Your doctor and/or nurse will probably:
1. Check your baby's weight, length, and head circumference and plot the measurements on the growth charts.
2. Ask questions, address concerns, and offer advice about how your baby is:
Peeing and pooping. Babies this age should have several wet diapers a day and regular bowel movements. Some may poop every day; others may poop every few days. This is normal as long as stools are soft. Let your doctor know if they become hard, dry, or difficult to pass.
Sleeping. At this age, babies sleep about 13 hours a day, with two or three daytime naps. Most babies "sleep through the night" with a stretch of 5 or 6 hours of sleep. Some infants, particularly those who are breastfed, may still wake at night. But most no longer need a middle-of-the-night feeding.
Developing. By 4 months, it's common for many babies to:
There's a wide range of normal and children develop at different rates. Talk to your doctor if you're concerned about your child's development.
3. Perform a physical exam with your baby undressed while you are present. This will include an eye exam, listening to your baby's heart and feeling pulses, checking hips, and paying attention to your baby's movements.
4. Update immunizations. Immunizations can protect infants from serious childhood illnesses, so it's important that your baby receive them on time. Immunization schedules can vary from office to office, so talk to your doctor about what to expect.
Here are some things to keep in mind until your next routine visit at 6 months:
These checkup sheets are consistent with the American Academy of Pediatrics (AAP)/Bright Futures guidelines.
Reviewed by: Mary L. Gavin, MD
Date reviewed: July 2013
|American Academy of Pediatrics (AAP) The AAP is committed to the health and well-being of infants, adolescents, and young adults. The website offers news articles and tips on health for families.|
|Zero to Three Zero to Three is a national nonprofit organization that promotes the health and development of infants and toddlers.|
|National Immunization Program This website has information about immunizations. Call: (800) 232-2522|
|Immunization Action Coalition This organization is a source of childhood, adolescent, and adult immunization information as well as hepatitis B educational materials.|
|American Academy of Family Physicians This site, operated by the American Academy of Family Physicians (AAFP), provides information on family physicians and health care, a directory of family physicians, and resources on health conditions.|
|American Academy of Pediatrics (AAP) Bright Futures Bright Futures is a national health promotion and disease prevention initiative that addresses the health needs of growing children. To learn more, visit the website.|
|Medical Care and Your 4- to 7-Month-Old Because your baby grows rapidly during these months, your questions may move from simple sleeping and eating concerns to those about physical development and motor skills.|
|Sleep and Your 4- to 7-Month-Old By this age, your baby should be on the way toward an established sleep pattern, including several naps a day and at least 7 or 8 hours of sleep at night.|
|The Senses and Your 4- to 7-Month-Old Your baby is working on all five senses, understanding and anticipating more and more. How can you stimulate your baby's senses?|
|Movement, Coordination, and Your 4- to 7-Month-Old At this age, kids are learning to roll over, reach out to get what they want, and sit up. Provide a safe place to practice moving and lots of interesting objects to reach for.|
|Learning, Play, and Your 4- to 7-Month-Old Your infant will learn to sit during this time, and in the next few months will begin exploring by reaching out for objects, grasping and inspecting them.|
|Communication and Your 4- to 7-Month-Old Your baby's range of sounds and facial expressions continues to grow, and your baby is also imitating sounds, which are the first attempts at speaking.|
|Growth and Your 4- to 7-Month-Old Since your child's birth, the doctor has been recording his or her weight, length, and more - what's typical growth during this period?|
|Teething Tots Teething can be a difficult time for babies and parents. Here are the facts on teething, including tips for baby teeth hygiene and relief of teething discomfort.|
|Talking to Your Child's Doctor Building a relationship with your child's doctor requires communication and reasonable expectations.|
|Feeding Your 4- to 7-Month-Old At this age, chances are your baby is ready to try a few solid foods.|
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