2306 N. ALEXANDER DR, BAYTOWN, TX 77520
hummingbirdpediatrics@gmail.com
Phone: (281) 628-7442
Fax: (281) 837-7156

WELL CHILD VISITS

WELL CHILD VISITS

Your child should receive routine well care visits as seen in the following intervals. Prior to each visit, select your child’s age group to see exactly what to expect on the day of your appointment. Keeping up with the well care visits schedule ensures you that your child is up to date with everything from screenings to immunizations to labs due for each visit.

Congratulations! Your baby is finally here. Newborns are wonderful and they are a handful! Having family and friends as a support system can be extremely helpful. Make sure all visitors wash their hands well prior to being near your baby. Do not allow others to kiss your baby on the face and ask that if they are sick that they please visit another day. Your baby’s first visit to our office takes place during his or her first week of life, usually 1-2 days after you are discharged from the hospital.

This visit includes:

  • Checking your baby’s weight and vitals
  • Discussing your baby’s feedings
  • Checking for jaundice
  • Administration of Hepatitis B vaccine (if not done in hospital)
  • Scheduling an appointment for a hearing screen (if failed in hospital)
  • Addressing any questions or concerns you may have about your new baby.

Immunizations: Hepatitis B (if needed)

• Bright Futures Parent Info

At the time of the 2-week visit, feedings, sleep and bowel habits are common discussions. It is not uncommon for your baby to lose weight right after birth, but by 2 weeks of age they usually have regained and are back to their birth weight. Always remember the safest sleeping position for your baby is on his or her back flat, and in a separate space without blankets, pillows or fluffy toys, to reduce the risk of SIDS.

This visit includes:

  • Getting your baby’s weight, height and head circumference to check their progress along the growth chart.
  • Discuss the use of Vitamin D supplements for your baby if you are breastfeeding.
  • Screening mom for Post Postpartum Depression and providing resources if needed
  • Sending your baby for their 2nd Newborn Screen
  • No immunizations are done at this visit unless still needed first dose of Hepatitis B
  • Addressing any questions or concerns you may have about your baby.

Immunizations: Hepatitis B (if needed)

Tests/Screens/Assessments: Post-Partum Depression Assessment

At this visit we continue to track your baby’s growth along the growth chart, and we address any questions or concerns you may have. No immunizations are done at this time. Mom is screened for Postpartum Depression and is provided with resources if needed. Bright Futures Parent Info:

• Bright Futures Parent Info

Your baby may be fussier at this age. Things like colic, gas or intolerance to their formula or breastmilk can all be contributing factors to fussiness and excessive crying. Be patient. Fussy babies eventually outgrow their crying phase. Keeping your baby safe is the most important thing.

This visit includes:

  • Getting your baby’s weight, height and head circumference to check their progress along the growth chart.
  • Screening mom for Post Postpartum Depression and providing resources if needed
  • Administration of your baby’s first set of vaccines. Vaccines are a safe and effective in helping to keep your child healthy. During this visit, your pediatrician will go over what to expect with vaccines and answer any other questions you may have.
  • Address any issues or concerns you may have

Immunizations:Pediarix (combo of Dtap, IPV, and Hepatitis B), PCV, and Rotavirus

Tests/Screens/Assessments: Post-Partum Depression Assessment, Ages and Stages Developmental Assessment (ASQ)

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Your baby is now more active, be careful to not leave your baby unattended, especially on a bed, couch or counter. Your baby should only be doing either breast feedings or formula feeds for until about 6 months of age. Your pediatrician will give you recommendations of when, what and how, to start introducing your baby to solids at this visit.

This visit includes:

  • Getting your baby’s weight, height and head circumference to check their progress along the growth chart.
  • Administer immunizations
  • Discuss the introduction of foods/solids
  • Address any issues or concerns you may have

Immunizations: Pentacel (combo of Dtap, HIB, and IPV), PCV, and Rotavirus

Tests/Screens/Assessments: Ages and Stages Developmental Assessment (ASQ)

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Your baby is most likely moving and doing a lot more now. You may notice that by now he or she starts to sit up on their own for short periods of time. Although exciting, it is not time to put your baby in a walker with wheels just yet. This can be dangerous or may delay the walking stage. Baby-proofing your home and moving the baby’s mattress in the crib to the lowest level possible is recommended by now.

