Bright Futures

9 and 10 Year Visits

Here are some suggestions from Bright Futures experts that may be of value to your family.

Encourage your child to be independent and responsible. Hug and praise her.
Spend time with your child. Get to know her friends and their families.
Take pride in your child for good behavior and doing well in school.
Help your child deal with conflict.
If you are worried about your living or food situation, talk with us. Community agencies and programs such as SNAP can also provide information and assistance.
Don’t smoke or use e-cigarettes. Keep your home and car smoke-free. Tobacco-free spaces keep children healthy.
Don’t use alcohol or drugs. If you’re worried about a family member’s use, let us know, or reach out to local or online resources that can help.
Put the family computer in a central place.
- Know who your child talks with online.
- Install a safety filter.

Take your child to the dentist twice a year.
Give your child a fluoride supplement if the dentist recommends it.
Help your child brush her teeth twice a day
- After breakfast.
- Before bed.
Use a pea-sized amount of toothpaste with fluoride.
Help your child floss her teeth once a day.
Encourage your child to always wear a mouth guard to protect her teeth while playing sports.
Encourage healthy eating by
- Eating together often as a family.
- Serving vegetables, fruits, whole grains, lean protein, and low-fat or fat-free dairy.
- Limiting sugars, salt, and low-nutrient foods.
Limit screen time to 2 hours (not counting schoolwork).
Don’t put a TV or computer in your child’s bedroom.
Consider making a family media use plan. It helps you make rules for media use and balance screen time with other activities, including exercise.
Encourage your child to play actively for at least 1 hour daily.

Be a model for your child by saying you are sorry when you make a mistake.
Show your child how to use her words when she is angry.
Teach your child to help others.
Give your child chores to do and expect them to be done.
Give your child her own personal space.
Get to know your child’s friends and their families.
Understand that your child’s friends are very important.
Answer questions about puberty. Ask us for help if you don’t feel comfortable answering questions.
Teach your child the importance of delaying sexual behavior. Encourage your child to ask questions.
Teach your child how to be safe with other adults.
- No adult should ask a child to keep secrets from parents.
- No adult should ask to see a child’s private parts.
- No adult should ask a child for help with the adult’s own private parts.

Smoking Quit Line: 800-784-8669 | Family Media Use Plan: www.healthychildren.org/MediaUsePlan | Information About Car Safety Seats: www.nhtsa.gov/campaign/right-seat | Toll-free Auto Safety Hotline: 888-327-4236

The back seat is the safest place to ride in a car until your child is 13 years old.
Your child should use a belt-positioning booster seat until the vehicle’s lap and shoulder belts fit.
Teach your child to swim and watch her in the water.
Use a hat, sun protection clothing, and sunscreen with SPF of 15 or higher on her exposed skin. Limit time outside when the sun is strongest (11:00 am–3:00 pm).
Provide a properly fitting helmet and safety gear for riding scooters, biking, skating, in-line skating, skiing, snowboarding, and horseback riding.
If it is necessary to keep a gun in your home, store it unloaded and locked with the ammunition locked separately from the gun.

Consistent with Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 4th Edition