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Milestones for 4-Year-Olds

Table of Contents


Topic Overview

Children usually progress in a natural, predictable sequence from one developmental milestone to the next. But each child grows and gains skills at his or her own pace. Some children may be advanced in one area, such as language, but behind in another, such as sensory and motor development.

Milestones usually are categorized into five major areas: physical growth, cognitive development, emotional and social development, language development, and sensory and motor development.

Physical growth and development

Most children by age 4:

To see the high and low percentiles for normal weight and growth, go to www.cdc.gov/growthcharts.

Thinking and reasoning (cognitive development)

Most children by age 4:

Emotional and social development

Most children by age 4:

Language development

Most children by age 4:

Sensory and motor development

Most children by age 4:

By age 4, most children can use their hands and fingers (fine motor skills) to:


Credits for Milestones for 4-Year-Olds

Current as of: September 20, 2021

Author: Healthwise Staff
Medical Review:
John Pope MD - Pediatrics
Kathleen Romito MD - Family Medicine
Louis Pellegrino MD - Developmental Pediatrics


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