My Teen's 14 Year Visit

Physical Exam and Immunizations

Fourteen Years Old

At fourteen years old, your child’s mind and body are constantly changing. It’s an important time to schedule an appointment with your child’s pediatrician. This appointment gives parents an excellent opportunity to discuss any concerns they might have regarding academics, activity levels, or mental health. We’ll cover a variety of topics to ensure your child is staying on track.

Physical Screening

During the physical screening, your pediatrician will check your child’s height, weight, vision, and blood pressure. We’ll also discuss puberty, including growth spurts, acne, and mood changes.

Emotional Wellness

Your child’s emotional well-being is an important aspect of their health, as anxiety and depression are a common occurrence during the teen years. We’ll ask how your child is doing emotionally, what challenges they are facing, and if they have healthy coping skills. We’ll also offer guidance on how you can support your child through the ups and downs of the teen years.

Academic Progress

Your child uses more metaphors at this age and enjoys writing down personal experiences. They like to discuss and debate different topics, and their schoolwork is more involved. We’ll discuss their academic progress and any challenges they may be facing in school to ensure they are getting the support they need.

Online Safety

At fourteen, it’s a good time to remind your child that their online activity leaves a digital footprint so it’s important to be careful about what they are sharing online. Cyberbullying, sexting, and connecting with strangers are all top concerns at this age. We’ll discuss technology use, social media, and online safety

Health and Nutrition

A balanced diet full of nutrient-rich fruits and vegetables, protein, and whole grains will provide energy and build immunity for your teen. We’ll discuss your child’s diet and encourage a variety of fruits and vegetables and regular exercise to promote healthy weight and good overall health.

Picture of Terra Bowden, FNP

Terra Bowden, FNP

Terra is board-certified in pediatrics and is a member of the American Academy of Pediatrics.

Milestones to Expect

  • Can explain more complicated ideas and uses transitions when communicating.
  • Confides more in their friend group than with their parents.
  • Becomes more independent and wants to make their own decisions.  
  • Often goes between being confident in their abilities and lacking confidence in certain areas.
  • Highly influenced by their peer group.
  • Can be more sensitive to correction, tone of voice, and body language.

Safety Reminders

  • Ensure your child always wears a seatbelt in the car and remind them to wear a seatbelt regardless of who they are riding in the car with.
  • Set clear rules for electronic devices and social media.
  • Remind your child to stay hydrated when playing sports, spending time outside, or in hotter weather.  
  • Teach your child the dangers and consequences of vaping, drinking, and using drugs.
  • Teach your child about the emotional and physical aspects of sexual intercourse provide information regarding safe sex, consent, and sexually transmitted diseases (STDs).

Medicine Dosages

WEIGHT 72-95 lbs 96+ lbs
Children’s Acetaminophen
(160 mg / 5 mL)
Can be given every four hours.
15 mL 20 mL
Children’s Ibuprofen
(100 mg / 5 mL)
Can be given every six hours.
*Dosage for Infant Ibuprofen differs
15 mL 20 mL
Do not exceed more than 4 doses in 24 hours.

Vaccine Information Sheets

Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain both the benefits and risks of a vaccine to vaccine recipients.

Influenza/Flu VIS

Covid-19 VIS

  1. Influenza/Flu
  2. Covid-19

Bright Futures

At your visit, we’ll provide a summary of what to expect at this stage of your child’s development, as well as in the upcoming weeks and months. This resource, known as Bright Futures, is available below for viewing or printing online.

All of a sudden, my fourteen year old is taller than me! I can’t believe he’s grown so much in the last six months. He’s sure to be taller than my husband and might even catch up to his uncles who are six foot one.

When to Call Your Pediatrician

  • If your child has a fever.
  • If your child is vomiting or has diarrhea.
  • If your child is struggling to breathe.
  • If your child has any sort of abdominal pain.
  • Any time you feel something is out of the ordinary.
  • If your child is depressed, self-harming, or having suicidal thoughts.

From the Pediatric Blog

Depression in Children and Teens

Recognize signs of depression early. Talk to a professional and get the support your child needs.

The Importance of Adequate Sleep for Adolescents

Getting adequate sleep is of the utmost importance. Statistics show that adolescents are not getting enough of it. Lack of sleep can have serious consequences. Prioritizing sleep can improve daily activities and physical/emotional health.

Teaching Time Management to Teens: Less Stress, More Balance

Empower your teen with time management skills that reduce stress and boost self-confidence. Start building healthy habits today for a balanced and successful future.