Dr. M.J. Bazos, MD,
4 Year Old
Frequently Asked Questions
HOW CAN I ASSIST IN MY CHILD’S
Read to your
child and respond to his interest in learning the letters and words on the page.
Talk to your child as an adult throughout the performance of daily activities,
explaining what you are doing and why. Allow your child to color, paint, cut,
and paste even though it may be messy. Teach your child to do household tasks
such as setting the table, washing and drying dishes, sorting laundry, carrying
out the garbage, and dusting - if you can make a game out of these activities,
the child may even enjoy doing them! Listen to music with your child, take him
to museums, libraries, and zoos. Allow him to use the family computer to play
games (with supervision, of
HOW DO I KNOW IF MY 4 YEAR
OLD HAS A SPEECH PROBLEM?
develop language skills at different rates just as they grow and develop
physically at different rates. A child who lags behind his peers during the
preschool years will usually catch up with them once they are in school.
Repeating whole words a few times is normal between the ages of 3 and 4 years.
This speech pattern does not bother the child and usually stops within 6 months.
True stuttering, which also first appears at this age, is characterized by
repetitions of parts of words and causes obvious distress to the child. Talk to
your child’s doctor if you notice any of the following problems between
ages 3 and 5 or if you have any concerns at all about your child’s speech
• Your 4 year old
leaves out consonant sounds from many
• Your child’s
stuttering continues for longer than 6
• While stuttering, your
child shows any signs of distress, such as grimacing or breathing
• While stuttering, your child
loses eye contact with the person with whom he is
• Your child withdraws from
talking to others because of his
• Your child stutters and
a parent or sibling also
HOW CAN I ENCOURAGE MY
CHILD TO GET ENOUGH EXERCISE?
is essential for good health, even in the preschool years. Although regular
exercise programs are not recommended for the pre-schooler, there are some
things you can do to keep your child active and
• Spend lots of time
• Go for walks
with your child.
• Go to the park or
playground and let your child play on equipment appropriate for his age and
• Play active games with
• Jump, hop, skip, dance,
walk on tiptoe, and march to music with your
• Bounce, throw, kick, and
roll balls with your child.
form neighborhood sports teams and participate in them with your
• Be a good role model by
being active yourself.
SLEEP DOES MY 4 YEAR OLD
Preschoolers generally need
between 10 and 12 hours of sleep each night (or at least during a 24 hour
period). Some may sleep more and some less. Some may and some may not require or
be interested in naps. Children who do not get enough sleep may be drowsy or
irritable during the day and are more susceptible to illness. Put your child to
bed at a reasonable time on a regular basis but do not be inflexible with
bedtimes. If your child is consistently fighting sleep and is awake for more
than 30 minutes before going off to sleep, you may want to consider delaying his
WHEN DOES MY CHILD RETURN
FOR HIS NEXT HEALTH SUPERVISION
At 5 years of age your child
should return for his next health supervision visit.