Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Milestones for 4-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 and communication. But they may be behind in another area, such as movement and physical development.

Milestones usually are grouped into five major categories: physical growth, cognitive development, emotional and social development, language and communication development, and movement and physical development.

Physical growth

Most children by age 4:

  • Have gained about 4 lb (2 kg) and grown about 3 in. (8 cm) since their third birthday.

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

Cognitive development (learning, thinking, problem-solving)

Most children by age 4:

  • Can name some colors.
  • Tell what comes next in a story they know well.
  • Draw a person with three or more body parts.

Emotional and social development

Most children by age 4:

  • Pretend to be something else during play, like a parent, animal, or superhero.
  • Ask to go play with children if none are around.
  • Comfort others who are hurt or sad.
  • Avoid danger, like not jumping off tall equipment at a playground.
  • Like to help parents or teachers.
  • Change how they act based on where they are. For example, they use a quieter voice at the library.

Language and communication development

Most children by age 4:

  • Say sentences with four or more words.
  • Say some words from a song, story, or nursery rhyme.
  • Talk about at least one thing that happened during their day.
  • Answer simple questions.

Movement and physical development

Most children by age 4 can:

  • Catch a large ball most of the time.
  • Serve themselves food or pour water with adult supervision.
  • Unbutton some buttons.
  • Hold a crayon or pencil between the fingers and thumb instead of in a fist.

Credits

Current as of: October 24, 2024

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

Current as of: October 24, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Ignite Healthwise, LLC 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:

5115 Fannin, Suite 801
Houston, TX 77004

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, Interventional Cardiology 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 ICA:

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