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Developmental Milestones by the End of 5 Years
Developmental Milestones by the End of 5 Years

CARING FOR YOUR BABY AND YOUNG CHILD
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Movement

  • Stands on one foot for 10 seconds or longer
  • Hops, somersaults
  • Swings, climbs
  • May be able to skip
Hand and Finger Skills
  • Copies triangle and other geometric patterns
  • Draws person with body
  • Prints some letters
  • Dresses and undresses without assistance
  • Uses fork, spoon and (sometimes) a table knife
  • Usually cares for own toilet needs
Language
  • Recalls part of a story
  • Speaks sentences of more than five words
  • Uses future tense
  • Tells longer stories
  • Says name and address
Cognitive Milestones
  • Can count 10 or more objects
  • Correctly names at least four colors
  • Better understands the concept of time
  • Knows about things used every day in the home (money, food, appliances)
Social
  • Wants to please friends
  • Wants to be like her friends
  • More likely to agree to rules
  • Likes to sing, dance and act
  • Shows more independence and may even visit a next-door neighbor by herself
Emotional Milestones
  • Aware of sexuality
  • Able to distinguish fantasy from reality
  • Sometimes demanding, sometimes eagerly cooperative
Developmental Health Watch

Because each child develops in her own particular manner, it's impossible to predict exactly when or how your own preschooler will perfect a given skill. The developmental milestones will give you a general idea of the changes you can expect as your child gets older, but don't be alarmed if her development takes a slightly different course. Alert your pediatrician, however, if your child displays any of the following signs of possible developmental delay for this age range.

  • Exhibits extremely fearful or timid behavior

  • Exhibits extremely aggressive behavior

  • Is unable to separate from parents without major protest

  • Is easily distracted and unable to concentrate on any single activity for more than five minutes

  • Shows little interest in playing with other children

  • Refuses to respond to people in general, or responds only superficially

  • Rarely uses fantasy or imitation in play

  • Seems unhappy or sad much of the time

  • Doesn't engage in a variety of activities

  • Avoids or seems aloof with other children and adults

  • Doesn't express a wide range of emotions

  • Has trouble eating, sleeping or using the toilet

  • Can't differentiate between fantasy and reality

  • Seems unusually passive

  • Cannot understand two-part commands using prepositions ("Put the cup on the table"; "Get the ball under the couch.")

  • Can't correctly give her first and last name

  • Doesn't use plurals or past tense properly when speaking

  • Doesn't talk about her daily activities and experiences

  • Cannot build a tower of six to eight blocks

  • Seems uncomfortable holding a crayon

  • Has trouble taking off clothing

  • Cannot brush her teeth efficiently

  • Cannot wash and dry her hands

Excerpted from Caring for Baby and Young Child: Birth to Age 5, Bantam 1999


© Copyright 2000 American Academy of Pediatrics

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