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When a nineteen-month-old comes for an examination, physical development, length, weight and head circumference are assessed first. Weight is expected to be slightly over 11 kilograms, length over 80 centimeters and head circumference approximately 48–49 centimeters.
If the child comes for a routine check without a complaint, the organ systems are examined. Breathing and heart sounds are listened to, and the intestines and abdomen are examined. Genital examination is important at this stage; the genital and anal areas, including the bottom, are checked. The ears, mouth and throat must also be examined.
The pediatrician can make a simple eye assessment for strabismus and refer the child to an eye doctor for further evaluation at the slightest suspicion. Missing vaccines can be completed in the nineteenth month. Vaccines due at one and a half years can also be given at nineteen months if they have not yet been administered.
