Routine Well Visit: 6-8 years

Development - What to Expect

  • Will write numbers and words more accurately.
  • Will be able to do simple adding/subtracting.
  • Show more independence and want to be like and accepted by friends.
  • This is a critical time for children to develop confidence in many areas of their life. Help build the child's self esteem and confidence during this stage.
  • Will become more aware of what others are doing which this might lead to comparisons to other kids.
  • Will be more aware of events seen/heard on the news, like natural disasters. Talk to your child in a way she can understand, but without too much detail.
  • Play will become more complex.
  • Friendships give your child a sense of belonging and help him/her learn and practice basic social skills like sharing and negotiating. will have a better understanding of the relationship between cause and effect and begin to see how his/her actions affect others.
  • This age group can still be self-centered, and relationships may also be challenging because friends can sometimes be bossy and may sometimes leave one child out of an activity. Watch out for signs of bullying

Visit:, search topics like "Problems With Peers" for resources


  • Independence can lead to physical injuries and accidents and the child may engage in more dangerous activities.
  • Your child must be in a booster seat until the adult safety belts fit correctly (approximately age 8-12 or when height reaches 49"). The safest place for children is in the back seat.
  • Should be able to swim independently, so review swim safety
  • Use sunscreen SPF 50 in the summer.
  • Use insect repellants containing DEET or Picaridin.
  • Ensure smoke and carbon monoxide detectors are working appropriately.
  • Limit total screen time (TV, mobile devices, computer, iPad, videogames, etc.) to less than 1 hour per day.
  • Counsel your child to avoid use of alcohol, tobacco, drugs, or inhalants and be clear about the dangers these behaviors present.
  • Always wear helmets when riding bike or scooter.
  • Discuss "stranger danger" — teach your child that it is never okay for an adult to tell a child to keep secrets, or to express interest in private parts.

Visit, search topics like "Safety for Your Child", "Booster Seats for SchoolAged Children", "Fire Safety"; for resources,


  • -Encourage healthy foods, including plenty of fruits and vegetables
  • -Limit sugary, high fat and low nutrient foods & beverages.
  • -encourage family meals without any distractions like TV and electronics.
  • Emphasize the importance of regular exercise

Visit:; for resources and also:
Childhood Nutrition -
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