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Well-Child Checkup: 6-10 Years

Even if your child is healthy, keep bringing him or her in for yearly checkups. This ensures your child’s health is protected with scheduled vaccinations. And the healthcare provider can make sure your child’s growth and development is progressing well. This sheet describes some of what you can expect.

Elementary school-age children, one girl and two boys, in classroom with boy in background not paying attention.
Struggles in school can indicate problems with a child’s health or development. If your child is having trouble in school, talk to the child’s doctor.

School and Social Issues

Here are some topics you, your child, and the healthcare provider may want to discuss during this visit:

  • Reading. Does your child like to read? Is the child reading at the right level for his or her age group? 

  • Friendships. Does your child have friends at school? How do they get along? Do you like your child’s friends? Do you have any concerns about your child’s friendships or problems that may be happening with other children (such as bullying)?

  • Activities. What does your child like to do for fun? Is he or she involved in after-school activities such as sports, scouting, or music classes? 

  • Family interaction. How are things at home? Does your child have good relationships with others in the family? Does he or she talk to you about problems? How is the child’s behavior at home? 

  • Behavior and participation at school. How does your child act at school? Does the child follow the classroom routine and take part in group activities? What do teachers say about the child’s behavior? Is homework finished on time? Do you or other family members help with homework?

  • Household chores. Does your child help around the house with chores such as taking out the trash or setting the table?

Nutrition and Exercise Tips

Teaching your child healthy eating and lifestyle habits can lead to a lifetime of good health. To help, set a good example with your words and actions. Remember, good habits formed now will stay with your child forever. Here are some tips:

  • Help your child get at least 30-60 minutes of active play per day. Moving around helps keep your child healthy. Go to the park, ride bikes, or play active games like tag or ball.

  • Limit “screen time” to 1-2 hours each day. This includes time spent watching TV, playing video games, using the computer, and texting. If your child has a TV, computer, or video game console in the bedroom, consider replacing it with a music player. For many kids, dancing and singing are fun ways to get moving.

  • Limit sugary drinks. Soda, juice, and sports drinks lead to unhealthy weight gain and tooth decay. Water and low-fat or nonfat milk are best to drink. In moderation, 100% fruit juice is okay. Save soda and other sugary drinks for special occasions. 

  • Serve nutritious foods. Keep a variety of healthy foods on hand for snacks, including fresh fruits and vegetables, lean meats, and whole grains. Foods like french fries, candy, and snack foods should only be served once in a while. 

  • Serve child-sized portions. Children don’t need as much food as adults. Serve your child portions that make sense for his or her age and size. Let your child stop eating when he or she is full. If the child is still hungry after a meal, offer more vegetables or fruit.

  • Ask the healthcare provider about your child’s weight. Your child should gain about 4-5 pounds each year. If your child is gaining more than that, talk to the healthcare provider about healthy eating habits and exercise guidelines.

  • Bring your child to the dentist at least twice a year for teeth cleaning and a checkup.

Sleeping Tips

Now that your child is in school, a good night’s sleep is even more important. At this age, your child needs about 10 hours of sleep each night. Here are some tips:

  • Set a bedtime and make sure your child follows it each night.

  • TV, computer, and video games can agitate a child and make it hard to calm down for the night. Turn them off at least an hour before bed. Instead, read a chapter of a book together.

  • Remind your child to brush and floss his or her teeth before bed.

Safety Tips

  • When riding a bike, your child should wear a helmet with the strap fastened. While roller-skating, roller-blading, or using a scooter or skateboard, it’s safest to wear wrist guards, elbow pads, and knee pads, as well as a helmet.

  • In the car, continue to use a booster seat until your child is taller than 4 feet 9 inches. At this height, kids are able to sit with the seat belt fitting correctly over the collarbone and hips. Ask the healthcare provider if you have questions about when your child will be ready to stop using a booster seat. All children younger than 13 should sit in the back seat.

  • Teach your child not to talk to or go anywhere with a stranger.

  • Teach your child to swim. Many communities offer low-cost swimming lessons. Do not let your child play in or around a pool unattended, even if he or she knows how to swim.

Vaccinations

Based on recommendations from the American Association of Pediatrics, at this visit your child may receive the following vaccinations:

  • Diphtheria, tetanus, and pertussis (age 6 only)

  • Human papillomavirus (HPV) (ages 9 and up)

  • Influenza (flu)

  • Measles, mumps, and rubella

  • Polio

  • Varicella (chickenpox)

Bedwetting: It’s Not Your Child’s Fault

Bedwetting can be frustrating for both you and your child. But it’s usually not a sign of a major problem. Your child’s body may simply need more time to mature. If a child suddenly starts wetting the bed, the cause is often a lifestyle change (such as starting school) or a stressful event (such as the birth of a sibling). But whatever the cause, it’s not in your child’s direct control. If your child wets the bed:

  • Keep in mind that your child is not wetting on purpose. Never punish or tease a child for wetting the bed. Punishment or shaming may make the problem worse, not better.

  • To help your child, be positive and supportive. Praise your child for not wetting and even for trying hard to stay dry.

  • For at least an hour before bed, don’t serve your child anything to drink.

  • Remind your child to use the toilet before bed. You could also wake him or her to use the bathroom before you go to bed yourself.

  • Have a routine for changing sheets and pajamas when the child wets. Try to make this routine as calm and orderly as possible. This will help keep both you and your child from getting too upset or frustrated to go back to sleep.

  • Put up a calendar or chart and give your child a star or sticker for nights that he or she doesn’t wet the bed.

  • Encourage your child to get out of bed and try to use the toilet if he or she wakes during the night. Put night-lights in the bedroom, hallway, and bathroom to help your child feel safer walking to the bathroom.

  • If you have concerns about bedwetting, discuss them with the healthcare provider.

  

Next checkup at: _______________________________

 

PARENT NOTES:

 

 

 

 

Online Medical Reviewer: Makovsky, Noah, MD
Online Medical Reviewer: O'Brien, Michael S, MD, FAAP
Last Review Date: 3/18/2011
© 2000-2014 Krames StayWell, 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.