4- 6 YEARS OLD CHILDREN MONITORING

During this period, a check is done annually.

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

II. Problem: • Complete the missing information of the child in the registration system • Question the child's vaccinations (A7)

III. Perform a complete systemic examination of the child • Wash hands before starting the examination (W11) • Measure the height of the child, weigh the child, calculate the body mass index, plot your findings on the growth curves (Y3, Y28) • Look at the child's general appearance • Examine the skin • Head and neck perform examination • Assess breathing and heart, palpate arterial femoral pulses • Measure the child's blood pressure (Y24, AŞ23) • Assess for the risk of hyperlipidemia (P25) • Assess the child's hearing, inquire whether hearing screening has been performed in the first grade of primary school • Evaluate the child's vision and If visual acuity examination is not performed at the age of 3, have it done in the 4-6 age group • Question urinary tract infection (Y18)

IV. Measure Hb and / or Htc in order to evaluate the anemia of the child during the 5th age follow-up and record the result in the system.

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)

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

VII. Provide counseling to the mother and / or the child on the following issues • Nutrition in accordance with the age (Y29) • Healthy communication with the child, the family's teaching the child's name and surname, giving the child responsibility for housework 39 • Protection from accidents (Y12a-b), providing traffic education to the child • Dental health (Y21) • Physical activity (Y27) • Preschool education • Reproductive health

VIII. Incorporate your findings into your records

IX. If you detect a problem in the child during your assessment, act according to the relevant instructions, refer the child to a specialist when necessary.

X. Answer the family and child's questions and provide leaflets with recommendations given

XI. Make an appointment for a check after 1 year.