visit to the doctor 3 year old

The 3-Year-Old Checkup

Medical review policy, latest update:.

Medically reviewed to ensure accuracy.

The physical checkup

Developmental milestones, more about preschool, 3-year-old vaccines, questions to ask your doctor.

Also, preschool is a hotbed for germs, so discuss ways to keep your child as healthy as possible. And remember, your pediatrician is there to answer any questions you might have, no matter how silly you think they are. Just ask.

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Family Life

AAP Schedule of Well-Child Care Visits

Parents know who they should go to when their child is sick. But pediatrician visits are just as important for healthy children.

The Bright Futures /American Academy of Pediatrics (AAP) developed a set of comprehensive health guidelines for well-child care, known as the " periodicity schedule ." It is a schedule of screenings and assessments recommended at each well-child visit from infancy through adolescence.

Schedule of well-child visits

The first week visit (3 to 5 days old)
1 month old
2 months old
4 months old
6 months old
9 months old
12 months old
15 months old
18 months old
2 years old (24 months)
2 ½ years old (30 months)
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
13 years old
14 years old
15 years old
16 years old
17 years old
18 years old
19 years old
20 years old
21 years old

The benefits of well-child visits

Prevention . Your child gets scheduled immunizations to prevent illness. You also can ask your pediatrician about nutrition and safety in the home and at school.

Tracking growth & development . See how much your child has grown in the time since your last visit, and talk with your doctor about your child's development. You can discuss your child's milestones, social behaviors and learning.

Raising any concerns . Make a list of topics you want to talk about with your child's pediatrician such as development, behavior, sleep, eating or getting along with other family members. Bring your top three to five questions or concerns with you to talk with your pediatrician at the start of the visit.

Team approach . Regular visits create strong, trustworthy relationships among pediatrician, parent and child. The AAP recommends well-child visits as a way for pediatricians and parents to serve the needs of children. This team approach helps develop optimal physical, mental and social health of a child.

More information

Back to School, Back to Doctor

Recommended Immunization Schedules

Milestones Matter: 10 to Watch for by Age 5

Your Child's Checkups

Bright Futures/AAP Recommendations for Preventive Pediatric Health Care (periodicity schedule)

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Doctor visit: The three-year checkup

You can expect your child's doctor to:

Weigh and measure your child to make sure she's growing at a healthy, steady rate.
Check her blood pressure.
Check her heart and breathing.
Check your child's eyes and ears .
Give your child any immunizations she has missed.
Do a tuberculosis test if your child has any risk factors.
Screen for anemia and lead poisoning with a blood test if your child has any new risk factors.
Address any health and safety concerns. ( Colds are common at this age, especially if your child attends daycare or preschool where they're exposed to many children. Scrapes and bruises are common, too, since 3-year-olds are so active.)
Answer any questions you may have about toilet training, discipline, or, if your child has brothers or sisters, sibling rivalry .
Ask about any changes in your child's routine (for example, if she now attends preschool).
Talk to your child about which activities she enjoys, what books she reads, and who her friends are, to assess her hearing and language skills. (If your child talks too loudly or too softly, for example, she may have a problem with her hearing).
Give your child some simple directions to follow. (If your child doesn't follow your commands, or appears not to hear you, tell the doctor.)
Offer insight into your child's development , temperament, and behavior.

Questions the doctor may ask:

Is he having trouble sleeping? Three-year-olds sleep an average of 12 hours a day, and some still need one afternoon nap. Older toddlers have an active imagination, which can fuel their fears about the dark, strange noises, or being alone. This can make falling asleep difficult. Once they're sleeping, they can be awakened by nightmares or night terrors , which may still crop up around this age.
What does he like to eat? Your child needs to have a varied, healthy diet so he has the energy to keep going during his busy days.
Is he left- or right-handed? By age 3, most children have a dominant hand. Children who are confused about which hand to use could have some coordination problems. The doctor may ask your child to draw on a piece of paper so she can observe him.
How's toilet training going? By now many toddlers have gotten the hang of using the potty, although they'll still have accidents and may need to wear a diaper overnight. But some aren't ready to start toilet training until they're as old as 4.
Does your child play well with others? Three-year-olds normally have a hard time sharing their toys. The doctor will ask whether your child has become aggressive with other kids, hitting or biting to express frustration. She may have some tips on curbing aggressive behavior and suggestions on how to encourage generosity.
How does your child react when you leave him at daycare or with someone else? Although your child still prefers you to others, it should be easier for him to separate from you than when he was 1 or 2 years old. Adjusting to being away from you is a sign that he's maturing emotionally and is fairly secure.
What games does he like? A list of activities your child enjoys gives the doctor insight into how he's developing. Children this age enjoy fantasy play – for example, pretending to host a tea party for stuffed animals. They also tend to like reading books, coloring, and drawing.
Has he seen a dentist? The American Academy of Pediatrics recommends that children see a dentist after their first birthday. If your child hasn't been to the dentist yet, now is the time. (At this age, he should be brushing, with your help, twice a day.)

What's next?

Find out what's in store for you at the 4-year doctor visit .

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Doctor visit: The four-year checkup

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Important Milestones: Your Child By Three Years

CDC’s milestones and parent tips have been updated and new checklist ages have been added (15 and 30 months). For more information about the updates to CDC’s developmental milestones, please review the Pediatrics journal article and these important key points .

How your child plays, learns, speaks, acts, and moves offers important clues about your child’s development. Developmental milestones are things most children (75% or more) can do by a certain age.

Check the milestones your child has reached by 3 years by completing a checklist with CDC’s free Milestone Tracker mobile app, for iOS and Android devices, using the Digital Online Checklist , or by printing the checklist [1 MB, 2 Pages, Print Only] below.

“Learn the Signs. Act Early.” materials are not a substitute for standardized, validated developmental screening tools .

What most children do by this age:

Social/emotional milestones.

Close this video

Language/Communication Milestones

Cognitive milestones (learning, thinking, problem-solving), movement/physical development milestones.

Calms down within 10 minutes after you leave her, like at a childcare drop off

Strings items together, like large beads or macaroni

Puts on some clothes by himself, like loose pants or a jacket

1 of 2 images

2 of 2 images

Uses a fork

Other important things to share with the doctor…

What are some things you and your baby do together?
What are some things your baby likes to do?
Is there anything your baby does or does not do that concerns you?
Has your baby lost any skills he/she once had?
Does your baby have any special healthcare needs or was he/she born prematurely?

Concerned About Your Child’s Development? Act Early.

You know your child best. Don’t wait. If your child is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your child’s doctor, share your concerns, and ask about developmental screening.

If you or the doctor are still concerned:

Ask for a referral to a specialist who can evaluate your child more; and
Call your state or territory’s early intervention program to find out if your child can get services to help. Learn more and find the number at cdc.gov/FindEI .

For more on how to help your child, visit cdc.gov/Concerned .

As your child’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your child’s doctor and teachers if you have questions or for more ideas on how to help your child’s development.

Encourage your child to solve her own problems with your support. Ask questions to help her understand the problem. Help her think of solutions, try one out, and try more if needed.
Talk about your child’s emotions and give him words to help him explain how he’s feeling. Help your child manage stressful feelings by teaching him to take deep breaths, hug a favorite toy, or go to a quiet, safe place when he is upset.
Set a few simple and clear rules that your child can follow, such as use gentle hands when playing. If he breaks a rule, show him what to do instead. Later, if your child follows the rule, recognize and congratulate him.

Click here for more tips and activities

Read with your child. Ask questions, such as “What is happening in the picture?” and/or “What do you think will happen next?” When she gives you an answer, ask for more details.
Play counting games. Count body parts, stairs, and other things you use or see every day. Children this age are starting to learn about numbers and counting.
Help your child develop his language skills by speaking to him in longer sentences than his, using real words. Repeat what he says, for example, “need nana,” and then show how to use more “grown-up” words by saying, “I want a banana.”
Let your child help with making meals. Give him simple tasks, such as washing fruits and vegetables or stirring.
Give your child instructions with 2 or 3 steps. For example, “Go to your room and get your shoes and coat.”
Limit screen time (TV, tablets, phones, etc.) to no more than 1 hour per day of a children’s program with an adult present. Don’t put any screens in your child’s bedroom. Children learn by talking, playing, and interacting with others.
Teach your child simple songs and rhymes, such as “Itsy Bitsy Spider” or “Twinkle, Twinkle, Little Star.”
Give your child an “activity box” with paper, crayons, and coloring books. Color and draw lines and shapes with your child.
Encourage your child to play with other children. This helps him learn the value of friendship and how to get along with others.
Let your child play with playdough by squishing it, pressing it, pinching it, and making balls in different colors. This builds her hand and finger muscles for writing, buttoning, and cutting.
Give your child simple, healthy food choices. For example, at snack time ask, “Do you want carrots or an apple?”
Play games to teach opposites. Get down low and say, “I am small.” Then stand up and say, “I am big.” Do the same thing for fast/slow, quiet/loud.
Play matching games. Ask your child to find objects in books or around the house that are the same.
Play outside with your child. Go to the park or a walking trail. Allow your child plenty of time to choose what and how she wants to play. Join her and follow her lead.
Help your child be ready for new places and meeting new people. For example, you can read stories or role play (pretend play) about new places or things to help him feel more comfortable.
Encourage your child to tell you her name and age.

Special acknowledgments to the subject matter experts and others who contributed to the review of data and selection of developmental milestones, especially Paul H. Lipkin, MD, Michelle M. Macias, MD, Julie F. Pajek, PhD, Judith S. Shaw, EdD, MPH, RN, Karnesha Slaughter, MPH, Jane K. Squires, PhD, Toni M. Whitaker, MD, Lisa D. Wiggins, PhD, and Jennifer M. Zubler, MD.

Sincere gratitude to Natalia Benza, MD and José O. Rodríguez, MD, MBA for their thoughtful review of the Spanish-language translation of these milestones.

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Well-Child Visit: 3 Years

What to expect during this visit.

Your doctor and/or nurse will probably:

1. Check your child's weight and height, calculate body mass index (BMI) , and plot the measurements on a growth chart .

2. Check your child's blood pressure and vision , if your child is able to cooperate.

3. Ask questions, address concerns, and offer guidance about how your child is:

Eating. Growth is slow and steady during the preschool years . Offer 3 meals and 2 healthy snacks a day. Even if your child is a picky eater, keep offering a variety of healthy foods.

Peeing and pooping. Your preschooler may be potty trained or using the potty during the day. Even so, it is common for kids this age to have an occasional accident during the day and still need a diaper at night. If your child has not yet shown the signs of being ready to potty train, tell your doctor. Also let the doctor know if your child is constipated, has diarrhea, seems to be "holding it," or was potty trained but is now having problems.

Sleeping. Preschoolers sleep about 10–13 hours a day. Most kids this age still take a nap during the day.

Developing. By 3 years, most kids:

can talk with another person and have at least 2 back-and-forth exchanges
are understood by others most of the time when speaking
give their first name when asked
ask who, what, where, or why questions
can identify what is happening in a picture, like running or playing
notice other children and join them to play
draw a circle when you show them how
string some items together, like large beads
put on some clothes by themselves

Talk to your doctor if your child is not meeting one or more milestones, or you notice that your child had skills but has lost them.

