‘4yoWCC

4 yo _ here for well child check. No parental concerns at this time.

– Diet: No concerns.
– Voiding/stooling: No concerns. + toilet trained (in the day at least).
– Sleeping: No concerns. Has regular bedtime routine.
– Dental: + brushes teeth. Sees the dentist regularly.
– Behavior: No concerns.
– Activity: Screen/TV time is limited to < 2 hrs/day, gets time outside every day.

PM/SH:
Normal pregnancy and delivery. No surgeries, hospitalizations, or serious illnesses to date.

DEVELOPMENT:
– Gross and fine motor: Hops/balances on one foot, can stack 8 blocks, brushes own teeth, dresses self (including buttons), uses scissors, walk up stairs with alternating feet, copies a cross.
– Cognitive: Knows first and last name, age, sex; draws person with at least 3 body parts; names at least 4 colors.
– Social/Emotional: Plays cooperatively, plays board/card games, plays make-believe.
– Communication: Strangers can understand speech, recognizes most letters. Speaks in 3-4 word sentences.

SOCIAL:
– No smokers in the home.
– No major social stressors at home.
– No safety concerns in the home.
– In preschool.
– No TB or lead risk factors.

IMMUNIZATIONS:
– Up to date.