AAP well child care schedule and screening

• Metabolic screening at 2-4 days.
• Sleep position counselling until age 6 mos.
• Head circumference: end at 2 years
• Cholesterol Screening in Children: if deemed at risk, starting age 2 years, and at each WCC
• Blood pressure: begin at 3 yrs.
• Dental referral at 3 years of age.
• Hearing/Vision: Snellen testing should begin at 3 yrs. If uncooperative, retest in 6 mos. Do annually until age 10, then at 12, 15, 18 (about every 2-3 years). Same schedule for audiometry, except begin at age 4.
• Hb (at least 2x): 9 mos (9-12 mos), 13 years (at each visit if menstruating female)
• UA (at least 2x) : 5 y, 16 y. Urine dip for leuks annually for sexually active males/females.
• Lead: only if deemed at risk: 9 mos, 2 years
• PPD: annually if deemed at risk
• STD screen: if at risk, starting age 11
• Pelvic exam: all sexually active females. Routine pap and pelvic should be offered as part of preventive health maintenance between the ages of 18-21 years. (Although newer methods for identifying individuals exposed to specific types of HPV that may predispose to cervical cancer are being developed, the American Cancer Society has suggested that the initiation of Pap screening in adolescents be delayed until 3 years after the onset of sexual activity because the risk of HSIL is low during this period. ) See STI screening.

Recommendations for Preventive Pediatric Health Care (RE9939)
Up to date as of 9/05