Health Topics

As your child continues to grow, you will notice new and exciting abilities that develop. While children may progress at different rates, the following are some of the common milestones your child may reach in this age group:

• Runs and jumps easily
• Walks up stairs unassisted
• Rides a tricycle
• Washes and dries hands
• Stacks 10 blocks
• Easily draws straight lines and copies a circle
• Can stand on tiptoes
• Uses spoon well and feeds self
• Dresses and undresses self except for buttons and laces
• Can concentrate on tasks for 8 or 9 minutes
• Has all 20 primary ("baby") teeth
• Vision is nearing 20/20
• Bladder and bowel control are usually established; uses potty chair or toilet
• May sleep 11 to 13 hours total, may still take a short afternoon nap

What can my child say?

Speech development is very exciting for parents as they watch their children begin to speak clearly and interact with others. While every child develops speech at his/her own rate, the following are some of the common milestones in this age group:

• Should be able to say about 500 to 900 words
• Speech can be understood by others
• Speaks in two- or three-word sentences and progresses to four- to five-word sentences
• Can remember simple rhymes or lyrics
• Uses "please" and "thank you"
• Refers to self by using own name
• Names colors

What does my child understand?

While children may progress at different rates, the following are some of the common milestones your child may reach in this age group:

• Understands size differences (i.e., big and little)
• Understands past tense (yesterday)
• Understands long sentences
• Understands prepositions (on, under, behind)
• Uses pronouns correctly (I, you, he, me, etc.)
• Asks "why" constantly
• Counts up to four objects by 4 years old
• Says full name and age
• May have fears of certain things (i.e., dark, monster under bed, going down the drain)
• Attempts to solve problems
• Remembers certain events
• Can point to the correct picture when asked a simple question about it

How does my child interact with others?

While every child is unique and will develop different personalities, the following are some of the common behavioral traits that may be present in your child:

• Begins to share and likes to play with other children
• Can take turns
• Temper tantrums are less frequent
• Begins to show feelings in socially acceptable ways

• Spend time allowing your child to talk with you
• Teach your child how things work
• Encourage play with other children
• Encourage your child to tell you stories
• Listen to your child and show that you are pleased by your child's talking
• Let your child do as much as possible for himself/herself when getting dressed, brushing teeth, and combing hair
• Have your child help with simple chores such as picking up toys
• Give your child old clothes for "dress up" and allow him/her to pretend being a mom, dad, doctor, cowboy, etc (Even old sheets or towels can become skirts, capes or turbans. You can also pretend you are an elephant, butterfly, robot, or other characters and play with your child.)
• Sing songs or nursery rhymes and teach your child the words
• Read stories with your child and ask your child to name pictures in the stories or retell part of the story
• Help your child play with crayon and paper or chalk and chalkboard by showing how to draw circles and lines and then put them together to make a stick figure (Make figure faces that are happy, sad, or surprised, and talk about the different feeling shown in each picture.)
• Let your child build things out of blocks or boxes
• Give your child a safe space to ride a tricycle
• Listen to children's music with your child and dance
• Practice counting with your child
• Give your child the chance to play games with other children (religious groups, YWCA / YMCA recreation centers, or libraries often have preschool programs)
• Put puzzles together with your child
• Let your child have pretend playtime with dolls, cars or toy cooking utensils
• Play "hide and seek" and "follow the leader"
• Let your child use his/her imagination by playing with Play-Doh or clay
• Trace your child's hand or whole body and make a picture
• Show your child you are proud of any artwork and hang it up for display
• Teach your child colors
• Play ball with your child (play different games with the ball such as tossing a ball into a box or rolling the ball up and down an incline.)