|SSM Cardinal Glennon Children's Medical Center|
Your Child's Checkup: 4 Months
What to Expect During This Visit
Your doctor and/or nurse will probably:
1. Check your baby's weight, length, and head circumference and plot the measurements on the growth charts.
2. Ask questions, address concerns, and offer advice about how your baby is:
Feeding. Breast milk or formula is all a baby needs for the first 4-6 months. Iron-fortified cereal or puréed meats can be introduced between 4 and 6 months of age. Talk with your doctor before starting any solids.
Peeing and pooping. Babies this age should have several wet diapers a day and regular bowel movements. Some may poop every day; others may poop every few days. This is normal as long as stools are soft. Let your doctor know if they become hard, dry, or difficult to pass.
Sleeping. At this age, babies sleep about 14 hours a day, with two or three daytime naps. Most babies "sleep through the night" with a stretch of 5 or 6 hours of sleep. Some infants, particularly those who are breastfed, may still wake at night. But most no longer need a middle-of-the-night feeding.
Developing. By 4 months, it's common for many babies to:
There's a wide range of normal and children develop at different rates. Talk to your doctor if you're concerned about your child's development.
3. Perform a physical exam with your baby undressed while you are present. This will include an eye exam, listening to your baby's heart and feeling pulses, checking hips, and paying attention to your baby's movements.
4. Update immunizations. Immunizations can protect infants from serious childhood illnesses, so it's important that your baby receive them on time. Immunization schedules can vary from office to office, so talk to your doctor about what to expect.
Here are some things to keep in mind until your next routine visit at 6 months:
These checkup sheets are consistent with the American Academy of Pediatrics (AAP)/Bright Futures guidelines.
Reviewed by: Mary L. Gavin, MD