Health Care Encyclopedia
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Developmental milestones record - 4 yearsDefinition: 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
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| 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.
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