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Ask Dr. Y. Vasavada Your Own Question

Dr. Y. Vasavada
Dr. Y. Vasavada, Pediatrician
Category: Paediatrics
Satisfied Customers: 3122
Experience:  M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
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Hi,I have a Son aged 4 years 7 months.Does anyone know

Customer Question

Hi,

I have a Son aged 4 years 7 months.

Does anyone know what his average development levels should be by this age?

For example, how many words should he know by now?
What kind of sentence construction should he be able to do?
Should he understand conversations, and of what complexity?
Should he be able to write at all and what kind of average ability should he have?
What sort of memory ability should he have, eg, knowing what happened in the day or day before, what day of the week is it, or what activities happen on certain days such as PE at school or assembly?
Should he know the difference between a birthday and xmas, for example should he be able to understand that his birthday is XXXXX up very soon for example instead of him thinking its his birthday when we mention it due?
Should he be able to tell us about his school day in some detail?
Should he b able to tell us if someone has hurt him at school, if so is it possible to give me an example of the type of sentencing he would construct for this explanation at his age?
Submitted: 3 years ago.
Category: Paediatrics
Expert:  Dr. Y. Vasavada replied 3 years ago.

Dr. Yogindra Vasavada :

Hello, On average a 4 1/2 yr old should be able to make simple sentence with verb etc containing 3-4 words. Vocabulary should be 1500-1600 words.

Dr. Yogindra Vasavada :

They should be able to make sentences incorporating five or more words. Speech at this age should be completely intelligible, although there may be some developmental sound errors and stuttering, particularly among boys.

Dr. Yogindra Vasavada :

They should be able to accurately narrate what happened at school. Day of week may or may not be accurately recalled but they know all seven days of a week.

Dr. Yogindra Vasavada :

Birthday and X mas are known quite early.

Dr. Yogindra Vasavada :

Words with rhyme also may be learned easily

Dr. Yogindra Vasavada :

He would distinctly recollect who hurt him at school. Also what all happened in class previous day.

Dr. Yogindra Vasavada :

More details can be had from link : http://kidshealth.org/parent/growth/communication/comm_4_to_5.html

JACUSTOMER-zj29n601- :

Hi Doctor, That was interesting. And what about reading and writing ability? Also Doctor, if you could have a look through the list of symptoms and give me your opinion please. Thank you very much for your time in this matter, I am going to rate you highly.

JACUSTOMER-zj29n601- :

And also his drawing ability

Dr. Yogindra Vasavada :

At his age he should recognize all alphabet if already taught at play center or home. Writing few (1-10 or 20) numbers and some simple 3 letter words would be attained. He may use pencil or crayon to color a picture or trace line on outline of a figure.

Dr. Yogindra Vasavada :

Regarding symptoms described, seems to have some learning difficulty or may later have ADD but too early to evaluate now. Bad eye with refractive error should be corrected with glasses. Or use a patch alternating each eye couple of waking hours, so that weak eye does not get amblyopia (lazy.eye).

Dr. Yogindra Vasavada :

If there are symptoms like stiff limb or brisk jerks, could have mild CP.

JACUSTOMER-zj29n601- :

Hi Doctor, What is brisk limb or jerk? and what is mild CP?

Dr. Yogindra Vasavada :

When end of a muscle at attachment (tendon) is stroked with a rubber hammer, there is jerking of muscle. If this reflex at knee, elbow or ankle is excessive, that is brisk jerk. Due to static brain damage some children have various brain related symptoms called cerebral palsy (CP).

JACUSTOMER-zj29n601- :

Hi Doctor, I am sorry but I am trying to understand the relation with my Son and what you have mentioned, is there something in the symptoms that can give rise to this at all?

Dr. Yogindra Vasavada :

Please discuss with play group teacher to get more insight in his behavior.

Dr. Yogindra Vasavada :

You may post any other concern you have.

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