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DefinitionThis article describes the skills and growth markers relevant to 3-year-olds.Alternative NamesNormal childhood growth milestones – 3 years; Growth milestones for children – 3 years; Childhood growth milestones – 3 yearsInformationThese milestones are typical of children in the third year of life. Always keep in mind that some variation is normal. If you have questions about your childs development, contact your health care provider.Physical and motor milestones for a typical 3-year-old may include:Gains about 4 – 5 poundsGrows about 2 – 3 inchesAre about half their adult heightHas improved balanceHas improved vision (20/30)Has all 20 primary teethNeeds 11 – 13 hours of sleep a dayMay have daytime control over bowel and bladder functions (may have nighttime control as well)Can briefly balance and hop on one footMay walk up the stairs with alternating feet (without holding the rail)Can construct a block tower of more than nine cubesCan easily place small objects in a small openingCan copy a circleCan pedal a tricycleSensory, cognitive, and social milestones include:Has a vocabulary of many hundreds of wordsComposes sentences of three wordsCounts three objectsUses plurals and pronouns (he/she)Frequently asks questionsCan dress self, only requiring assistance with laces, buttons, and other fasteners in awkward placesHas longer attention spanFeeds self without difficultyActs out social encounters through play activitiesHas some decrease in separation anxiety for short periods of timeFears imaginary thingsKnows own name, age, and gender (boy/girl)Starts to shareHas some cooperative play (building tower of blocks together)At age 3, almost all of a childs speech should be understandable.advertisementTemper tantrums are common at this age. Children who have tantrums that regularly last for more than 15 minutes or that occur more than three times a day should be seen by a health care provider.Recommendations for parents regarding appropriate play at this age:Provide a safe play environment and constant supervision.Provide the necessary space for physical activity.Help your child participate in — and learn the rules of — sporting activities.Monitor both the time and content of television viewing.Visit local areas of interest.Encourage your child to help with small household chores, such as helping set the table or picking up toys.Encourage play with other children to help develop social skills.Encourage creative play.Read together.Encourage your child to learn by answering questions.Provide activities related to your childs particular interests.Encourage your child to use words to express feelings (rather than acting out).ReferencesFeigelman S. The preschool years. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 10.Review Date:5/12/2012Reviewed By:Jennifer K. Mannheim, ARNP, Medical Staff, Department of Psychiatry and Behavioral Health, Seattle Childrens Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.