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  Health Information Center  :  I  :  Infant Care

 Well Baby Report - 5 Year Guide

 


Your child’s development
The beginning of the school-age years can be very exciting. Although physical growth during this time is not as rapid, tremendous social development occurs. Your child is learning to enjoy interacting with an expanding new world.

Your child is becoming more and more independent. There are many times you will offer to assist your child with a task and he or she will quickly respond, "I can do it!" It is not uncommon for parents to feel both pleasure and disappointment. Many children are preparing for entrance into a formal school setting. This is an exciting event, but both the parents and the child might share concerns about separation. Your daily preparation for school will be easier because your 5-year-old can dress himself or herself (except tying shoelaces). Interactive play activity with peers becomes increasingly more important.

Verbal skills continue to develop. Your child should speak in five-word sentences and be easily understood by strangers. Five-year-olds enjoy tasks such as reciting their address and telephone number, counting objects (one to 10), naming primary colors, and recalling parts of their favorite short stories. Drawing, cutting, and pasting might be other favorite activities. (Most 5-year-olds can copy a square.)

Take pride in your child's new abilities. Give praise for accomplishments.

Five-year immunizations
Make sure you are up to date on all immunizations

Today’s Report For Your 5-year-old

Child’s name  

Examined by Dr.  

Weight  

%

Length  

%

Head  

%

DTP (#5)

Polio (#4)

MMR (#2)

 

Dealing with sleep problems
Starting school can be a very stressful event in your child’s life. This new and sometimes frightening experience can cause interruptions in your child’s sleep patterns. Family and other stresses you are experiencing might also affect your child. Even changes that seem minor to you might disrupt your child’s life. Problems might include fighting between parents, a recent divorce, a death in the family, illness, fights with siblings, problems at school, moving, a new baby in the house, or even a new teacher.

In preparation for discussing a sleep problem with your child's doctor, it might be helpful for you to keep a sleep diary for your child. Record the following:

  • Where your child sleeps
  • What time your child is put to bed
  • How long it takes your child to fall asleep
  • What time your child awakens in the morning
  • The time your child awakens during the night
  • How long it takes your child to fall back to sleep
  • What you do to comfort and console your child
  • Any changes or stresses in the home
  • The time you go to bed

Keep in mind that every child is different, and each child has different sleep patterns or problems.

Handling your child’s sleep problems might be difficult, and it is normal to become upset when a child keeps you awake at night. Just keep in mind that sleep problems are very common, and with time and your child's doctor's support, your child will outgrow them.

Take a time-out
When your child is acting badly, you get angry. Sometimes it’s tough to control your temper and avoid using physical punishment with your child.

Next time you get angry try these steps instead:

  • STOP. Cool off before you do anything
  • When you’ve calmed down, ask yourself:
    —What’s the real problem?
    —Is he or she tired, sick, worried about something?
    —Is it even possible for him or her to meet my expectations? Am I expecting too much?
    —Did I do something to cause him or her to act this way?
    —Am I still angry?
  • Watch what you say. Mean words can hurt as much as a spanking.
  • Teach your child the correct way to do something when he is doing it incorrectly.
  • Set a good example. Don’t show him or her that hitting is OK.
  • Help your child feel good about himself or herself by offering an alternative and then praising him or her.
  • Be patient. It is a time-consuming process for children to learn right from wrong.
  • Learn about children and how they grow. It helps to talk to parents of children the same age.
  • Take some time for yourself. If you can, remove yourself from the situation until you can handle it better.

Don’t take your child’s actions personally. It’s all part of the growing process, for both children and parents.

Safety first

  • Poison-proof your home, paying special attention to cabinets at child level. In the event your child ingests a potentially harmful substance, keep the container and call the poison control center at 1-800-222-1222.
  • Hot tap water should be less than 120 degrees Fahrenheit.
  • Smoke detectors should be located on each level of your home and outside each bedroom. Check them once a month and replace the batteries once every six months.
  • Keep firearms unloaded and in a locked cabinet if you must have them in the home.
  • Secure electrical cords and cover electrical outlets.
  • Practice fire drills in the home.
  • Your child should always wear a lap and shoulder belt in the car.
  • Your child should not ride a bike without a helmet.
  • Discuss stranger safety.
  • Your child should never swim without supervision. All pools and water areas should be inaccessible to your child. Now is a good time to begin teaching your child to swim.
  • Until your child has learned to cross the street independently, an adult should always accompany him or her.

Should I call the doctor?
Yes. If your child:

  • Becomes sluggish or inactive
  • Will not eat
  • Cries more than usual
  • Develops an unusual rash
  • Has a fever at any age
  • Vomits repeatedly (not just spitting up)
  • Has frequent loose, watery bowel movements
  • Breathes rapidly, wheezes or has any difficulty breathing

Before you call your child's doctor or nurse, write down your child’s symptoms. Take his or her temperature. Have your pharmacy’s phone number on-hand to tell the doctor. Keep a notepad on hand to write down any instructions.








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