Your Child's Checkup: 16 Yearsenparentshttps://kidshealth.org/EN/images/headers/P-ycc16years-enHD-AR1.jpgFind out what this doctor's visit will involve when your son or daughter is 16.Your Child's Checkup: 16 Years, checkup, checkups, check up, check ups, check-up, check-ups, well-child visit, well-child visits, well visit, well visits, 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, 16-year-old, 16 year old, 16 years, 16 years old, 16, sixteen, sixteen year-old, sixteen year old, sixteen years, sixteen years old, turning 16, turning sixteen, just turned sixteen, going to tenth grade, going to 10th grade, starting tenth grade, starting 10th grade, tenth grade, 10th grade, tenth grader, 10th grader, tenth-grader, 10th-grader, getting ready for tenth grade, getting ready for 10th grade, high school, going to eleventh grade, going to 11th grade, starting eleventh grade, starting 11th grade, eleventh grade, 11th grade, eleventh grader, 11th grader, eleventh-grader, 11th-grader, getting ready for eleventh grade, getting ready for 11th grade, period, puberty, breasts, pubic hair, menstruation, testicles, penis, penile lengthening, peer group, peer acceptance, sex, sexual feelings, sexual orientation, music, arts, sports, afterschool clubs, homework, schoolwork, bullying, bullies, bully, depression, peer pressure, drinking, smoking, drugs, pregnancy, body image, hygiene, teeth brushing, seatbelts, helmets, Internet, guns, gynecologist, adult doctor, drinking and driving, drunk drivers, college, work plans, CD1Primary Care05/16/201308/08/201708/08/2017Mary L. Gavin, MD08/03/201787b0c6ed-2ef1-46a6-96a6-6853de510a13https://kidshealth.org/ws/RadyChildrens/en/parents/checkup-16yrs.html/<h3>What to Expect During This Visit</h3> <p>Your doctor and/or nurse will probably:</p> <p><a href="https://kidshealth.org/ws/RadyChildrens/en/teens/center/medical-care-center.html/"><img class="right" title="Parents image" src="https://kidshealth.org/EN/images/buttons/P-teensMedCare-enBT.gif" alt="Get teens involved in their medical care" name="4873-P_TEENSMEDCARE_ENBT.GIF" /></a></p> <p><strong>1. Check your teen's <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/childs-weight.html/">weight</a> and height,</strong> <strong>calculate <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/bmi-charts.html/">body mass index (BMI)</a></strong>, and plot the measurements on <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/growth-charts.html/">growth charts</a>.</p> <p><strong>2. Check your teen's blood pressure, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/vision.html/">vision</a>, </strong>and possibly <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hear.html/"><strong>hearing</strong></a>.</p> <p><strong>3. Ask questions, address concerns, and offer advice</strong> about your teen's:</p> <p><strong>Eating.</strong> Teens should eat three meals a day that include lean protein, whole grains, at least five servings of fruits and vegetables, and three servings of low-fat or nonfat <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/calcium.html/">dairy products</a> or milk alternative.</p> <p><strong>Sleeping.</strong> Teens need about <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sleep.html/">8 to 10 hours of sleep</a> per night. <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sleep-problems.html/">Poor sleep</a> is common during the teen years and can hurt school and athletic performance. Biological changes make teens want to stay up later, but early school start times can make it hard for them to get enough sleep. Encourage your teen to follow a relaxing bedtime routine. Digital devices, like phones and computers, should be turned off before bed.</p> <p><strong>Physical activity.</strong> Teens should aim for 60 minutes of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/exercise.html/">physical activity</a> per day. Encourage your teen to limit his or her screen time to no more than 2 hours daily, not including time spent on homework. Set a good example by limiting your own screen time and exercising daily.</p> <p><strong>Growth and development.</strong> By age 16, it's common for teens to:</p> <ul class="kh_longline_list"> <li>if female, have gotten a first period by now. <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/menstrual-problems.html/">If your daughter hasn't</a>, talk to your doctor.</li> <li>if male, to show signs of pubertal development, including testicular enlargement, penile lengthening, and the growth of pubic hair</li> <li>be influenced by their peer group</li> <li>explore different identities to help them determine where they fit in</li> <li>have sexual feelings. This includes an interest in dating and relationships, exploring one's sexuality, and becoming aware of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sexual-orientation.html/">sexual orientation</a>&nbsp;and gender identity.</li> <li>begin to think abstractly and reflect on how to make decisions, but still be impulse-driven and not think about the consequences of their actions</li> <li>want to engage in risky behaviors</li> </ul> <p><strong>4. Do a</strong> <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/medical-care-13-18.html/"><strong>physical exam</strong></a><strong>.</strong> The doctor will look at the skin, listen to the heart and lungs, check the back for curvature of the spine, and check for puberty development. A chaperone should be present during the exam.</p> <p><strong>5. Update immunizations.