Child Wellness Schedule

Dr. McAuliffe’s Well Visit Summary
1. The Neonatologist or hospital pediatrician will see your baby in the hospital each day that you are there.
2. I will see your baby in the office the day after you leave the hospital.
3. If your baby is breast-fed, I will see him/her at 1 and 2 week(s) of age.
4. If your baby is bottle-fed, gaining well, and you do not have questions or worries, I will see him/her again at 2 weeks of age.
5. Thereafter, I will see your baby at 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, 24 months, 30 months, 36 months, and then once every year until age 21.

Your ill child will be seen THE SAME DAY that you call, ANYTIME you have questions or concerns – the above schedule is for WELL visits. We can be reached at (727) 345-2212.

Routine Childhood Vaccine Schedule

Select a vaccine name and view a PDF from the CDC website regarding safety information:

 

First Week of Life:
You should schedule your baby’s first appointment for the day after you will be discharged from the hospital. Please call our office to schedule a convenient time.

At this visit, Dr. McAuliffe and her staff will weigh your baby and measure his/her length and head circumference, check pulse oximetry to rule out cardiac disease without murmur, review your baby’s prenatal and birth history, discuss feeding, sleeping, peeing/pooping and development, perform a complete physical examination, and answer any questions you may have (don’t be afraid to bring a list!). If your baby did not have/pass a newborn hearing screen in the hospital, this test will be done in the office.

You can learn more about keeping your baby safe at this age by visiting www.safekids.org/safety-basics/babies/.

2 Weeks of Life:
Dr. McAuliffe and her staff will weigh and measure your baby, discuss growth and development, perform a complete physical examination and answer any questions you may have. You can learn more about keeping your baby safe at this age by visiting www.safekids.org/safety-basics/babies/. Mother will be asked to complete a PostNatal Depression Risk Assessment Form.

1 Month of Age:
Dr. McAuliffe and her staff will weigh and measure your baby, discuss growth and development, perform a complete physical examination and answer any questions you may have.

In addition, Dr. McAuliffe will likely have results of your baby’s newborn metabolic screen at this visit. This test was done twice while your baby was in the nursery and rules out serious, but rare, metabolic disorders (like thyroid disease, cystic fibrosis, PKU, and sickle cell anemia). Mother will be asked to complete a PostNatal Depression Risk Assessment Form.

For answers to your questions regarding the recommended vaccine schedule, please call our office or visit www.cispimmunize.org or www.cdc.gov/vaccines/hcp.htm. For information and photographs about vaccine preventable illnesses, please visit www.aap.org/pressroom/aappr-photos.htm.

You can learn more about keeping your baby safe at this age by visiting www.safekids.org/safety-basics/babies/.

2 Months of Age:
Dr. McAuliffe and her staff will weigh and measure your baby, discuss growth and development, perform a complete physical examination and answer any questions you may have.

In addition, your baby will receive his/her first set of childhood vaccines. These will include the DTaP (Diphtheria, Tetanus, and Acellular Pertussis) #1 (of 5), IPV (Inactivated Polio Virus) #1 (of 4), HIB (Haemophilus Influenza type B which causes meningitis) #1 (of 3), Hepatitis B #1 (of 3), Prevnar (against Pneumococcus which causes meningitis) #1 (of 4) injections. Your baby will also receive the oral Rotavirus vaccine #1 (of 2).

Dr. McAuliffe will discuss vaccine safety and possible reactions and instruct you how, when, and in what amount to give Infant’s Tylenol for fever or fussiness.

You will also be asked to complete an Ages and Stages Questionnaire to assist Dr. Lori in evaluating your child’s development. You can learn more about your child’s expected development at this age by visiting www.cdc.gov/ncbddd/actearly/milestones/milestones-2mo.html.

You can learn more about keeping your baby safe at this age by visiting www.safekids.org/safety-basics/babies/. Mother will be asked to complete a PostNatal Depression Risk Assessment Form.

4 Months of Age:
Dr. McAuliffe and her staff will weigh and measure your baby, discuss growth and development using the American Academy of Pediatrics recommended Ages and Stages Questionnaire, perform a complete physical examination and answer any questions you may have. In addition, your baby will receive his/her DTaP #2 (of 5), IPV #2 (of 4), HIB #2 (of 3), Hepatitis B #2 (of 3), Prevnar #2 (of 4), and Rotavirus #2 (of 2). Dr. McAuliffe will discuss vaccine safety and possible reactions and instruct you how, when, and in what amount to give Infant’s Tylenol for fever or fussiness.

