Child Guidelines


Prevent serious disease by keeping up on the following immunizations.

MMR, MEASLES, MUMPS, RUBELLA – 2 doses age 15 months and 4-6 years.

HIB, Haemophilus Influenza B – 4 doses ages 2,4,6, and 15 months.

Polio – 4 doses ages 2,4,6 months and age 4-6 years.

DPT, Diphtheria, Tetanus, Pertussis – 5 doses ages 2,4,6, and

15 months and age 4-6 years.

Tetanus booster – every 10 years

Chickenpox, varicella – 1 dose at any time after age 1.

Hepatitis B – 3 doses over 6 months preferred in first 6 months of life.

Hepatitis A – 2 doses given 1 month apart in first year of life.

Pneumovax – 1 dose for those at risk of pneumonia: No spleen, diabetes, cancer, and asthma

VISION AND HEARING. Should be tested at age 3-4 years and extra checks
*Cross-eyed, squinting, headaches, poor school performance, blurred or
double vision.
*Poor response to noise or voices, slow language and speech or abnormal
*Very loud noises such as with headphones and firecrackers can damage hearing.

BLOOD TESTS. LEAD. Check at about age 1, If you live in a house built prior to 1978.

ANEMIA. check at age 1 or if your child is pale and weak.

Cholesterol. Check after age 2 if family members have high cholesterol or heart disease.

TB skin test. If any family member or close contact has had TB or if they
have lived in Asia, Africa, Central America, South America, Caribbean
or Pacific islands, or have lived on a Native American reservation or in a
homeless shelter.

SAFETY. Child safety seats secured in the middle of the rear seat of the
auto must be used for all children less than 40 pounds.

Keep all guns and weapons locked up with the ammunition secured elsewhere.

Learn CPR and teach your child how to call 911.

Teach your child the hazards of smoking, drinking, and doing drugs. Remind
them often.

Keep poisons in locked high cabinets. Have the poison control center number readily available.

Check your hot water that it is not over 120 degrees to prevent scalding.

Have a smoke detector in each section of the house and test it regularly.

Cover unused electrical outlets with plastic guards if small children are ever in the home.

Don’t give small children things they could choke on such as: coins, balloons, hot dogs, peanuts, hard candies, small toy parts, marbles. Know how to do the Heimlich maneuver.

Use tall fences and locked gates to swimming pools.

Wear helmets for riding bicycles and other protective equipment for skating,
rollerblading, etc.

Place sleeping infants on their side or back, not on their stomach to help
prevent Sudden Infant Death

CHECKUP VISITS. Regular visits for checkups when your child is well help
us to monitor your child for problems that may otherwise be neglected.
Concerns at these visits are often: growth, development, immunizations,
medications, sleep, toilet training, nutrition, oral health, sexuality and
eventually birth control, tobacco, alcohol, drugs, AIDS, etc.