10-Year Visit

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Harvard Medical School
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10-Year Visit

Guiding Your Child Through The Middle Years
10 years features
10-Year Visit
10-Year Visit
Find out what to expect at the 10-year visit.
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Reviewed by the Faculty of Harvard Medical School

10-Year Visit

Name: ______________________________

Date Of Visit:_______________________


Height: ______________________

Things your doctor will do at today's visit:

  • Ask for an update on your child's health.
  • Do a physical exam on your child, including checking for scoliosis and signs of puberty.
  • Check your child’s weight and height, calculate body mass index (BMI), and plot the measurements on growth charts
  • Check your child's blood pressure, hearing and vision.
  • Ask about your child's eating, sleep, physical activity, and screen time
  • Ask about your child’s behavior and psychosocial development (i.e. puberty, independence from family, accomplish difficult school tasks)
  • Discuss your child's risk of anemia (iron-poor blood) and test for anemia, if indicated.
  • Ask about your family's history of heart disease and test cholesterol levels
  • Ask about possible exposure to tuberculosis (TB) and test your child if indicated.
  • Make sure your child's immunizations are up to date.
  • Give you an opportunity to ask questions.

Things you may want to discuss at this visit:

  • Your child's growth and nutrition.
  • Your child's behavior and development.
  • Questions about puberty.
  • Your child's sleeping habits.
  • Any concerns about your child's math or reading skills.
  • Your childcare arrangements before and after school.
  • Your child's interests and talents.
  • Any other concerns you have.

Things your child may want to discuss at this visit:

  • How to handle pressure from his friends to do things he doesn't want to do.
  • Questions about growing up, body changes and sex.

Things to keep in mind:

  • Your child should continue to use the belt-positioning booster seat until he or she is 4 feet 9 inches tall. Or your child should continue to ride in the back seat until age 12, as it is safest for your child. Always use a seat belt.
  • Praise accomplishments and provide support in areas where your child is struggling.
  • Encourage your child to do many different activities like music, arts and crafts, sports, and other activities of interest. But don’t overschedule and allow for some free time.
  • Warn your child about the dangers of tobacco, alcohol and drugs.
  • Reinforce pedestrian (walking), bicycle, water and sports safety with your child.
  • Make sure your child always wears a bike helmet and other protective sports gear.
  • Review home safety rules, including what to do when home alone.
  • Prevent gun injuries by not having a gun at home. If you do have a gun, keep it unloaded and locked away. Ammunition should be locked up separately.
  • Teach your child to swim and always supervise your child in the water. Teach your child never to go swimming unless an adult is watching.
  • Apply sunscreen of SPF 30 or higher on your child at least 15 minutes before going outside. Reapply every 2 hours.
  • Limit your child’s exposure to secondhand smoke.
  • Make sure your child brushes his teeth at least two times each day, including just before bed, flosses once a day. and  visits the dentist every six months.
  • Teach your child to make healthy choices for meals and snacks, including plenty of fruits and vegetables, breads, cereals, and other whole-grain products, low-fat dairy products, and lean meats.
  • Help prepare your child for puberty and sexual development (menstrual periods, wet dreams).
  • Remind your child that his or her private areas are private, and that no one else should touch them or ask him or her to touch their private areas.
  • Encourage regular physical activity and personal hygiene.
  • Make sure your child gets enough sleep.
  • Set reasonable but challenging expectations for family responsibilities, school performance and other activities.
  • Limit television, video watching, and video games to one to two hours per day. Watch programs with your child and discuss them.
  • Monitor your child's Internet usage.
  • Encourage reading and hobbies.

Schedule an appointment for your child’s next visit, usually at 11 years of age.

Date:_________________________ Time:_________________________

Based on health supervision guidelines from the American Academy of Pediatrics and from Bright Futures, which is funded by the U.S. Department of Health and Human Services, under the direction of the Maternal and Child Health Bureau.

Last updated August 27, 2014

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