Coastal Pediatric Associates Coastal Pediatric Associates

Preventative Care Calendar

Newborn 1st Visit

Well Visit Checklist

  • Check Vitals
  • Check Bilirubin Level
  • Hepatitis B Vaccine if not given in hospital
  • What to expect at this age

One Week Check-Up

2-5 Day Visit

Well Visit Checklist

  • Check Vitals
  • Check Bilirubin Level

Immunizations
None if Hepatitis B (HBV) was given in the hospital

Feeding

  • Breast feeding
    Feedings every 1.5 to 3 hours or at least 8 feedings in 24 hours
    Feedings last 15-20 each time
  • Bottle Feeding
    Feedings every 2 - 4 hours or at least 6 to 8 feedings in 24 hours
    Feedings typically consist of 1-3 oz

Bathing

  • Until umbilical cord falls off sponge bathe the baby only
  • After umbilical cord falls off bathe baby every few days. If dry skin is a concern, a mild lotion may be used

Sleeping

  • Expect your newborn to sleep 16-21 hours per day
  • During the day, awaken baby every 3 hours for feedings
  • Always remember to put your baby on his or her back to sleep
  • Please remember that co-sleeping is a risk factor for SIDS
  • Do not place anything in your baby's crib(except for your baby)

Safety

  • Make sure your baby is properly restrained in a car seat
  • Sunscreens are safe at this age
  • Avoid exposure to sick children or adults
  • Encourage hand washing for anyone around your baby
  • Contact your pediatrician if your baby has a temperature of 100.4 or higher

Two Month Check-Up

2 Month Visit
Edinburg Postnatal Depression Screen
Postpartum Resource Guide Flat

Well Visit Checklist

  • Check Vitals
  • Maternal Depression Screen

Immunizations 
DTaPHibHBVIPVPCV13RV1

Feeding

  • Breastfeeding
    Feedings typically occur every 2 to 4 hours or on demand
    You many need to pump or formula feed if mom is working
    Continue Vitamin D supplementation
  • Bottle Feeding
    Feedings typically every 2 to 4 hours or on demand

Sleeping

  • Baby may start to sleep 4 to 8 hours at night
  • Continue putting baby on their back to sleep
  • Start to develop a schedule

Development

  • Baby will start to coo
  • Develop a social smile
  • Looks at parents and tracks objects in their line of sight
  • Holds their heads up while on their stomach

Safety

  • Make sure your baby's car seat is rear facing
  • Keep small objects out of reach
  • Never leave baby unattended on elevated surface or in bath

Four Month Check-Up

4 Month Visit

Well Visit Checklist

  • Check Vitals
  • What to expect at this age

Immunizations
DTaPIPVHib, PCV13RV1

Feeding

  • Breastfeeding
    On demand, typically 4-6 feedings a day
    Continue Vitamin D Supplementation
  • Bottle Feeding
    On demand, typically 4-6 bottles a day

Starting Solids

  • You may introduce rice cereal at this time, if you baby is showing signs of readiness
  • Signs include: decreased tongue thrust reflex
  • Holds head up on forearms
  • Opens mouth easily
  • Sits with support
  • Once baby masters using a spoon, you can start of Stage 1 Fruits and Vegetables
    Start with vegetables because the sweetness of the fruit can cause the vegetables to be bitter, also only introduce one food at a time for allergy reasons

Sleeping

  • Baby may start to sleep 6 to 10 hours a night
  • Continue putting baby on their back to sleep
  • Put baby in crib when drowsy to allow to self soothe
  • Develop a daytime schedule

Development

  • Smiles spontaneously
  • Enjoys social interactions
  • Bring hands together
  • Likes to put hands in mouth
  • Drools
  • Babbles vowel sounds and other noises
  • May start to purposely roll over

Safety

  • Make sure baby's seat is rear facing
  • Sunscreen should be used if prolong sun exposure is expected
  • Never leave baby unattended on elevated surfaces or in bath
  • Keep small objects out of reach

Six Month Check-Up

6 Month Visit
Edinburg Postnatal Depression Screen
Postpartum Resource Guide Flat

Well Visit Checklist

  • Check Vitals
  • Maternal Depression Screen
  • Vision Screen & Hearing Screen
  • Maternal Resource
  • What to expect at this age

Immunizations
 DTaPPCV13HBVIPVIIV  (seasonally)

Feeding

  • Breastfeeding: On demand, typically 4-6 feedings a day. Continue Vitamin D supplementation
  • Bottle Feeding: On demand, typically 4-6 feedings a day

