Presents for a 18-month well-child check-up
Accompanied by:
Current symptoms or caregiver concerns:
Vitamin D 400 IU/day:
Vegeterian diet:
Appetite:
Food insecurity:
- Avoid foods high in sugar or salt
- Avoid small, hard pieces / choking prevention
- Promote independent/self-feeding
Parenting/bonding:
Family conflict/stress:
Second hand smoke exposure:
- Healthy sleep habits (11-14 hrs per day)
- Promote physical activity
- Fall prevention (stairs, change table, unstable furniture/TV)
- Poison prevention (poison control center)
- Car seat (child/booster)
- Protect electric plugs/cords
- Limit sun exposure / sunscreens
- Dental cleaning twice a day
Interested in other children:
Usually casy to soothe:
Child's behaviour is usually manageable:
Comes for comfort when distressed:
Points to several different body parts:
Tries to get your attention to show you something:
Turns/responds when name is called:
Points to what helshe wants:
Looks for toy when asked or pointed in direction:
Imitates speech sounds and gestures:
Says 15 or more words (do not have to be clear):
Produces 4 consonants (e.g. BDGHNW):
Feeds self with spoon with little spilling:
Walks alone:
Removes hat/socks without help:
General appearance:
Head: fontanelles , Eyes: -R: , -L: , Ears: -R: , -L:
Nose: , , discharge , Heart: ,
Lungs: ,
Abdomen: , , , Genital: , testicles , penis Extremities: , , cap refill
Musculoskeletal: joints , Neurologic: cranial nerves , strength , sensation , reflexes , cerebellar function , gait
Mental status: , , reactive to Developmental milestones: motor: , communication: , social/emotional: , cognitive: , adaptive:
- Blood work: if at risk of anemia, if at risk
- Hearing screening if speech delay or doubt on hearing acuity
- Caregiver questions answered
- Iron supplementation if not consuming iron-rich foods
- Vitamin D supplementation
- MMR-varicella vaccine