4. Do an exam with your child undressed while you are present. This will include an eye exam, teeth exam, listening to the heart and lungs, and paying attention to speech and language development.

5. Update immunizations. Immunizations can protect kids from serious childhood illnesses, so it's important that your child get them on time. Immunization schedules can vary from office to office, so talk to your doctor about what to expect.

6. Order tests. Your doctor may order tests to check for anemia , lead , and tuberculosis , if needed.

Looking Ahead

Here are some things to keep in mind until your child's next checkup at 4 years :

Preschoolers should get 2 cups (480 ml) of low-fat or nonfat milk or fortified soy milk. Offer other low-fat and nonfat dairy products, like yogurt.
Limit 100% juice to no more than 4 ounces (120 ml) a day. Avoid high-sugar and high-fat foods and drinks.
Let your child decide when they're hungry or full. If your child chooses not to eat, offer a healthy snack later.
Try to eat together as a family most nights of the week.

Routine Care

If your child no longer takes an afternoon nap, be sure to allow for some quiet time during the day. You may also need to adjust bedtime to ensure your child gets enough sleep.
Nightmares and night awakenings are common at this age. If you haven't already, set up a regular bedtime routine to help your child fall asleep at night. Avoid scary or upsetting images or stories, especially before bed.
If you've enrolled your child in preschool , visit the classroom together a few times before school starts. If your child is not in preschool, look for ways they can play and be with other kids.
Limit screen time (time spent with TV, smartphones, tablets, and computers) to no more than 1 hour a day of high-quality children's programming. Watch with your child to boost learning. Keep TVs and other screens out of your child's bedroom.
Read to your child every day.
Set reasonable and consistent rules. Praise good behavior and calmly redirect unwanted behavior.
Do not spank your child. Use time-outs instead.
Have your child brush teeth twice a day with a pea-sized amount of fluoride toothpaste. Schedule a dentist visit to have your child's teeth checked and cleaned. To help prevent cavities, the doctor or dentist may brush fluoride varnish on your child’s teeth 2–4 times a year.
Have a safe play area and allow plenty of time for exploring, make-believe, and active play .
Make sure playground equipment is well maintained and age-appropriate for your child. Surfaces should be soft to absorb falls (sand, rubber mats, or a deep layer of wood or rubber chips).
Always supervise your child around water and when playing near streets.
Apply sunscreen of SPF 30 or higher at least 15 minutes before your child goes outside to play and reapply about every 2 hours.
Protect your child from secondhand smoke , which increases the risk of heart and lung disease. Secondhand vapor from e-cigarettes is also harmful.
Make sure your child always wears a helmet when riding a tricycle or bicycle .
If your child has outgrown the rear-facing height or weight limit allowed by the seat’s manufacturer, turn the car seat forward-facing. Kids should stay harnessed in a forward-facing car seat in the back seat until they reach the highest weight or height limit. When your child has outgrown this seat, switch to a belt-positioning booster seat until your child is 4 feet 9 inches (150 cm) tall, usually when they're 8–12 years old.
Protect your child from gun injuries by not keeping a gun in the home. If you do have a gun, keep it unloaded and locked away. Ammunition should be locked up separately. Make sure kids can't get to the keys.
Talk to your doctor if you're concerned about your living situation . Do you have the things that you need to take care of your child? Do you have enough food , a safe place to live, and health insurance ? Your doctor can tell you about community resources or refer you to a social worker.

These checkup sheets are consistent with the American Academy of Pediatrics (AAP)/Bright Futures guidelines.

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Health Library 3 Year Well-Child Visit

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Below are milestones most children will reach between now and 4 years of age. Talk with your doctor at your child’s next well-visit if your child is not yet reaching these milestones or there are skills your child no longer shows each day.

Social and Emotional Milestones

Pretends to be something else during play (teacher, superhero, dog)
Asks to go play with children if none are around, like “Can I play with Alex?”
Comforts others who are hurt or sad, like hugging a crying friend
Likes to be a “helper”
Changes behavior based on where they are (place of worship, library, playground)

Language and Communication Milestones

Says sentences with four or more words
Repeats words from a song, story or nursery rhyme
Talks about at least one thing that happened during the day, like “I played soccer.”
Answers simple questions like “What is a coat for?” or “What is a crayon for?”

Thinking and Learning Milestones

Names a few colors of items
Tells what comes next in a well-known story
Draws a person with three or more body parts

Physical Development Milestones

Catches a large ball most of the time
Serves themselves food or pours water, with adult supervision
Unbuttons some buttons
Holds crayon or pencil between fingers and thumb (not a fist)

Healthy Ways to Help Your Child Learn and Grow

Development.

When talking with your child, use complete sentences with “grown up” words. Help your child use correct words and phrases.
Read books together every day to help your child develop language and reading skills. Ask your child questions about the book and encourage your child to tell a part of the story.
Ask your child questions about their day, such as the kind of activities they played with friends.
Let your child help with simple household chores.
Allow your child time to play with other children of the same age. This will teach your child how to share and make friends.
Allow your child to make choices when possible, such as deciding what to wear or what to eat for a snack.
Be consistent and use clear, simple language when disciplining your child. Teach your child the behavior you expect. Whenever you say “no,” tell your child what to do instead.

Healthy Habits

Give water and 16–24 ounces of whole milk each day. Limit juice to help prevent tooth decay.
Eat meals together as a family when possible. Provide a variety of healthy foods and snacks including vegetables, fruits, lean meat and beans. Let your child decide how much to eat.
Get ideas for healthy meals and snacks.
Encourage your child to play and be active throughout the day. Model this behavior by being active together as a family as often as possible.
Children this age need 10–13 hours of sleep a day, including a nap. Have a steady routine for bed (bathing, brushing teeth, books, bedtime). The hour before bedtime should be calm.
Help your child brush teeth two times each day (after breakfast and before bed). Use a pea-sized amount of fluoride toothpaste. Take your child to the dentist twice each year.

Digital Media Use

Limit screen time to one hour of high-quality, educational programs each day. Avoid putting a TV in your child’s bedroom.
Consider making a family media plan to put rules in place for media use. Balance screen time with other family activities, including physical exercise. Learn how to achieve a healthy balance.
Be aware of the types of TV shows, movies, games and music your child is watching and listening to. Focus media on preschool-age educational content whenever possible.

Vehicle Safety

Be sure your child’s car seat is installed correctly in the backseat according to the car seat’s weight and height requirements. Learn more about car seat safety and installation.

Water Safety

Drowning is silent and can happen quickly. Do NOT leave your child alone near any water (including bathtubs, toilets, pools, ponds, whirlpools). Install a four-foot-tall fence with a self-closing and self-latching gate around home pools. Your child should always wear a life jacket when on a boat or near the water’s edge. Learn more about water safety.

Home Safety

Have your child wear a fitted helmet while riding a bike or trike.
Never leave your child alone inside or outside your home.
Always watch your child during play, especially near streets and driveways. Keep your child away from moving cars or machinery.
Encourage your child to sit when eating and to chew food very well to prevent choking.
Protect your child’s skin from the sun by applying sunscreen, at least 30 SPF, 30 minutes before going outdoors. Have your child wear a hat and limit time outside when the sun is the strongest (10 am – 4 pm). Learn more about sun protection.

This information is to support your visit with your child’s doctor. It should not take the place of the advice of your pediatrician.

Sources: Centers for Disease Control and Prevention, Bright Futures (4th Edition) by the American Academy of Pediatrics

Last Updated 06/2023

Cincinnati Children’s has primary care services at locations throughout Greater Cincinnati.

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8 Questions to Ask at a Well-Child Visit With Your Pediatrician

A well-child visit is an important part of keeping your child healthy. From babyhood through the teen years, these routine checkups are a great time to talk to your doctor about your child’s growth, development and behavior.

Lauren Nguyen, MD, MPH , a pediatrician with Children’s Medical Group in Torrance, California, part of the Children’s Hospital Los Angeles Care Network , shares eight key questions to ask your pediatrician during your appointment.

1. Are my child’s growth and weight healthy?

At each visit, your doctor will do basic measurements of your child, including height and weight (and head circumference for babies and toddlers).

“Children are in a rapid phase of growth, so we want to make sure they’re following their own growth curve,” Dr. Nguyen says. “If there are any dramatic changes or concerns about that growth, the pediatrician will address them.”

Growth and weight are important beyond the baby years. For older children and teens, gaining too much weight is a common issue. Other children may experience early puberty. Talk to your doctor about any concerns you have about your child’s growth.

2. Is my child on schedule for his/her vaccinations?

At the end of the visit, your child will receive any needed vaccinations. These shots are critical for protecting your child from a host of serious diseases, including whooping cough, polio, measles and more.

Your doctor should explain which vaccines your child is receiving and what they protect against. Ask which shots are coming up for the next visit as well.

“It’s extremely important for your child to not only get these vaccinations, but to also get them on schedule ,” Dr. Nguyen says. “It can sometimes take weeks or multiple doses of a vaccine before a child is fully protected. The schedule is carefully designed to make sure your child is protected at the right time.”

Children will receive most vaccinations before the age of 6 or after 10 years old. But don’t skip a well-child visit during this gap just because no shots are needed. These are key growing years, plus your child should receive the flu shot every year, so it’s important to still have regular checkups with your pediatrician.

3. What should my child eat (and not eat)?

Nutrition is a big part of a child’s growth and development. Talk to the doctor about your child’s diet. For babies and toddlers, you might have questions around breastfeeding, when to introduce solid foods and what to do if your child is a picky eater.

Ask your doctor which foods your child should eat—and which they should not. Dr. Nguyen tells her patients to avoid juices and sodas, for example. “You want to establish healthy behaviors at a young age,” she says. “It’s so much harder to change these habits later on.”

Be sure to also tell your doctor about any vitamins or supplements your child is taking. “Gummy vitamins have become very popular for young children, but they’re one of the biggest causes of childhood cavities,” Dr. Nguyen explains. “A multivitamin is fine, but it should be a chewable tablet.”

4. Which milestones should my child reach next?

Your doctor will want to know if your child is achieving the typical milestones for his or her age group. In the early years, these include smiling, walking, throwing, grabbing and talking. In addition, ask which milestones your child should reach by the next appointment.

“For example, at the 15-month checkup I’ll say, ‘By 18 months, I’d like your baby to be able to say 10 words, to be able to almost run, to scribble and color and use utensils,’” Dr. Nguyen explains. “That lets parents know what to look for in their baby’s development.”

5. How can I keep my child safe?

For babies and toddlers, safety questions can cover car seats, child-proofing your home, sun exposure and more. For older children, questions might include: When can my child graduate from a booster seat? How much screen time is appropriate?

For adolescents and teens, safety conversations often center around social media use, drugs and alcohol, and sex. Your pediatrician may want to talk one-on-one with your teen about these issues. Talk to your doctor about what you are comfortable with.