You will also be asked to complete an Ages and Stages Questionnaire to assist Dr. Lori in evaluating your child’s development. You can learn more about your child’s expected development at this age by visiting www.cdc.gov/ncbddd/actearly/milestones/milestones-4mo.html.

You can learn more about keeping your baby safe at this age by visiting www.safekids.org/safety-basics/babies/.

6 Months of Age:
Dr. McAuliffe and her staff will weigh and measure your baby, discuss growth and development using the American Academy of Pediatrics recommended Ages and Stages Questionnaire, perform a complete physical examination and answer any questions you may have. In addition, your baby will receive his/her DTaP #3 (of 5), IPV #3 (of 4), Hepatitis B #3 (of 3), Prevnar #3 (of 4). The flu vaccine will also be given annually during well visits during the months of September through March. Dr. McAuliffe will discuss vaccine safety and possible reactions and instruct you how, when, and in what amount to give Infant’s Tylenol or Infant’s Advil/Motrin for fever or fussiness.

You will also be asked to complete an Ages and Stages Questionnaire to assist Dr. Lori in evaluating your child’s development. You can learn more about your child’s expected development at this age by visiting www.cdc.gov/ncbddd/actearly/milestones/milestones-6mo.html.

Your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth. If the assessment is concerning, your child will be referred to a pediatric dentist.

www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

Your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth. If the assessment is concerning, your child will be referred to a pediatric dentist.
www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

You can learn more about keeping your baby safe at this age by visiting www.safekids.org/safety-basics/babies/.

9 Months of Age:
Dr. McAuliffe and her staff will weigh and measure your baby, discuss growth and development using the American Academy of Pediatrics recommended Ages and Stages Questionnaire, perform a complete physical examination and answer any questions you may have. The flu vaccine will also be given annually during well visits during the months of September through March. The Academy of Pediatrics is considering that babies receive their first meningococcal vaccine at this age. Dr. McAuliffe will discuss shot safety and possible reactions and instruct you how, when, and in what amount to give Infant’s Tylenol or Infant’s Advil/Motrin for fever or fussiness. In addition, your baby will have a finger-stick blood test (complete blood count) to screen for anemia and lead exposure, and a PPD skin test to screen for exposure to tuberculosis. Your child’s arm will need to be rechecked in 2-3 days to be sure the test is negative. Your child will also be tested for lead exposure at this visit.

You will also be asked to complete an Ages and Stages Questionnaire to assist Dr. Lori in evaluating your child’s development. You can learn more about your child’s expected development at this age by visiting www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.html.

Your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth. If the assessment is concerning, your child will be referred to a pediatric dentist.
www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

You can learn more about keeping your baby safe at this age by visiting www.safekids.org/safety-basics/babies/.

12 Months of Age:
Dr. McAuliffe and her staff will weigh and measure your baby, discuss growth and development using the American Academy of Pediatrics recommended Ages and Stages Questionnaire, perform a complete physical examination and answer any questions you may have. Your baby will have his/her first vision screening test. In addition, your baby will receive his/her Varivax (Chickenpox) #1 (of 2), Prevnar #4 (of 4), and Hepatitis A (to protect against food borne illness) #1 (of 2). The flu vaccine will also be given annually during well visits during the months of September through March. Dr. McAuliffe will discuss vaccine safety and possible reactions and instruct you how, when, and in what amount to give Infant’s Tylenol or Infant’s Advil/Motrin for fever or fussiness.

You will also be asked to complete an Ages and Stages Questionnaire to assist Dr. Lori in evaluating your child’s development. You can learn more about your child’s expected development at this age by visiting www.cdc.gov/ncbddd/actearly/milestones/milestones-1yr.html.

Your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth. If the assessment is concerning, your child will be referred to a pediatric dentist.
www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

You can learn more about keeping your baby safe at this age by visiting www.safekids.org/safety-basics/little-kids/.

15 Months of Age:
Dr. McAuliffe and her staff will weigh and measure your baby, discuss growth and development using the American Academy of Pediatrics recommended Ages and Stages Questionnaire, perform a complete physical examination and answer any questions you may have.

Your baby will receive his/her MMR (Measles, Mumps, and Rubella) #1 (of 2) and HIB #3 (of 3). FYI: There is no medical evidence of any association between the administration of the MMR vaccine and the development of autism. Autism is a genetically linked disorder whose signs of developmental delay typically appear before 15 months of age. The flu vaccine will also be given annually during well visits during the months of September through March.

