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Milestones for 5-Year-Olds

Overview

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

Milestones usually are grouped 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 5:

  • Have gained about 4.4 lb (2 kg) and grown 1.5 in. (4 cm) to 2 in. (5 cm) since their fourth birthday.

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

Thinking and reasoning (cognitive development)

Most children by age 5:

  • Know their address and phone number.
  • Recognize most letters of the alphabet.
  • Can count 10 or more objects.
  • Know the names of at least 4 colors.
  • Understand the basic concepts of time.
  • Know what household objects are used for, such as money, food, or appliances.

Emotional and social development

Most children by age 5:

  • Want to please and be liked by their friends, though they may sometimes be mean to others.
  • Agree to rules most of the time.
  • Show independence.
  • Are more able to distinguish fantasy from reality. But they enjoy playing make-believe and dress-up.
  • Have distinct ways of playing. Some children play in rough or physically active ways. Other children of the same age are more likely to engage in social play.

Language development

Most children by age 5:

  • Carry on a meaningful conversation with another person.
  • Understand relationships between objects, such as "the boy who is jumping rope."
  • Use the future tense, such as "Let's go to the zoo tomorrow!"
  • Often call people (or objects) by their relationship to others, such as "Bobby's mom" instead of "Mrs. Smith."
  • Talk about or tell stories. They have little or no trouble being understood by others.

Sensory and motor development

Most children by age 5:

  • Somersault and possibly skip.
  • Swing and climb.
  • Hop on one foot.
  • Use the toilet by themselves. They may still wet the bed, though.

By age 5, most children can use their hands and fingers (fine motor skills) to:

  • Copy triangles and other geometric shapes.
  • Draw a person with a head, a body, arms, and legs.
  • Dress and undress on their own. But they may still need help to tie their shoelaces.
  • Write some lowercase and capital letters from the alphabet.
  • Eat with a fork, spoon, and maybe a flatware knife.

Credits

Current as of: October 24, 2023

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: October 24, 2023

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Dear patient

I am excited to announce that I will be relocating my practice to Houston Methodist DeBakey Cardiology Associates. Starting November 4, 2024, my new address will be:

Houston Methodist DeBakey Cardiology Associates
6550 Fannin St.
Smith Tower, Suite 1901
Houston, TX 77030

Please note that my phone number and fax number will also change to the following:
24-Hour Telephone: 713-441-1100
Fax: 713-790-2643
Clinical Support Telephone (M-F, 8-5): 713-441-3515

I am excited about caring for you in my new office and hope you will make the transition with me. I will also continue to refill your medications as I have in the past. To assist, please provide your pharmacy with my new contact information.

Please consider checking your prescription refills to verify that you have enough medication on hand to last you until your next visit. Please note that your medical records will remain at my former office until you authorize their transfer. If you choose for me to continue providing your medical care, please complete and sign the enclosed “Authorization for Release of Medical Records” form and fax it to 713-790-2643. Once we receive your authorization, we will be happy to process the request for you.

Thank you for entrusting me with your medical care. My new team and I are dedicated to making this transition as seamless as possible. For help scheduling an appointment and transitioning your care, please call my new office number above.

I look forward to continuing your care at my new location.

Sincerely,
Gopi A. Shah, MD

Dear patient

Dr. Albert Raizner, Dr. Michael Raizner, and Dr. Mohamed El-Beheary are excited to announce that our practice, Houston Cardiovascular Associates, will merge with Houston Cardiovascular Associates on November 1, 2024.

Our new offices are similarly located in Houston, near the Texas Medical Center and in Sugar Land. Our in-hospital care will continue at Houston Methodist Hospital in the Texas Medical Center and Houston Methodist Sugar Land Hospital. Importantly, our new offices expand our services with state-of-the-art equipment and amenities. Our core values will always be, as they began over 40 years ago when Dr. Albert Raizner founded HCA:

Integrity – Compassion – Accountability

Our new address and contact information are:

Your medical records are confidential and remain available at our new locations. We consider it a privilege to serve as your cardiologists and look forward to your continuing with us. However, should you desire to transfer to another physician, you may request a copy of your records by contacting us at our new addresses and phone numbers listed above.

We thank you for your trust and loyalty. As always, we will continue to be here to take care of you. Please do not hesitate to contact us if you have any questions or concerns.

Sincerely,

Dr. Albert Raizner,
Dr. Michael Raizner,
Dr. Mohamed El-Beheary