| Contributing Authors | xiii |
| Preface | xvii |
| I. | Components of the Well-Child Visit | |
| 1. | Introduction and Overview of the Well-Child Visit | 3 |
| 2. | History | 9 |
| 3. | Physical Examination | 15 |
| 4. | Newborn Screening | 21 |
| 5. | Screening Tests in Well-Child Care | 31 |
| 6. | Immunizations | 34 |
| 7. | Nutrition | 43 |
| 8. | Breast Feeding | 54 |
| 9. | Anticipatory Guidance | 70 |
| 10. | Injury Prevention: A Guide for Pediatricians | 74 |
| 11. | Infant Dental Care | 84 |
| 12. | Normal Speech and Language Development | 87 |
| 13. | Normal Motor and Cognitive Development | 95 |
| 14. | Preparticipation Sports Physical | 111 |
| 15. | Adolescent Health Maintenance Supervision--Overview | 117 |
| II. | Well-Child Visits by Age and Developmental Stage | |
| 16. | Well-Child Visits: Prenatal | 127 |
| 17. | Well-Child Visits: Newborn | 129 |
| 18. | Well-Child Visits--Early Postnatal: 1 to 2 Weeks | 132 |
| 19. | Well-Child Visits--Infancy: 2, 4, 6, and 9 Months | 135 |
| 20. | Well-Child Visits--Toddler: 12, 15, and 18 Months | 146 |
| 21. | Well-Child Visits--Early Childhood: 2 to 3 Years | 155 |
| 22. | Well-Child Visits--Preschool Age: 4 to 5 Years | 161 |
| 23. | Well-Child Visits--Elementary School Age: 6 to 11 Years | 168 |
| 24. | Health Maintenance Visits--Early Adolescence: 12 to 14 Years | 175 |
| 25. | Health Maintenance Visits--Middle Adolescence: 15 to 17 Years | 182 |
| 26. | Health Maintenance Visits--Late Adolescence: 18 to 21 Years | 189 |
| III. | Behavioral and Developmental Aspects of the Well-Child Visit | |
| 27. | Attention Deficit Hyperactivity Disorder: Evaluation | 197 |
| 28. | Attention Deficit Hyperactivity Disorder: Management | 212 |
| 29. | Behavior Management and Discipline | 215 |
| 30. | Biting | 226 |
| 31. | Bullying and Teasing | 229 |
| 32. | Children Exposed to Domestic Violence | 236 |
| 33. | Developmental Delay: Evaluation and Management | 240 |
| 34. | Managing Difficult Interactions with Parents | 244 |
| 35. | Eating and Mealtime Behavior | 250 |
| 36. | Homework | 255 |
| 37. | Lying | 258 |
| 38. | School Avoidance | 262 |
| 39. | School Failure | 266 |
| 40. | School Readiness | 272 |
| 41. | Sexuality in Well-Child Care | 276 |
| 42. | Sibling Rivalry | 280 |
| 43. | Sleep and Bedtime Behaviors | 283 |
| 44. | Speech and Language Disorders in Children | 291 |
| 45. | Childhood Stuttering | 302 |
| 46. | Temper Tantrums and Breathholding Spells | 308 |
| 47. | Thumbsucking | 312 |
| 48. | Toilet Training | 316 |
| IV. | Miscellaneous Topics in Pediatric Primary Care | |
| 49. | Telephone Medicine in Primary Care | 321 |
| 50. | Computers, the Internet, and the Primary Care Physician | 330 |
| 51. | Ethical Issues in Pediatric Primary Care | 336 |
| 52. | Enhancing the Child/Parent/Provider Relationship in Primary Care Pediatrics | 341 |
| 53. | Teaching and Learning in the Primary Care Setting | 349 |
| 54. | Cultural Sensitivity and Competency in the Primary Care Setting | 354 |
| 55. | Contraception | 357 |
| V. | Appendices | |
| A. | Infant Formula Composition | 367 |
| 1. | Infant formula composition--standard formulas | 368 |
| 2. | Infant formula composition--specialized formulas | 369 |
| B. | Blood Pressure Norms | 370 |
| 1. | Blood pressure norms, girls | 371 |
| 2. | Blood pressure norms, boys | 373 |
| C. | Clinical Stages of Pubertal Development | 375 |
| D. | Sequence of Sexual Maturity | 376 |
| E. | Denver Developmental Screening Test--II | 377 |
| F. | Early Language Milestone Scale | 378 |
| G. | Preschool Children's Behavior Checklist | 380 |
| H. | Pediatric Symptom Checklist for School-Age Children | 382 |
| I. | Adolescent Previsit Questionnaire | 384 |
| J. | Body Mass Indices | 386 |
| 1. | Body mass index nomogram | 386 |
| 2. | Body mass index-for-age percentiles, girls | 387 |
| 3. | Body mass index-for-age percentiles, boys | 388 |
| K. | Growth Charts | 389 |
| 1. | Weight for age, girls, birth to 36 months | 389 |
| 2. | Length for age, girls, birth to 36 months | 390 |
| 3. | Head circumference, girls, birth to 36 months | 391 |
| 4. | Weight for length, girls, birth to 36 months | 392 |
| 5. | Weight for age, girls, 2 to 20 years | 393 |
| 6. | Stature for age, girls, 2 to 20 years | 394 |
| 7. | Weight for stature, girls | 395 |
| 8. | Weight for age, boys, birth to 36 months | 396 |
| 9. | Length for age, boys, birth to 36 months | 397 |
| 10. | Head circumference, boys, birth to 36 months | 398 |
| 11. | Weight for length, boys, birth to 36 months | 399 |
| 12. | Weight for age, boys, 2 to 20 years | 400 |
| 13. | Stature for age, boys, 2 to 20 years | 401 |
| 14. | Weight for stature, boys | 402 |
| 15. | Growth velocity--girls | 403 |
| 16. | Growth velocity--boys | 404 |
| 17. | Premature growth chart | 405 |
| L. | Recommended Routine Childhood Immunization Schedule | 406 |
| Subject Index | 409 |