In addition, your baby will have a finger-stick blood test (complete blood count) to screen for anemia and lead exposure.

Dr. McAuliffe will discuss vaccine safety and possible reactions and instruct you how, when, and in what amount to give Infant’s Tylenol or Infant’s Advil/Motrin for fever or fussiness.

You will also be asked to complete an Ages and Stages Questionnaire to assist Dr. Lori in evaluating your child’s development.

Your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth. If the assessment is concerning, your child will be referred to a pediatric dentist.
www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

You can learn more about keeping your baby safe at this age by visiting www.safekids.org/safety-basics/little-kids/.

18 Months of Age:
Dr. McAuliffe and her staff will weigh and measure your baby, discuss growth and development using the American Academy of Pediatrics recommended Ages and Stages Questionnaire, perform a complete physical examination and answer any questions you may have.

In addition, your baby will receive his/her DTaP #4 (of 5) and Hepatitis A #2 (of 2). The flu vaccine will also be given annually during well visits during the months of September through March.

Dr. McAuliffe will discuss vaccine safety and possible reactions and instruct you how, when, and in what amount to give Infant’s Tylenol or Infant’s Advil/Motrin for fever or fussiness.

You will also be asked to complete an Ages and Stages Questionnaire and an MCHAT (Modified Checklist for Autism in Toddlers) questionnaire to assist Dr. Lori in evaluating your child’s development. You can learn more about your child’s expected development at this age by visiting www.cdc.gov/ncbddd/actearly/milestones/milestones-18mo.html.

Your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth. If the assessment is concerning, your child will be referred to a pediatric dentist.
www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

You can learn more about keeping your baby safe at this age by visiting www.safekids.org/safety-basics/little-kids/.

24 Months of Age:
Dr. McAuliffe and her staff will weigh and measure your child, discuss growth and development using the American Academy of Pediatrics recommended Ages and Stages Questionnaire, perform a complete physical examination and answer any questions you may have. Your child’s height to weight percentage (known as Body Mass Index or BMI) will be discussed to be sure it is in the healthy/non-overweight range. If your child’s BMI is > 85%, his/her blood sugar, Hemoglobin A1C, and cholesterol levels will be checked. Your baby will have his/her vision tested.

In addition, your baby will have a finger-stick blood test (complete blood count) to screen for anemia and lead exposure, as well as cholesterol screening if either parent has a history of high cholesterol, and a PPD skin test to screen for exposure to tuberculosis. Further, the Academy of Pediatrics has recently recommended that a meningococcal booster be considered at this age.

The flu vaccine will be given annually during well visits during the months of September through March. Dr. McAuliffe will discuss vaccine safety and possible reactions and instruct you how, when, and in what amount to give Infant’s Tylenol or Infant’s Advil/Motrin for fever or fussiness.

You will also be asked to complete an Ages and Stages Questionnaire and an MCHAT (Modified Checklist for Autism in Toddlers) questionnaire to assist Dr. Lori in evaluating your child’s development. You can learn more about your child’s expected development at this age by visiting www.cdc.gov/ncbddd/actearly/milestones/milestones-2yr.html.

Your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth. At two, your child will be referred to a pediatric dentist to start their bi-annual cleanings. www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

You can learn more about keeping your child safe at this age by visiting www.safekids.org/safety-basics/little-kids/.

30 Months of Age:
The American Academy of Pediatrics now recommends that toddlers have a visit between their 2nd and 3rd birthday to reassess their growth and development with particular attention to speech and behavior and diet.

Dr. McAuliffe and her staff will weigh and measure your baby, discuss growth and development, perform a complete physical examination, and answer any questions you may have.

There are no standard tests at this visit, but we will use this opportunity to offer any vaccines which may have been delayed. The flu vaccine will also be given annually during well visits during the months of September through March.

Dr. McAuliffe and her staff will discuss vaccine safety and possible reactions and instruct you how, when, and in what amount to give Infant’s Tylenol or Infant’s Advil/Motrin for fever or fussiness. Dr. Lori may recommend the Pneumovax vaccine for your child if your child has had recurrent respiratory infections.

You will also be asked to complete an Ages and Stages Questionnaire to assist Dr. Lori in evaluating your child’s development.

