At your little one’s four-month checkup, the pediatrician will perform a routine physical examination, much like during your previous appointment. Your baby will be weighed and measured, and the doctor will review her growth chart progress. While this assessment is presented in percentiles, don’t be alarmed if her numbers are different than you anticipated. These charts merely indicate growth rates, and as long as her growth remains consistent from visit to visit, you’re on the right path.
Following the physical exam, or sometimes during it, the pediatrician will inquire about your baby’s eating and sleeping patterns, as well as the approximate count of her daily wet and dirty diapers. You’ll also discuss her bowel movements, focusing not only on quantity but also on color and consistency. Common topics may include your baby’s crying patterns, teething, diaper rash, and the introduction of solid foods. Additionally, the doctor will likely cover sleeping positions, tummy time, and advice for issues like constipation or managing a cold. You’ll also talk about the sounds your baby is making and her developing motor skills.
At this stage, your pediatrician will address any questions or concerns you may have. They’ll outline what to expect in the upcoming month, providing guidance on your baby’s growth and development.
Immunizations
During this visit, your baby will receive her second dose of the Pneumococcal vaccine (PCV), DTaP (Diphtheria, Tetanus, and Pertussis), Hib (Haemophilus Influenza Type B Conjugate), and Polio vaccines, all delivered as before. Additionally, a second round of the oral Rotavirus vaccine (RV) will be administered. Typically, the nurse administers the shots at the end of the appointment.
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In summary, the four-month checkup is a crucial milestone for monitoring your baby’s health and development. Expect discussions around growth, eating, sleeping habits, and upcoming vaccinations, all aimed at ensuring your little one thrives.