The normal social and physical development of children ages 3 to 6 years old includes many milestones.
All children develop a little differently. If you are concerned about your child's development, talk to your child's health care provider.
The typical 3- to 6-year-old:
Gross motor development in the 3- to 6-year-old should include:
Fine motor development milestones at about age 3 should include:
Fine motor development milestones at about age 4 should include:
Fine motor development milestones at about age 5 should include:
The 3-year-old uses:
The 4-year-old begins to:
Stuttering may occur in the normal language development of toddlers ages 3 to 4 years. It occurs because ideas come to mind faster than the child is able to express them, especially if the child is stressed or excited.
When the child is speaking, give your full, prompt attention. Do not comment on the stuttering. Consider having the child evaluated by a speech pathologist if:
The preschooler learns the social skills needed to play and work with other children. As time passes, the child is better able to cooperate with a larger number of peers. Although 4- to 5-year-olds may be able to start playing games that have rules, the rules are likely to change, often at the whim of the dominant child.
It is common in a small group of preschoolers to see a dominant child emerge who tends to boss around the other children without much resistance from them.
It is normal for preschoolers to test their physical, behavioral, and emotional limits. Having a safe, structured environment in which to explore and face new challenges is important. However, preschoolers need well-defined limits.
The child should display initiative, curiosity, the desire to explore, and enjoyment without feeling guilty or inhibited.
Early morality develops as children want to please their parents and others of importance. This is commonly known as the "good boy" or "good girl" stage.
Elaborate storytelling may progress into lying. If this is not addressed during the preschool years, this behavior may continue into the adult years. Mouthing off or backtalk is usually a way for preschoolers to get attention and a reaction from an adult.
Safety is very important for preschoolers.
Developmental milestones record - 3 to 6 years
Feigelman S. The preschool years. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 10.
Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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