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Well Child Exam 6 Years


About this topic


Your childs 6-year well child exam is a visit with the doctor to check your child's health. The doctor measures your child's weight and height, and may measure your child's body mass index (BMI). The doctor plots these numbers on a growth curve. The growth curve gives a picture of your child's growth at each visit. The doctor may listen to your child's heart, lungs, and belly. Your doctor will do a full exam of your child from the head to the toes. ‚  
Your child may also need shots or blood tests during this visit. ‚  

General


Growth and Development ‚  
Your doctor will ask you how your child is developing. The doctor will focus on the skills that most children your childs age are expected to do. During this time of your child's life, here are some things you can expect. ‚  
  • Movement ¢ ˆ ’ Your child may:
    • Be able to skip
    • Hop and stand on one foot
    • Draw letters and numbers
    • Get dressed and tie shoes without help
    • Be able to swing and do a somersault
  • Hearing, seeing, and talking ¢ ˆ ’ Your child will likely:
    • Be learning to read and do simple math
    • Know name and address
    • Begin to understand money
    • Understand concepts of counting, same and different, and time
    • Use words to express thoughts
  • Feelings and behavior ¢ ˆ ’ Your child will likely:
    • Like to sing, dance, and act
    • Wants attention from parents and teachers
    • Be developing a sense of humor
    • Enjoy helping to take care of a younger child
    • Feel that everyone must follow rules. Help your child learn what the rules are by having rules that do not change. Make your rules the same all the time. Use a short time out to discipline your child.
  • Feeding ¢ ˆ ’ Your child:
    • Can drink lowfat or fat-free milk
    • Will be eating 3 meals and 1 to 2 snacks a day. Make sure to give your child the right size portions and healthy choices.
    • Should be given a variety of healthy foods. Many children like to help cook and make food fun.
    • Should have no more than 4 to 6 ounces of fruit juice a day. Do not give your child soda.
    • Should eat meals as a part of the family. Turn the TV and cell phone off while eating. Talk about your day, rather than focusing on what your child is eating.
  • Sleep ¢ ˆ ’ Your child:
    • Is likely sleeping about 10 hours in a row at night. Try to have the same routine before bedtime. Read to your child each night before bed. Have your child brush teeth before going to bed as well.
  • Shots or vaccines ¢ ˆ ’ It is important for your child to get a flu vaccine each year.

Help for Parents ‚  
  • Play with your child.
    • Go outside as often as you can. Visit playgrounds. Give your child a bicycle to ride. Make sure your child wears a helmet when using anything with wheels like skates, skateboard, bike, etc.
    • Play simple games. Teach your child how to take turns and share.
    • Practice math skills. Add and subtract household objects like forks or spoons.
    • Read to your child. Have your child tell the story back to you. Find word that rhyme or start with the same letter. Look for letter and words on signs and labels.
    • Give your child paper, safe scissors, glue, and other craft supplies. Help your child make a project.
  • Here are some things you can do to help keep your child safe and healthy.
    • Have your child brush teeth 2 to 3 times each day. Your child should also see a dentist 1 to 2 times each year for a cleaning and checkup.
    • Put sunscreen with a SPF30 or higher on your child at least 15 to 30 minutes before going outside. Put more sunscreen on after about 2 hours.
    • Do not allow anyone to smoke in your home or around your child.
    • Your child needs to ride in a booster seat until 4 feet 9 inches (145 cm) tall. After that, make sure your child uses a seat belt when riding in the car. Your child should ride in the back seat until at least 13 years old.
    • Take extra care around water. Make sure your child cannot get to pools or spas. Consider teaching your child to swim.
    • Never leave your child alone. Do not leave your child in the car or at home alone, even for a few minutes.
    • Protect your child from gun injuries. If you have a gun, use a trigger lock. Keep the gun locked up and the bullets kept in a separate place.
    • Limit screen time for children to 1 to 2 hours per day. This means TV, phones, computers, or video games.
  • Parents need to think about:
    • Enrolling your child in school
    • How to encourage your child to be physically active
    • Talking to your child about strangers, unwanted touch, and keeping private parts safe
    • Talking to your child in simple terms about differences between boys and girls and where babies come from
    • Having your child help with some family chores to encourage responsibility within the family
  • The next well child visit will most likely be when your child is 7 years old. At this visit your doctor may:
    • Do a full check up on your child
    • Talk about limiting screen time for your child, how well your child is eating, and how to promote physical activity
    • Ask how your child is doing at school and how your child gets along with other children
    • Talk about discipline and how to correct your child

When do I need to call the doctor?


  • Fever of 100.4 ‚ °F (38 ‚ °C) or higher
  • Has trouble eating or sleeping
  • Has trouble in school
  • You are worried about your childs development

Where can I learn more?


Centers for Disease Control and Prevention ‚  
http://www.cdc.gov/ncbddd/childdevelopment/positiveparenting/middle.html ‚  
KidsHealth ‚  
http://kidshealth.org/parent/growth/medical/checkup_6yrs.html#cat160 ‚  

Last Reviewed Date


2015-02-02 ‚  

List_set bdysylist


  • Healthy Living
  • Pediatric

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care provider 's advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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