Skip to main content

Search
Growth and Development

Medical Care and Your 2- to 3-Year-Old

|

Well-Child Visits

Regular well-child doctor exams are essential to keeping kids healthy and up-to-date with immunizations against many dangerous diseases.

A checkup also is a chance for you to talk with the doctor about developmental and safety issues and to ask any questions you have about your child's overall health.

What to Expect at the Doctor's Office

At a typical well-child visit, your doctor will weigh and measure your child to chart progress along a normal pattern of growth. The doctor will take a family and medical history and perform a complete physical examination.

If indicated or if it has not been done previously, your child may be screened for anemia, lead poisoning, tuberculosis, high cholesterol, or other specific conditions. The doctor will also ask about your child's eating habits.

Your child's teeth will be examined for tooth decay, abnormal tooth development, malocclusion (abnormal bite), dental injuries, and other problems. Although the American Academy of Pediatrics (AAP) recommends that all kids visit the dentist no later than age 3, many dentists and pediatricians feel kids should have a first exam between 2 and 3 years of age — earlier if problems are suspected.

At this age, most kids should have had these recommended immunizations:

  • four doses of DTaP (diphtheria, tetanus, and pertussis) vaccine
  • three doses of polio (IPV) vaccine
  • four doses of Haemophilus influenzae type B (Hib) vaccine
  • one dose of MMR (measles, mumps, and rubella) vaccine
  • three doses of hepatitis B vaccine (hep B)
  • one dose of varicella (chickenpox) vaccine
  • two or three doses of rotavirus (RV) vaccine
  • four doses of pneumococcal (PCV) vaccine
  • one or two doses of hepatitis A vaccine (HAV)

Your child should also receive a flu shot every year, ideally before flu season begins. Kids who are at high risk for developing meningococcal disease, a serious bacterial infection that can lead to bacterial meningitis, might need the meningitis vaccine (MCV4).

Developmental Progress

The doctor will make sure all immunizations are up-to-date and check developmental progress. He or she will ask a number of questions to see if your child's everyday behavior is age appropriate, including how your child communicates with others, behaves around other kids, and whether he or she can identify family members or follow simple instructions without gestured cues (such as "Come here").

The doctor may also check for specific milestones: Can your child kick a ball? Use two-word phrases? Imitate adults? Stack seven blocks?

Child safety is another topic doctors discuss at well-child visits. The doctor will reinforce the importance of using age-appropriate car seats, closely supervising kids around swimming pools, preventing poisoning, not smoking around kids, using sunscreen, and protecting kids against exposed wires, outlets, and heat sources. In homes with firearms, guns and ammunition should be stored separately and kept locked at all times.

When to Call the Doctor

Certain symptoms warrant a call to your doctor, as they may indicate a possible infection or a chronic medical condition. These include:

  • changes in weight or eating habits
  • changes in behavior or sleep patterns
  • failure to grow in height as expected
  • temperature over 102ºF (38.9ºC) that lasts or recurs
  • persistent or frequent vomiting or diarrhea
  • severe or persistent irritability or tiredness
  • signs of a skin infection or a persistent rash
  • long-lasting cough, wheezing, shortness of breath, or other breathing problems
  • localized pain, such as that often seen with an ear infection

Common Medical Problems

On average, preschoolers in childcare can get up to 12 colds (upper respiratory infections) a year as well as several bouts of diarrhea and vomiting. Ear infections are also common. After kids reach age 3, they usually have fewer episodes of such illnesses.

Sleep difficulties and behavior or discipline concerns are very common at this age and are a frequent source of questions for parents — as well as frustration. Your doctor can be a great resource, and can answer your questions or just double-check that your child's behavior is normal.

Reviewed by: Steven Dowshen, MD
Date reviewed: September 2011

License

Note: All information is for educational purposes only. For specific medical advice, diagnoses and treatment, consult your doctor.

© 1995–2014 The Nemours Foundation/KidsHealth. All rights reserved.

Should your child see a doctor?

Find out by selecting your child’s symptom or health condition in the list below:

Summer 2014: Good Growing Newsletter

In This Issue

  • Understanding the Power and Influence of Role Models
  • Legal Marijuana Means Greater Poisoning Risks for Children
  • Why Choose Pediatric Emergency Care?

Download Summer 2014 (PDF)

Videos

Miracle Makers 2014 3:07:00Expand
6.6.14

The 30th annual Miracle Makers fundraising special aired on KOMO 4 TV on June 6, 2014. The special takes us on a journey through the hopes, fears, victories and challenges facing patients at Seattle Children's. Cosponsored by Costco Wholesale and KOMO 4. 

Play Video
Overcoming the Odds: A KING 5 TV Children's HealthLink Special 0:44:45Expand
12.30.13

In the spirit of the holidays, patients, parents and doctors share inspirational stories of healing and hope. From surviving heart failure and a near-death drowning to battling a flesh-eating disease, witness how the impossible became possible thanks to the care patients received at Seattle Children's Hospital.

Play Video
Miracle Season 2013 0:57:06Expand
12.11.13

Miracle Season, hosted by Steve Pool and Molly Shen, aired Dec. 8, 2013, on KOMO 4 TV. The annual holiday special celebrates the remarkable lives of Seattle Children's patients.

Play Video