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.
2. Answer any questions you have.
3. Advise you about health and safety concerns, such as seat belts, bicycle helmets, healthy eating, regular activity, fire and gun safety, and talking to your child about strangers.
4. Do a thorough physical exam that includes checking your child's:
Height and weight
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:
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.