Most children aged four to five will:
Continue to grow, but at a slower rate than during infancy and the toddler years [Some parts grow faster or sooner than others. For example, organs grow faster than the body, giving preschoolers a rounded tummy.]
Reach at least 50 percent of their adult height and about 20 percent of their adult weight by age five
Develop more coordinated large motor skills, enabling them to skip, run, and climb up and down stairs
Develop fine motor skills, enabling them to tie shoelaces, button shirts, use scissors, and draw recognizable figures
Continue significant brain development, completing 90 percent of such development by age five
Develop increased lung capacity and the ability to breathe more deeply
Lose their “baby look” as their limbs grow longer
Appear about the same size, regardless of gender
Increase in overall health and gain resistance to germs

Most children aged four to five will:
Interact with and learn about the world through play activities
Begin to experience the world through exploration and feel inquisitive about self and surroundings
Begin separation from family as they experience less proximity to caregivers and more independence
Understand what is good and bad (though they may not understand why) and be able to follow the rules
Be able to understand and accomplish simple activities to be healthy, such as brushing teeth or washing hands
Understand the concept of privacy

Most children aged four to five will:

Still rely on caregivers, while no longer needing or wanting as much physical contact with caregivers as they received in infancy and as toddlers
Continue to express emotions physically and to seek hugs and kisses
Socialize with peers, begin to develop relationships, and learn to recognize some peers as friends and others as people they don’t like
Have more opportunities to interact with peers, either through school or recreational activities, and will play with other children

Most children aged four to five will:

Experience vaginal lubrication or erection
Touch their genitals for pleasure
Feel curiosity about everything, and ask about where babies come from and how they were born
Feel curiosity about bodies and may play games like doctor
Feel sure of their own gender and have the ability to recognize males and females
Begin to recognize traditional male and female gender roles and to distinguish these roles by gender
Become conscious of their own body, how it appears to others, and how it functions

To help four- to five-year-old children develop a healthy sexuality, families should:
Help children understand the concept of privacy and that talk about sexuality is private and occurs at home.
Teach correct names of the major body parts (internal and external) and their basic functions.
Explain how babies “get into” the mother’s uterus.
Encourage children to come to them or other trusted adults for information about sexuality
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