age 3 dys 2 wks 2 mo 4 mo 6 mo 9 mo 12 mo 15 mo 18 mo 2 yrs 3 yrs 4-5 y 6-8 y 9-12 y 13-16 17-20 range of age 3-5 dy 2-4 wknext CHDP (minimum) 7 dys 1 mo 2 mo 2 mo 3 mo 3 mo 3 mo 3 mo 6 mo 1 yr 1 yr 2 yrs 3 yrs 4 yrs 4 yrs 4 yrsweight & lengthhead circBMIBPhearingvisionHgb a aLead b bIzs c c cTB risk assessment durine dipPEDSearly educationROR bookFl varnishdental referralHEADSSpelvic/PAP/chlamydiaM-CHATDepression Screen

a - perform if not done previously core pediatricb - perform if not done previously developmental c - catch-up as necessary dental d - all prior to school entry adolescent

Low Risk Intermediate Risk High Risk• Regular well-child

care

• Full-term birth

• Maternal prenatal

care

• Normal birthweight

• Normal growth

• Adequate financial

resources

• Healthy parent

• Two-parent family

• Family history of

developmental

problems

• Intermittent wellchild

care

• Intermittent maternal

prenatal care

• Prenatal tobacco

exposure

• Feeding/growth

problem

• Multiple caregivers

• Stressed parent

• Single-parent family

• Infrequent well-child care. No

maternal, paternal care

• Premature birth

• Prenatal exposure to drugs alcohol

• Low birthweight

• Genetic disorder

• Chronic illness

• Feeding/growth disorder

• Poverty

• Foster care

• International adoption

• Parental depression, mental illness, or substance abuse

• Exposure to lead, toxins

• Teen parent

• Family history of developmental problems