![]() Some other questions your pediatrician will probably ask: Have your child wash his hands before he leaves school or immediately after he gets home. "One of the concerns I have when a child starts school is the increase in respiratory illnesses, colds, and the flu," says Anatoly Belilovsky, M.D., a Brooklyn-based pediatrician. Most toddlers gain about four pounds and grow about two to three inches. Your child's annual checkup will include measurements for weight and height, a look at immunization records, and an assessment of hearing and vision. "And teachers will be able to spot a speech delay if one exists." "Children learn to communicate with others, which is very important," says Krause. He can also start expressing his own emotions a bit, working toward answering questions such as "Why are you crying?" and "What happened?" Preschool can play a part in the language learning process. Your child can also start relating to comparisons, and can also point out action pictures, and emotions. After a while, they will correct themselves." "Repeat what they said using the correct tense, but don't make it a big deal. "Most kids this age have difficulty with tenses - 'I goed,' 'She camed over' - but don't make them feel bad about it," says Krause. "Not all of the speech sounds are perfect pronunciation, but you should be able to understand most of what your child is saying." The average 3-year-old is curious and loves to ask "Why?" He has a vague sense of the future and can speak in sentences of two to six words. You should be seeing some rapid language development, says Lauren Krause, Chief of Speech-Language Pathology at La Rabida Children's Hospital in Chicago, IL. You need to reinforce the compliant behavior but also understand limitations." Wait two to three minutes, then praise her again. "If she sits still for one minute, praise her. "A 3-year-old might not be able to sit still in 'circle time' for 15 minutes," explains Dr. "Research shows that it takes five positive comments before a negative one can take effect." Parents and teachers should be realistic about what's expected of a child this age. "Make it a point to praise the child for good behavior - too often we're quick to correct the negative actions and we let the positive ones go by without any notice," says Dr. It's important for the school and parents to help the child adjust to this new experience. The result is that sometimes you'll see some regression in the child's behavior, and she'll start acting out in the classroom." "Kids don't have that one-to-one interaction anymore. "Believe it or not, more kids are expelled from preschool than from grades K through 12," says Carl Sheperis, Ph.D., the director of doctoral programs for Walden University's School of Counseling and Social Service. Many 3-year-olds are entering preschool, and two behavioral factors on parents' and teachers' minds are aggression and compliance. "Encourage your child to ride his tricycle while you're out jogging or riding your own bike, or just run around the park together." Do your best to make their physical activity fun - and as much of a family affair - as possible, says Brenda Rogers, M.D., a general pediatrician at Children's Mercy Hospitals and Clinics in Kansas City, MO. ![]() "A good doctor will assess a child's development by asking questions, observing, and testing a child directly," says Dr. Three-year-olds may push buttons, zip up their own jackets, and insert items (like keys) into holes. He can draw a circle, and perhaps even a picture of Mom. "While every child develops at his own pace, there are certain milestones I expect most of my patients (90 to 95 percent) to achieve by their third birthday." By three years of age, a child can balance briefly on one foot, go up and down the stairs with ease and alternating feet, walk in a straight line, and ride a tricycle well. "Physical development consists of both gross motor (GM) and fine motor (FM) development," says Cheryl Wu, M.D., of LaGuardia Place Pediatrics in New York City.
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