6. What about my child’s mental health?

Mental health is important at every age, but this is a particular focus for adolescents. Is your child depressed or anxious? Struggling in school? Having trouble making friends?

“There is a significant increase of depression and anxiety right now among children and adolescents,” Dr. Nguyen says. “The earlier you can identify a mental health issue, the earlier you can treat it. Don’t be afraid to bring up these issues.”

7. Is it normal that my child … ?

This can be anything you’re concerned about—from a recurring rash or a strange bump to weight gain, picky eating or trouble making friends.

Tip: Write down your questions before the appointment. Put the most important ones at the top of the list. If a question comes up after your appointment, call and ask.

“Parents know their child best,” Dr. Nguyen says. “If you feel something is off, definitely ask your pediatrician. There might be an issue we need to address. Fortunately, most of the time your doctor can reassure you that your child is fine.”

8. When is my next appointment?

Before you head home, don’t forget to book your next well-child visit.

“Many parents don’t schedule that next visit, and then it’s easy to start falling behind,” Dr. Nguyen says. “You can always change the date later if you need to. Making the appointment while you’re still at the office is the best way to ensure you’ll stay on track.”

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Well child visit: 3-year checkup.

Three-year-olds are great fun to bring in for a checkup. They're so curious about what's going on and eager to cooperate. They love to report their name and age and tell the doctor or nurse about their life. They're also interested in their bodies, and aren't as defensive about them as many 2-year-olds are. Try not to come in at naptime or on a completely empty tummy; no one will get the best out of the experience.

At This Visit, Your Provider Will Probably:

Weigh and measure your child. In addition to the usual weighing and measuring, your healthcare provider may add a few new elements:

Your child's blood pressure will be checked from now on.

Your provider will ask him questions and give him instructions. Don't try to help your child — the provider is interested in his response. Stay in the room and near him as reassurance, but see how much he can handle on his own.

Your provider will test your child's vision and hearing (until now, your child probably has had eye and ear tests only if you or your provider suspected a problem). Let your provider know if there is a family history of early vision or hearing problems.

Some providers check urine samples. Let your provider know if urinating is painful for your child, if he dribbles or can't hold his urine, or if he's gone back to wetting after being toilet trained.

Your child may be asked to make a drawing, which provides helpful information about your child's development and well-being. You may want to bring in some of his creations from home, too.

Your Provider Will Want To Know:

Has your child seen another healthcare provider since the last visit? If so, why? What was the outcome of that visit, and were any medications or treatments prescribed?

Does your child jump, kick a ball, or ride a tricycle or other toddler-style three-wheel bike?

Does he know his name?

Can he play well with other kids?

Have his tantrums increased?

Talk It Over

If your child is in day care or preschool, the teachers there may have mentioned concerns. Talk these over with your provider.

If your child hasn't been in day care or preschool yet and you're considering enrolling her, your provider may be able to give you some guidance on finding a good program.

If grandparents or other relatives have mentioned any concerns about your child, discuss them with your provider.

Let your provider know if your child seems to be having problems eating or sleeping. If she snores or coughs at night, ask what to do about it.

Tell your provider if you are on a special diet, such as vegetarian or low cholesterol. Your provider can help you ensure that your growing child and the whole family get the proper nutrition.

Discuss where your child is with toilet training. Mention if there has been any backsliding on this issue. You may need some guidance.

If you're having trouble with discipline, discuss it now.

The following items are of special concern, so be certain to tell your healthcare provider if your child:

Isn't speaking in real sentences or asking questions using the "w" words (who, what, where, when, and why).

Isn't following stories or showing any interest in books.

Always stands too close to the TV or likes the volume turned way up.

Has a lot of difficulty separating from you.

Isn't really interacting with other kids in a group setting.

Isn't happy most of the time.

Doesn't know her name and age.

Also be sure to mention:

If a household member or someone who has frequent contact with your child has tuberculosis, hepatitis, or other serious infectious diseases. Your child may need testing or treatment.

If there's been an outbreak of diarrhea or any contagious disease in her school or daycare center, or at your office. Your child may need special tests or vaccines.

If there has been any major change in your family or circumstances.

If you have no health insurance for your child.

Review this article:

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Child Well-Visits: 8 Questions to Ask at Your Next Appointment

July 20, 2021

Whether you are a new parent or have older kids, there are always things to learn about your child’s development and health. That’s why it’s important for you to schedule child-well visits with a pediatrician. Pediatricians are highly trained in the conditions of childhood, so they have a wealth of information you can use to keep your child healthy and happy.

When you take your child to the doctor for an illness or injury, it’s easy to keep track of what you want to talk about with the pediatrician. However, at a well-visit, your child’s overall health is the focus, so it can be hard to keep track of what you want to discuss with the doctor. In order to make sure you get the most out of your next appointment for a child well-visit, make a list of questions to ask using these eight suggestions as a starting point.

1. Is my child meeting milestones for growth and development?

Every child is different, so they do not always hit the same milestones at the same exact age. However, your pediatrician can discuss the age ranges certain developmental milestones should be met, especially in babies and toddlers. If your child is not meeting milestones for development or physical growth, then you and your doctor can discuss any steps you can take to help your child, like special diets for growth, speech therapy, or help with fine motor skills.

2. What vaccines does my child need now or in the near future? Can I get a copy of my child’s shot record?

Your child’s doctor will likely make sure you get reminders about needed vaccines, and yearly visits are a good way to keep up-to-date. The Centers for Disease Control and Prevention (CDC) also has a guide on the recommended child and adolescent immunization schedule . If the pediatrician does not give you information on what vaccines or boosters your child needs, make sure to ask so you can discuss what’s coming up and when your child needs certain shots.

3. What kind of seat should my child be using in the car?

You probably know the guidelines about what kind of car seat is safest for your child based on age, weight, and height, but you might still want to check in with their doctor to make sure you are using the safest option for your child. Plus, since your child will be weighed and measured during the well-visit, you will have the most up to date numbers.

4. Are there any infectious illnesses going around and how can I prevent my child from getting sick?

Ask your child’s doctor if they know of any illnesses affecting your area at the time. And if so, ask if there are steps you can take to protect your family from getting sick. While many contagious conditions can be vaccinated against, some things like stomach bugs, colds, and hand-foot-and-mouth disease cannot be prevented with vaccines. The pediatrician can give you tips on avoiding these conditions.

Also, some communities are still vulnerable to illnesses that have vaccines because a percentage of the population has chosen not to vaccinate, harming herd immunity. Outbreaks of measles, mumps, chickenpox, and other preventable diseases have occurred in several areas in recent years. So, make sure your child is up to date on vaccines and boosters they need.

5. When should my child go to the dentist?

Generally, pediatricians and pediatric dentists recommend that your child start seeing the dentist by their first birthday, if not as soon as their first teeth come in. However, if you want more guidance in your child’s case, then ask the pediatrician when your child should start having check-ups and when they need to move on to get regular cleanings. Also, if you have questions about when the right time is for your child to switch from training toothpaste to a toothpaste with fluoride.

6. Questions about any specific concerns you have about your child’s health or behavior.

No two children are the same, so if you have specific concerns about your child, make sure to bring them up with the pediatrician. They can be pretty thorough, but they cannot cover every possible issue. So, if your child is exhibiting unusual behavior or physical symptoms, put those questions on the list of things to be addressed. Possible topics might include:

Vision problems (squinting, not being able to see the board at school, sitting too close to the TV)
Behavioral issues (acting out of anger, difficulty paying attention, hyperactivity)
Sleep issues or unusual fatigue
Allergies and food sensitivities
Breathing issues/asthma

7. Can you give me a referral for a specialist?

If your child has a problem that the pediatrician is not equipped to treat, like vision issues, your pediatrician is a good resource for recommendations on good providers. Many pediatricians have working relationships with doctors who specialize in pediatric dentistry, optometry/ophthalmology, allergies, or dermatology. They may also be able to provide you with options for counselors or mental health professionals if you have concerns about behavioral or emotional health.

8. When do I need to bring my child back?

Make sure you are familiar with the recommended schedule of well-visits. The American Academy of Pediatrics’ website for parents, healthychildren.org has a summary of the recommended schedule. Well-visits should be more frequent for babies and toddlers and then become yearly around age 3. Of course, you should make sure your child sees the pediatrician in cases of illness and injury, as well as for vaccinations.

Make an Appointment

Holly Springs Pediatrics is a family-oriented practice with two healthcare providers serving the Holly Springs area. We aim to create a safe and comfortable medical home for children and parents and believe in having an open and collaborative relationship with each patient. If you have questions or concerns about your child’s health or want to schedule a child well-visit, call (919) 249-4700. You can also request an appointment online .

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10 questions to ask a pediatrician at well visits

A well child visit is the best time to talk to your pediatrician about normal growth, development and behavior.

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A well child visit is the best time to talk to your pediatrician about normal growth, development and behavior. We’ve put together the top 10 questions to ask a pediatrician during your visit.

Is my child’s development and growth appropriate for her age?
What vaccine(s) does my child need during this visit? What does it protect against?
Is everything up to date, and may I get a record of my child’s shots?
What infectious diseases are going around and how can I best keep my kids safe from them?
Is my child old enough to graduate from a car seat to booster seat? Is it time to get rid of a booster seat? Can I turn my child’s car seat forward?
When should my child start using regular toothpaste?
Should my child be going to the dentist?
Is bedwetting normal for older potty-trained kids?
When should I bring my child back?
And finally, ask about any specific concerns you have, like “Why is my child always tired?” or “How can I manage my child’s allergies?”

It’s also important to ask questions about any sort of treatment that is being prescribed. Parents should understand the diagnosis, how long to give their child the prescribed medicine and what dosage to give. Do not hesitate to ask the pediatrician to clarify instructions.

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Posts from daniel felten, md, mph, my toddler loves to touch himself. how do i handle this.

Thanks for your tip to hire a pediatrician that can help with your child’s development. I like how you said that it’s important to ask them about how often they should be visiting. My husband and I are considering medications for our little girl now that she should probably start seeing some sort of doctor regularly.

You’re welcome! And good luck!

I appreciate that you talked about how it’s important to ask questions about any sort of treatment that is being prescribed. My aunt is looking to hire pediatricians to take her kids to. I’ll be sure to talk to her about asking smart questions to make sure she hires the right professional for her.

Thank you Kyle!

How Often Should My Child See a Pediatrician?

Think of your pediatrician as your partner in your child’s health and well being. Your child can’t always judge whether she’s really healthy, and you may not be able to judge whether she’s developing normally. Many conditions that can be caught in a visit to a pediatrician will not show up in daily life — and catching these things early is often the key to correcting the problems and keeping your child on track for a healthy, happy life.

But how often should your child visit the pediatrician? When it comes to health, wellness is key, and regular visits to the doctor are important in promoting wellness in your child. Pediatricians shouldn’t be reserved for when your child gets sick, but should be viewed as an invaluable resource for ensuring that your child stays healthy.

How often should my child visit the doctor?

The U.S. Department of Health and Human Services recommends 7 well-child visits between the ages of 1 and 4.