This visit includes:

  • Getting your baby’s weight, height and head circumference to check their progress along the growth chart.
  • Administer immunizations
  • Administer a Fluoride Oral Varnish (if teeth are now present)
  • Address any issues or concerns you may have

Immunizations: Pediarix (combo of Dtap, IPV, and Hepatitis B), PCV, and Rotavirus

Tests/Screens/Assessments: Ages and Stages Developmental Assessment (ASQ), Lead screening, Fluoride Varnish

• Bright Futures Parents Info

Your baby may be even more mobile by now! You may notice him or she starting to crawl, pulling to stand and cruising on furniture. Babies will try to touch and get into everything so be patient!

This visit includes:

  • Getting your baby’s weight, height and head circumference to check their progress along the growth chart.
  • Administer a Fluoride Oral Varnish (if teeth are now present)
  • Address any issues or concerns you may have

Immunizations: No vaccines at this time

Tests/Screens/Assessments: Ages and Stages Developmental Assessment (ASQ), Lead screening, Fluoride Varnish

• Bright Futures Parents Info:

Your baby may be starting to take a few steps without support by now or may even be walking. At this age it is also safe to transition your baby from breast milk or formula to cow’s milk. Babies need up to 16-20 ounces of milk, solid foods and about 2-3 snacks per day. Be careful to avoid small, hard foods that can cause choking. This is also the time to wean your baby off the bottle and give liquids in sippy cups. Weaning your baby from the bottle may also promote oral health by preventing cavities!

This visit includes:

  • Getting your baby’s weight, height and head circumference to check their progress along the growth chart
  • Administer immunizations
  • Administer a Fluoride Oral Varnish
  • Sending your baby for a Hemoglobin and Lead blood draw
  • Address any issues or concerns you may have

Immunizations: ProQuad (combo of MMR and Varicella), Hepatitis A

Tests/Screens/Assessments:Ages and Stages Developmental Assessment (ASQ), Lead screening, TB screening, Fluoride Varnish, Hemoglobin and Blood Lead testing

• Bright Futures Parents Info:

Your child may be getting into everything and anything now and is probably able to run or climb. Keep emergency numbers handy, remember they are available for you 24 hours a day:

Emergency 911

Poison Control 1-800-222-1222

This visit includes:

  • Getting your child’s weight, height and head circumference to check their progress along the growth chart.
  • Administer immunizations
  • Administer a Fluoride Oral Varnish
  • Address any issues or concerns you may have

Immunizations: Dtap, HIB and PCV

Tests/Screens/Assessments: Ages and Stages Developmental Assessment (ASQ), Lead screening, Fluoride Varnish

• Bright Futures Parents Info

Your child may understand more words than what he or she can say. Practice reading and singing to your child often as well as using descriptive words when they show emotions.

This visit includes:

  • Getting your child’s weight, height and head circumference to check their progress along the growth chart.
  • Administer immunizations
  • Review your child’s development with the Ages and Stages/MCHAT (Autism) Questionnaires
  • Administer a Fluoride Oral Varnish
  • Discuss tantrums and behavioral
  • Address any issues or concerns you may have

Immunizations: Hepatitis A #2

Tests/Screens/Assessments: Ages and Stages Developmental Assessment (ASQ), M-CHAT Questionnaire, Tb screening, Lead screening, Fluoride Varnish

• Bright Futures Parents Info

At this age, it is not uncommon for your child to cling on to you. It is also common for he or she to become more of a picky eater. Do not make your child foods different from the rest of the family. Let your child decide what he or she wants and how much they want to eat from what you provided.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Discuss toilet training and time out
  • Administer a Fluoride Oral Varnish
  • Address any issues or concerns you may have

Immunizations:No immunizations at this time

Tests/Screens/Assessments: Ages and Stages Developmental Assessment (ASQ), M-CHAT Questionnaire, Tb screening, Lead screening, Fluoride Varnish

• Bright Futures Parents Info

Your toddler is at the “do-it-myself” age. They aren’t really babies anymore

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Administer a Fluoride Oral Varnish
  • Address any issues or concerns you may have

