2. Check your child's blood pressure,vision, and hearing
using standard testing equipment.
3. Ask questions, address concerns, and offer advice about your
Schedule three meals and one or two nutritious snacks
a day. If you have a picky eater, keep offering a variety of healthy foods for your
child to choose from. Kids should be encouraged to give new foods a try, but don't
force them to eat.
Bathroom habits. By now, your child should be able to go to the
bathroom alone. Constipation
may become a problem because some children are embarrassed to use the bathroom at
school. Remind your child to take regular bathroom breaks and not to "hold it." Talk
to your doctor if you have concerns about your child's bathroom habits.
Sleeping. Kids this age generally sleep
about 10–11 hours each night. Most 5-year-olds no longer nap during the day.
To help your child get enough sleep, you might need to set an earlier bedtime.
Development. By 5 years, it's common for many children to:
know their address and phone number
tell stories using full sentences
recognize and print some letters
draw a person with head, body, arms, and legs
walk down stairs, alternating feet
count their fingers
dress by themselves
4. Do a physical
exam with your child undressed while you are present. This will include
listening to the heart and lungs, observing motor skills, and talking with your child
to assess language skills.
5. Update immunizations.Immunizations
can protect kids from serious childhood illnesses, so it's important that your child
get them on time. Immunization
schedules can vary from office to office, so talk to your doctor about what to
6. Order tests. Your doctor may assess your child's risk for anemia, lead,
and tuberculosis and order
tests, if needed.
Here are some things to keep in mind until your child's next checkup at 6
Serve your child a well-balanced diet that includes lean protein, whole
grains, fruits, vegetables, and low-fat dairy products.
Kids this age should get 2.5 cups (600 ml) of low-fat
milk or fortified milk alternative (or other low-fat
dairy products) daily.
Limit juice to no more than 4 ounces
(120 ml) a day. Avoid high-sugar and high-fat foods and drinks.
Make time to eat together as a family.
Turn off the TV and put away devices.
Allow plenty of time for physical activity and free
play every day. Do it as a family.
Limit screen time
(TV shows, DVDs, smartphones, video games, tablets, and computers) to no more than
1 to 2 hours a day of quality children's programming. Keep TVs and devices out of
your child's bedroom.
Have your child brush
teeth twice a day with a pea-sized amount of fluoride toothpaste. Schedule
regular dental checkups as recommended by your child's dentist.
To help prepare your child for kindergarten:
Practice counting and singing the ABCs.
Encourage drawing, coloring, and recognizing and writing letters.
Keep consistent daily routines and times for meals, snacks, playing,
reading, cleaning up, waking up, and going to bed.
Allow your child to take some responsibility for self-care, including
going to the bathroom, washing
hands, brushing teeth, and getting dressed. Offer reminders and help when needed.
Teach your child your home address and phone number.
Teach your child the skills needed to cross the street independently
(looking both ways, listening for traffic), but continue to help your child cross
the street until age 10 or older.
Make sure your child always wears a helmet when riding
a bicycle (even one with training wheels). Do not allow your child to ride in
Make sure playground
surfaces are soft enough to absorb the shock of falls.
Always supervise your child around
water, and consider enrolling your child in a swimming class.
of SPF 30 or higher at least 15 minutes before your child goes outside to play and
reapply about every 2 hours.
Protect your child from secondhand
smoke, which increases the risk of heart and lung disease. Secondhand
vapors from e-cigarettes
is also harmful.
Keep your child in a belt-positioning booster
seat in the backseat until he or she is 4 feet 9 inches (150 cm) tall.
Kids reach this height usually between 8 and 12 years old.
Teach your child what to do in case of an emergency, including
how to dial 911.
Protect your child from gun
injuries by not keeping a gun in the home. If you do have a gun, keep
it unloaded and locked away. Ammunition should be locked up separately. Make sure
kids cannot access the keys.
Discuss appropriate touch. Explain that certain parts of the
body are private and no one should see or touch them. Tell your child to come to you
if someone asks to look at or touch his or her private parts, is asked to look at
or touch someone else's, or is asked to keep a secret from you.
Talk to your doctor if you're concerned about your living situation.
Do you have the things that you need to take care of your child? Do you have enough
food, a safe place to live, and health
insurance? Your doctor can tell you about community resources or refer you to
a social worker.
These checkup sheets are consistent with the American Academy of Pediatrics
(AAP)/Bright Futures guidelines.