After four years of age, it’s recommended that children visit the pediatrician for an annual check-up.

Of course, this is merely a general recommendation. Your child may need to visit the doctor more often than the recommended schedule. And if you are concerned about your child’s health, you should schedule an appointment with your child’s pediatrician immediately.

Why well-child visits are important.

Regular visits to the doctor can prevent health problems and sickness. It’s never a good idea to wait for a health problem to occur and then try to fix it. Your child’s pediatrician is there to work with you and help you to help your child to maintain wellness.

Wellness visits can help doctors identify current health problems. Maybe your child always has the sniffles, or maybe he has a health issue without any symptoms. Your child’s pediatrician can identify those sniffles as an allergy, or help catch a more serious health problem before it’s too late.

They allow you and your child’s pediatrician to keep track of your child’s growth and development. Developmental monitoring can help identify any delays or problems with your child’s growth and development. Again, being made aware of health issues early is the best way to ensure that they don’t become more severe.

Not only do regular well-child visits keep your child healthy and ensure that proper growth and development, but taking your child to the doctor can demonstrate the importance of physicians and help ensure that they continue seeing physicians and maintaining wellness into adulthood. Northwest Arkansas Pediatrics has been voted the best pediatric clinic in Northwest Arkansas . Make an appointment for your child today!

Make the Most of Your Child’s Visit to the Doctor (Ages 11 to 14 Years)

A provider uses a stethoscope to perform an exam on a young girl.

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Kids ages 11 to 14 years need to go to the doctor or nurse for a “well-child visit” once a year.

A well-child visit is when you take your child to the doctor to make sure they’re healthy and developing normally. This is different from other visits for sickness or injury.

At a well-child visit, the doctor or nurse can help catch any problems early, when they may be easier to treat.

Learn what to expect so you can make the most of each visit.

Child Development

How do i know if my child is growing and developing on schedule.

Your child’s doctor or nurse can help you identify “developmental milestones,” or signs to look for that show your child is developing normally. This is an important part of the well-child visit.

Some developmental milestones are related to your child’s behavior and learning, and others are about physical changes in your child’s body.

Check out these resources to learn more about developmental milestones:

Developmental Milestones (Ages 9 to 11 years)
Developmental Milestones (Ages 12 to 14 years)

Behavior Changes

What are some changes i might see in my child’s feelings, relationships, and behavior.

Developmental milestones for kids ages 11 to 14 years include:

Wanting more independence and privacy
Having mood swings (going quickly from happy to sad or sad to happy)
Showing more concern about what their friends and classmates think
Developing stronger problem-solving skills
Developing a clearer sense of right and wrong
Challenging rules and resisting advice from parents

This is also a time when some kids may start showing signs of depression or eating disorders. Bullying and social media use may also become issues at this age. It’s important to:

Make sure the doctor screens your child for depression
Have your child screened for anxiety
Know the signs of eating disorders
Teach your kids to use social media safely
Watch for signs of bullying

Physical Changes

What physical changes will my child go through.

Many kids ages 11 to 14 years are going through puberty. Puberty is when a child’s body develops into an adult’s body.

For girls, puberty usually starts between ages 9 and 13 years. Get more information about puberty to share with your daughter .
For boys, it usually starts between ages 10 and 13 years. Get more information about puberty to share with your son .

You can help by giving your child information about what changes to expect during puberty. You can also encourage your child to talk about puberty with the doctor or another trusted adult, like a teacher or school nurse.

Puberty can be a difficult time for gender-diverse children — kids who feel that they’re a different gender than the sex that’s listed on their birth certificate. Encourage your child to talk with you or their doctor if they have questions about their gender. Find tips for parenting a gender-diverse child .

Behavior and Emotions

The doctor or nurse will pay special attention to signs of certain issues. .

The doctor or nurse will offer additional help if your child may:

Be depressed
Have anxiety
Struggle with an eating disorder
Use tobacco, alcohol, or drugs
Experience any kind of violence

And if your child may be having sex, the doctor or nurse will talk to your child about preventing STIs (sexually transmitted infections) — also called STDs (sexually transmitted diseases) — and pregnancy. Learn how to talk with your child about preventing STIs .

The doctor or nurse will make sure you and your child have the resources you need.

This may include telling you and your child about:

Websites or apps that have helpful health information
Organizations in your community where you can go for help

If needed, the doctor or nurse may also refer your child to a specialist.

Take these steps to help you and your child get the most out of well-child visits.

Gather important information.

Take any medical records you have to the appointment, including a record of vaccines (shots) your child has received.

Make a list of any important changes in your child’s life since the last visit, like a:

New brother or sister
Separation or divorce — or a parent spending time in jail or prison
New school or a move to a new neighborhood
Serious illness or death of a friend or family member

Use this tool to keep track of your child’s family health history .

Help your child get more involved in visits to the doctor.

Once your child starts puberty, the doctor will usually ask you to leave the room for a few minutes so your child can ask questions about their health. This lets your child develop a relationship with the doctor or nurse, and it's an important step in helping your child learn about their health care.

Your child can also:

Call to schedule appointments (if the doctor’s office allows it)
Help you fill out medical forms
Write down questions for the doctor or nurse

For more ideas, check out these tips to help your child take charge of their health care . You can also share this list of questions for the doctor with your child .

What about cost?

Under the Affordable Care Act, insurance plans must cover well-child visits. Depending on your insurance plan, you may be able to get well-child visits at no cost to you. Check with your insurance company to find out more.

Your child may also qualify for free or low-cost health insurance through Medicaid or the Children’s Health Insurance Program (CHIP). Learn about coverage options for your family.

If you don’t have insurance, you may still be able to get free or low-cost well-child visits. Find a health center near you and ask about well-child visits.

To learn more, check out these resources:

Free preventive care for children covered by the Affordable Care Act
How the Affordable Care Act protects you and your family
Understanding your health insurance and how to use it [PDF - 698 KB]

Ask Questions

Make a list of questions you want to ask the doctor..

Before the well-child visit, write down 3 to 5 questions you have — and ask your child if they have any questions to add. This visit is a great time to ask the doctor or nurse any questions about:

A health condition your child has (like an allergy, asthma, or acne)
Changes in behavior or mood
Loss of interest in favorite activities
Problems at school (like learning challenges or not wanting to go to school)

Here are some questions you may want to ask:

How can I make sure my child is getting enough physical activity?
How can I help my child eat healthy?
Is my child at a healthy weight?
Is my child's body developing normally?
Is my child up to date on vaccines?
How can I help my child succeed at school?

You may also want to ask:

How can I talk with my child about sex?
How can I talk with my child about tobacco, alcohol, and drugs?
How can I teach my child to use the internet safely?
How can I talk with my child about bullying?

Take a notepad, smartphone, or tablet and write down the answers so you can remember them later.

Get tips to help you:

Talk with your child about sex
Talk with your child about tobacco, alcohol, and drugs
Talk with your child about bullying

Find more tips to talk to your child about a range of tricky topics .

Ask what to do if your child gets sick.

Make sure you know how to get in touch with a doctor or nurse when the office is closed. Ask how to get hold of the doctor on call, or if there's a nurse information service you can call at night or on the weekend.

What to Expect

Know what to expect..

During each well-child visit, the doctor or nurse will ask you questions, do a physical exam, and update your child’s medical history. You'll also be able to ask your questions and discuss any problems.

The doctor or nurse will ask you and your child questions.

The doctor or nurse may ask about:

Behavior — Does your child have trouble following directions at home or at school?
Health — Does your child often complain of headaches or other pain? How much sleep does your child get? When was their last visit to the dentist?
Safety — Does anyone in your home have a gun? If so, is it unloaded and locked in a place where your child can’t get it?
School and activities — Does your child look forward to going to school? What does your child like to do outside of school?
Eating habits — What does your child eat on a normal day?
Family and friends — Have there been any recent changes in your family? How many close friends does your child have? Has your child been bullied at school or online?
Emotions — Does your child often seem sad, stressed, or bored? Do they seem scared or worried a lot? Does your child have someone to talk to about problems?
Sexuality — Have you talked with your child about puberty? Is your child dating?

The answers to questions like these will help the doctor or nurse make sure your child is healthy, safe, and developing normally.

Physical Exam

The doctor or nurse will also check your child’s body..

To check your child’s body, the doctor or nurse will:

Measure height and weight and figure out your child's body mass index (BMI)
Check your child’s blood pressure
Check your child’s vision and hearing
Check your child’s body parts (this is called a physical exam)
Decide if your child needs any lab tests, like a blood test
Give your child shots they need

Learn more about your child’s health care:

Find out how to get your child’s shots on schedule
Learn about getting your child’s vision checked

Content last updated February 16, 2024

Reviewer Information

This information on well-child visits was adapted from materials from the Centers for Disease Control and Prevention and the National Institutes of Health.

Reviewed by: Sara Kinsman, M.D., Ph.D. Director, Division of Child, Adolescent, and Family Health Maternal and Child Health Bureau Health Resources and Services Administration

Bethany Miller, M.S.W. Chief, Adolescent Health Branch Maternal and Child Health Bureau Health Resources and Services Administration

Diane Pilkey, R.N., M.P.H. Nursing Consultant, Division of Child, Adolescent, and Family Health Maternal and Child Health Bureau Health Resources and Services Administration

October 2021

You may also be interested in:

Talk to Your Kids About Tobacco, Alcohol, and Drugs

Get Your Pre‑teen’s Vaccines on Schedule

Get Your Teen Screened for Depression

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Linking to a non-federal website does not constitute an endorsement by ODPHP or any of its employees of the sponsors or the information and products presented on the website.

You will be subject to the destination website's privacy policy when you follow the link.

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Checkups For 3 Year Old’s – Everything You Need To Know

What All Does a Doctor Check During The Checkup?

Questions that a child’s doctor may ask you, are vaccines given at the checkup, what you should ask your child’s doctor, important tips for checkup.

Being a parent is a wonderful feeling. Every new act or development of the child brings immense happiness to the parent. However, with immense joy comes immense responsibility too. The criteria of a job well-done for every parent is the overall health of the child. And the best judge to analyze the health of the child is their pediatrician. All visits to the pediatrician are important; however, the check-up of a 3 year old is essential. A 3-year-old child has started doing certain things that are crucial for their development. So on these visits, the pediatricians of a 3-year-old will check their mental growth and social development in addition to their physical well-being. This check-up visit is also a good opportunity for the parents to ask the pediatrician any questions they have about the growth and development of their child, as now their kid would be starting school. Now the parents should know things to take care of so that their kid can adjust and cope well in school. Therefore, it’s important the 3-year-old visits their pediatrician for the check-up to assess their development and growth.

During the check-up the pediatrician will check the following things:

1. Check Weight and Height

The doctor will weigh and measure the child’s height to make sure the child is growing properly and steadily.

2. Check the Vital Statistics

Apart from the weight, the doctor will check the child’s vital stats, such as blood pressure, temperature, heart rate, breathing, etc., to make sure the kid is physically well.

