Medical Care and Your 4- to 5-Year-Oldenparentshttps://kidshealth.org/EN/images/headers/P-medCare4To5-enHD-AR1.jpgRegular well-child exams are an important part of keeping kids healthy and up to date on immunizations against serious diseases. Find out what to expect at the doctor's office.medical care, taking my child to the doctor, what happens at the doctor's office, going to the doctor, physical examinations, exam rooms, physical growth and developments, sexual developments, emotional growth, emotions and behaviors, well-child exams, talking to the doctor, CD1Primary Care05/18/200006/26/201906/26/2019Mary L. Gavin, MD06/17/2019d4650ac4-8d08-418c-a203-c1971344715bhttps://kidshealth.org/ws/RadyChildrens/en/parents/medical-care-4-5.html/<h3>The Well-Child Visit</h3> <p>Regular well-child exams are an important part of keeping kids healthy and up to date on <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/vaccine.html/">immunizations</a> against many serious childhood diseases.</p> <p><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/checkups.html/">Checkups</a> 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.</p> <h3>What to Expect at the Doctor's Office</h3> <p>At yearly exams, your child will be weighed and measured, and these results will be plotted on <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/growth-charts.html/">growth charts</a> for weight, height, and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/bmi-charts.html/">body mass index (BMI)</a>. 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.</p> <p>During checkups, your child's <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hypertension.html/">blood pressure</a>, vision, and hearing will be checked. Your child may be screened for <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/anemia.html/">anemia</a>, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/lead-poisoning.html/">lead poisoning</a>, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/tuberculosis.html/">tuberculosis</a>, or high cholesterol.</p> <p>Immunizations given might include:</p> <ul> <li>fifth <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/dtap-vaccine.html/">diphtheria, tetanus, and pertussis (DTaP) vaccine</a></li> <li>second <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/mmr-vaccine.html/">measles, mumps, and rubella (MMR) vaccine</a></li> <li>fourth <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/polio-vaccine.html/">inactivated poliovirus vaccine (IPV)</a></li> <li>second <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/varicella-vaccine.html/">chickenpox (varicella) vaccine</a></li> </ul> <p>The <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/flu-vaccine.html/">flu vaccine</a>, 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 <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/meningitis.html/"> meningococcal </a> or <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/pneumococcal-vaccine.html/"> pneumococcal</a> disease.</p> <p>The doctor will check for crossed eyes and any <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/vision.html/">vision</a> and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hear.html/">hearing</a> problems, and also check the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/mouth-teeth.html/">teeth</a> 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.</p> <p>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.</p> <h3>Developmental Milestones</h3> <p>Developmental milestones for 4-year-olds include being able to:</p> <ul> <li>help with household tasks</li> <li>play cooperatively with other kids</li> <li>understand the concept of gender</li> <li>identify colors</li> </ul> <p>Developmental milestones for 5-year-olds include being able to:</p> <ul> <li>dress independently and tie shoes</li> <li>know their address and phone number</li> <li>draw a person with head, body, arms, and legs</li> <li>print some letters</li> </ul> <p>Child safety is another topic discussed at well-child visits. The doctor will talk about the importance of using <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/auto.html/">car seats</a>, closely watching kids around <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/household-checklist-backyard.html/">swimming pools</a>, preventing <a class="kh_anchor">poisoning</a>, not smoking around kids, and using <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sunscreen.html/">sunscreen</a>. In homes with <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/gun-safety.html/">guns</a>, weapons and ammunition should be stored separately and kept locked at all times.