The reminder for the 4-year checkup arrives, and you're wondering what actually happens there. Will your child have a blood test? Will they get a shot? And what if your child doesn't want to cooperate?
The 4-year checkup is one of the most important consultations in the child health program. It provides a broad picture of your child's development and health, and is a golden opportunity for you as a parent to ask questions and raise concerns.
What Is the Purpose of the 4-Year Checkup?
According to the Norwegian Health Directorate's guidelines, the purpose is to:
- Assess the child's general development and well-being
- Identify any need for follow-up or intervention
- Promote good health through guidance to parents
- Observe risk factors for physical or mental health issues
- Identify children who may need extra support before starting school
The 4-year checkup is part of the child health program with 14 consultations from birth to age 5. It is performed by a public health nurse, and a doctor can be involved if needed.
Some municipalities conduct the 4-year checkup at the kindergarten instead of at the pediatrician's office. Check with your local municipality to find out what applies in your area.
What Is Examined?
Weight and Height
The child is weighed and measured, and the results are plotted on the growth chart. The health nurse assesses whether the child is following their own curve and whether growth is as expected.
Vision
Vision testing is an important part of the 4-year checkup. The child is typically tested with symbols (house, heart, circle) on a chart. Each eye is tested separately, often with an "eye patch" over the other eye.