The American Academy of Pediatrics recommends that your doctor do the following at the fifth-year checkup.

1. Question your child and you to:

Assess his physical, social, and cognitive development.

Help advise you about kindergarten readiness.

Ensure that he is eating well and getting enough exercise and sleep.

4. Do a thorough physical exam that includes checking your child's:

Height and weight

Blood pressure

Hearing (with an audiometer)

Vision (usually with a chart of pictures)

Heart and lungs

Ears, nose, and mouth


5. Give your child at least three booster shots against:

Polio (IPV)*

Diphtheria, tetanus, and pertussis (DTP)*

Measles, mumps, and rubella (MMR)*

6. Possibly give additional needle pricks, such as:

In some areas, a vaccination against hepatitis A, a tuberculin skin test, or both.

A vaccination against chicken pox, if your child hasn't had the shot or the disease.

Yearly shots to prevent flu (for children with certain health problems, such as asthma).

Drawing of blood from the arm or a pricked finger to check for lead poisoning, high cholesterol, and anemia

* Can be given at ages 4 to 6.


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