Starting Solids

  • If not already doing so, start feeding your baby rice cereal and/or Stage 1 Fruits and Vegetables with a spoon 2-3 times a day
  • Allow baby to eat until finished
  • You may also start finger foods at this age; however, remember to always feed your baby in a seated position
  • If your water supply is from a well, ask about a fluoride supplementation

Sleeping

  • Baby may start to sleep 6 to 8 hours a night
  • Continue putting baby on their back to sleep unless baby can roll over and prefers tummy
  • Nap schedule more stable
  • Secure or remove all crib bumpers

Development

  • Recognizes familiar faces
  • Uses different vowel sounds and begins to use consonant sounds
  • Holds head up well
  • Starts to sit alone
  • May begin to crawl around
  • Stranger anxiety

Safety

  • Make sure your baby's car seat is rear facing
  • Start childproofing your home
  • Insect repellants are now safe to use ("family" or "child approved")
  • Keep small objects out of reach as your baby will begin to put objects in his or her mount
  • Remember water safety and be aware of potential ingestions/poisonings

Nine Month Check-Up

9 Month Visit
SEEK Parent Questionnaire
CPA Resource List
Fluoride Varnish Educational Brochure

Well Visit Checklist

  • Check Vitals
  • SEEK
  • Fluoride Varnish
  • CPA Resource
  • What to expect at this age

Immunizations
 IIV (seasonally)

Feeding

  • Breast feeding
    On demand typically 4 feedings a day
    Continue Vitamin D Supplement
  • Bottle Feeding
    On demand, typically 4-5 bottles per day

Solids

  • You should be feeding your baby a combination of pureed foods (stage 2) and finger foods at least 3 times a day
  • Allow your baby to determine when he or she is finished
  • If you water supply is from a well, continue fluoride supplementation

Sleeping/Hygiene

  • Most babies will sleep 8-10 hours at night and take 2-3 daytime naps
  • Nighttime awakenings may increase due to separation anxiety
  • Develop a consistent bedtime routine and allow baby to put self to sleep
  • Try not to pick up or talk to your baby during nighttime awakenings
  • Briefly soothe and allow him/her to put him/herself back to sleep

Development

  • Lots of social interaction
  • Stranger anxiety
  • Separation anxiety
  • Using lots of sounds
  • Developing object permanence
  • Plays peek-a-boo and so big
  • Crawls, pulls to stand, cruises

Safety

  • CHILDPROOF your baby's environment
  • Water safety/accidental falls/poisonings
  • Make sure your baby's car seat is rear facing
  • Sunscreen and Natural or DEET containing insect repellants are safe to use
  • Remember, exploring babies are dangerous babies

Twelve Month Check-Up

12 Month Visit

Well Visit Checklist

  • Check Vitals
  • Vision & Hearing Screen
  • Anemia & Lead Test
  • What to expect at this age

Immunizations
HAVPCV13IIVHib, Hemoglobin/Lead Level

Feeding

  • Breast feeding - On demand, typically 4 feedings a day, continue Vitamin D supplementation
  • Bottle Feeding - Wean to cup, change to whole milk, provide 3 dairy servings daily

Solids

  • Most babies will be on table/finger foods and self feeding with hands
  • A portion size is about the size of your baby's fist
  • Avoid peanut butter and shellfish until 2 years old
  • If you water supply is well, continue with fluoride supplementation

Sleeping/Hygiene

  • Should be sleeping through the night with only occasional nighttime awakenings
  • 1 to 2 naps per day
  • Continue a consistent bedtime routine and allow baby to put self to sleep
  • Start brushing teeth at bedtime to develop good oral hygiene

Development

  • May be walking
  • Stands alone
  • Likes to imitate sounds and gestures
  • Waves bye-bye
  • 1-2 non-specific words
  • Separation anxiety continues
  • Follows simple directions

Safety

  • Sunscreen and Natural or DEET containing insect repellant are all safe to use
  • Remember to CHILDPROOF your child's environment
  • Remember water safety and be aware of potential ingestions/poisonings

Fifteen Month Check-Up

15 Month Visit
Fluoride Varnish Educational Brochure

  • Check Vitals
  • Fluoride Varnish
  • What to expect at this age

Immunizations
MMRVAR, IIV (Seasonally)

Feeding

  • Should be on table/finger foods
  • Self feeding should be improving and you may introduce utensils
  • You baby should no longer be receiving bottles, however, if you are still weaning to a cup, make sure bottles are NOT given at bedtime
  • Continue to avoid peanut butter and shellfish until 2 years old
  • If your water supply is from a well, continue fluoride supplementation

Sleeping/Hygiene

  • May start to have night terrors
  • May wean to 1 nap a day
  • Continue brushing teeth at bedtime to develop good oral hygiene
  • Continue a consistent bedtime routine