</strong> <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/vaccine.html/">Immunizations</a> can protect people from serious illnesses, so it's important that your teen get them on time. <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/immunization-chart.html/">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 assess your teen's risk for <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/anemia.html/">anemia</a>, high <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/cholesterol.html/">cholesterol</a>,&nbsp;<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/tuberculosis.html/">tuberculosis</a>, and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/talk-child-stds.html/">sexually transmitted diseases (STDs)</a>.</p> <h3>Looking Ahead</h3> <p>Here are some things to keep in mind until your teen's next checkup at <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/checkup-17yrs.html/">17 years</a>:</p> <h4>School</h4> <ol class="kh_longline_list"> <li>Encourage your teen to participate in a <strong>variety of activities</strong>, such as music, arts, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/fitness-13-18.html/">sports</a>, after-school clubs, and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hate-sports.html/">other activities</a> of interest.</li> <li>Encourage your teen to take <strong>responsibility</strong> for schoolwork. <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/self-esteem.html/"><strong>Praise accomplishments</strong></a> and provide support in areas where your teen struggles.</li> <li>Talk about future <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/after-hs.html/"><strong>college or work plans</strong></a>. If your teen is having trouble in school, find out if <a class="kh_anchor">bullying</a>, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/understanding-depression.html/">depression</a>, learning or attention problems are to blame.</li> </ol> <h4>Self</h4> <ol class="kh_longline_list"> <li>Spend time with your teen every day. <strong>Share mealtimes</strong>, <strong>be active</strong> together, and talk about things that are important to your teen.&nbsp;</li> <li><strong>Praise good choices</strong>, and include your teen in decision-making.</li> <li><strong>Set rules</strong> and explain your expectations. Have <strong>fair consequences</strong> for rule-breaking.</li> <li>Encourage your teen to wait until he or she is older to engage in sexual activity with others. Explain the risk of sexually transmitted diseases (STDs) and unwanted pregnancy. Discuss the importance of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/about-bc.html/">birth control</a>&nbsp;and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/condoms.html/">condom</a> use.</li> <li>Your teen should <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/healthy.html/"><strong>brush his or her teeth</strong></a> twice daily, floss once a day, and see a dentist once every 6 months.</li> <li>Explain to your teen the dangers of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/smoking.html/"><strong>smoking</strong></a>, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/e-cigarettes.html/"><strong>vaping</strong></a>,&nbsp;<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/alcohol.html/"><strong>alcohol</strong></a>, and <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/talk-about-drugs.html/">drugs</a></strong>. Talk about prescription drug misuse. Praise your teen for abstaining from these activities.</li> <li>Look for signs of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/understanding-depression.html/"><strong>depression</strong></a>, which can include irritability, depressed mood, loss of interest in activities, poor academic performance, and talk of suicide.</li> <li>Encourage your teen to <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/teen-health-care.html/">take charge of medical care</a></strong> by learning to chedule doctor's appointments, order prescriptions, and care for any ongoing health problems.</li> </ol> <h4>Safety</h4> <ol class="kh_longline_list"> <li>Teens should always <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/auto.html/">wear a <strong>seatbelt</strong></a> while in a vehicle.</li> <li>As your teen starts <strong>driving</strong>, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/road-rules.html/">set limits</a> for the number of passengers allowed and what hours he or she may drive. Explain the dangers of texting and other device use while driving.</li> <li>Talk about the dangers of <strong>drinking and driving</strong> and tell your teen to never get in a car with someone who has been drinking or using drugs. Instead, let your teen know to always call you for help.</li> <li>Make sure your teen knows about <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/net-safety.html/">online safety</a></strong>, <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/cyberbullying.html/">cyberbullying</a></strong>, and wise use of <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/social-media-smarts.html/">social media</a></strong>.</li> <li>Prevent <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/gun-safety.html/"><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 enough food, a safe place to live, and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/buy-health-insurance.html/">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 16 añosQué esperar durante esta visita.https://kidshealth.org/ws/RadyChildrens/es/parents/checkup-16yrs-esp.html/20cd40d6-fae2-48e8-b999-0dfea3782401
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kh:age-teenThirteenToNineteenkh:clinicalDesignation-generalPediatricskh:genre-articlekh:primaryClinicalDesignation-generalPediatricsMedical Carehttps://kidshealth.org/ws/RadyChildrens/en/parents/growth/medical/58c81291-e7c3-497a-a68c-727ac2678718Checkupshttps://kidshealth.org/ws/RadyChildrens/en/parents/system/checkupsubcat/9ce95f19-e128-447f-9dca-bcb7532253a1https://kidshealth.org/EN/images/buttons/P-teensMedCare-enBT.gif