Session note Session notes

Session notes for Well Child/Tamariki Ora check 3–4 months Stages: 3 to 6 months


For background notes on this topic, read Well Child/Tamariki Ora checks in the ‘Supporting information’ section.

The information on this page comes from the Ministry of Health’s website, The 3–4 months Well Child Tamariki Ora visit page.

Preparing for the 3–4 months check

Help whānau prepare for these appointments by talking about the things that their nurse will be discussing.

Remind them to take baby’s My health book to their appointment, or have it ready for when the nurse visits at home.

At the 3–4 months check the nurse will:

  • measure baby’s weight and head size, and check their hips
  • check baby’s development, and that they can see and hear well
  • ask about breastfeeding, and talk about safely moving on to solid foods
  • ask if baby is up to date with immunisations
  • talk about whänau wellbeing and how caring for baby is going
  • talk about family violence
  • discuss smoking around baby.

Encourage parents to look at the 3–4 months checklist in their child’s My health book, and write any questions down that they might want to ask at the visit.

The nurse is interested in how baby:

  • makes sounds
  • uses their hands and fingers to do things
  • moves their arms and legs
  • gets along with others.

 Can baby see well? Do they:

  • close their eyes against a bright light
  • stare at people’s faces when they are up close
  • turn towards light
  • smile at you without being touched or spoken to
  • look at their fingers?

Can they hear well? Do they:

  • blink or cry when there’s a sudden noise
  • stop crying or sucking when you talk
  • wake or stir to loud sounds
  • coo or smile when you talk
  • turn their eyes towards voices
  • seem to like a musical toy
  • stop moving when there’s a new sound
  • seem to know your voice?

Remind whānau that no question is too small or silly, and that the visit is a good time to talk about any concerns they might have for baby or themselves. Topics might include:          

  • play
  • crying and behaviour
  • car seat safety
  • teething
  • sickness
  • sleep patterns
  • family relationships
  • returning to work
  • early childhood education choices.

How does this topic relate to the SKIP resources?

Baby Wall Frieze – E aroha ana ahau ki te ako - I love to learn through all my senses — sight, hearing, smell, touch and taste. Whānau Te Pīhinga

Six things children need - Te ārahi me te māramatanga - guidance and understanding

We understand that our pēpi depends on us to meet all their needs

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