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 gender
- Able to distinguish
fantasy from reality
- Sometimes demanding, sometimes eagerly cooperative

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)

Language
- Recalls part of a
story
- Speaks sentences of
more than five words
- Uses future tense
- Tells longer stories
- Says name and address

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 shapes
- Draws person with
body
- Prints some letters
- Dresses and
undresses without help
- Uses fork, spoon,
and (sometimes) a table knife
- Usually cares for own toilet needs

Developmental Health Watch
Alert your child's doctor or nurse if your child displays any of the following signs of possible developmental delay for this age range.
- Acts extremely
fearful or timid
- Acts extremely
aggressively
- 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 tell the
difference between fantasy and reality
- Seems unusually
passive
- Cannot understand
two-part commands using prepositions ("Put the doll on the
bed, and 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
From CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5 by Steven Shelov, Robert E. Hannermann, © 1991, 1993, 1998, 2004 by the American Academy of Pediatrics. Used by permission of Bantam Books, a division of Random House, Inc.

The National Center on Birth Defects and Developmental Disabilities (NCBDDD) promotes the health of babies, children, and adults, and enhances the potential for full, productive living. Our work includes identifying the causes of birth defects and developmental disabilities, helping children to develop and reach their full potential, and promoting health and well-being among people of all ages with disabilities.

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