4-Year Checkup

• Family Well-Being
  • Keep a usual family routine
  • Make one-on-one time for each child in family
  • Advocate with preschool teacher for child facing school difficulties or bullying
• Keeping Child Safe
  • Do not shake or hit child
  • Choose safe, quality after-school care
  • Keep child in front-facing car seat with harness in back seat until the child meets the height and weight limit set by seat maker
  • Supervise when child is in or near water, even if child knows how to swim
  • Ensure home is safe from fire and carbon monoxide poisoning hazards
  • Develop family plan for exiting house in a fire and establish meeting place after exit
  • Assess home for lead exposure
  • Lock up guns
  • Teach child home address, telephone numbers and names of parents/ guardians
  • Teach child how to answer the door and telephone
  • Teach self-safety for personal privacy
  • Teach street safety including not running after balls and not crossing street alone
  • Require wearing a helmet when child rides tricycle or bicycle
• Healthy Feeding
  • Provide three nutritious meals and two snacks a day
  • Limit sweets and high-fat foods
• Regular Care and Routines
  • Assist with brushing teeth with soft toothbrush two times a day
  • Establish a consistent bedtime routine
  • Encourage supervised outdoor play
• Healthy Development
  • Establish consistent limits, rules and consequences
  • Establish daily chores to develop sense of accomplishment and self-confidence
  • Encourage child to tell the story his or her way
  • Limit TV and screen time to one to two hours a day
  • Show affection and praise for good behaviors
  • Encourage constructive conflict resolution and demonstrate at home
  • Encourage self-dressing and allow to choose own clothing sometimes
  • Read a story and discuss books daily