, homework, learning disability, learning disabilities, bullying, bullies, bully, getting bullied, being bullied, period, first period, menstruation, wet dreams, voice changing, change in voice, bathing, showers, baths, private areas, private parts, tooth brushing, flossing, booster seat, bicycle, bike, biking, bicycling, skateboard, skateboarding, scooter, swimming, water safety, growth spurt, pubic hair, peer pressure, drinking, smoking, menarche, erections, depression, CD1Primary Care05/16/201308/30/201708/30/2017Mary L. Gavin, MD07/14/20171c5f5343-6861-4357-b7a6-7f00d7c787d6<h3>What to Expect During This Visit</h3> <p>Your doctor and/or nurse will probably:</p> <p><strong>1. Check your child's weight and height, calculate <a href="">body mass index (BMI)</a></strong>, and plot the measurements on <a href="">growth charts</a>.</p> <p><strong>2. Check your child's blood pressure</strong> using standard testing equipment. Your child's <strong>hearing</strong> may be checked.</p> <p><strong>3. Ask questions, address concerns, and offer advice</strong> about your child's:</p> <p><strong>Eating.</strong> 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 <a href="">low-fat or nonfat milk</a> (or of low-fat or nonfat dairy products or milk alternative) daily. Aim for five servings of fruits and vegetables per day.</p> <p><strong>Sleeping.</strong> Kids this age need about <a href="">9-12 hours of sleep</a> 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.</p> <p><strong>Physical activity.</strong> Kids this age should get at least 60 minutes of <a href="">physical activity</a> per day. Set daily limits on&nbsp;<a href="">screen time</a>, including TV, DVDs, video games, smartphones, tablets, and computers.</p> <p><strong>Growth and development.</strong> By 11 years, it's common for many kids to:</p> <ul class="kh_longline_list"> <li>Show some signs of <a href="">puberty</a>: <ul> <li><a class="kh_anchor">In girls</a>, puberty usually starts when they're between 8 and 13 with breast development and the appearance of pubic hair. Menstruation usually follows about 2 years after breast development begins.</li> <li>In boys, testicular enlargement is the first sign of puberty. This happens around age 11, but may start as early as 9 and as late as 15. Penile lengthening and the appearance of pubic hair follow.</li> </ul> </li> <li>have oily <a href="">skin</a> and/or <a class="kh_anchor">acne</a></li> <li>not always connect their actions with future consequences</li> <li>want to be independent and fit in with peers</li> <li>focus on <a href="">personal appearance</a> and behavior (they think all eyes are on them)</li> <li>want to engage in risky behaviors</li> </ul> <p>After talking with you, the doctor may request some time alone with your child to answer any additional questions.</p> <p><strong>4. Do a</strong> <a href=""><strong>physical exam</strong></a><strong>.</strong> This will include looking at the skin, listening to the heart and lungs, examining the back for any <a href="">curvature of the spine</a>, 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.</p> <p><strong>5. </strong><strong>Update immunizations.</strong> <a href="">Immunizations</a> can protect kids from serious childhood illnesses, so it's important that your child get them on time. <a href="">Immunization schedules</a> can vary from office to office, so talk to your doctor about what to expect.</p> <p><strong>6. Order tests.</strong> Your doctor may check your child's risk for <a href="">anemia</a>, <a href="">high cholesterol</a>, and <a href="">tuberculosis</a> and order tests, if needed.</p> <h3>Looking Ahead</h3> <p>Here are some things to keep in mind until your child's next checkup&nbsp;at <a href="">12 years</a>:</p> <h4>School</h4> <ol class="kh_longline_list"> <li>Encourage your child to participate in <strong>a variety of activities</strong>, including <a class="kh_anchor">music</a>, arts and crafts, <a href="">sports</a>, after-school clubs, and <a href="">other activities</a> of interest.</li> <li><a href=""><strong>Praise accomplishments</strong></a> and provide support in areas where your child struggles.</li> <li>Provide a quiet place to do <a href=""><strong>homework</strong></a>. Minimize distractions, such as TV and devices.</li> <li>As schoolwork gets harder, your child may <strong>struggle academically</strong>. If this happens, work with the school staff to find the cause, such a learning or attention problem, <a class="kh_anchor">bullying</a>, or other stressors.</li> <li><strong>Peer pressure</strong> 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 them.</li> </ol> <h4>Self</h4> <ol class="kh_longline_list"> <li>Spend time with your child every day. <strong>Share mealtimes</strong>, <strong>be active</strong> together, and <strong>talk</strong> about things that are important to your child.</li> <li><strong>Set rules</strong> and explain your expectations. Have <strong>fair consequences</strong> for rule-breaking. <strong>Praise</strong> good choices.</li> <li>Be prepared to answer <a href=""><strong>questions about puberty</strong></a> 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.</li> <li>Encourage your child to wait until he or she is older to engage in <strong>sexual activity</strong> with others. Explain the risk of <a href="">sexually transmitted diseases (STDs)</a> and unwanted pregnancy.</li> <li>Encourage your child to <strong>bathe or shower daily</strong>. If body odor is a concern, have your child use a <a href="">deodorant</a>.</li> <li>Make sure your child <a href=""><strong>brushes his or her teeth</strong></a> twice daily, flosses once a day, and sees a dentist once every 6 months.</li> <li>Look for signs of <a href=""><strong>depression</strong></a>, which can include irritability, sadness, loss of interest in activities, poor academic performance, and talk of suicide.</li> </ol> <h4>Safety</h4> <ol class="kh_longline_list"> <li>Talk to your child about the dangers of <a href=""><strong>smoking</strong></a><strong>, <a href="">vaping</a>,&nbsp;<a href="">alcohol</a>, and <a href="">drugs</a></strong>.</li> <li>Preteens should continue to ride in the back seat and always <a href="">wear a seatbelt</a> while in a vehicle. Your child should use a <strong>belt-positioning <a href="">booster seat</a></strong> until he or she is 4 feet 9 inches (150 cm) tall, usually between 8 and 12 years of age.</li> <li>Make sure your child <strong>wears a helmet</strong> while <a href="">riding a bike</a>, skateboard, or scooter.</li> <li><a href=""><strong>Apply sunscreen</strong></a> of SPF 30 or higher at least 15 minutes before your child goes outside and reapply about every 2 hours.</li> <li>Protect your child from <strong><a href="">secondhand smoke</a> </strong>and secondhand vapor from <a href="">e-cigarettes</a>.</li> <li>Monitor your child's <a href=""><strong>Internet usage</strong></a>. 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.</li> <li>Talk to your child about <strong>online safety</strong> and <a href="">cyberbullying</a>. Warn of the risks of sharing personal information.</li> <li>Protect your child from <a href=""><strong>gun injuries</strong></a> 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.</li> <li>Talk to your doctor if you're concerned about your <strong>living situation</strong>. 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 <a href="">health insurance</a>? Your doctor can tell you about community resources or refer you to a social worker.</li> </ol> <p><em>These checkup sheets are consistent with the American Academy of Pediatrics (AAP)/Bright Futures guidelines.</em></p>La revisión de su hijo cuando tenga 11 añosQué esperar durante esta visita.
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