| Subject | Contents |
| Definition | The developmental milestones record - 4 years refers to skills and physiologic growth markers regarded as having particular relevance for 4 year-old children. |
| 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 there is usually a weight gain of about 6 grams per day The height of your child during the 4th year should be double their length at birth 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 Bed wetting at this age is still considered normal Sensory and cognitive: Vocabulary has increased to over 1500 words Easily composes sentences of 4 to 5 words Can use the past tense Can count to 4 The age when your child will ask the most questions May use words outside their comprehension May begin using vulgar terms depending on their exposure Learns and sings simple songs Tries to be very independent Increased aggressive behavior Readily discloses personal family matters to others Imaginary playmates are common Increased comprehension of time Able to distinguish between two objects based on simple criteria (such as size, weight, etc.) Less egocentric behavior Believes that their thoughts and emotions are causative events Lacks moral concepts of right and wrong Rebellion is common if expectations are excessive Play: 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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