3. Do a Physical Check

The doctor will do a complete physical check to make sure your child is developing well. The physical examination will be done in the presence of the parents, and the doctor will check eyes, ears, teeth, lungs, heart, fine motor skills, etc.

4. Blood Test for Anemia and Lead Poisoning

The doctor can also do some blood tests to check for anemia and lead poisoning risk in the child.

5. Tuberculosis Test

The doctor may do a tuberculosis test if the kid has a risk factor for it.

6. Check for Cognitive and Speech Development

The doctor will also check the child’s speech, cognitive development, and language skills by asking questions about the things they enjoy, books they read, etc. They will also give directions to the child to check whether they follow commands. The doctor may ask the kid to draw something to check their development.

After doing the checks during the visit, the child’s doctor will also have some additional questions for the parents to further assess the child’s growth and development. For example, they can ask the following questions:

How much does the child sleep? – A 3 year old child should ideally sleep for about 12 hours daily with some nap time in the afternoon. As the kid gets older, they develop their active imagination and fear the dark or being alone. This can cause disturbance in their sleep . So the doctor wants to know their sleep patterns to assess their development as adequate sleep is necessary for proper growth.
Is the kid potty trained? – A 3-year-old toddler has gotten accustomed to using the potty, though they may still need to wear the diaper occasionally. However, some toddlers are still not ready for potty training . So the doctor will ask about it to know their growth.
Has the child visited the dentist? The pediatrician will be interested in knowing the child’s dental health and whether the child is brushing by self or needs the parent’s help.
Does the child eat healthy foods? – For proper growth and to have energy for a whole day of activities, the kid needs to eat a healthy and varied diet. The doctor will ask about their meals to know that.
What games interest the kid? – The games and activities that interest the kid gives the doctor an insight into their growth.
How does the child behave when left with someone else or in daycare? – The kid has grown, so it should be easy for them to be away from their parents. How well the kid adjusts away from them is a sign of their emotional maturity and feeling of security.
Is the kid right or left-handed? – By the age of 3, almost all kids have a dominant hand. If ,in case , the kid is confused about which hand to use, then there could be some coordination issues.
How well the child plays with other kids? – 3-year-old kids are generally reluctant to share their toys. The doctor may ask about this to gauge their behavior with other kids.

During the check-up, vaccinations are not administered as most vaccines for kids are administered upto 20 months initially. Then the next rounds of vaccines generally start from 4 years onwards; however, it is better to be up-to-date with the kid’s checkup shots if some vaccination was missed. So during the 3 years doctor visit, it is best to consult the doctor for immunizations and get the missed vaccination administered.

Here is the list of vaccinations a 3 year old kid should have; in case any was missed, get it administered during the check-up visit:

Hepatitis A and B
Influenza, polio
Measles and mumps

At 3 years, the kid would be starting preschool. Preschool is a huge step for both the parent and the child. Parents should consider this as a chance to ask the pediatrician for advice on making the transition as painless as possible for their child, especially if they believe their child may struggle to separate from them. Remember that the child’s doctor is there to answer any questions the parents may have. Some questions to ask the pediatrician are:

How much food should I feed my child?
What should I feed my child? Any food or drink to avoid?
How often should I feed my kid? What is the right time to feed them?
Ways to ensure the health of my child?
How much screen time should I allow for my kid?

Some important tips for the check-up are:

The parents should note down all the questions they need to ask the doctor beforehand to avoid missing out on any question.
When the doctor asks the child anything, the parents should let the child answer. This will let the doctor assess their development better.
Try not to visit the doctor at the child’s naptime.
Feed the child before the doctor’s appointment. A hungry child will be irritated during the check-up.
The doctor may ask the child to draw to see their development. But at the time of check-up, the child may not want to draw, so take some previous drawings from home to be prepared for such a scenario.

The pediatrician visit is critical for parents to understand their baby’s development. During this appointment, the doctor examines the toddler to determine their development. It’s also a great opportunity for parents to get their questions regarding their child’s growth answered.

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What to do if your child has a fever

Fever is a common symptom in kids and can occur when a child’s body is responding to an infection, or as a result of an inflammatory process. A fever occurs when the body’s internal temperature rises above its normal level. Pediatricians usually consider a fever to be a temperature of 100.4°F or above (when taken rectally). A child’s body temperature will change naturally throughout the day. Although fevers are often a sign of a good response to an infection, knowing whether a fever requires medical attention can feel overwhelming for parents. In this guide, you’ll get all the information needed to decide how to best help your baby, infant or child when they have a fever.

ON THIS PAGE

Child temperature chart
Lowering a fever
When to seek care
Determining fever severity
How to take temperature by age

What is a fever?

Causes of fever
Other symptoms
More resources

Child temperature chart quick guide

Schedule a COVID-19 Test

If you think your child might have a fever from a COVID-19 infection, please schedule a testing appointment.

How to lower (break) a child’s fever

When a child’s fever is not emergent, the first goal should be to reduce the fever. Medicine, like acetaminophen or ibuprofen, is usually the fastest and most effective way to lower a kid’s fever. Infants and babies younger than 2 months old should not be given medicine for fever without a pediatrician’s visit.

How to reduce a child’s fever naturally

While medicine can be the most effective way to lower a fever, there are other methods that can be used alongside medication to help a child’s body fight their fever and keep them comfortable.

Food and drinks

Kids with fevers can lose fluids faster than usual and easily become dehydrated. Offer them plenty of fluids to avoid dehydration and avoid liquids with caffeine and high sugars, as these can worsen dehydration by causing urination and/or diarrhea. Appropriate drinks/foods include water, electrolyte beverages, soup, ice pops, and gelatin. Read our hydration guide for more info.

When a child has a fever, it’s best for them to stay home and get plenty of rest. While they don’t have to stay in bed all day, they should take it easy. Read our blog for sick day activity ideas .

Be cautious with sponging and baths

While sponging and bathing can help comfort a child with a fever, these methods are not recommended to treat a child’s fever. Baths only help cool a child while they’re in the water, but fevers may immediately return after they get out. If a bath helps comfort your child, be sure to use body temperature water. Anything cooler can lower their temperature too quickly. Couple this with medication to focus on eliminating the fever. Do not use alcohol baths at all.

Don’t bundle up

When a child has a fever, their higher internal temperature may make them feel cold or shiver. However, it’s important to make sure to not overdress or over-bundle a child, as this can prevent body heat from escaping — which is important to reduce their fever. Dress them in lightweight clothing and only use a light blanket or sheet in bed.

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When to seek expert care for fevers in children

When to call a doctor for a fever, newborn: under 1 month.

Has a rectal temperature of 100.4 °F (38°C) or above.
Infants under 1 month should be taken to the emergency department right away.

Infant: Under 3 months

Infants 1-3 months with a temperature should be seen by a pediatrician. If your child cannot be seen by a pediatrician right away, visit your closest emergency department.

Child: Over 3 months

Has a temperature between 102.2 °F (39°C) and 104 °F (40°C).
Refuses fluids or is too ill to drink.
Has lasting diarrhea or vomiting.
Shows signs of dehydration .
Complains of sore throat or earache.
Your child has a separate chronic medical problem.
Has a rash.
Experiences pain when peeing.

Always call the doctor when:

Fever lasts over 24 hours in children under 2 years old.
Fever lasts over 72 hours in kids older than 2 years.
Your child gets sicker despite their fever breaking.
A fever doesn’t decrease (expect 1-2 degrees) after using fever-reducing medicine.

When should I take my child to urgent care for a fever?

Parents should take their child to urgent care for a fever when their symptoms require a call to the doctor (see ‘ When should I call my child’s doctor for a fever? ’ above) but you’re unable to reach a pediatrician or schedule an appointment. Infants under 3 months are the exception to this general guideline, as they should be seen in an emergency department if they can’t see a pediatrician.

If your baby under 3 months old has a rectal temperature of 100.4 °F (38°C) or above and you can’t reach their pediatrician, skip urgent care and head directly to the nearest emergency department.

When your child is experiencing a non-life-threatening fever, calling a pediatrician is always the best first step. Do not take a child to urgent care when they are experiencing life-threatening symptoms. Head directly to your nearest emergency department or call 911 (see ‘ When should I take my child to the hospital emergency department for a fever?’ below).

When should I take my child to the emergency department for a fever?

Emergency departments are equipped for the most complex or critical needs. Fever requires a visit to the emergency department when:

An infant less than 28 days old has a fever of 100.4 or more
A child’s fever is at 105°F (40.5°C) and doesn’t decrease 1-2 degrees after taking fever-reducing medicine.
A child’s fever is above 105°F (40.5°C).

Children should also be taken to the emergency department if they have a fever of any temperature and are also experiencing:

Non-stop crying
A bulging or sunken in soft spot (in infants)
Extreme irritability or fussiness
Sluggishness or trouble waking up
A rash or purple bruise-like spots that didn’t exist before the sickness
Blue lips, tongue or nails
A stiff neck
Severe headache
Limpness
Trouble breathing
Seizures
Moderate to severe belly pain

Tips to help assess the severity of a child’s fever

Fevers can occur as a response to a variety of conditions and do not always mean a child has a serious illness. It can feel challenging to know when to be concerned about your child’s fever. Below are some general tips to help guide you in deciding the severity of fever:

Accurate temperature

Make sure you take a child’s temperature accurately. Start by using a reliable digital thermometer and placing it in the right area (orally, rectally, or under the arm).

Consider your child’s age along with their symptoms. If they are an infant 3 months or younger and have a rectal temperature of 100.4°F or higher, call your doctor or go to the emergency department immediately. If your child is between 3 months and 3 years old and has a fever of 102.2°F or higher, call your doctor. For older kids, take behavior and activity level into account. Watching their actions can help you decide if the illness is serious and should be checked out by a doctor.

If your child is over 3 years old and they continue to play, eat and drink well, remain alert and smiling, have a normal skin color and their temperature comes down, their fever is likely no cause for concern.

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Fevers in children

How to take a child’s temperature accurately

Your child’s age determines how you should take their temperature. The best options include rectal (the most accurate), underarm or oral. Ear thermometers are not recommended.

Infants from birth to 3 months old should have their temperature taken rectally with a digital rectal thermometer.
Kids younger than 4 or 5 years old should have their temperature taken under the armpit, also known as axillary temperature.
Children older than 4 or 5 years old can have their temperature taken orally, by holding the thermometer under their tongue.

Tips for taking an oral temperature

(for children older than 4 or 5):

Wait for 20 to 30 minutes after the child finishes eating or drinking
Place the tip of the thermometer under the tongue toward the back and have them hold it with their lips
Remind your child not to bite down or talk
Wait until the thermometer beeps to remove

Tips for taking underarm temperature

(for children 3 months to 4 or 5 years):

Remove your child’s shirt and place a thermometer under the armpit (must be touching the skin)
Fold the arm across the chest to hold the thermometer in place

Tips for taking a rectal temperature

(for infants under 3 months):

Wash the end of the thermometer with soap and cool water
Apply a small amount of lubricant (petroleum jelly) to the end of the thermometer
Insert the thermometer into the child’s anal opening about ½ inch to 1 inch, or until the tip is not visible
Steady the thermometer between your second and third fingers while cupping your hand against your child’s bottom

A fever occurs when the body’s internal temperature rises above its normal level. Pediatricians agree that temperatures of 100.4°F or above (measured rectally) are considered fevers. Most children’s body temperatures change during the day, especially as they play. While a fever can be alarming, it usually causes no harm and can be a good sign that the body is able to fight infection.

