This document discusses the typical growth and development of 4-year-old preschoolers. It provides information on physical measurements like weight, height, pulse, respiration and blood pressure. It also describes motor skills like jumping, hopping, balancing, pedaling and ball skills. Cognitive abilities involve copying shapes, cutting with scissors, dressing independently and identifying colors. Socially, 4-year-olds can be egocentric but also show strong attachment to parents and play cooperatively. Suggested activities to support development include art supplies, blocks, toys and outdoor play equipment.

1. GROWTH AND
DEVELOPMENT
OF FOUR YEARS
PRE- SCHOOLERS
Mrs. D. Melba Sahaya Sweety
M.ScNursing
Pediatric Nursing
GIMSAR

2. • WEIGHT :- Approximately 13.5 - 19.5
kg has gained 2.27 kg during the fourth year.
• HEIGHT :- Approximately 95 – 109 cm
has increased 8 cm in fourth year . Has
doubled birth length.
• PULSE :- 100 + or - 10 be/ mt (average
92 be/mt)
• RESPIRATION :- 24 + or – 4 per/mt
• BLOOD PRESSURE :- 100/66 + or –
20

3. Runs on tiptoes Balances on one
foot 3 - 5 seconds

4. Jumps from
greater height
Pedals a tricycle quickly
turns sharp corners

5. Catches ball with extende
arms and with hands
Climbs ladders, trees,
play ground

6. Hops on
Preferred foot
Alternates feet when
descending stairs

7. Draw a simple
face
Copies a
Square

8. Cuts around picture with
Scissors

9. Manage spoon with
little spilling
Eat with fork held
in fingers

10. Buttons side
buttons,
small buttons
Can put on socks
with help

11. Put on shoes (not lace)
without help
Knows back from f
of clothes

12. May bath self with
assistance
Wash and dries han
without supervision

13. Visual Acuity 20/20

14. Egocentric, Tends to be
impatient and selfish
Jealousy of siblings
may evident

15. Physically and
verbally aggressive
Demonstrates
strong
attachment
for parents of
opposite sex

16. Stage 2 (4-7yrs) You do it for me ,
I will do it for you

17. Classifies objects
according to one
characteristics

18. Highly imaginative,
Concepts of time improving
especially in relation to
sequence of daily routine

19. Understands directives (On, Under,
Inback, Infront)

20. Name one or more
colors correctly
Use ‘’I’’ and
Counts to 5

21. Use 3 to 7 word sentence and Has a
vocabulary of 1500 words

22. Play cooperatively
with others
Provide Hand
puppets, doll
house, doll nurse
or doctor kit

23. Provide Blackboard,
chalk, paper , paste,
scissors, clay , finger
paints to stimulate
creativity
Sliding boards, swing,
blocks of all sizes ,
Tinker toys to
encourage motor
activity