CHILDREN'S MONITORING BETWEEN 13 -36 MONTHS

During this period, a check is made every 6 months.

Greet the mother and child and establish appropriate communication (SA13)

II. Problem: • Complete the missing information of the child in the registration system • Ask how breastfeeding is going • Question the child's vaccinations (SA7) • Assess the child for anemia (AŞ22)

III. Evaluate the child according to AŞ 19

IV. Perform a complete systemic examination of the child • Wash hands before starting the examination (W11) • Measure head circumference and height, weigh the child, mark your findings on growth curves (H3) • Record the size of the fontanel (the front fontanel can close up to 18 months) • See the child's general appearance • Skin Examine the head and neck (AŞ13) • Evaluate the breathing and heart, palpate the arterial femoral pulses • Measure the blood pressure of the 3-year-old child (Y24, AŞ23) • Assess the children aged 2 years and over for the risk of hyperlipidemia (P25) • The child's hearing Assess (Y8) • Assess child's vision (Y9a-b, AŞ7b) Perform visual acuity examination at age 3 (Refer children with reduced visual acuity or difference between two eyes for evaluation) • Examine reproductive organs (AŞ14) • Urinary tract infection Question (Y18) • Evaluate the child's walking in terms of developmental hip dysplasia (Y19)

V. Pay attention to the attitudes and behaviors that suggest that the child may be neglected or abused in the story, background and child-family relationship (Y20a). When evaluating physical examination findings, do not ignore the possibility of abuse and / or neglect (Y20b) 35

VI. If there is a problem you have detected in previous follow-ups, re-evaluate it.

VII. Assess and support the child's development using the "Development Monitoring and Evaluation Guide" (Y15, AŞ 15-16).

VIII. Counsel the mother on the following issues • Breastfeeding (up to at least 2 years of age) • Age-appropriate nutrition (Y22-23) • Healthy communication with the child (AŞ16) • Toilet training (P26) • Significant disease findings (AŞ19) • Physical activity (Y27) • Protection from accidents (Y12a-b) • Dental health (Y21) • Reproductive health

IX. Incorporate your findings into your records

X. If you detect a problem in the child during your evaluation, act according to the relevant instructions, refer the child to a specialist when necessary (AŞ19)

XI. Answer the family's questions and provide leaflets with recommendations provided

XII. Make an appointment for a check up 6 months later.