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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Developmental milestones: 4 years, 0 months through 7 to 8 years

Developmental milestones: 4 years, 0 months through 7 to 8 years
  Approximate chronologic age
4 to 5 years 5 to 6 years 6 to 7 years 7 to 8 years
Gross motor
  • Balances on 1 foot: 4 to 8 seconds
  • Hops on 1 foot: 2 to 3 times
  • Standing broad jump: 1 to 2 feet
  • Gallops
  • Throws ball overhand: 10 feet
  • Catches bounced ball
  • Walks down stairs, alternating feet, without using rail
  • Balances on 1 foot: More than 8 seconds
  • Hops on 1 foot: 15 feet
  • Skips
  • Running broad jump: 2 to 3 feet
  • Walks backward heel-toe
  • Jumps backward
  • Tandem walks
  • Skips
  • Rides bicycle independently
  • Bats ball placed on cone
  • Does somersaults
Fine motor/writing
  • Copies square
  • Imitates making a complex gate with cubes
  • Ties single knot
  • Cuts 5-inch circle
  • Uses tongs to transfer
  • Writes part of first name
  • Works from left to right, top to bottom
  • Copies triangle
  • Builds stairs with cubes from model
  • Puts paper clip on paper
  • Can use clothespins to transfer small objects
  • Cuts with scissors
  • Writes first name
  • Builds stairs with cubes from memory
  • Draws diamond
  • Copies flag
  • Writes first and last name
  • Creates and writes short stories
  • Forms letters with down-going and counter-clockwise strokes
  • Writing rate increases
  • Stays on line when writing
  • Spaces between words
  • Size of letters becomes uniform
  • Letter reversals disappear
Self-help
  • Goes to toilet alone
  • Wipes after BM
  • Washes face/hands
  • Brushes teeth alone
  • Buttons
  • Uses fork well
  • Spreads with knife
  • Independent dressing
  • Ties shoes
  • Combs hair
  • Remembers to bring belongings
  • Sticks with tasks (with television off) for up to 20 minutes
  • Pays attention to teacher when in a group
  • Completes homework on own
  • Answers and delivers phone messages
  • Completes household chores (with reminders)
Cognitive/academic
  • Draws a 4- to 6-part person
  • Can give amounts (usually less than 5) correctly
  • Completes simple analogies (eg, dad/boy:mother/___, ice/cold:fire/___, ceiling/up:floor/___)
  • Points to 5 to 6 colors
  • Points to letters/numerals when named
  • Rote counts to 4
  • "Reads" several common signs/store names
  • Draws an 8- to 10-part person
  • Gives amounts (less than 10)
  • Identifies coins
  • Names letters/numerals out of order
  • Rote counts to 10
  • Names 10 colors
  • Uses letter names as sounds to invent spelling (eg, "N-D-N" for "Indian")
  • By end of kindergarten: Knows sounds of consonants and short vowels
  • Reads 25 words
  • Draws a 12- to 14-part person
  • Number concepts to 20
  • Simple addition/subtraction
  • Understands seasons
  • Sounds out regularly spelled words
  • By end of first grade: Reads 250 words
  • Knows sounds of consonant digraphs (eg, "ch," "sh")
  • Knows sounds of vowel diphthongs (eg, "oo," "ou")
  • Reads words with r-controlled vowels (eg, bird, burn)
  • Starts "reading to learn" not just "learning to read"
  • Two-place addition/subtraction
  • Enjoys reading independently
  • Remembers spelling words
Social/emotional
  • Deception: Interested in tricking others and concerned about being tricked by others
  • Has a preferred friend
  • Labels happiness, sadness, fear, and anger in self
  • Group play
  • Has a group of friends
  • Apologizes for mistakes
  • Responds verbally to good fortune of others
  • Has best friend of same sex
  • Plays board games
  • Distinguishes fantasy from reality
  • Wants to be like friends and please them 
  • Avoids hurting others in play
  • Learns from mistakes
  • Helps younger children
  • Strong notions about what is fair
  • Takes turns in conversations
  • Delays gratification and waits to take turn
  • Interested in the opinions of peers
Receptive language
  • Follows 3-step commands
  • Points to things that are the same versus different
  • Names things when actions are described (eg, it swims in water, you cut with it, it is something you read, it tells time)
  • Knows right and left on self
  • Points to different one in a series
  • Understands "er" endings (eg, batter, skater)
  • Understands adjectives (eg, bushy, long, thin, pointed)
  • Enjoys rhyming words and alliterations
  • Produces words that rhyme
  • Points correctly to "side," "middle," and "corner"
  • Asks what unfamiliar words mean
  • Can tell which words do not belong in a group
  • Understands opposites and word analogies
  • Knows right and left on others
  • Understands days and months
Expressive language
  • Repeats 4- to 6-syllable sentences
  • Uses 300 to 1000 words
  • Tells stories
  • 100% intelligibility with few articulation errors
  • Uses "feeling" words
  • Uses words that tell about time
  • Repeats 6- to 8-syllable sentences
  • Defines simple words
  • 2000 word vocabulary
  • Knows telephone number
  • Responds to "why" questions
  • Retells stories with clear beginning, middle, and end
  • Repeats 8- to 10-word sentences
  • Describes events in an orderly way
  • Knows days of the week
  • 10,000 word vocabulary
  • Masters "r" sound in speech
  • Tells time
  • Uses complex and compound sentences
  • Talks about a range of topics
BM: bowel movement.
* Refer to UpToDate content on fine motor milestones.
© 2007 Chris Johnson, MD, AAP Council on Children with Disabilities. Adapted with permission and contributions from: Frances Page Glascoe, PhD and Nicholas Robertshaw, authors of PEDS: Developmental Milestones; Franklin Trimm, MD, Vice Chair of Pediatrics, USA/APA Education Committee; the Center for Disease Control "Act Early" Initiative; the National Institute for Literacy/Reach Out and Read; and the Inventory of Early Development by Albert Brigance published by Curriculum Associates, Inc. Permission is granted to reproduce these pages on the condition that they are only used as guide to average development and not as a substitute for standardized validated screening for developmental-behavioral problems.
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