Routine Well Visit: 9-10 years

Development - What to Expect

• Has group of friends.
• Reads for pleasure.
• Engages in hobbies.
• Becomes more independent and responsible.
• Monitor for bullying.
• Derives sense of accomplishment from school performance.
• Should monitor school performance and seek extra help or tutoring as needed. It is important to identify any concerns early.
• Should have list of chores to do around the house.

Safety

• Your child must be in a booster seat until the adult safety belts fit correctly (approximately age 8-12 or when height reaches 49"). The safest place for children is in the back seat.
• Should be able to swim independently, so review swim safety.
• Use sunscreen SPF 50 in the summer.
• Use insect repellants containing DEET or Picaridin.
• Ensure smoke and carbon monoxide detectors are working appropriately
• Limit total screen time (TV, mobile devices, computer, iPad, videogames, etc.) to less than 1 hour per day.
• Counsel your child to avoid use of alcohol, tobacco, drugs, or inhalants and be clear about the dangers these behaviors present.
• Always wear helmets when riding bike or scooter.
• Discuss "stranger danger" — teach your child that it is never okay for an adult to tell a child to keep secrets, or to express interest in private parts.
• Review gun safety

Visit www.HealthyChildren.org, search topics like "Safety for Your Child", "Booster Seats for SchoolAged Children", "Fire Safety"; www.SafeKids.org for resources,

Nutrition

• Encourage healthy foods, including plenty of fruits and vegetables
• Limit sugary, high fat and low nutrient foods & beverages.
• encourage family meals without any distractions like TV and electronics.
• Emphasize the importance of regular exercise
• Emphasize the importance of regular exercise

Visit: www.ChooseMyPlate.gov; www.EatRight.org Family/Social and Behavior for resources