Body temperature is controlled in the part of the brain called the hypothalamus. The hypothalamus knows the body temperature should be around 98.6°F and sends signals to the body to keep that temperature. When there is an infection, the hypothalamus will signal the body to raise the temperature. Most researchers believe this is done to create a less comfortable place for germs.

Fevers are classified based on how a child’s temperature is taken.

100°F when measured orally
100.4°F when measured rectally
99°F when measured under the arm

What causes a fever in children?

A fever is usually a sign or symptom of an illness or other underlying issue. While fevers can have many causes, there are a few common culprits:

Infections: A fever is a sign that the body is responding to an infection or other process that causes inflammation. Common infections that cause fevers include bacterial and viral infections, such as flu, colds, earaches, strep throat, etc. Most fevers that result from the body fighting infections only last for a few days.
Chronic diseases: When fevers last for more than a week or are recurring, they can be a sign of underlying diseases.
Immunizations: After vaccinations like the flu shot, some kids will experience a low fever.

Common symptoms experienced during fevers

Besides having an elevated temperature, you can sometimes notice a fever through related visual symptoms like:

Chills/shivering
Body aches
Headaches
Sweating
Hot skin
Flushed appearance
Fatigue/crankiness
Loss of appetite

Call CHOC’s free 24/7 Nurse Advice Line

Our free nurse helpline is open 24/7 to address questions about your child’s health.

More information about fevers in children

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The guidance on this page has been clinically reviewed by CHOC pediatric experts.

For more health and wellness resources from the pediatric experts at CHOC: Sign up for the Kids Health newsletter.

The contents of this webpage, including text, graphics, audio files, and videos (“Materials”), are for your general information only. The Materials are not intended to substitute qualified professional or medical advice, diagnoses, or treatments. CHOC does not recommend or endorse any specific tests, physicians, products, procedures, or other information that may be mentioned on or linked to this webpage. Always call your physician or another qualified health provider if you have any questions or problems. If you think you may have a medical emergency, call your doctor, go to the nearest emergency department, or call 911.

For more health information for your family visit health.choc.org

Young mother, family matriarch and doting father ID’s as victims killed in Arkansas grocery store shooting

A 23-year-old nurse, mother to a 10-month-old girl, is among the four people killed in Friday's mass shooting at an Arkansas grocery store .

Callie Weems died when rounds and fragments from a suspect’s long gun struck 13, including two officers who had non-life-threatening injuries, at a Mad Butcher grocery store Friday morning in Fordyce, a small town about 70 miles south of Little Rock.

Family members confirmed that the two others killed in the mass shooting are Shirley Taylor, 63, and Roy Burton Sturgis, 50. Interviews and at an obituary helped shed some light on the lives they lived.

On Saturday night, Arkansas State Police said a fourth victim, Ellen Shrum, 81, has died. Her background wasn't immediately apparent.

One of four survivors of the attack who remained hospitalized Saturday evening was said to be in critical condition, police said. That patient, described as a woman, was not identified.

Callie Weems

Upon news of the attack, Helen Browning tracked her daughter's phone to the Dallas County Medical Center, where Weems worked, and assumed she had volunteered to help victims on her day off.

"She's there," Browning said she told herself. "She's helping out."

But people kept calling, so she went to the site of the violence to investigate, Browning said in interviews with NBC News and NBC affiliate KARK of Little Rock .

“My best friend was standing right there and I said, ‘Kristie, tell me my baby’s OK.’ And she said, ‘I can’t,’” Browning told the Arkansas station.

Weems had been shopping at Mad Butcher when she was shot, family members said. The loss was incomprehensibly unjust, Browning said, because Weems created a lot of goodwill.

"You can stab her in the back 17 times," Browning said, "and she'd still help you."

Stepfather Bruce Grice described Weems as “the sweetest girl.”

“Always worried about other people,” he said.

Browning, also a nurse, is now grappling with how she will raise her granddaughter, Ivy, whom she said was Weems’ “saving grace.”

“And now she gets to be mine too,” Browning told KARK.

Shirley Taylor

Death and injury on Friday wrought mental anguish and also left some families without the souls who power them each day. Shirley Taylor, 63, was described as a matriarch dedicated to the multigenerational family stead in nearby Chambersville.

She singlehandedly took care of her husband, described by daughter Angela Atchley as a severe diabetic. She looked after her own mother. She crocheted. She helped raise her grandchildren. She had a garden. And she often cooked for the family.

"Just the smell of food kind of makes me sick," Atchley said. "I haven't ate."

Asked what the world should know about Taylor, Atchley said she had love for everyone, but always put her family first.

"She was the most hard-working woman I've ever known in my life," the daughter said.

Roy Burton Sturgis

Family confirmed that Sturgis was among Friday's fatalities. His obituary, published by Benton Funeral Home, where a funeral was scheduled for Friday, said he was pronounced at Dallas County Medical Center.

He lived in nearby Kingsland, the obituary states, and daughter Hanna was his pride and joy.

On a virtual wall of tributes linked from the obituary, some of the friends of the Sturgis family, including his parents, described him as a man of bravery, courage and sacrifice.

Family friend Marsha Helberg Waddill described Sturgis as an everyday hero. He was "always courteous and brave enough to speak out to any playground bully that crossed his or your path," she wrote.

He is survived by his daughter, sisters Angelia Surgis and Sarah Sturgis, brother Eddie Ray Sturgis, stepson Braydon Pennington, and Braydon's daughter, CourtLeigh, according to the obituary.

No known motive

A motive in the Friday-morning shooting, which appears to have begun in the parking lot, remains unclear. Law enforcement officials briefed on the shooting told NBC News on Saturday that there are no indications of any sort of extremism as a possible motive.

Travis Eugene Posey, 44, of New Edinburg, a community about 11 miles east of Fordyce, was arrested in connection with the shooting and booked at the Ouachita County Detention Center. He was treated earlier Friday for non-life-threatening injuries after exchanging gunfire with officers.

Posey will be charged with four counts of capital murder with additional charges pending, the Arkansas Department of Public Safety said in a news release .

Not a lot has emerged about the suspect’s background, and calls to people listed online as possible relatives, as well as to phone numbers associated with his address, were not answered, went to disconnected accounts, or have not been returned.

The suspect is listed by the U.S. Department of Transportation as a self-employed trucker.

Video that was verified by NBC News but does not reveal what transpired beforehand shows a man in a parking lot firing a long gun. Some rounds appeared to be directed at vehicles.

Grocery store closed for now

The grocery store said in a statement Saturday that it was “shocked and deeply saddened over the senseless act of violence.”

“Our hearts go out to the victims, their families, and all those affected,” the store posted on Facebook . “We’re truly grateful to our local law enforcement and first responders who arrived on the scene to secure the area and apprehend the suspect. Their swift and courageous actions helped prevent further harm. We can’t thank them enough for their dedication and service.”

The store will remain closed as the investigation continues, Mad Butcher said. Employees will continue to be paid.

The attack follows a mass shooting in Oakland, California, where 15 people were wounded during Juneteenth events on Wednesday. That same day, seven people were injured after a shooting in Philadelphia , officials said.

Minyvonne Burke is a senior breaking news reporter for NBC News.

Dennis Romero is a breaking news reporter for NBC News Digital.

Priya Sridhar is an NBC News correspondent.

When and how often do kids need an eye exam?

2 year old boy visits ophthalmologist at eye clinic

Dr. Jennifer Dunbar and her patient Thomas

Good vision is essential for a child's clear sight and plays a significant role in learning, school readiness, and motor skills development. Jennifer Dunbar, MD, a pediatric ophthalmologist at Loma Linda University Health and vice chair of the Loma Linda Eye Institute, emphasizes the importance of parents being vigilant about their child's eye health.

"A child's brain makes nerve connections for vision from birth through early grade school years, making early childhood a critical period for vision development," said Dunbar.

Early detection and treatment of vision problems can significantly impact a child's development and quality of life. Vision screenings should start at birth and continue regularly throughout childhood. The American Academy of Pediatrics recommends vision screenings during well-child visits, with specific evaluations at birth, one month, three months, six months, and annually.

Common Vision Problems in Children

Several vision problems can affect children, including:

Amblyopia (Lazy Eye): A condition where one eye is weaker, causing the brain to favor the stronger eye. If left untreated, it can lead to permanent vision loss in the weaker eye.

Strabismus (Crossed Eyes): Occurs when the eyes do not align properly, with one eye turning in, out, up, or down. Early detection and treatment are necessary to prevent vision problems and ensure eye coordination.

Refractive Errors: These include nearsightedness (myopia), farsightedness (hyperopia), and astigmatism, causing blurry vision. They can often be corrected with glasses or contact lenses.

Congenital Cataracts: This is present at birth and can block vision if not treated promptly. Surgery is often required to remove the cataract to allow normal vision development.

Signs of Vision Problems

Parents should watch for signs of vision problems in their children:

Frequent eye rubbing
Complaints of headaches or tired eyes
Difficulty reading or holding books very close to the face
Misaligned eyes

Pediatricians and schools typically screen children for eye issues such as asymmetry and congenital anomalies like cataracts. If any problems are detected, children are referred for further evaluation by an ophthalmologist.

"Misaligned eyes are more than a cosmetic issue. They can indicate that the brain is not developing vision properly, which can affect a child's ability to see for the rest of their life," Dunbar said.

Parents should also be mindful of behaviors that might harm their child's vision. Extensive screen time and frequent eye rubbing can increase the need for glasses. The American Academy of Pediatrics recommends limiting screen time to two hours a day for children over two years old.

Dunbar encourages parents to have their children play outside regularly, as it reduces the risk of developing myopia. Additionally, a balanced diet rich in vitamins and minerals supports eye health. Foods high in vitamins A, C, and E and omega-3 fatty acids are particularly beneficial.

For more information, visit the Loma Linda Eye Institute's website.

Loma Linda University Eye Institute

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EXCLUSIVE: Man, 32, became fully paralyzed days after getting COVID. This was his 1st symptom

In the fall of 2022, Dr. William Dugal, then 32, contracted COVID-19 and began experiencing unusual symptoms.

“It started with the numbness in my feet, almost like my shoes were too tight, and it progressed to where I was having trouble walking,” Dugal, now 34, of Winston-Salem, North Carolina, tells TODAY.com. “I knew there was something significantly wrong.

Dugal, who had just finished his surgery residency, went to a local hospital, where he learned he had a rare post-viral complication called Guillain-Barre syndrome. It can cause anything from muscle weakness to complete paralysis, and very few interventions can slow its progression.

Having the support of his wife, family and friends made Dr. William Dugal's recovery from Guillain-Barre syndrome easier.

