Grand Valley Health Plan - Choose Well
Pediatric and Adolescent Guidelines
 
 
 
 
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Preventive Health and Wellness | Pediatric and Adolescent Guidelines
 
Recommended Screenings
Well-Baby Checks (1 week to 18 months) 1-2 week physician visit; 2 month practitioner and nurse visit; 4 month practitioner and nurse visit; 6 month practitioner and nurse visit(including lead screening); 9 month well child nurse visit; 1 year practitioner or nurse visit and tb screening; 15 month practitioner and nurse visit; 18 month practitioner and nurse visit
Pediatric Exams 2-6 Years Annual health maintenance visit at 24 months, optional health maintenance visit each year following
Pediatric Exams 7-11 Years Optional health maintenance visit each year following
Adolescent Exams 12-19 Years Annual health maintenance visit
Blood Pressure Check At every office visit starting at age 3
Eye Exam Starting at age 3 or 4
Dental Exam Brush and floss daily and regular visits to dentist
Health Education
Ages 1 week -18 months Child safety car seat; sun exposure; safety and injury prevention
Ages 2-6 Child safety car seat or lap/shoulder seat belt; sun exposure; safety and injury prevention
Ages 7-11 Lap/shoulder seat belt, safety and injury prevention, sun protection, exercise and nutrition; tobacco/alcohol/drugs
Ages 12-19 Lap/shoulder seat belt/ safety and injury prevention; sun protection, exercise and nutrition; tobacco/alcohol/drugs; smoking cessation; high-risk sexual activity
Immunization Schedule
DtaP (Diphtheria, Pertusis, Tetantus) 1st shot/2 months; 2nd shot/4 months; 3rd shot/6 months; 4th shot/15 months; 5th shot/4-5 years
IPV (Injectable Polio Vaccine) 1st/ 2 months; 2nd/4 months; 3rd shot/15 months; 4th shot/4-6 years
PCV (pneumococcal) 1st shot/ 2 months; 2nd shot/4 months; 3rd shot/6 months; 4th shot/ 15 months
Hepatitis B (Hep B) 1st shot/birth; 2nd shot/2 months; 3rd shot/6 months; 4-5 years or 10 years (if not previously done: initial dose; 2nd/1-2 months later; 3rd dose at least 6 months after 1st dose)
HiB (Hemophilis Influenza, Type B) 1st shot/2 months; 2nd shot/4 months; 3rd shot/6 months; 4th shot/15 months
MMR (Measles, Mumps. Rubella) 1st shot/15 months; 2nd shot/4-5 years
Tetanus and Diphtheria (Td) 15 years if last DPT or greater than 10 years
Varicella (Chicken Pox) 1st shot if no history/15 months; If not immunized or no history by age 4-5 or age 11-12 years