4 Year Check

From Page 110 of your Personal Health Record (PHR or 'Blue Book')

https://www.health.nsw.gov.au/kidsfamilies/MCFhealth/Publications/blue-…

Topics for discussion may include any issues arising from:

• my development (Learn the Signs. Act Early.)
• additional parent/carer questions
• child health check.

Health and safety

• immunisation
• healthy eating for families
• taking care of your child’s teeth
• how to be sun smart
• sleep
• growth
• for boys: a testes check.

Development

• your child’s feelings and behaviours
• going to preschool or kindergarten
• regular story reading to build literacy skills.

Family

• sibling relationships
• positive parenting programs and parenting practices
• smoking and/or vaping.

Milestones

I am 4 years old

My development – Learn the Signs. Act Early. (what most children do at this age)

Social/Emotional Milestones

• Pretends to be something else during play (teacher, superhero, dog)
• Asks to go play with children if none are around, like “Can I play with Alex?”
• Comfort’s others who are hurt or sad, like hugging a crying friend
• Avoids danger, like not jumping from tall heights at the playground Likes to be a “helper”
• Changes behaviour based on where they are (place of worship, library, playground)

Language/Communication Milestones

• Says sentences with four or more words
• Says some words from a song, story, or nursery rhyme
• Talks about at least one thing that happened during their day, like “I played soccer.”
• Answers simple questions like “What is a coat for?”
• or “What is a crayon for?”

Cognitive Milestones (learning, thinking, problem-solving)

• Names a few colours of items
• Tells what comes next in a well-known story
• Draws a person with three or more body parts

Movement/Physical Development Milestones

• Catches a large ball most of the time
• Serves themself food or pours water, with adult supervision Unbuttons some buttons
• Holds crayon or pencil between fingers and thumb not a fist

You know your child best. Don’t wait. If your child is not meeting one or more milestones, has lost skills they once had, or you have other concerns, act early. Talk with your Child and Family Health nurse or GP, share your concerns, and ask about developmental screening.