Soon, Dugal became completely paralyzed and couldn’t swallow or breathe unassisted. But he could still think clearly.

“I couldn’t even move my eyes and blink. And as that’s happening, I can’t express enough the fear and uncertainty I had,” Dugal says. “Sometimes medical knowledge is a good thing and a bad thing because you are keenly aware of the severity of your illness.”

COVID-19 infection leads to numbness and 'strange' symptoms

Over Labor Day weekend 2022, Dugal and his family had a lot to celebrate. He had just completed his four-year surgical residency and was preparing to start a new job in North Carolina. His wife also recently had given birth to a beautiful baby daughter.

“Things were really looking great,” he says. “(We) were about to start the next chapter.”

They attended a wedding, and after returning home, all three tested positive for COVID-19. Dugal’s wife and daughter had mild cases, but his symptoms were “strange,” such as foot numbness, Dugal recalls.

Over the next several days, the numbness worsened, so he asked his wife to take him to the hospital. “I had to be wheeled in because I couldn’t walk at all,” he says.

A neurologist ordered a spinal tap, which helped doctors quickly diagnosis Dugal with Guillain-Barre syndrome, a rare condition where the immune system attacks the layer around the nerves (myelin), causing nerve damage, according to the National Institute of Neurological Disorders and Stroke .

“Unfortunately, my symptoms progressed over a period of month in the hospital with complication upon complication,” he says.

How Guillain-Barre syndrome progresses

In mild cases, Guillain-Barre syndrome only causes muscle weakness. In more severe ones, it progresses to full paralysis, and patients require ventilation to breathe. The amount of time the condition lasts can vary, too, Dugal says.

Most people recover completely or only have minor symptoms, such as numbness or tingling, afterward, according to Mayo Clinic . But recovery can take months to years. For people who lose the ability to walk, it usually returns within six months.

The condition can also be fatal, especially if the paralysis moves into the muscles used to breathe. And “sometimes the nerves … are damaged to a point where they’re unable to recover,” Dugal explains. In these cases, patients stay paralyzed.

The worse the early symptoms, the greater the likelihood of long-term complications, per Mayo Clinic.

Experts remain unsure why some people develop Guillain-Barre syndrome, but it most often occurs after bacterial or viral infections. There's no cure or definitive treatment, so doctors usually offer supportive measures, such as ventilation and feeding tubes, Dugal explains.

“You don’t know how severe it’s going to get, and you don’t know how long it’s going to last," Dugal recalls of his experience. "They were two kinds of anxiety for me."

Ventilation leads to a near-death experience

After his receiving diagnosis in the hospital, Dugal felt “keenly aware” of how serous his Guillain-Barre syndrome was.

“I knew that once it progressed high enough to my diaphragm that I wasn’t going to be able to breath,” he says. “It was a very humbling feeling when you realize you’re at the mercy of the process and you have to accept whatever comes.”

He gradually experienced so much weakness his muscles that he could no longer speak. He remembers trying to concentrate his muscles on being able to breathe on his own, but "after a few days, I wasn’t successful," Dugal says.

Doctors placed him on a ventilator to assist his breathing. At the time, Dugal worried that he would never recover.

Dr. William Dugal and his wife welcomed a baby five months ago.

“I made peace that I was likely going to die,” he says. “I looked at (my wife) and told her to take care of our daughter.”

There were moments, though, where Dugal's medical training took over. After he lost his ability to speak, he blinked to communicate, and a few times he tried managing his own treatment.

“I was trying to spell out different ventilator modes,” he says, with a laugh. “I was actively involved in my care.”

After two weeks on the ventilator, Dugal developed pneumonia — a common side effect of being on a ventilator for a prolonged period — and both of his lungs collapsed. His oxygen levels became dangerously low, and he wasn’t getting enough oxygen to his brain, which can be fatal if not addressed quickly.

He began to code, and doctors put him under and placed him on ECMO, a machine that takes over heart and lung function to give them time to recover. After nine days, he awoke.

“I (was) completely cognitively there in understanding,” he recalls. “I (had) these large plastic tubes with all my blood running through them, and I (was) completely dependent on this system working. You can imagine my anxiety was through the roof.”

The ECMO had allowed his lungs to heal, though, so he was weaned off and placed back on a ventilator. Still, he couldn’t speak, wiggle his fingers or toes, or even blink. But he knew exactly what was happening.

“Your muscles are so weak,” he says. “I was completely trapped in my own body and sitting there, staring at the same spot on the wall.”

Dugal began wondering what life would be like. Would he ever be strong enough to return to work as a surgeon?

Because his condition was no longer getting worse, doctors recommended in-patient rehabilitation, but Dugal’s family struggled to find a facility that would take him while he was still on a ventilator. Finally, TIRR Memorial Hermann in Houston accepted him, so he took an air ambulance. Once there, he began working to relearn everything.

Two months in in-patient rehab

Rehabilitation felt difficult. He had lost 60 pounds and was still being fed through a feeding tube because he was too weak to swallow. He couldn’t sit up alone or leave the bed, so they used lifts to transport him. Good days often included incremental changes so slight they could be hard to see.

“It was little things that would be like trying to straighten your hands out … because your muscles literally aren’t strong enough to open,” he says. “I remember the first time I could kind of wiggle my big toe. … It was the most unexciting thing you’ve ever seen.”

Despite the challenges, in rehab Dugal felt like he could “take control of the situation” for the first time since becoming sick. “(At first), you’re in survival mode and trying to get to the next hour,” he says. “(Rehabilitation) was very slow, but there was progress.”

After two months of in-patient rehabilitation, Dugal went home. He was using a power wheelchair and still needed loads of in-home physical, occupational and speech therapy to relearn daily tasks.

"I was trying to get back my life skills," Dugal says. "To be able to get dressed, to eat by myself ... tie (my) shoes, pick up objects."

Over time, he built up his strength to the point where returning to work felt possible. Nine months after being diagnosed with Guillain-Barre syndrome, he could walk again.

When Dr. William Dugal felt strong enough that he considered returning to work, he wanted to practice his surgical skills, and virtual reality helped him do so.

Working as doctor again meant he needed to practice his surgery skills. His wife found a company, Osso VR, that had surgical training programs using VR headsets.

“You could kind of perform surgeries that look like we’re in the operating room and go through the steps of the operation," Dugal explains. "It was a way to bridge the gap of having physical limitations but also trying to get back to that (surgeon) mindset."

From patient to doctor

In July 2023, almost a year after he caught COVID-19, Dugal felt strong enough to work. He started working in a lab where surgical studies were being conducted, "trying to figure out how to get back to being a surgeon," Dugal says.

Then he started an ECMO fellowship, where, for almost a year, he was “putting patients on the same treatment that saved me at the same hospital.” It felt like a full circle moment.

“It was great to be able to work with the same people who saved me — therapists and surgeons,” he says. “I’m very grateful to be able to do surgery.”

When Dugal finishes his ECMO fellowship, he’s going to start a general surgery fellowship.

Within two years, Dr. William Dugal went from being completely paralyzed due to Guillain-Barre syndrome to practicing medicine again.

Having Guillain-Barre syndrome changed his perspective as a doctor.

“I have more empathy and a better understanding of the patient’s experience,” he says. “I hope that I can provide that same compassion and support to other people in similar situations.”

Being able to care for others who need ECMO after it saved him has felt like an honor for Dugal.

“It’s been very rewarding to do ECMO,” he says. “What I want to carry forward in my practice is having frank conversations but also exploring all options in providing hope."

Meghan Holohan is a digital health reporter for TODAY.com and covers patient-centered stories, women’s health, disability and rare diseases.

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71-year-old woman makes history competing in Miss Texas USA pageant

Marissa Teijo, a dynamic 71-year-old from East El Paso, is set to redefine perceptions at this...

(CNN) - A Texas woman is making history this weekend as the oldest contestant in the Miss Texas USA pageant.

Marissa Teijo is 71 years old.

She is from El Paso and is the oldest contestant to ever compete for the state title.

Teijo grew up on a farm. She developed a passion for fitness at a young age and participated in several fitness competitions over the years.

The 71-year-old is facing nearly 100 competitors for a chance to become the next Miss Texas USA.

The two-day pageant is scheduled to run through Saturday.

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Family mourns doctor killed in kayaking accident: ‘It’s just hard to believe it’s real’

POLK COUNTY Ore. ( KPTV /Gray News) - A family in Oregon is mourning after their son was killed in a kayaking accident earlier this week.

The Jackson family said they are still working to process the sudden loss of 50-year-old Jacob Jackson after he went kayaking at Willamette River in Polk County Thursday night but never returned.

Family members said he was adventurous, generous, and a kind person to everyone he encountered.

His family said those characteristics came easy to him as a family medicine doctor.

The Polk County Sheriff’s Office reports that Jackson was on the Willamette River when his kayak collided with a Buena Vista Ferry after he had a malfunction with his steering mechanism.

Jackson’s mother, Melodie Jackson, said he was with a friend, and they were using a type of kayak unfamiliar to her son.

“The kayaks were not the ones where you sit up and have a paddle, they had pedals of some kind, and the kayak he was given malfunctioned,” Melodie Jackson said. “Of course, it was unusual to him first of all, and when they launched into the water, he was trying to sort out how it worked and then they saw the ferry which was launched at the same time. It was poor timing. They tried to get away, but they couldn’t.”

The responding dive team said Jacob Jackson fell into the water after being pulled into the current and striking the ferry. His clothes got caught in the propeller, leaving him trapped under the water.

His sister, Katrinka Blunt, said her brother enjoyed water sports regularly, knowing the proper safety precautions.

“I understand from the police report that he did have his life vest with him but wasn’t wearing it at the time. I’ve also understood that if you get caught in that propeller a life vest probably wouldn’t have saved you anyway,” Blunt said. “These things can happen to anyone. It’s easy to find blame, but in the end, it doesn’t change the outcome at all and we’re just going to miss him.”

The family is working to find comfort where they can, though they are still in a state of shock, thinking their son will walk into the room at any moment.

“It’s not something I expected. So, it’s just hard to believe it’s real,” Melodie Jackson said.

Blunt added, “It just still feels like he’s on a trip and we’ll see him again.”

His family said he was a warm and kind man who was the “fun uncle” to his 20 nieces and nephews.

“I think everyone should have an uncle like him. He was just making jokes as he came in and was always interested in what each of them were doing,” Blunt said.

Melodie Jackson said her son was not one for the spotlight, but rather a supportive pillar in their family.

“In fact, he never led with ‘I’m a doctor.’ He just wanted to be a regular guy,” she said.

The “regular guy” worked at Keizer Permanente in Salem for many years before deciding he wanted to travel more and served as a doctor wherever he was needed.

“Like all of us, I think some of the plans that he had for himself didn’t go exactly as he saw. But he embraced what he had. And I will remember him for that,” Blunt said.

The family also wants their son and brother to be remembered for his desire to bring people together and for his love of being on the water.

A memorial service is being planned and is expected to happen within the next week.