If your child is not already seeing a pediatric dentist, your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth.
www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

You can learn more about keeping your child safe at this age by visiting www.safekids.org/safety-basics/little-kids/.

36 Months of Age:
Dr. McAuliffe and her staff will weigh and measure your child and record your child’s blood pressure, discuss growth and development using the American Academy of Pediatrics recommended Ages and Stages Questionnaire, perform a complete physical examination and answer any questions you may have. Your child’s Body Mass Index (BMI) will be calculated to be sure it is in the healthy/non-overweight range. If your child’s BMI is >85%, a cholesterol level, blood sugar, and hemoglobin A1C will be checked. If your child is able, a routine urinalysis is recommended as are vision and hearing screenings.

The flu vaccine will also be given annually during well visits during the months of September through March.

You will also be asked to complete an Ages and Stages Questionnaire to assist Dr. Lori in evaluating your child’s development. You can learn more about your child’s expected development at this age by visiting www.cdc.gov/ncbddd/actearly/milestones/milestones-3yr.html.

If your child is not already seeing a pediatric dentist, your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth.
www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

You can learn more about keeping your child safe at this age by visiting www.safekids.org/safety-basics/little-kids/.

4 Years of Age:
Dr. McAuliffe and her staff will weigh and measure your child and record your child’s blood pressure, discuss growth and development using the American Academy of Pediatrics recommended Ages and Stages Questionnaire, screen for vision or hearing problems, and perform a complete physical examination and answer any questions you may have. Your child’s Body Mass Index (BMI) will be calculated to be sure it is in the healthy/non-overweight range. If your child’s BMI is >85%, a cholesterol level, blood sugar, and hemoglobin A1C will be checked. A routine urinalysis is also recommended. In addition, your child will receive his/her MMR #2 (of 2) and the Varivax #2 (of 2). The flu vaccine will also be given annually during well visits during the months of September through March.

You will also be asked to complete an Ages and Stages Questionnaire to assist Dr. Lori in evaluating your child’s development. You can learn more about your child’s expected development at this age by visiting www.cdc.gov/ncbddd/actearly/milestones/milestones-4yr.html.

If your child is not already seeing a pediatric dentist, your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth.
www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

You can learn more about keeping your child safe at this age by visiting www.safekids.org/safety-basics/little-kids/.

5 Years of Age:
Dr. McAuliffe and her staff will weigh and measure your child and record your child’s blood pressure, discuss growth and development using the American Academy of Pediatrics recommended Ages and Stages Questionnaire, screen for vision or hearing problems, and perform a complete physical examination and answer any questions you may have. Your child’s Body Mass Index (BMI) will be calculated to be sure it is in the healthy/non-overweight range. If your child’s BMI is >85%, a cholesterol level, blood sugar, and hemoglobin A1C will be checked. A routine urinalysis is also recommended. In addition, your child will receive his/her DTaP #5 (of 5) and IPV #4 (of 4). The flu vaccine will also be given annually during well visits during the months of September through March.

Other tests at this visit include screening for elevated cholesterol levels and a complete blood count, and a PPD will be placed on your child’s arm as a screening test for exposure to tuberculosis. This area will need to be rechecked in 2-3 days to be sure the test is negative.

You will also be asked to complete an Ages and Stages Questionnaire to assist Dr. Lori in evaluating your child’s development. You can learn more about your child’s expected development at this age by visiting www.cdc.gov/ncbddd/actearly/milestones/milestones-5yr.html.

If your child is not already seeing a pediatric dentist, your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth.
www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

You can learn more about keeping your child safe at this age by visiting www.safekids.org/safety-basics/big-kids/.

6 to 11 Years of Age:
It is a good idea for your child to have an annual physical examination to ensure good health and sports participation. The Academy of Pediatrics recommends an annual well physicals in children/young adults in this age group. An annual urinalysis is recommended to rule out infection and diabetes as are annual vision and hearing screenings. Well physicals are an excellent opportunity to discuss any school or behavior problems you may be having as well as to initiate discussions regarding pubertal development.

If your child’s BMI is >85%, a cholesterol level, blood sugar, and hemoglobin A1C will be checked. We routinely check cholesterol levels on all 8 and 10 year olds.

We will take this opportunity to update any needed immunizations. The flu vaccine will also be given annually during well visits during the months of September through March.

