The Well-Child Visit
Regular well-child exams are an important part of keeping kids healthy and up to date on immunizations against many serious childhood diseases.
Checkups also are a chance for you and the doctor to talk about developmental and safety issues, and for you to get answers to any questions about your child's overall health.
What to Expect at the Doctor's Office
At yearly exams, your child will be weighed and measured, and these results will be plotted on growth charts for weight, height, and body mass index (BMI). Using these charts, doctors can see how kids are growing compared with other kids the same age and gender. The doctor will take a medical and family history and do a physical exam.
Immunizations given might include:
- fifth diphtheria, tetanus, and pertussis (DTaP) vaccine
- second measles, mumps, and rubella (MMR) vaccine
- fourth inactivated poliovirus vaccine (IPV)
- second chickenpox (varicella) vaccine
The flu vaccine, given before flu season each year, also is recommended. Other vaccines might be needed if the doctor determines that your child is at risk for conditions like meningococcal or pneumococcal disease.
The doctor will check for crossed eyes and any vision and hearing problems, and also check the teeth for tooth decay, abnormal tooth development, malocclusion (abnormal bite), dental injuries, or other problems. In addition to the doctor's dental evaluation, your child should be making regular visits to the dentist.
The doctor also will check on behavioral and social development, asking questions to see if your child's everyday behavior is age appropriate, how well your child does in social situations, and how well he or she communicates.
Developmental milestones for 4-year-olds include being able to:
- help with household tasks
- play cooperatively with other kids
- understand the concept of gender
- identify colors
Developmental milestones for 5-year-olds include being able to:
- dress independently and tie shoes
- know their address and phone number
- draw a person with head, body, arms, and legs
- print some letters
Child safety is another topic discussed at well-child visits. The doctor will talk about the importance of using car seats, closely watching kids around swimming pools, preventing poisoning, not smoking around kids, and using sunscreen. In homes with guns, weapons and ammunition should be stored separately and kept locked at all times.
When Should I Call the Doctor?
Some symptoms can be signs of an infection, chronic medical condition (such as asthma), or other medical problem. Call your doctor if your child has any of these:
- changes in weight or eating habits
- changes in behavior or sleep patterns
- a failure to grow in height as expected
- a fever and looks sick
- lasting vomiting or diarrhea
- trouble keeping liquids down
- signs of a skin infection or long-lasting rash
- a lasting cough, wheezing, or other breathing problems
- localized pain, such as from an ear infection
Common Medical Problems
Your doctor can offer guidance to help you manage these issues.Back to Articles
Knowing Your Child's Medical History
In an emergency, health care professionals will have many questions about a patient's medical history. It's easy to compile this information now, and it could save critical minutes later.Read More
Fitness and Your 3- to 5-Year-Old
Take advantage of your child's natural tendency to be active. Staying fit can help improve kids' self-esteem and decrease the risk of serious illnesses later in life.Read More
Talking to Your Child's Doctor
Building a relationship with your child's doctor requires communication and reasonable expectations.Read More
Preparing Your Child for Visits to the Doctor
When kids know they're "going to the doctor," many become worried about the visit. Here's how to help them.Read More
Your Child's Checkup: 4 Years
Find out what this doctor's visit will involve and what your child might be doing by the fourth year.Read More
Your Child's Checkup: 5 Years
Find out what this doctor's visit will involve and what your child might be doing by the fifth year.Read More
Communication and Your 4- to 5-Year-Old
Communicating with our kids is one of the most pleasurable and rewarding parts of parenting. Learn how to connect with your 4- to 5-year-old.Read More
Growth and Your 4- to 5-Year-Old
Kids who are 4 to 5 years old continue to learn in a very physical way, but are more focused than when they were younger.Read More
How Vaccines Help (Video)
Vaccines help keep kids healthy, but many parents still have questions about them. Get answers here.Read More