diff --git a/plugins/node/opentelemetry-instrumentation-mongodb/src/instrumentation.ts b/plugins/node/opentelemetry-instrumentation-mongodb/src/instrumentation.ts
index 587c0fe185..3fb4d2c75a 100644
--- a/plugins/node/opentelemetry-instrumentation-mongodb/src/instrumentation.ts
+++ b/plugins/node/opentelemetry-instrumentation-mongodb/src/instrumentation.ts
@@ -13,6 +13,7 @@
  * See the License for the specific language governing permissions and
  * limitations under the License.
  */
+import { AsyncResource } from 'async_hooks';
 
 import {
   context,
@@ -42,6 +43,7 @@ import {
   MongoInternalTopology,
   WireProtocolInternal,
   V4Connection,
+  V4ConnectionPool,
 } from './internal-types';
 import { V4Connect, V4Session } from './internal-types';
 import { VERSION } from './version';
@@ -76,6 +78,8 @@ export class MongoDBInstrumentation extends InstrumentationBase {
     const { v4PatchConnect, v4UnpatchConnect } = this._getV4ConnectPatches();
     const { v4PatchConnection, v4UnpatchConnection } =
       this._getV4ConnectionPatches();
+    const { v4PatchConnectionPool, v4UnpatchConnectionPool } =
+      this._getV4ConnectionPoolPatches();
     const { v4PatchSessions, v4UnpatchSessions } = this._getV4SessionsPatches();
 
     return [
@@ -105,6 +109,12 @@ export class MongoDBInstrumentation extends InstrumentationBase {
             v4PatchConnection,
             v4UnpatchConnection
           ),
+          new InstrumentationNodeModuleFile<V4ConnectionPool>(
+            'mongodb/lib/cmap/connection_pool.js',
+            ['4.*', '5.*'],
+            v4PatchConnectionPool,
+            v4UnpatchConnectionPool
+          ),
           new InstrumentationNodeModuleFile<V4Connect>(
             'mongodb/lib/cmap/connect.js',
             ['4.*', '5.*'],
@@ -268,6 +278,35 @@ export class MongoDBInstrumentation extends InstrumentationBase {
     };
   }
 
+  private _getV4ConnectionPoolPatches<T extends V4ConnectionPool>() {
+    return {
+      v4PatchConnectionPool: (moduleExports: any, moduleVersion?: string) => {
+        diag.debug(`Applying patch for mongodb@${moduleVersion}`);
+        const poolPrototype = moduleExports.ConnectionPool.prototype;
+
+        if (isWrapped(poolPrototype.checkOut)) {
+          this._unwrap(poolPrototype, 'checkOut');
+        }
+
+        this._wrap(
+          poolPrototype,
+          'checkOut',
+          this._getV4ConnectionPoolCheckOut()
+        );
+        return moduleExports;
+      },
+      v4UnpatchConnectionPool: (
+        moduleExports?: any,
+        moduleVersion?: string
+      ) => {
+        diag.debug(`Removing internal patch for mongodb@${moduleVersion}`);
+        if (moduleExports === undefined) return;
+
+        this._unwrap(moduleExports.ConnectionPool.prototype, 'checkOut');
+      },
+    };
+  }
+
   private _getV4ConnectPatches<T extends V4Connect>() {
     return {
       v4PatchConnect: (moduleExports: any, moduleVersion?: string) => {
@@ -288,6 +327,17 @@ export class MongoDBInstrumentation extends InstrumentationBase {
     };
   }
 
+  // This patch will become unnecessary once
+  // https://jira.mongodb.org/browse/NODE-5639 is done.
+  private _getV4ConnectionPoolCheckOut() {
+    return (original: V4ConnectionPool['checkOut']) => {
+      return function patchedCheckout(this: unknown, callback: any) {
+        const patchedCallback = AsyncResource.bind(callback);
+        return original.call(this, patchedCallback);
+      };
+    };
+  }
+
   private _getV4ConnectCommand() {
     const instrumentation = this;
 
diff --git a/plugins/node/opentelemetry-instrumentation-mongodb/src/internal-types.ts b/plugins/node/opentelemetry-instrumentation-mongodb/src/internal-types.ts
index 03131aa12a..5cb4119de5 100644
--- a/plugins/node/opentelemetry-instrumentation-mongodb/src/internal-types.ts
+++ b/plugins/node/opentelemetry-instrumentation-mongodb/src/internal-types.ts
@@ -184,6 +184,13 @@ export type V4Connection = {
   ): void;
 };
 
