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Suite #100 Rockville, MD 20850

Advice: 5 years

Nutrition

  • Eat as a family when possible, and discourage eating in front of the TV
  • Encourage 5 servings of fruits and vegetables.
  • Use appropriate food portions by using your child’s fist size to estimate the size of one portion.
  • Limit salt, processed snacks, fast foods, fried foods, sweetened drinks and treats to one a day.
  • Children do not need juice so encourage drinking water instead.
  • We recommend a daily multivitamin with Vitamin D 600 IU.

What to expect at your 5 year visit

Check-up: Your provider will complete a comprehensive history and physical exam, review growth curves, answer any questions, and provide age appropriate guidance.

 

Vaccines:  No routine vaccines at this visit

 

Labs: There are no routine labs at this visit

The Sleep Hack

Lack of sleep can cause headaches, stress, irritability, and symptoms that look like ADHD. Shoot for 10 to 12 hours of sleep each night. In most cases, that will mean a bedtime between 7:30 and 8:30 PM. To ensure a good night’s sleep, remove all electronics from the bedroom.

Bed Wetting

By age 5, approximately 85% of children are dry at night. Avoid punishment or teasing for bedwetting if your child is in the other 15%. Half of kids who are still wet at night will become dry within the next 2-3 years without any intervention. Let us know if you have concerns.

 

The Screen time Hack

Screen time is any time spent in front of the TV, computer, tablet or smartphone. There is a direct relationship between amount of screen time and a child’s weight. Also, viewing violence can be linked to aggressive behavior. So, non-educational screen time should be limited to no more than 2 hours a day and content should be carefully monitored. Watch shows with your child and use them to stimulate topics of conversation. Keep TVs out of the bedroom.

 

Safety

ALWAYS… wear a helmet when biking, skating, skiing, snowboarding & hoverboarding. Use elbow and kneepads.
ALWAYS… know that guns in the home are a danger to the family. If guns are kept in the house, store the gun and ammunition in two separate locations, and keep each of them locked up.
NEVER… give out personal information unless a parent says it’s okay. Teach your child not to give their name, address, phone number, age, or school name to a stranger or on social media.
NEVER… take your child’s “common sense” for granted. Lock up all medications and household poisons including cleaners, paint thinners, and drain cleaners.

CAR SAFETY
5 point harness car seats are recommended until your child outgrows the weight or height limit. After that, use a booster seat.
Booster seats are recommended until your child is 4 ft. 9 in (usually between ages 10-12). High-back
booster seats should be used if the child’s head is not supported by the seat of a head rest.
Best Practice: Keep your child in the back seat because it is safer there.

 

Parenting Corner

Behavior

It is important to validate your child’s emotions while also maintaining clear and consistent boundaries at this age. Nagging and idle threats by parents are ineffective. Establish fair, understandable rules around chores, screen time, homework, and bedtime, and follow through with a stated consequence when rules are broken. The positive effects of praise are often more powerful behavior modifiers than negative reinforcement (such comments as “I really like it when you let your friends play with your toys” or “thank you for waiting quietly while your father and I talked”). Maintain active communication with your child. An interest in your child’s daily activities promotes a sense of accomplishment and self-esteem. Hug and praise your child.

Helping your kids make good decisions is more important than trying to protect them from everything. Good mentors engage with their kids about technology by actually playing games with them and talking about responsible internet and video game use. From the start, tell your children that you will be monitoring them. You may use tracking software on the internet to keep track of sites they have visited. This approach lets them know that you trust them, but you will be watching. You can also install a filter to block offensive websites. Be aware, however, that many children are smart enough to find ways around the filters.

Age Appropriate Checkpoints

Encourage your child to take pride in personal belongings and self-care by letting them:

  • Choose their own clothing to wear
  • Brush teeth, combing hair, and washing face without assistance
  • Perform simple chores (picking up toys, cleaning the table, feeding pets)
  • Know their phone number and 911
  • Get at least 1 hour of physical activity every day – preferably outside