Immunizations: No immunizations at this time

Tests/Screens/Assessments: Ages and Stages Developmental Assessment (ASQ), Lead screening, Fluoride Varnish

• Bright Futures Parents Info

Your child is most likely playing pretend and giving life to their imagination. Playing dress up and make believe is important at this age. It is important to read, sing and games along with your child each day.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations: No immunizations at this time

Tests/Screens/Assessments: Ages and Stages Developmental Assessment (ASQ), Lead screening, Tb screening

• Bright Futures Parents Info

Four years like to sing, tell stories and dance. Enjoy these moments with them! Parents should continue to promote dental hygiene by observing them while they brush their teeth all on their own.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Administer immunizations
  • Address any issues or concerns you may have

Immunizations: Kinrix (combo Dtap and IPV), ProQuad (combo MMR and Varicella)

Tests/Screens/Assessments: Ages and Stages Developmental Assessment (ASQ), Lead screening, Tb screening

• Bright Futures Parents Info

Your child is more independent. A regular bedtime and routine are important. Show interest in what they are learning!

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations: No immunizations at this time

Tests/Screens/Assessments: Ages and Stages Developmental Assessment (ASQ), Lead screening, Tb screening

• Bright Futures Parents Info:

Encourage organization with school-work and ensure good bedtime routines. Teach your child what to do in case of emergencies.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Review your child’s speech and development.
  • Discuss exercise and nutrition
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations: No immunizations at this time

Tests/Screens/Assessments:Tb screening

• Bright Futures Parents Info

Encourage good nutrition and exercise for your child as this is the time he or she is building good health habits.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Review your child’s school performance and development.
  • Discuss exercise and nutrition.
  • Review safety issues.
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations: No immunizations at this time

Tests/Screens/Assessments:Tb screening

• Bright Futures Patients Info

Always make sure your child follows safety habits while riding their bike, skateboarding and skating.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Review your child’s school performance and development.
  • Discuss exercise and nutrition.
  • Review safety issues.
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations: No immunizations at this time

Tests/Screens/Assessments:Tb screening

• Bright Futures Parents Info

• Bright Futures Patients Info

Your child be is becoming more responsible and will be able to take on more tasks such as taking care of his/her own room. He or she may also start reading independently for pleasure.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Review your child’s school performance and development.
  • Discuss exercise and nutrition.
  • Review safety issues.
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations: No immunizations at this time

Tests/Screens/Assessments:Tb screening

• Bright Futures Parents Info

• Bright Futures Patients Info

Your 10 year old still requires adult supervision when you are away. Watching TV with your child allows you to discuss any controversial topics that may come up.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Review your child’s school performance and development.
  • Discuss exercise and nutrition.
  • Discuss puberty changes to expect or that may be starting to occur.
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations: No immunizations at this time

Tests/Screens/Assessments:Tb screening, CRAFT substance abuse screening

• Bright Futures Parents Info

• Bright Futures Patients Info

Your child may be transitioning to middle school at this age. He or she may be participating in more group activities. Expand your conversations about healthy living practices to include tobacco, drug and alcohol avoidance.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart
  • Administer vaccines.
  • Address any issues or concerns you may have

Immunizations: MCV, Tdap, and optional HPV

Tests/Screens/Assessments:Tb screening, CRAFT substance abuse screening, Dyslipidemia lab testing Bright Future Parents Info:

• Bright Futures Parents Info:

• Bright Futures Patients Info

Your child will be in middle school at this age. Continue your conversations about healthy living practices to include tobacco, drug and alcohol avoidance. Your child should be able to assume more responsibility for personal hygiene and chores.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Review your child’s school performance and development.
  • Complete sports forms and discuss sport safety (if your child is participating in sports).
  • Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet.
  • Discuss puberty changes to expect or that may be starting to occur.
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations:No immunizations at this time unless behind

Tests/Screens/Assessments:Tb screening, CRAFT substance abuse screening, PHQ-9 Depression screen

• Bright Futures Parents Info

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Even though friends are becoming more important at this age, having a caring adult to provide a listening ear and from which to obtain accurate health information is equally important. Foster open communication with your child.