If your child is not already seeing a pediatric dentist at age 6, your nurse will review your child’s Oral Health Risk Assessment to be sure he/she is not at high risk for dental problems and that you are providing necessary protective factors to help your child develop strong, healthy teeth.
www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf At age 11, and every year thereafter, your child will be asked to complete a Patient Health Questionnaire as a screening tool for depression.
www.integration.samhsa.gov/images/res/PHQ%20-%20Questions.pdf You can learn more about keeping your child safe at this age by visiting www.safekids.org/safety-basics/big-kids/.

12 Years of Age:
Dr. McAuliffe and her staff will weigh and measure your child and record your child’s blood pressure, discuss growth and development, screen for vision or hearing problems, and perform a complete physical examination and answer any questions you may have. A routine urinalysis is also recommended to rule out infection and diabetes.

In addition, your child will receive his/her Tdap (tetanus and pertussis booster) and the Meningococcal vaccine (against a deadly meningitis caused by Neisseria). Your child will have a routine CBC, blood sugar, cholesterol level, and Hemoglobin A1C at this visit. In addition, a PPD test will be placed on your child’s arm to rule out Tuberculosis exposure. This area will need to be rechecked in 2-3 days to be sure the test is negative.

Each year, your child will be asked to complete a Patient Health Questionnaire as a screening tool for depression. www.integration.samhsa.gov/images/res/PHQ%20-%20Questions.pdf

You can learn more about keeping your child safe at this age by visiting www.safekids.org/safety-basics/pre-teens-and-teens/.

13-15 Years of Age:
The flu vaccine will also be given annually during well visits during the months of September through March. Other tests at this visit include screening for elevated cholesterol levels and a complete blood count.

It is recommended that both girls and boys begin their HPV (human papilloma vaccine) series (a 3 dose series). This vaccine protects our girls against cervical cancer and our boys against genital warts and (while rare) penile cancer. As boys are the vector of this virus to girls, it is important to immunize them as well. These are the current recommendations of the American Academy of Pediatrics.

You can learn more about keeping your child safe at this age by visiting www.safekids.org/safety-basics/pre-teens-and-teens/.

Each year, your child will be asked to complete a Patient Health Questionnaire as a screening tool for depression. www.integration.samhsa.gov/images/res/PHQ%20-%20Questions.pdf

Your teenager will be asked to complete a CRAFFT questionnaire (Car, Relax, Alone, Forget, Friends, Trouble) to encourage discussion about substance use/abuse. www.psnpaloalto.com/wp/wp-content/uploads/2010/12/CRAFFT-Drug-and-Alcohol-Screen.pdf

You can learn about Safe Online Surfing by visiting sos.fbi.gov.

16 to 21 Years of Age*:
Dr. McAuliffe and her staff will weigh and measure your child and record your child’s blood pressure, discuss growth and development, screen for vision or hearing problems, and perform a complete physical examination and answer any questions you may have. A routine urinalysis is also recommended to rule out infection and diabetes.

In addition, your child will receive his/her Meningitis A and C booster at 16-17 years; Tdap booster will be given at 18-20 years (before college entry). At age 17, your child should receive his/her Meningitis B Vaccine. This is available in a two and three dose series. At 18, a PPD will be placed on your child’s arm to rule out tuberculosis exposure. Most colleges require this test. Your child’s arm will need to be checked in 2-3 days to ensure this test is negative. Your 18 year old may have blood drawn to ensure that he/she is immune to chicken-pox, Hepatitis B, and MMR, screen for thyroid dysfunction, HIV, and a complete metabolic panel. The flu vaccine will also be given annually during well visits during the months of September through March. It is recommended that all girls have an annual CBC once they begin their periods.

Each year, your child will be asked to complete a Patient Health Questionnaire as a screening tool for depression. www.integration.samhsa.gov/images/res/PHQ%20-%20Questions.pdf

Your teenager will be asked to complete a CRAFFT questionnaire (Car, Relax, Alone, Forget, Friends, Trouble) to encourage discussion about substance use/abuse. www.psnpaloalto.com/wp/wp-content/uploads/2010/12/CRAFFT-Drug-and-Alcohol-Screen.pdf

Your 21 year old daughter will be referred to GYN to start well-woman preventative care including her first PAP smear screening for cervical dysplasia.

* Many pediatricians stop seeing patients once they reach 18 years of age, Dr. McAuliffe continues to provide them both well and sick care until the age of 21 years. This is to foster the doctor patient relationship that has already been established, especially in light of potential risk taking behaviors that begin during these formative years.

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