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Even if your child is healthy, keep bringing him or her in for yearly checkups. This ensures your child’s health is protected with scheduled vaccinations. And the healthcare provider can make sure your child’s growth and development are progressing well. This sheet describes some of what you can expect.
The healthcare provider will ask questions and observe your child’s behavior to get an idea of the child’s development. By this visit, your child is likely doing some of the following:
Using the bathroom and getting dressed without help
Writing his or her name
Copying simple shapes, such as a circle or square
Using scissors properly
Helping with simple chores around the house
Your 5-year-old is likely in preschool or kindergarten. The healthcare provider will ask about the child’s experience at school and how he or she is getting along with other kids. The healthcare provider may ask about:
Behavior and participation at school. How does your child act at school? Does he or she follow the classroom routine and take part in group activities? Does your child enjoy school? Has he or she shown an interest in reading? What do teachers say about the child’s behavior?
Behavior at home. How does the child act at home? Is behavior at home better or worse than at school? (Be aware that it’s common for kids to be better behaved at school than at home.)
Friendships. Has your child made friends with other children? What are the kids like? How does your child get along with these friends?
Play. How does the child like to play? For example, does he or she play “make believe”? Does the child interact with others during playtime?
Healthy eating and activity are two important keys to a healthy future. It’s not too early to start teaching your child healthy habits that will last a lifetime. Here are some things you can do:
Limit juice and sports drinks. These have a lot of sugar, which leads to unhealthy weight gain and tooth decay. Water and low-fat or nonfat milk are best for your child. Limit juice to a small glass of 100% juice each day.
Don’t serve soda. It’s healthiest not to let your child have soda. If you do allow soda, save it for very special occasions.
Offer nutritious foods. Keep a variety of healthy foods on hand for snacks, such as fresh fruits and vegetables, lean meats, and whole grains. Foods like french fries, candy, and snack foods should only be served once in a while.
Serve child-sized portions. Children don’t need as much food as adults. Serve your child portions that make sense for his or her age and size. Let your child stop eating when he or she is full. If the child is still hungry after a meal, offer more vegetables or fruit. And know it’s okay to place limits on how much your child eats.
Encourage at least 30-60 minutes of active play per day. Moving around helps keep your child healthy. Bring your child to the park, ride bikes, or play active games like tag or ball.
Limit “screen time” to 1-2 hours each day. This includes TV watching, computer use, and video games.
Ask the healthcare provider about your child’s weight. At this age, your child should gain about 4-5 pounds each year. If he or she is gaining more than that, talk to the healthcare provider about healthy eating habits and exercise guidelines.
Bring your child to the dentist at least twice a year for teeth cleaning and a checkup.
When riding a bike, your child should wear a helmet with the strap fastened. While roller-skating or using a scooter or skateboard, it’s safest to wear wrist guards, elbow pads, and knee pads, as well as a helmet.
Teach your child his or her phone number, address, and parents’ first names. These are important to know in an emergency.
Keep using a car seat until your child outgrows it. Ask the healthcare provider if there are state laws regarding car seat use that you need to know about.
Once your child outgrows the car seat, use a high-backed booster seat in the car. This allows the seat belt to fit properly. All children younger than 13 should sit in the back seat.
Teach your child not to talk to or go anywhere with a stranger.
Teach your child to swim. Many communities offer low-cost swimming lessons.
If you have a swimming pool, it should be fenced. Gates or doors leading to the pool should be closed and locked. Do not let your child play in or around the pool unattended, even if he or she knows how to swim.
Based on recommendations from the American Association of Pediatrics, at this visit your child may receive the following vaccinations:
Diphtheria, tetanus, and pertussis
Measles, mumps, and rubella
You may be wondering if your 5-year-old is ready for kindergarten. Here are some things he or she should be able to do:
Hold a pen or pencil the right way
Write his or her name
Know how to say the alphabet, count to 10, and identify colors and shapes
Sit quietly for short periods of time (about 5 minutes)
Pay attention to a teacher and follow instructions
Play nicely with other children the same age
Your school district should be able to answer any questions you have about starting kindergarten. If you’re still not sure your child is ready, talk to the healthcare provider during this checkup.
Next checkup at: _______________________________