During the teen years, we provide the opportunity for your teen to have at least a portion of the visit with the parent out of the room.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Review your child’s school performance and development.
  • Complete sports physical forms and discuss sport safety (if your child is participating in sports).
  • Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet.
  • Discuss puberty changes to expect or that may be starting to occur.
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations:No immunizations at this time behind

Tests/Screens/Assessments:Tb screening, CRAFT substance abuse screening, PHQ-9 Depression screen

• Bright Futures Parents Info

• Bright Futures Patients Info

Your child may be showing an increasing interest in extracurricular activities. Have conversations about risk taking behaviors, driving, alcohol, drug use, family rules and expectations. Discuss media and internet safety. Make certain that they have an adult they can confide in if they are unable to communicate with you. There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

During the teen years, we provide the opportunity for your teen to have at least a portion of the visit with the parent out of the room.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Complete sports physical forms and discuss sport safety (if your child is participating in sports).
  • Review your child’s school performance and development.
  • Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet.
  • Discuss puberty changes to expect or that may be starting to occur.
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations:No immunizations at this time unless behind

Tests/Screens/Assessments:Tb screening, CRAFT substance abuse screening, PHQ-9 Depression screen

• Bright Futures Parents Info

• Bright Futures Patients Info

Your child may be adjusting to the transition to high school. Development of family relationships continues to be important, but it is also normal for teens to place more and more emphasis on their peer relationships. There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

During the teen years, we provide the opportunity for your teen to have at least a portion of the visit with the parent out of the room.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Complete sports forms and discuss sport safety (if your child is participating in sports).
  • Review your child’s school performance.
  • Reinforce healthy choices and risk behavior avoidance.
  • Perform any recommended yearly screening tests (depending on family history, sexual activity etc.).
  • Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet.
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations:No immunizations at this time unless behind

Tests/Screens/Assessments:Tb screening, CRAFT substance abuse screening, PHQ-9 Depression screen

• Bright Futures Parents Info

• Bright Futures Patients Info

You are solidly in the teen years! It is exciting to see the wonderful person your child is becoming. Possible conflict can arise at this time as your teen assesses your family values versus those of culture and peers.

During the teen years, we provide the opportunity for your teen to have at least a portion of the visit with the parent out of the room.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Administer vaccines.
  • Complete sports forms and discuss sport safety (if your child is participating in sports).
  • Review your child’s school performance.
  • Reinforce healthy choices and risk behavior avoidance.
  • Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet. Address any issues or concerns you may have

Immunizations:MCV #2, Men B (optional)

Tests/Screens/Assessments:Tb screening, CRAFT substance abuse screening, PHQ-9 Depression screen

• Bright Futures Parents Info

• Bright Futures Patients Info

Your child is getting closer to finishing high school and entering the adult world. Making mistakes are a normal part of growing up. Continue to provide emotional support and guidance for them during this time. There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

During the teen years, we provide the opportunity for your teen to have at least a portion of the visit with the parent out of the room.

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Complete sports forms and discuss sport safety (if your child is participating in sports).
  • Review your child’s school performance.
  • Reinforce healthy choices and risk behavior avoidance.
  • Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet.
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations: No immunizations at this time

Tests/Screens/Assessments:Tb screening, CRAFT substance abuse screening, PHQ-9 Depression screen

• Bright Futures Parents Info

• Bright Futures Patients Info

Your child is now transitioning to adult life! They will still look to you for support and guidance but will be more on their own when it comes to decision making. At the time of this visit we also discuss the transition from Pediatrics to Adult Medicine

This visit includes:

  • Getting your child’s weight, height and body-mass index to check their progress along the growth chart.
  • Discuss transitions to life after high school—whether that be work, travel, vocational school or college.
  • Discuss importance of responsible decision making and recognizing healthy -vs- unhealthy relationships.
  • Complete college physical forms and any required college screening labs/tests.
  • Reinforce healthy choices and risk behavior avoidance.
  • For the most part, no vaccines are due at this visit. Your child may need immunizations if they are behind on their shots or during flu season.
  • Address any issues or concerns you may have

Immunizations:No immunizations at this time

Tests/Screens/Assessments:Tb screening, CRAFT substance abuse screening, PHQ-9 Depression screen

• Bright Futures Parents Info