Clinical Reference Systems: Pediatric Advisor 10.0
Well Child Care at 4 Years
Your child should always be a part of the family at
mealtime. This should be a pleasant time for the family.
Give small portions of food to your child. If he is still
hungry, let him have seconds.
Development and Discipline
At this age children usually become more cooperative in
their play with other children. They are curious and
Allow privacy while your child is changing clothes or using
the bathroom. When your child starts wanting privacy on his
own, let him know that you think this is good.
Breaking rules occasionally is common at this age. Making
children stand in a corner by themselves for 4 minutes is
usually an effective punishment. If you have questions
about behavior ask your doctor.
For more information see: Normal Development: 4 Years
- Never leave your child alone in a car.
- Everyone in a car must always wear seat belts.
Pedestrian and Bicycle Safety
- Teach your child to never ride a tricycle or bicycle in
- Have your child wear a bicycle helmet while riding a
tricycle or bicycle.
- It is too early to expect a child to look both ways
before crossing the street. Supervise all street
- Teach your child to never take medicines without
supervision and not to eat unknown substances.
- Put the poison center number on all phones. The poison
control number is ____________________.
- Ask your doctor about syrup of Ipecac. Use it only if
you are told to do so.
Safety Around Strangers
- Teach your child the first and last names of family
- Teach your child to never go anywhere with a stranger.
- Do not allow your child to be near knives, power tools,
- Brushing teeth regularly after meals is important.
Think up a game and make it fun.
- It is also a good idea to make an appointment for your
child to see the dentist.
Your child may receive one or more shots. After a shot your
child may run a fever and become irritable for about 1 day.
Your child may also have some soreness, redness, and
swelling where a shot was given. For fever, give your child
an appropriate dose of acetaminophen. For swelling or
soreness, put a wet, warm washcloth on the area of the shot
4 times a day.
Call your child's physician immediately if:
- Your child has a fever over 105 degrees F (40.5 degrees
- Your child has a severe allergic reaction beginning
within 2 hours of the shot (for example, hives, wheezing
or noisy breathing, swelling of the mouth or throat).
- Your child has any other unusual reaction.
A once-a-year check-up is recommended. Be sure to check
your child's shot records before starting school to make
sure he or she has all the required vaccinations.