Development

  • Points/Grunts/pulls others to wanted items
  • 1-2 non-specific words other than "Mama" and "Dada"
  • Walks well/stoops and recovers easily
  • Follows simple commands
  • Starts to have tantrums
  • Able to drink from a cup

Safety

  • Car seat safety -Keep up with current AAP guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings

Eighteen Month Check-Up

18 Month Visit
MCHAT

Well Visit Checklist

  • Check Vitals
  • What to expect at this age
  • M-CHAT

Immunizations
 DTaPIIV (Seasonally)

Feeding

  • Start to use utensils better
  • Offer wide variety of foods with different tastes and textures
  • Don't give up if your toddler refuses a new food
  • Toddlers may need to see and play with new foods before trying them
  • If your water supply is from a well, continue with fluoride supplementation

Sleeping/Hygiene

  • May still have night terrors
  • Continue a consistent bedtime routine
  • Continue brushing teeth at bedtime to ensure good hygiene

Development

  • Becoming more independent
  • Offer 2 choices whenever possible
  • Likes to scribble
  • Points to at least one body part
  • Speaks at least 5-10 words spontaneously/imitates more
  • Provide consistent discipline
  • Catch them "being good" and offer lots of praise
  • Walks well and begins to run
  • May start hitting/biting
  • Begin "Time Out"
  • May begin to show some interest in toilet training

Safety

  • Car seat safety -Keep up with current AAP guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings

Twenty Four Month Check-Up

24 Month Visit
MCHAT
SEEK Parent Questionnaire
CPA Resource List
Fluoride Varnish Educational Brochure

Well Visit Checklist

  • Check Vitals
  • SEEK Questionnaire
  • Vision Screen & Hearing Screen
  • Anemia & Lead Test
  • Fluoride Varnish
  • What to expect at this age

Immunizations
HAVFluMist /IIV (Seasonally)

Feeding

  • Uses utensils fairly well
  • Drinks from a cup
  • May switch to a chewable multivitamin
  • Keep offer wide variety of foods and offer them repeatedly

Sleeping/Hygiene

  • May be ready to transition to toddler or twin bed
  • Continue a consistent bedtime routine
  • Continue brushing teeth at bedtime to ensure good oral hygiene
  • Schedule first dental exam

Development

  • Imitates adults well
  • Pretend play increases
  • Parallel play with other children increases
  • Vocabulary of at least 50 words
  • Uses 2 word phrases
  • Enjoys reading
  • Makes lines and circles with crayons
  • Kicks a ball and jumps
  • Follows 2 step commands
  • Offer lots of praise
  • Consistent discipline and time out
  • Toilet training

Safety

  • Car seat safety - Follow AAP Guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings
  • Always wear a helmet! Even on tricycles!

Thirty Month Check-Up

Immunization
FluMist /IIV (seasonally)

Feeding

  • Continue to offer a wide variety of foods
  • Continue chewable multivitamin
  • Offer at least 3 servings of dairy per day

Sleeping/Hygiene

  • Continue brushing teeth at bed time to ensure good oral hygiene
  • Continue a consistent bedtime routine

Development

  • Increase in pretend play and starts to play "with" other children
  • Brushes own teeth with help
  • Copies vertical line
  • Points to at least 6 body parts
  • READ, READ, READ!
  • Uses short phrases
  • Strangers can understand 50% of language
  • Starts to develop fears of new situations or events
  • Toilet training ongoing
  • Jumps up and down
  • Throws ball overhead
  • Provide consistent discipline
  • Puts on clothes with help

Safety

  • Car seat safety - Follow AAP Guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings
  • Always wear a helmet! Even on tricycles!

Three Year Check-Up

3 Year Visit
Fluoride Varnish Educational Brochure

Well Visit Checklist

  • Check Vitals
  • M-CHAT
  • Vision Screen & Hearing Screen
  • Fluoride Varnish
  • What to expect at this age

Immunizations
 FluMist /IIV (Seasonally)

Feeding

  • Continue to offer a wide variety of foods
  • Continue chewable multivitamin
  • Offer at least 3 servings of dairy per day

Sleeping/Hygiene

  • Continue brushing teeth at bed time to ensure good oral hygiene
  • Continue a consistent bedtime routine
  • May not need a nap daily

 

Development

  • More imaginative and interactive play
  • Indentifies self as boy or girl
  • Carries on good conversation
  • Can name a friend
  • Provide consistent discipline
  • Toilet trains during the day and possibly at night
  • Builds a tower of 6 to 8 blocks
  • Draws circle/person with 2 body parts
  • READ, READ, READ

Safety

  • Car seat safety - Follow AAP Guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings
  • Always wear a helmet! Even on tricycles!

