Three Year Visit

What to Expect At This Visit:

At this age, there are no scheduled vaccinations.

We again do the M-CHAT for Autism

Click here for the American Academy of Pediatrics Immunization Schedule.

Additional Vaccine Information: The American Academy of Pediatrics

Development:

Note: Please know that the development of each child is unique and special.  The following information on development is general and meant for informational purposes only.  If you are concerned about the development of your child, please let your pediatrician know.

*By three years of age, your child will begin to ride a tricycle.  They will also be able to draw a circle on paper.  They will learn to dress themselves with help.  Finally between ages 3 and 4 years old, your child will be able to identify themselves as a boy or girl.



*Encourage your child to talk about school and friends.  Encourage playing "Make Believe," promoting imagination and creativity.


*There any many questions on when to start potty-training your child.  Potty-training starts anywhere from 2 to 4 years old.  The list below are signs that your child may be ready to start potty-training.

-If your child is dry for 2 hour periods

-If your child knows the difference between dry and wet & appears uncomfortable when they are wet.

-If your child can pull his/her pants up

-If your child wants to learn

-If your child can indicate when they have had a bowel movement.

Click here for AAP's information on starting Potty training.


Click Here for information from the American Academy of Pediatrics on developmental milestones typically seen between 3-4 years old.

Daily Life:

Feeding:

Sleeping:

Fun & Play:

*Do not put a television in your child's room.  This will encourage excess television watching and will also affect your child's sleeping.  Also beware of the power of commercials.  Many commercials appeal to kids with their jingles and bright colors.  Your child can easily be influenced by ads.

Safety:


*At three years old, your child is not old enough to cross the street.  Always have your child hold your hand while crossing the street. Take time to teach your child the "Rules of the Road," making sure they look both ways before they cross the street with you.


*Kids at this age are curious and will get into everything.  If you own any guns in the household, lock the gun separately from ammunition.  Make sure that your child does not have access to the keys that lock the guns and ammunition.  Guns are not toys.  While many own guns for self-defense, more injuries and suicide occur in households that store firearms.


*Post the number for Poison Control on every one of your house's phones and also at anyone's home who helps take care of your child. The Poison Helpline is 800/222-1222.  If you suspect your child has ingested poison, call the Helpline before forcing your child to vomit.  Depending on the substance swallowed, it may not be advised for your child to vomit.

Health:

Parents & Family:

*While your child is becoming more independent, never leave your child alone.  Also, never let older siblings babysit your toddler.  Having older siblings babysit can cause siblings stress.

Useful Resources & Links:

TIPP (The Injury Prevention Program) safety sheet for 2-4 year olds

TIPP: Home Playground Equipment Safety

Centers for Disease Control and Prevention (CDC) Physical Activity information

American Academy of Pediatrics' Information on Convertible Car Seats

Read Me A Story Check-up Guide

Healthy Children


Questions: ggiven@mindspring.com