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TOPEKA, Kan. ( WIBW /Gray News) - A community is mourning the loss of a 9-year-old boy in Kansas who was found dead inside a home, according to authorities.

Deputies responded to a call shortly after 11:30 a.m., on Thursday.

When deputies arrived, they found a boy, later identified as 9-year-old Zerick I. Ozuna, located inside the residence, suffering from multiple wounds to the chest and neck, WIBW reported.

Zerick was pronounced deceased at the scene.

The 9-year-old boy was a student at Farley Elementary.

Following the tragedy, the school released a statement:

“Zerick will be remembered as a kind and curious boy. He loved to tell stories about animals and play with Legos. He was a master at Uno and often provided friends strategies for winning. He truly held a special place in the hearts of many of our students and staff members.”

Deputies said Zerick’s mother, 29-year-old Shyla M. Goracke, was placed into custody in connection with the matter. She is currently at a hospital.

The case remains actively under investigation.

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COMMENTS

Your Child's 3-Year Checkup
3-year-old vaccines. Unless your preschooler missed some immunizations at a previous well visit (perhaps he had a fever that day), he may not need any shots at his 3-year checkup. But if it happens to take place in the fall or winter, he should get a flu shot (or opt for the flu nasal mist). The COVID-19 vaccine is also recommended for everyone ...
Well-Child Visit: 3 Years (for Parents)
1. Check your child's weight and height, calculate body mass index (BMI), and plot the measurements on a growth chart. 2. Check your child's blood pressure and vision, if your child is able to cooperate. 3. Ask questions, address concerns, and offer guidance about how your child is: Eating. Growth is slow and steady during the preschool years.
Your Checkup Checklist: 3 Years Old
What to expect at the 3-year well-child visit At the 3-year-old checkup, your pediatrician will perform a complete physical exam and ask about your concerns. The doctor also will focus on reading and language development, healthy nutrition, and the prevention of safety risks like falls from windows, firearms and navigating street crossings and ...
AAP Schedule of Well-Child Care Visits
The first week visit (3 to 5 days old) 1 month old; 2 months old; 4 months old; 6 months old; 9 months old; 12 months old; 15 months old; 18 months old; 2 years old (24 months) 2 ½ years old (30 months) 3 years old; 4 years old; 5 years old; 6 years old; 7 years old; 8 years old; 9 years old ; 10 years old ... Back to Doctor. Recommended ...
Doctor visit: The three-year checkup
Scrapes and bruises are common, too, since 3-year-olds are so active.) Answer any questions you may have about toilet training, discipline, or, ... Your 3-year-old: Milestones and development. By Karen Miles. Doctor visit: The 5-year checkup. Reviewed by Dawn Rosenberg, M.D., pediatrician.
Make the Most of Your Child's Visit to the Doctor (Ages 1 to 4 Years)
Young children grow quickly, so they need to visit the doctor or nurse regularly to make sure they're healthy and developing normally. Children ages 1 to 4 need to see the doctor or nurse when they're: 12 months old. 15 months old (1 year and 3 months) 18 months old (1 year and 6 months) 24 months old (2 years) 30 months old (2 years and 6 ...
Important Milestones: Your Baby By Three Years
Developmental milestones are things most children (75% or more) can do by a certain age. Check the milestones your child has reached by 3 years by completing a checklist with CDC's free Milestone Tracker mobile app, for iOS and Android devices, using the Digital Online Checklist, or by printing the checklist [1 MB, 2 Pages, Print Only] below.
Well-Child Visit Schedule (for Parents)
Our well-child visit schedule for checkups lets you know how often kids should see a doctor, even when they're not sick. Read the articles below to find out what to expect at your child's next wellness checkup! ... Well-Child Visit: 3 Years; Well-Child Visit: 4 Years; Well-Child Visit: 5 Years; Well-Child Visit: 6 Years; Well-Child Visit: 7 ...
Well-Child Visit: 3 Years
Also let the doctor know if your child is constipated, has diarrhea, seems to be "holding it," or was potty trained but is now having problems. Sleeping.Preschoolers sleep about 10-13 hours a day. Most kids this age still take a nap during the day. Developing. By 3 years, most kids:
3 Year Well-Child Visit
Children this age need 10-13 hours of sleep a day, including a nap. Have a steady routine for bed (bathing, brushing teeth, books, bedtime). The hour before bedtime should be calm. Help your child brush teeth two times each day (after breakfast and before bed). Use a pea-sized amount of fluoride toothpaste.
Child's Well Visit, 3 Years: Care Instructions
Give your child healthy snacks, such as whole-grain crackers or yogurt. Give your child fruits and vegetables every day. Offer water when your child is thirsty. Avoid juice and soda pop. Practicing healthy habits. Help your child brush their teeth every day using a tiny amount of toothpaste with fluoride. Limit screen time to 1 hour or less a day.
Well-Child Visit: What's Included and When to Go
Take blood pressure. Measure oxygen levels. Listen to your child's lungs. Look at your child's eyes, ears, and throat. Press on your child's tummy to feel organs. Move your child's hips ...
8 Questions to Ask at a Well-Child Visit With Your Pediatrician
Children will receive most vaccinations before the age of 6 or after 10 years old. But don't skip a well-child visit during this gap just because no shots are needed. These are key growing years, plus your child should receive the flu shot every year, so it's important to still have regular checkups with your pediatrician. 3.
Going to the Doctor (for Kids)
If it is higher, it means that you have a fever and your body is working to fight off an infection. The nurse may check your hearing and vision (eyesight). If you have trouble with either one of these, you might need to see a hearing specialist or an eye doctor. The nurse then might ask you to go to the bathroom and give some urine (pee) in a cup.
Well Baby Visit: 3-Year Checkup
Well Child Visit: 3-Year Checkup. Three-year-olds are great fun to bring in for a checkup. They're so curious about what's going on and eager to cooperate. They love to report their name and age and tell the doctor or nurse about their life. They're also interested in their bodies, and aren't as defensive about them as many 2-year-olds are.
Child Well-Visits: 8 Questions to Ask at Your Next Appointment
If you have questions or concerns about your child's health or want to schedule a child well-visit, call (919) 249-4700. You can also request an appointment online. To get the most out of your next appointment for a child well visit, make a list of questions to ask using these eight suggestions as a starting point.
10 questions to ask a pediatrician at well visits
10 questions to ask a pediatrician at well visits - Children's National. Search. Coronavirus. COVID Vaccine. Emotional well being. Family life. Learning and school. Pregnancy. Risk factors.
How Often Should My Child See a Pediatrician?
3 years. 4 years. After four years of age, it's recommended that children visit the pediatrician for an annual check-up. Of course, this is merely a general recommendation. Your child may need to visit the doctor more often than the recommended schedule. And if you are concerned about your child's health, you should schedule an appointment ...
Make the Most of Your Child's Visit to the Doctor (Ages 11 to 14 Years)
Overview. Kids ages 11 to 14 years need to go to the doctor or nurse for a "well-child visit" once a year. A well-child visit is when you take your child to the doctor to make sure they're healthy and developing normally. This is different from other visits for sickness or injury. At a well-child visit, the doctor or nurse can help catch ...
3 Year Old Checkup
Check Weight and Height. The doctor will weigh and measure the child's height to make sure the child is growing properly and steadily. 2. Check the Vital Statistics. Apart from the weight, the doctor will check the child's vital stats, such as blood pressure, temperature, heart rate, breathing, etc., to make sure the kid is physically well. 3.
Fever Chart Guide
Consider your child's age along with their symptoms. If they are an infant 3 months or younger and have a rectal temperature of 100.4°F or higher, call your doctor or go to the emergency department immediately. If your child is between 3 months and 3 years old and has a fever of 102.2°F or higher, call your doctor.
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When and how often do kids need an eye exam?
Dunbar encourages parents to have their children play outside regularly, as it reduces the risk of developing myopia. Additionally, a balanced diet rich in vitamins and minerals supports eye health. Foods high in vitamins A, C, and E and omega-3 fatty acids are particularly beneficial. For more information, visit the Loma Linda Eye Institute's ...
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For an optimal experience visit our site on another browser. Hassle-free cooking solutions, breathable fashion, more summer upgrades — starting at $10 ... Doctors dismissed it. Her 2-year-old ...
Preparing Your Child for Visits to the Doctor (for Parents)
This fear of separation during mysterious exams is most common in kids under 7 years old, but can worry older kids too. Pain. Kids may worry that a part of the exam or a medical procedure will hurt. Kids ages 6 to 12, for instance, often worry that they'll need to get a shot. The doctor. Some kids' concerns may be about the doctor's manner.
71-year-old woman makes history competing in Miss Texas USA pageant
(CNN) - A Texas woman is making history this weekend as the oldest contestant in the Miss Texas USA pageant. Marissa Teijo is 71 years old. She is from El Paso and is the oldest contestant to ever compete for the state title. Teijo grew up on a farm. She developed a passion for fitness at a young ...
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Family mourns doctor killed in kayaking accident: 'It's just ...
POLK COUNTY Ore. (KPTV/Gray News) - A family in Oregon is grieving after their son was killed in a kayaking accident earlier this week.The Jackson family said they are still working to process the sudden loss of 50-year-old Jacob Jackson after he went kayaking at Willamette River in Polk County Thursday night but never returned.
9-year-old boy found dead inside home, deputies say
TOPEKA, Kan. (WIBW/Gray News) - A community is mourning the loss of a 9-year-old boy in Kansas who was found dead inside a home, according to authorities. Deputies responded to a call shortly ...

The 3-Year-Old Checkup

The physical checkup

Updates history

Family Life

AAP Schedule of Well-Child Care Visits

Schedule of well-child visits

The benefits of well-child visits

More information

Doctor visit: The three-year checkup

You can expect your child's doctor to:

Questions the doctor may ask:

What's next?

How long should I read aloud to my child each day?

What it means to be a gifted child

How preschools differ from daycare centers

Doctor visit: The four-year checkup

Where to go next

Important Milestones: Your Child By Three Years

What most children do by this age:

Language/Communication Milestones

Calms down within 10 minutes after you leave her, like at a childcare drop off

Strings items together, like large beads or macaroni

Puts on some clothes by himself, like loose pants or a jacket

Uses a fork

Other important things to share with the doctor…

Concerned About Your Child’s Development? Act Early.

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8 Questions to Ask at a Well-Child Visit With Your Pediatrician

1. Are my child’s growth and weight healthy?

2. Is my child on schedule for his/her vaccinations?

3. What should my child eat (and not eat)?

4. Which milestones should my child reach next?

5. How can I keep my child safe?

6. What about my child’s mental health?

7. Is it normal that my child … ?

8. When is my next appointment?

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Child Well-Visits: 8 Questions to Ask at Your Next Appointment

1. Is my child meeting milestones for growth and development?

2. What vaccines does my child need now or in the near future? Can I get a copy of my child’s shot record?

3. What kind of seat should my child be using in the car?

4. Are there any infectious illnesses going around and how can I prevent my child from getting sick?

5. When should my child go to the dentist?

6. Questions about any specific concerns you have about your child’s health or behavior.

7. Can you give me a referral for a specialist?