+// https://github.com/mongodb/node-mongodb-native/blob/v4.2.2/src/cmap/connection_pool.ts
+export type V4ConnectionPool = {
+  // Instrumentation just cares about carrying the async context so
+  // types of callback params are not needed
+  checkOut: (callback: (error: any, connection: any) => void) => void;
+};
+
 // https://github.com/mongodb/node-mongodb-native/blob/v4.2.2/src/cmap/connect.ts
 export type V4Connect = {
   connect: (options: any, callback: any) => void;
diff --git a/plugins/node/opentelemetry-instrumentation-mongodb/test/mongodb-v4.test.ts b/plugins/node/opentelemetry-instrumentation-mongodb/test/mongodb-v4.test.ts
index 18ba6bc9ef..724e33cffd 100644
--- a/plugins/node/opentelemetry-instrumentation-mongodb/test/mongodb-v4.test.ts
+++ b/plugins/node/opentelemetry-instrumentation-mongodb/test/mongodb-v4.test.ts
@@ -237,6 +237,44 @@ describe('MongoDBInstrumentation-Tracing-v4', () => {
         });
       });
     });
+
+    it('should create child spans for concurrent cursor operations', done => {
+      const queries = [{ a: 1 }, { a: 2 }, { a: 3 }];
+      const tasks = queries.map((query, idx) => {
+        return new Promise((resolve, reject) => {
+          process.nextTick(() => {
+            const span = trace
+              .getTracer('default')
+              .startSpan(`findRootSpan ${idx}`);
+            context.with(trace.setSpan(context.active(), span), () => {
+              collection
+                .find(query)
+                .toArray()
+                .then(() => {
+                  resolve(span.end());
+                })
+                .catch(reject);
+            });
+          });
+        });
+      });
+
+      Promise.all(tasks)
+        .then(() => {
+          const spans = getTestSpans();
+          const roots = spans.filter(s => s.name.startsWith('findRootSpan'));
+
+          roots.forEach(root => {
+            const rootId = root.spanContext().spanId;
+            const children = spans.filter(s => s.parentSpanId === rootId);
+            assert.strictEqual(children.length, 1);
+          });
+          done();
+        })
+        .catch(err => {
+          done(err);
+        });
+    });
   });
 
   /** Should intercept command */
diff --git a/plugins/node/opentelemetry-instrumentation-mongodb/test/mongodb-v5.test.ts b/plugins/node/opentelemetry-instrumentation-mongodb/test/mongodb-v5.test.ts
index bd8271cb8d..e9f80ad6c5 100644
--- a/plugins/node/opentelemetry-instrumentation-mongodb/test/mongodb-v5.test.ts
+++ b/plugins/node/opentelemetry-instrumentation-mongodb/test/mongodb-v5.test.ts
@@ -243,6 +243,44 @@ describe('MongoDBInstrumentation-Tracing-v5', () => {
         });
       });
     });
+
+    it('should create child spans for concurrent cursor operations', done => {
+      const queries = [{ a: 1 }, { a: 2 }, { a: 3 }];
+      const tasks = queries.map((query, idx) => {
+        return new Promise((resolve, reject) => {
+          process.nextTick(() => {
+            const span = trace
+              .getTracer('default')
+              .startSpan(`findRootSpan ${idx}`);
+            context.with(trace.setSpan(context.active(), span), () => {
+              collection
+                .find(query)
+                .toArray()
+                .then(() => {
+                  resolve(span.end());
+                })
+                .catch(reject);
+            });
+          });
+        });
+      });
+
+      Promise.all(tasks)
+        .then(() => {
+          const spans = getTestSpans();
+          const roots = spans.filter(s => s.name.startsWith('findRootSpan'));
+
+          roots.forEach(root => {
+            const rootId = root.spanContext().spanId;
+            const children = spans.filter(s => s.parentSpanId === rootId);
+            assert.strictEqual(children.length, 1);
+          });
+          done();
+        })
+        .catch(err => {
+          done(err);
+        });
+    });
   });
 
   /** Should intercept command */