Child Development at 4 Years

Your Child at 4 Years

How your child plays, learns, speaks, and acts offers important clues about your child’s development. Developmental milestones are things most children can do by a certain age.

Check the milestones your child has reached by his or her 4th birthday. Take this with you and talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

What most children do at this age:

Social and Emotional

  • Enjoys doing new things
  • Plays “Mom” and “Dad”
  • Is more and more creative with make-believe play
  • Would rather play with other children than by himself
  • Cooperates with other children
  • Often can’t tell what’s real and what’s make-believe
  • Talks about what she likes and what she is interested in

Language/Communication

  • Knows some basic rules of grammar, such as correctly using “he” and “she”
  • Sings a song or says a poem from memory such as the “Itsy Bitsy Spider” or the “Wheels on the Bus”
  • Tells stories
  • Can say first and last name

Cognitive (learning, thinking, problem-solving)

  • Names some colors and some numbers
  • Understands the idea of counting
  • Starts to understand time
  • Remembers parts of a story
  • Understands the idea of “same” and “different”
  • Draws a person with 2 to 4 body parts
  • Uses scissors
  • Starts to copy some capital letters
  • Names four colors
  • Plays board or card games
  • Tells you what he thinks is going to happen next in a book

Movement/Physical Development

  • Hops and stands on one foot up to 2 seconds
  • Catches a bounced ball most of the time
  • Pours, cuts with supervision, and mashes own food

If You’re Concerned – Act Early

Tell your child’s doctor or nurse if you notice any of the following signs of possible developmental delay for this age, and talk with someone in your community who is familiar with services for young children in your area, such as your state’s public early intervention program.

Act early by talking to your child’s doctor if your child:

  • Can’t jump in place
  • Has trouble scribbling
  • Shows no interest in interactive games or make-believe
  • Ignores other children or doesn’t respond to people outside the family
  • Resists dressing, sleeping, and using the toilet
  • Can’t retell a favorite story
  • Doesn’t follow 3-part commands
  • Doesn’t understand “same” and “different”
  • Doesn’t use “me” and “you” correctly
  • Speaks unclearly
  • Loses skills he once had

Reference: Centers for Disease Control & Prevention

Child Growth & Development

This information is for general educational uses only. It may not apply to you and your personal medical needs. This information should not be used in place of a visit, call, consultation with or the advice of your physician or health care professional.

Communicate promptly with your physician or other health care professional with any health-related questions or concerns.

Be sure to follow specific instructions given to you by your physician or health care professional.

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