Four Year Check-Up

4 Year Visit
Fluoride Varnish Educational Brochure

  • Check Vitals
  • Vision Screen & Hearing Screen
  • Fluoride Varnish
  • What to expect at this age

Immunizations
DTaPIPVMMRVARFluMist /IIV

Feeding

  • Continue to offer a wide variety of foods
  • Continue chewable multivitamin
  • Offer at least 3 servings of dairy per day
  • Don't force child to "clean" the plate

Sleeping/Hygiene

  • Continue brushing teeth at bed time to ensure good oral hygiene
  • Continue a consistent bedtime routine
  • May completely give up daytime nap
  • May or may not be dry at night

Development

  • Describes features of him/herself (gender, age, hair color, etc)
  • Gives first and last name
  • Speech is clearly understandable
  • Hops on one foot
  • Copies a cross
  • Fantasy Play
  • Tells and listens to stories
  • Sings songs from memory
  • Names at least 4 colors
  • Can dress self, and brush own teeth

Safety

  • Car seat safety - Follow AAP Guidelines
  • Sunscreen and DEET(<10%) containing insect repellant are safe to use
  • Remember gun safety
  • Keep sharp and small objects out of reach
  • Remember water safety
  • Be aware of potential ingestions/poisonings
  • Always wear a helmet! Even on tricycles!

Five Year Check-Up

5 Year Visit
Fluoride Varnish Educational Brochure

Well Visit Checklist

  • Annual Check-Up Visits
  • Check Vitals
  • Vision Screen & Hearing Screen
  • Fluoride Varnish
  • 9 Year Lipid Panel (Non Fasting
  • What to expect at this age

Immunization
FluMist /IIV(seasonally)

Feeding

  • Limit high calorie snack foods
  • Teach child to make healthy food choices
  • Provide opportunities for daily exercise

Sleep/Hygiene

  • Continue a consistent bedtime routine
  • Continue teaching good self care habits
  • May or may not be dry at night
  • Continue teaching good oral hygiene

Development

  • Prepare child for school
  • Consistent discipline
  • Lots of praise
  • School adjustment issues possible
  • Get to know your child's school teacher
  • Determine Kindergarten readiness: Counts to 10, names 4 colors, mature pencil hold
  • Draws picture with 6 body parts, can balance on one foot, can copy a square and triangle, can tell a simple story

Safety

  • Car seat safety - Follow AAP guidelines
  • Remember gun safety
  • Remember water safety - formal swimming lessons
  • Remember to use a bike helmet with bikes, scooters, skates, skateboards, etc
  • Remember the importance of sunscreen and insect repellent
  • Teach stranger safety

Six Year Check-Up

6 Year Visit
Fluoride Varnish Educational Brochure

Immunizations
FluMist/IIV (Seasonally)

Feeding

  • Limit high calorie snack foods
  • Teach child to make healthy food choices
  • Provide opportunities for daily exercise

Sleeping/Hygiene

  • Continue a consistent bedtime routine
  • Continue teaching good self care habits
  • May have sleep disturbances if anxious or stressed
  • Continue teaching good oral hygiene

Development

  • School progress
  • May start to do simply household chores
  • Makes friends easily
  • Educate about bullying at school and how to handle situations
  • Encourage impulse control
  • Teach anger management techniques
  • Establish family routines and traditions
  • Limit TV and video game exposure
  • Get to know your child's teacher
  • Stay involved in school activities

Safety

  • Car seat safety - Follow AAP guidelines
  • Remember gun safety
  • Remember water safety - formal swimming lessons
  • Remember to use a bike helmet with bikes, scooters, skates, skateboards, etc
  • Remember the importance of sunscreen and insect repellent
  • Teach stranger safety

Seven to 21 Year Check-Up

Eleven Year Check-Up

Well Visit Checklist

  • Check Vitals
  • Vision Screen & Hearing Screen
  • Patient Symptom Checklist
    • Patient Health Questionnaire
  • Fluoride Varnish
  • What to expect at this age

Twelve to Fifteen Year Check-Ups

Well Visit Checklist

  • Check Vitals
  • Vision Screen & Hearing Screen
  • Fluoride Varnish (up to age 13)
  • What to expect at this age

Sixteen+ Year Check-Ups

Well Visit Checklist

  • Check Vitals
  • Vision Screen & Hearing Screen
  • What to expect at this age
Pediatrician On Call Huncik
Nursery Calls
  • SFH: Shiflett
  • ECMC: Wilson
  • RMPH: Wilson
  • SMC: Shiflett
  • TMC: Shiflett
NEWBORN NOTIFY