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Four-year-old office visit

General Information for a 4 year old child:

Behavior –
Be firm but reward good behavior. Encourage exploring and independence, but keep firm limits. Use time out consistently. Use "No" sparingly. Your child should be learning how to share.

Healthy habits –
Encourage reading and limit TV and video games. Brush regularly and visit the dentist every 6 months. Give your child small chores. Successful completion of tasks will build confidence. Think about an allowance.

Toilet Training-
At this age 95% of kids are trained, 90% are dry during the day, and 75% are dry at night.

Sex -
Answer questions about sex at the child's level of understanding.

Development -
Most 4 year old children have an extensive vocabulary and can recite stories. Visit the public library regularly. Their speech is easily understood. They know 4 colors and can count to 10. They know 4 actions and three adjectives. They can draw a person with 5 parts. They can copy squares and can hop on one foot.

Diet -
Avoid mealtime struggles. Encourage all four food groups in your child's diet. If your child does not like a particular selection, do not force it on your child: just try again later. Use fruits and vegetables for snacks. Avoid processed foods, especially highly processed carbohydrates.

Safety (Playtime) -
Don’t forget about helmets, protective pads, or eye safety when your child is out playing. Careful supervision is necessary when playing near a street or where mowers or tools are around. Teach your children to avoid strange pets.

Strangers -
It is time to teach your child good touch from bad touch. Teach your child your address and phone number. Also teach your child how to recognize a clerk from a stranger.

Water -
Never leave your child unattended around water (pools, tubs, toilets, and even buckets). Also take care around hot liquids (coffee)

General -
Children love to climb. Secure bookshelves, appliances and windows. Curtain and appliance cords should be out of reach. Lock up poisonous substances. The poison control center’s number should be handy. Syrup of Ipecac should be available in your home.


Vaccinations
Polio vaccine - This shot should not be given if allergic to the antibiotics neomycin, streptomycin, or polymyxin B.
DTaP (Diptheria, Pertusis, and Tetnus) - Should not be given if your child has a newly diagnosed seizure disorder. Can cause fever and redness.
MMR (Measles, Mumps and Rubella)
Rubella component can cause some joint discomfort. Measles component can cause fever, pain, and a temporary rash.
Varciella (Chicken Pox) - Can cause fever and redness. Prevents serious cause of meningitis.

More information on the vaccinations: