Skip to content
Pregnancy, Birth and Baby homeAustralian Government, Department of Health, Disability and Ageing (Opens in new tab)
Pregnancy, Birth and Baby home
Pregnancy, Birth and Baby home
Need to talk? Call 1800 882 436.
It's a free call with a maternal child health nurse. *call charges may apply from your mobile.
Is it an emergency? Dial 000
If you need urgent medical help, call triple zero immediately.
  1. Home/
  2. Children/
  3. Children development and milestones/
  4. Development milestones - your child at 4 years

Development milestones - your child at 4 years

Key facts

  • Development milestones are social and physical skills that children are able to do as they develop.
  • Different skills, emotions and activities are reached at different ages.
  • But remember that every child is different — your child will develop at their own pace.
  • If you are worried that your child is not reaching their milestones, talk to your doctor or child health nurse.
  • On this page

    • What are development milestones?
    • How can I help my child to develop?
    • What physical skills should my child have at 4 years?
    • What social and emotional milestones should I expect by 4 years?
    • What should my child be able to understand and communicate at 4 years?
    • How can I help my child to learn and develop through play?
    • What if I am worried about my child?
    • What vaccines does my child need?
    • Resources and support

    What are development milestones?

    Development milestones are social and physical skills that children can do as they develop. Different skills, emotions and activities are reached at different ages.

    All over the world and across cultures, children meet development milestones in generally the same order. But remember that every child is different. Your child will develop at their own pace.

    If you are worried about whether your child is reaching their milestones within an expected period, talk to your doctor or a child health nurse.

    How can I help my child to develop?

    Your pre-schooler still needs plenty of sleep. By their fourth birthday, children need 10 to 13 hours of sleep a day. They might have a nap during the day, but often 4-year-olds don't need a nap.

    If you have to wake your child most mornings, they probably need more sleep. If your child is cranky or overtired during the day, they probably need more sleep.

    A healthy diet will also help your pre-schooler grow and develop. It's normal for some pre-schoolers to be fussy eaters or go through a fussy stage.

    Keeping mealtime fun is important. Continue to offer your child a variety of options. This will encourage them to learn to try and enjoy new flavours and textures.

    What physical skills should my child have at 4 years?

    By the age of 4 years, you child will probably be toilet trained. They will be able to wash their hands and face, and with some help from you, clean their teeth.

    They'll be able to dress themself. Although, shoelaces and buttons may still be too hard for them.

    By now they will be improving their ball skills. They will be learning to balance on one foot and hop. They can climb.

    They are starting to use pencils and scissors. They can make a drawing.

    What social and emotional milestones should I expect by 4 years?

    Between the ages of 3 and 4 years, your child starts to have a better understanding that their bodies and feelings are their own. They will also have a better grasp of how emotions such as joy or sorrow feel. They start to know how to describe those feelings.

    At this age, children get better at handling their emotions. Their communication skills are better. They can now talk about their needs and wants. You will probably notice they do not have as many temper tantrums as before.

    Self-esteem helps children have the confidence and courage to try new things. It helps them to feel liked and accepted. They feel proud of themself. It also helps them cope with feelings of sadness or worry.

    You can help your child build self-esteem by encouraging them to try new things. It is important to praise their efforts more than their results. Do not criticise them. Give them lots of encouragement.

    Along with developing self-esteem, your child will be forming friendships. They may enjoy playing in small groups. These groups give your child a chance to practice playing with other children. They learn what is acceptable when playing with their friends.

    Pre-schoolers are curious about their bodies and other people. This interest may lead to games like playing 'mums and dads' or 'doctors'.

    It's very common for children to develop imaginary friends. This shows that your child has a healthy imagination. The name or description of an imaginary friend might be from a book, television show or toy. Sometimes the friend may be completely imagined. Your child will stop playing with their imaginary friend when they are ready.

    What should my child be able to understand and communicate at 4 years?

    By the time your child is 4 years, you can expect to have conversations with them. These conversations use several hundred new words. The sentences your child says can have 6 or more words.

    By their fourth birthday, pre-schoolers usually:

    • Understand most of the instructions you give about familiar things and places, for example, 'please put your cup on the table'.
    • Can be understood by other people.
    • Recognise and name objects and parts of objects in books and in real life.
    • Understand concepts such as comparing things ('big' or 'small', 'thin' or 'thick'), and locations ('in' and 'under').
    • Recite familiar rhymes and sing familiar songs.
    • Ask a lot of questions about the world and how it works — 'why', 'where' and 'when'.
    • Begin identifying and copying letters, numbers and colours.
    • Start to understand time.
    • Know and tell others their name and age.

    Your child's language is developing very quickly at this time. Find out more about speech development in children.

    How can I help my child to learn and develop through play?

    Your pre-schooler will enjoy running, tumbling and rolling. These actions use up energy and help children to deal with their emotions. They also help to develop their growing bodies.

    Try to give your child lots of time and places to be physically active. Let them climb and explore nature. Take them to places where they can build skills using playground equipment.

    Encourage your child to play in sand or mud and get 'messy'. Give them time and chances to dance to music.

    Your pre-schooler may also enjoy:

    • Drawing and painting with pencils, crayons, paints and paper.
    • Dress-up and pretend games.
    • Reading books with you, singing, reciting rhymes and dancing.
    • Cooking with you. This gives you the chance to introduce numbers and concepts such as weight and size.
    • Building things with blocks.

    What if I am worried about my child?

    Children learn things and do things at different ages. You may want to talk to your doctor or child health nurse if your 4-year-old child:

    • isn't using sentences of more than 3 words
    • doesn't seem to understand 2-part commands, such as 'sit on your chair and pick up your book'
    • doesn't pretend during play
    • seems to overreact with explosive tantrums over small things or when you leave them
    • often trips when walking or running
    • isn't able to draw simple shapes when using pencils or crayons
    • has difficulty dressing or using the toilet
    • doesn't seem to see things or hear you
    • has lost skills they once had

    What vaccines does my child need?

    Routine childhood vaccinations are an important part of keeping your child healthy.

    At age 4 years, your child should be given the following vaccinations:

    • diphtheria (Opens in new tab), tetanus (Opens in new tab), pertussis (whooping cough
    • polio (Opens in new tab)

    Aboriginal and/or Torres Strait Islander children in some states may also need pneumococcal vaccine and hepatitis A vaccine.

    Some children with medical conditions may also need a pneumococcal vaccine.

    Check with your doctor or community nurse about your child's vaccinations.

    Resources and support

    There are parenting support (Opens in new tab) services available, including parenting support lines in your state or territory.

    Pregnancy, Birth and Baby has information on preschool and starting school.

    StartingBlocks (Opens in new tab) has information about the transition to school (Opens in new tab).

    Speak to a maternal child health nurse

    Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 (Opens in new tab) or video call. Available 7am to midnight (AET), 7 days a week.

    • Department of Health — National Immunisation Program Schedule 2021 (Opens in new tab)
    • Australian Government; Community Child Care Co-operative Ltd (NSW) — Developmental milestones and the Early Years Learning Framework and the National Quality Standards (Opens in new tab)
    • NSW Government — Milestones matter (Opens in new tab)
    • Parenting SA — Milestones: Children 0-4 years (Opens in new tab)
    • Children\\\\u2019s Health Queensland Hospital Health Service — Healthy sleep in children (Opens in new tab)
    • Tresillian — Development: Baby development milestones (Opens in new tab)
    • Starting blocks — The importance of play in children's learning and development (Opens in new tab)
    • Sydney Children’s Hospital Network — Healthy eating for toddlers (Opens in new tab)

    Find out how we develop and review our content.


    Last reviewed: October 2023

    Need more information?

    These trusted information partners have more on this topic.

    Child's development 1 to 2 years | StartingBlocks.gov.au

    Explore key developmental milestones for children aged 1 to 2 years. Including walking, talking, social skills, emotional development and cognitive growth. Learn how to support toddler learning through play, exploration, routines and everyday interactions.
    Starting Blocks logo
    Learn more on Starting Blocks website

    Child's development 3 to 5 years | StartingBlocks.gov.au

    Explore key developmental milestones for children aged 3 to 5 years. Including physical skills, language growth, social development, emotional regulation and cognitive abilities. Learn how to support preschool learning through play, routines and everyday experiences.
    Starting Blocks logo
    Learn more on Starting Blocks website

    Child's development 2 to 3 years | StartingBlocks.gov.au

    Discover key developmental milestones for children aged 2 to 3 years. Including physical growth, language development, emotional regulation, social skills and imaginative play. Learn how to support toddler learning through everyday experiences, routines and play.
    Starting Blocks logo
    Learn more on Starting Blocks website

    Child's development 8 to 12 months | StartingBlocks.gov.au

    Explore key developmental milestones for babies aged 8 to 12 months. Including crawling, standing, early communication, cognitive growth and how to support learning through play, interaction, and everyday routines.
    Starting Blocks logo
    Learn more on Starting Blocks website

    Brain development in children | StartingBlocks.gov.au

    Explore how brain development in children works, why early experiences matter. How relationships, play and learning environments shape lifelong cognitive, emotional and social development.
    Starting Blocks logo
    Learn more on Starting Blocks website

    Baby Development Guide | Karitane Milestones & Growth

    Karitane helps parents understand baby development. Track key milestones and discover ways to support your baby's learning and wellbeing.
    Karitane logo
    Learn more on Karitane website

    Supporting happy, healthy brain development in toddlers – Ngala

    Did you know your child is born with 100 billion brain cells – the most they will ever have – and that their brain grows faster during the first three years of life...
    Ngala logo
    Learn more on Ngala website

    Nutrition and brain development 6 to 12 months – Ngala

    The World Health Organisation (WHO) recommends the introduction of solids for your baby between five and seven months of age. At this age your baby is interested in their surroundings and...
    Ngala logo
    Learn more on Ngala website

    Language and brain development 6 to 12 months – Ngala

    All babies are born with the desire to communicate. By three months of age your baby is babbling, cooing and generally engaged with what is going on around them. By...
    Ngala logo
    Learn more on Ngala website

    Developmental Milestones - Rahma Health

    Developmental milestones provide some information about children’s skills to guide parents about when to seek help.
    Rahma Health logo
    Learn more on Rahma Health website

    Related pages

    • Development milestones - your child 12 to 18 months
    • Development milestones - your child 18 to 24 months
    • Development milestones - your child at 3 years
    • Development milestones - your child at 5 years
    • Learning to crawl

    Search our site for

    • Paediatrician
    • Global Development Delay
    • Play and Playthings

    Find a health service

    Search now

    Need further advice or guidance from our maternal child health nurses?
    1800 882 436 Video call
    Logo for Pregnancy, Birth and Baby

    Pregnancy, Birth and Baby is funded by the Australian Government and operated by Healthdirect Australia.

    About

    About Pregnancy, Birth and BabyAbout our contentInformation partnersOur privacy commitmentTerms of useHow we use AIPromotional material

    Explore

    A to Z topicsDue date calculatorFind local health servicesGlossary of pregnancy and labourPregnancy and parenting in picturesPregnancy and baby appsSymptom Checker (Opens in new tab)

    Connect

    Contact usVideo callNewslettersLinking to us (Opens in new tab)Consumer engagement (Opens in new tab)

    Follow

    Australian Government, Department of Health, Disability and AgeingLogo for healthdirect Australia

    Pregnancy, Birth and Baby’s information and advice are developed and managed within a rigorous clinical governance framework (Opens in new tab).

    This site is protected by reCAPTCHA and the Google Privay Policy (Opens in new tab) and Terms of Service (Opens in new tab) apply.

    Healthdirect Australia acknowledges the Traditional Owners of Country throughout Australia and their continuing connection to land, sea and community. We pay our respects to the Traditional Owners and to Elders both past and present.

    © 2026 Healthdirect Australia Limited

    This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes.
    The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional.
    Except as permitted under the Copyright Act 1968, this publication or any part of it may not be reproduced, altered, adapted, stored and/or distributed in any form or by any means without the prior written permission of Healthdirect Australia.