</p> <h3>When Should I Call the Doctor?</h3> <p>Some symptoms can be signs of an infection, chronic medical condition (such as&nbsp;<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/asthma-basics.html/">asthma</a><span style="font-size: 1em;">), or other medical problem. Call your doctor if your child has any of these:</span></p> <ul> <li>changes in weight or eating habits</li> <li>changes in behavior or sleep patterns</li> <li>a failure to grow in height as expected</li> <li>a fever and looks sick</li> <li>lasting vomiting or diarrhea</li> <li>trouble keeping liquids down</li> <li>signs of a skin infection or long-lasting rash</li> <li>a lasting&nbsp;<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/childs-cough.html/">cough</a>, wheezing, or other breathing problems</li> <li>localized pain, such as from an <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/otitis-media.html/">ear infection</a></li> </ul> <h3>Common Medical Problems</h3> <p>Problems often found in this age group include <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/enuresis.html/">bedwetting</a><span style="font-size: 1em;">&nbsp;and </span><a class="kh_anchor">sleep disturbances</a><span style="font-size: 1em;">, such as <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/nightmare.html/">nightmares</a>. Kids also might have </span><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/growing-pains.html/" style="font-size: 1em;">growing pains</a><span style="font-size: 1em;"> in their calves at night.</span></p> <p>Your doctor can offer guidance to help you manage these issues.</p>Atención médica y su hijo de 4 a 5 añosLas revisiones periódicas o "chequeos" son una parte importante del proceso de mantener a un niño sano y con un calendario actualizado de vacunaciones. Sepa qué esperar en su visita al médico.https://kidshealth.org/ws/RadyChildrens/es/parents/medical-care-4-5-esp.html/e3a943fb-4d0d-4ecd-9a6b-3cc2d5f6fee0
Communication and Your 4- to 5-Year-OldCommunicating 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.https://kidshealth.org/ws/RadyChildrens/en/parents/comm-4-to-5.html/5a5c23d9-ea63-4f44-892a-83b9f4a953a9
Fitness and Your 3- to 5-Year-OldTake 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.https://kidshealth.org/ws/RadyChildrens/en/parents/fitness-4-5.html/c3f96baa-8d0b-4d36-9c8a-bc78bb8c7e29
Growth and Your 4- to 5-Year-OldKids who are 4 to 5 years old continue to learn in a very physical way, but are more focused than when they were younger.https://kidshealth.org/ws/RadyChildrens/en/parents/growth-4-to-5.html/d37c04a2-41e6-438c-b62c-106b37c19cc5
How Vaccines Help (Video)Vaccines help keep kids healthy, but many parents still have questions about them. Get answers here. https://kidshealth.org/ws/RadyChildrens/en/parents/vaccine-video.html/381d8b32-8c56-41c1-b6b5-247544dcac7e
Knowing Your Child's Medical HistoryIn 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.https://kidshealth.org/ws/RadyChildrens/en/parents/medhist.html/f6063f6a-56b4-4bb2-8d8c-ef9641fc25fb
Preparing Your Child for Visits to the DoctorWhen kids know they're "going to the doctor," many become worried about the visit. Here's how to help them.https://kidshealth.org/ws/RadyChildrens/en/parents/dr-visits.html/b68e9bb7-500a-4840-a4f1-f15f6998364b
Talking to Your Child's DoctorBuilding a relationship with your child's doctor requires communication and reasonable expectations.https://kidshealth.org/ws/RadyChildrens/en/parents/talk-doctor.html/27ae947a-1ed1-435e-ab95-61c84d7fde8d
Your Child's Checkup: 4 YearsFind out what this doctor's visit will involve and what your child might be doing by the fourth year.https://kidshealth.org/ws/RadyChildrens/en/parents/checkup-4yrs.html/d5836279-3ae0-4302-b63b-5be44c5c368a
Your Child's Checkup: 5 YearsFind out what this doctor's visit will involve and what your child might be doing by the fifth year.https://kidshealth.org/ws/RadyChildrens/en/parents/checkup-5yrs.html/287259ad-8fdf-4f9e-be3a-53662dfd3eed
kh:age-preschoolerThreeToFivekh:clinicalDesignation-generalPediatricskh:genre-articlekh:primaryClinicalDesignation-generalPediatricsMedical Carehttps://kidshealth.org/ws/RadyChildrens/en/parents/growth/medical/58c81291-e7c3-497a-a68c-727ac2678718Doctor & Hospital Visitshttps://kidshealth.org/ws/RadyChildrens/en/parents/system/doctor/f535fe49-643d-4fb4-ad2a-e20a2f64f48d