Your Child's Checkup: 20 Yearsenparentshttps://kidshealth.org/EN/images/headers/P-ycc20years-enHD-AR1.jpgFind out what this doctor's visit will involve when your son or daughter is 20.Your Child's Checkup: 20 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, 20-year-old, 20 year old, 20 years, 20 years old, 20, twenty, 20 year-old, twenty year old, twenty years, twenty years old, turning 20, turning twenty, just turned 20, college, going to college, college freshman, college first year, college sophomore, peer group, peer acceptance, sex, sexual feelings, sexual orientation, music, arts, sports, exercise, homework, schoolwork, depression, stress, coping with stress, peer pressure, drinking, smoking, drugs, pregnancy, body image, hygiene, teeth brushing, seatbelts, Internet, guns, gynecologist, adult doctor, drinking and driving, drunk drivers, college, work plans, texting, cell phones, cell phone use, eating disorders11/21/201309/21/201809/21/2018Mary L. Gavin, MD08/01/2017fb87c396-c356-4898-b4fa-e8775ecc3a8chttps://kidshealth.org/ws/RadyChildrens/en/parents/checkup-20yrs.html/<h3>What to Expect During This Visit</h3> <p>The 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.</strong> <strong>Check <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 </strong><strong>blood pressure,</strong>&nbsp;<strong><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. Give a screening</strong> (test) that checks for <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/understanding-depression.html/">depression</a>.</strong></p> <p><strong>4. Ask questions, address concerns, and offer advice</strong> about:</p> <p><strong>Eating.</strong> Young adults should eat three meals a day that include lean protein, at least 5 servings of fruits and vegetables, whole grains, and at least three servings of dairy products or a fortified milk alternative. Limit food and drinks that are high in fat and sugar.</p> <p><strong>Sleeping.</strong> Young adults need about <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sleep.html/"> 7 to 9 hours of sleep</a> per night. <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sleep-problems.html/"> Poor sleep</a> makes them less alert and cause problems at work or school. Follow a relaxing bedtime routine and turn off devices, including phones and computers, before bed.</p> <p><strong>Physical activity.</strong> Each week, young adults should aim for 150 minutes of moderate physical activity (like fast walking) or 75 minutes of vigorous activity (like running).</p> <p><strong>Growth and development.</strong> By 20, it's common for young adults to:</p> <ul> <li>develop a sense of self</li> <li>value individual relationships over peer groups</li> <li>become more independent from parents</li> <li>think abstractly to solve problems</li> <li>have long-term plans for the future</li> </ul> <p><strong>5. Do a</strong> <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/medical-care-13-18.html/">physical exam</a>.</strong> The doctor will look at the skin and listen to the heart and lungs. Young women will undergo a pelvic exam or be referred to a gynecologist. In guys, the doctor will check the testicles for masses and varicocele (swollen veins).</p> <p><strong>6. 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 to get them on time. Immunization schedules vary from office to office, so talk to the doctor about what to expect.</p> <p><strong>7. Order tests.</strong> Your doctor may check 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>, <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> and order tests, if needed.</p> <h3>Looking Ahead</h3> <p>Here are some things young adults should keep in mind until their next checkup:</p> <h4>Self</h4> <ol class="kh_longline_list"> <li>Make <strong>plans for the future</strong>, which may include <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/after-hs.html/">college and/or work</a></strong>.</li> <li>Continue to <strong>pursue areas of interest</strong>, including art, music, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/fitness-13-18.html/">exercise</a>, and community service.</li> <li>Take<strong> responsibility</strong> for school and work. Lean on family members, a health care professional, or other trusted adult for support in areas where you may struggle.</li> <li>Learn strategies for <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/stress-vd.html/">coping with stress</a></strong>, such as exercise, meditation, or talking to friends and family.</li> <li>Be aware of signs of depression, which can include irritability, depressed mood, loss of interest in activities, poor academic performance, and talk of suicide. Get professional help if you're depressed.</li> <li>Make plans to switch to an <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/adult-care.html/">adult doctor</a></strong>.</li> <li><strong>Brush teeth</strong> with fluoride toothpaste and floss daily. See a dentist twice a year.</li> </ol> <h4>Safety</h4> <ol class="kh_longline_list"> <li>Always <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/auto.html/">wear a <strong>seatbelt</strong></a> while in a vehicle.</li> <li>Don't <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/road-rules.html/">text</a> or use cellphones</strong> while driving.</li> <li>If you're <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/questions-sex.html/">sexually active</a></strong>, use birth control and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/condoms.html/">condoms</a> to protect against unwanted pregnancy and STDs.</li> <li>Avoid <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/smoking.html/">smoking</a></strong>, <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/e-cigarettes.html/">vaping</a></strong>, drinking <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/alcohol.html/">alcohol</a></strong>, and using <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/talk-about-drugs.html/">drugs</a>. </strong>Don't use prescription medicines that weren't prescribed for you.</li> <li>Don't <strong>drink and drive. </strong>Never get in a car with someone who has been drinking or using drugs. Instead, make plans with a designated driver or call for a ride.</li> <li>Prevent <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/gun-safety.html/">gun injuries</a></strong>&nbsp;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.</li> <li>Talk to your doctor if you're concerned about your&nbsp;<strong>living situation</strong>.Do you have enough food, a safe place to live, and&nbsp;<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/buy-health-insurance.html/">health insurance</a>? You doctor can point you toward community resources or refer you to a social worker who can help.</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 20 añosQué esperar durante esta visita.https://kidshealth.org/ws/RadyChildrens/es/parents/checkup-20yrs-esp.html/e950eedc-52db-46d8-a199-27aaf92a89bb
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