Anticipatory Guidance 3 Year Checkup


  • Allow 1:1 time for each child in the family
  • Maintain consistent family routine
  • Time for self/partner

Development and Behavior

  • Discipline constructively using time-out for 1 minute/year of age
  • Encourage child to tell the story his/her way
  • Limit TV/computer time to 1-2 hours/day
  • Provide age-appropriate toys to develop imagination
  • Show affection/praise for good behaviors
  • Establish consistent limits/rules and consistent consequences
  • Read books and sing together daily


  • Provide nutritious 3 meals and 2 snacks; limit sweets/high-fat foods

Routine Care

  • Establish routine and assist with tooth brushing with soft brush twice a day
  • Encourage supervised outdoor exercise
  • Establish consistent bedtime routine


  • Lead risk assessment
  • Lock up guns
  • No shaking baby (Shaken Baby Syndrome)
  • Provide home safety for fire/carbon monoxide poisoning
  • Provide safe/quality after-school care
  • Supervise when near or in water even if child knows how to swim
  • Teach how to answer the door/telephone
  • Use of front-facing car seat until 4 years old and 40 pounds
  • Use of helmet when riding tricycle or bicycle


Last updated February 26, 2015