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All is Well Wednesday Week 7: One Year Old

0493888001600274191.jpgWelcome to All is Well Wednesdays!


On Wednesdays, we will be highlighting a well visit starting with the very first newborn visit all the way to adulthood. That’s over 30 routine visits alone! While every patient is unique and no two visits will be the same, the intent of this post is to give a general idea of what will happen at each visit.

This week is the one year visit.



  • Labs: 

On this visit, your child will have a small finger poke to do a complete blood count and lead level. These tests are performed on-site and you will know the results today.

  • Complete Blood Count (CBC) is useful for assessing the overall health of the patient and checking for conditions such as anemia and infection. Among the components measured are white blood cells that fight infections, red blood cells that are responsible for carrying oxygen in the blood,  and platelets which are involved in clotting.
  • Lead level- There has been no established safe blood lead levels. Increased exposure to lead can have detrimental effects on the development of children, including lower IQ and poorer academic performance. The long term effects of lead poisoning are not reversible so early detection is key. As babies are becoming more mobile and exploring their environment, things inevitably end up in their month. The most common source of lead in the environment is from paint chips of houses built before 1978, but it can also be in soil that food is grown in, toys, furniture, etc. If your child is found to have an elevated level, they will need recheck to confirm in 1-3 weeks. 


  • Immunizations: 

    • Measles, Mumps, Rubella (MMR)

    • Varicella (chickenpox)

    • Hepatitis A

    • Seasonal influenza if appropriate

As with other vaccines, your child may run a fever and  be extra sleepy or fussy. This usually starts within 24 hours and lasts 1-2 days. He may also have a local reaction at the site of the injections, including swelling, tenderness, and heat. This also starts within 24 hours but may last a few days longer. MMR and chickenpox vaccines are live (attenuated) vaccines. This means the vaccine is made of weakened virus forms. Attenuated vaccines enable a strong and long lasting immunity without causing actual disease. These vaccines, in particular, may cause a delayed reaction of fever and rash a week or so later. We like to let parents know to expect this, so it’s not a surprise. 


Click here to review our previous post 

 Why Do We Recommend Vaccines?


  • Surveys: Remember to visit shultspediatrics.com before your visit to check for any surveys.

    • Ages & Stages, 12 months 

The Ages & Stages Questionnaire (ASQ) is a developmental screening tool used to assess your child’s development periodically through 5 years old. The parent completes the age specific questionnaire before the visit to help the pediatrician gauge the child’s development in five domains: Communication, Fine Motor, Gross Motor, Personal-Social and Problem-solving. Please, allow 15-20 minutes to complete the survey. It is helpful to have your child with you when completing to better answer some of the questions.

  • Next routine well visit: 15 months old. There will be vaccines on this visit. 

Take care and remember we are here if you need us! 







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