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Developmental milestones record - 4 years

Definition:

There are skills and growth markers expected in a typical 4-year-old child. These milestones are physical and mental developments considered normal for this age group.



Alternative Names:
Normal childhood growth milestones - 4 years; Growth milestones for children - 4 years; Childhood growth milestones - 4 years

Information:

PHYSICAL AND MOTOR

During the 4th year, a child typically:

  • Gains weight at the rate of about 6 grams per day
  • Attains a height that is double the length at birth
  • Shows improved balance
  • Hops on one foot without losing balance
  • Throws a ball overhand with coordination
  • Skillfully cuts out a picture using scissors
  • May not be able to tie shoelaces
  • May still wet the bed (normal)

SENSORY AND COGNITIVE

The typical 4-year-old:

  • Has a vocabulary of over 1500 words
  • Easily composes sentences of 4 - 5 words
  • Can use the past tense
  • Can count to 4
  • Will ask the most questions of any age
  • May use words that aren't fully understood
  • May begin using vulgar terms depending on their exposure
  • Learns and sings simple songs
  • Tries to be very independent
  • May show increased aggressive behavior
  • Readily discloses personal family matters to others
  • Commonly has imaginary playmates
  • Has an increased comprehension of time
  • Is able to distinguish between 2 objects based on simple criteria such as size, weight
  • Shows less egocentric behavior
  • Believes that thoughts and emotions are causative events
  • Lacks moral concepts of right and wrong
  • Is rebellious if expectations are excessive

PLAY

As the parent of a 4-year-old, you should:

  • Encourage and provide the necessary space for physical activity
  • Instruct the child how to participate in, and follow the rules of sporting activities
  • Encourage play with other children in the area to help develop their socialization skills
  • Encourage creative play
  • Read together
  • Monitor both the time and content of television viewing
  • Expose the child to different stimuli by visiting local areas of interest



Review Date: 11/16/2004
Reviewed By: Philip L. Graham III, M.D., M.S., F.A.A.P., Department of Pediatrics, Children's Hospital of New York, Columbia University, New York, NY. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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