Which of the following is NOT listed as a 5-year screening?

• A. Vision
• B. Hearing
• C. Oral health
• D. Growth and development screening

Answer: (D)

At the 5-year well-child visit, the screenings you’d most expect to see listed are checks that directly impact a child’s school readiness: vision screening to catch refractive problems that can affect learning, hearing screening to identify issues that could affect language development, and an oral health assessment to prevent decay and related problems. Growth is important too, but it’s generally tracked as part of routine measurements (height, weight, BMI) across multiple visits, using growth charts to monitor trends over time rather than called out as a separate “growth and development screening” item at the 5-year visit.

So, growth and development screening isn’t typically listed as a distinct 5-year screening because its assessment is ongoing and integrated into surveillance across visits, whereas vision, hearing, and oral health are the targeted screenings emphasized for that specific age to address issues most likely to affect functioning at school.