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:
Feeding. Breast milk or formula is all a baby needs for the first 4-6 months. Iron-fortified cereal or puréed meats can be introduced between 4 and 6 months of age. Talk with your doctor before starting any solids.
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 14 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.|
|CDC: Vaccines & Immunizations The CDC's site has information on vaccines, including immunization schedules, recommendations, FAQs, and more.|
|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.|
|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.|
|Medical Care and Your 4- to 7-Month-Old Because your baby begins to show his or her personality during these months, your questions may move from simple sleeping and eating concerns to those about physical and social development.|
|Sleep and Your 4- to 7-Month-Old By this age, your baby should have a regular sleep pattern, with a few naps a day and a stretch of about 5 or 6 hours at night.|
|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.|
|Teething Tots Teething can be a tough time for babies and parents. Here are the facts on teething, including tips for baby teeth hygiene and relieving pain.|
|Feeding Your 4- to 7-Month-Old How can you tell if your baby is ready for solids? Learn how and when to get started.|
|Your Baby's Growth: 4 Months Your baby is growing in many ways. Here's what to expect this month.|
|Talking to Your Child's Doctor Building a relationship with your child's doctor requires communication and reasonable expectations.|
|Your Baby's Hearing, Vision, and Other Senses: 4 Months Your baby is working on all five senses, understanding and anticipating more and more. How can you stimulate your baby's senses?|
What to expect when coming to Akron Children's
For healthcare providers and nurses
Residency & Fellowships, Medical Students, Nursing and Allied Health
For prospective employees and career-seekers
Our online community that provides inspirational stories and helpful information.