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Well Child Visit At 2 Years
WHAT YOU NEED TO KNOW:
A well child visit is when your child sees a healthcare provider to prevent health problems. It is a different type of visit than when your child sees a healthcare provider because he is sick. Well child visits are used to track your child's growth and development. It is also a time for you to ask questions and to get information on how to keep your child safe. Write down your questions so you remember to ask them. Your child should have regular well child visits from birth to 17 years.
Where to take your child for well child visits:
It is best to find a medical home for your child. A medical home is a doctor's office or clinic where your child sees the same healthcare providers every time. A medical home will also keep your child's health records. The healthcare providers will get to know your child and your family so they can give him the best care. They will also make sure he receives vaccines on the recommended immunization schedule to protect him from diseases.
What happens during a well child visit at 2 years (24 months):
Your child's healthcare provider may do the following:
- Chart your child's head growth, weight, and height
- Check your child's vision and hearing
- Look for growth delays or developmental conditions, such as autism
- Ask about how often you read to your child and remind you to read text your child sees outside the home, such as road signs
- Talk to you about your child's physical activity, and time limits of less than 2 hours a day for TV, computers, or video games
- Ask how well your child sleeps at night and during naps
- Help you decide what to feed your child and how to prevent choking
- Check your child's teeth or tell you to take your child to a dentist, and ask about your child's tooth care routine
- Ask how often your child urinates and has bowel movements
- Check your child's speech
- Ask about your child's behavior and who takes care of him
- Talk to you about putting sunscreen on your child to prevent sun cancer
- Review home safety and childproofing, and water safety, such as not leaving your child alone in the tub and not allowing him to swim alone
- Make sure you have a rear-facing child safety seat in every car, and that it is installed properly in the back seat
- Screen your child for lead exposure
- Give your child the hepatitis A vaccine, and any catch-up doses of previous vaccines
Milestones of development your child may reach by 2 years:
Each child develops at his own pace. Your child might have already reached the following milestones, or he may reach them later:
- Start to use a potty
- Turn a doorknob
- Have about 16 teeth
- Kick or pick up objects when he is standing, without losing his balance
- Build a tower with about 6 blocks
- Put on or take off a few pieces of clothing
- Tell someone when he needs to use the potty or is hungry
- Know up to 300 words, and be able to say at least 50 words
What you need to know about your child's next well child visit:
Your child's healthcare provider will tell you when to bring him in again. The next well child visit is usually at 2 and a half years (30 months). Contact your child's healthcare provider if you have questions or concerns about his health or care before the next visit. Your child may need catch-up doses of the hepatitis B, DTaP, HiB, pneumococcal, polio, MMR, or chickenpox vaccine. Remember to take your child in for a yearly flu vaccine.
Changes that may happen before the next well child visit:
- Your child may start using a potty more regularly. The amount of time his diaper stays dry may increase.
- Your child may start to wash and dry his hands, throw a ball overhand, and know shapes and colors.
- Your child's healthcare provider may talk to you about the child safety car seat that is best for your child. He may be ready to sit in a forward-facing child safety seat. Ask if your child's height and weight are enough for him to move to this kind of seat.
- Ask your healthcare provider about new foods you can offer to your child. Do not give your child foods that can cause choking. Examples include hotdogs, raw vegetables, nuts, and whole grapes. Children younger than 4 years should not eat these foods.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.