2. Check your child's blood pressure and vision,
if your child is able to cooperate.
3. Ask questions, address concerns, and offer guidance about how
your child is:
Eating. Growth is slow and steady during the preschool
years. Offer three meals and two nutritious snacks
a day. Even if your child is a picky eater, keep offering a variety of healthy foods.
Peeing and pooping. Your preschooler may be potty
trained or using the potty during the day. Even so, it is common for kids this
age to have an occasional accident during the day and still need a diaper at night.
If your child has not yet shown the signs of being ready to potty train, tell your
doctor. Also let the doctor know if your child is constipated, has diarrhea, seems
to be "holding it," or was potty trained but is now having problems.
Developing. By 3 years, it's common for many kids to:
string three or more words together to form short sentences
be understood most of the time when they speak
pedal a tricycle
copy a circle
dress and undress with a little help
take turns while playing
4. Do a physical exam with your child undressed while you are
present. This will include an eye exam, teeth exam, listening to the heart and lungs,
and paying attention to speech
and language development.
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
If your child gives up the afternoon nap, be sure to allow for some quiet
"winding down" time during the day. You may also need to adjust bedtime to
ensure your child gets enough sleep.
and night awakenings are common at this age. If you haven't already, set up a regular
bedtime routine to help your child fall asleep at night. Avoid scary or upsetting
images or stories, especially before bed.
If you've enrolled your child in preschool,
visit the classroom together a few times before school starts. If your child is not
in preschool, look for opportunities to interact and play with other kids.
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 screens out of your child's
If your child is still in a rear-facing car
seat, check the maximum weight and height limits recommended by the manufacturer.
Turn the car seat around when your child is the right size. Kids should stay harnessed
in the car seat until they reach the highest weight or height limit allowed by the
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.
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.