Baby B had her three-year check-up first thing this morning, and I have to say that things went very well. We had the first appointment of the day (do that on purpose…I LOVE getting right in), and she was weighed on the big scale (31 pounds) and they measured her height for the first time there (37.25 inches), both at the 50th percentile.
We went to the exam room and she had to undress, and they gave her the option of staying in her undies or wearing a paper gown. As the paper gown looks like a dress, she quickly chose this option, prancing around the room and singing while waiting for the doctor to come in.
The nurse took her blood pressure for the first time (she’d had it done before at some specialist visit, but this was the first time at the pediatrician). I forgot to ask what normal is for this age, but hers was 78/50. (A web search revealed that normal for a three-year-old should be under 105/60.)
I had to answer the series of developmental questions, which I wrote down this time so I’d remember them all:
*Can your child name at least one friend? (yes)
*Can your child throw a ball overhand? (yes)
*Can your child explain what is happening in pictures? (yes)
*Does your child help you brush their teeth? (yes)
*Does your child put 2-3 sentences together? (yes)
*Do other people understand at least 75% of what your child says? (yes)
*Does your child know if he/she is a boy or a girl? (yes)
He asked about her eating (still pretty picky, though maybe a little better than before), but noted there are no concerns with it since her growth is still where it should be.
He said her teeth looked good and asked if we’d taken her to a dentist yet. We haven’t, but we added her to our dental insurance this year in preparation, which he said is perfect because he recommends going for the first time between ages 3 and 4.
He asked if she’d been doing well healthwise in the past year…I laughed and said, “Yeah, except for the broken leg. And the multiple bouts of pneumonia. And multiple ear infections leading to a second set of tubes. And the swine flu. And the roseola right after that.” He agreed that had been quite a year and asked if at least the past few months had been okay, and I was able to say that she’s been nice and healthy since the roseola in mid-November. Fingers crossed that it continues for a while.
He asked how she was doing with potty training, and he was pleased to hear that she’s been 100% day trained since June and has started waking herself up at night to go potty, as he said he usually doesn’t expect to see them night trained until age 4 or 5. That’s actually something I hadn’t mentioned here yet because I didn’t want to jinx it, but for the past couple of weeks she’s been waking herself up around 11 or midnight to go to the potty (we take her because she’s pretty out of it, but that’s not a big deal because The Husband is usually still awake then) and then goes right back to sleep. The idea of having her night trained is very exciting because it means that she’ll be able to maybe go to Connecticut this summer to spend the week alone with The Husband’s dad and his wife. (That’s their request, that she be 100% potty trained before we do that.)
At past appointments she has generally been sitting on my lap when they’ve examined her eyes, mouth, ears, etc., but this time she said she wanted to sit on the exam table — and she did it with me sitting in the chairs halfway across the room instead of right there with her. She did flinch a little when he looked at her ears (a touchy spot ever since she’s had ear issues), but she cooperated well in the end. He asked her to take several deep breaths, and she did exactly as she was told when she needed to. He then asked her to lay down on the table, which again in the past has been an issue, but she did it without a second thought. He did say that her vulva looked a little red, probably from not wiping well, but that wasn’t a surprise since this happens for her maybe once a week. He said it’ll get better as she gets better at wiping but that for now it’s not unusual to expect.
She had no shots at her appointment this time because we’ve done all the previous ones on schedule and did not have to catch up with anything. He said she’ll have four shots at her four-year check-up, though we may split that into 2 and 2 because of the “trauma” factor. We have plenty of time to decide that, though.
Baby B got dressed, we folded up the paper gown to take home (she was all over that idea when he said she could take it with her), she picked out her stickers at checkout, and I took her to daycare before coming into work.
All in all, a great appointment and a wonderful start to the day…and our fourth year!