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Age 4–5

Ages 4–5

Children make up stories and start rule-based games with friends. Before elementary school, it's time for booster shots and the last infant checkups.

Updated 2026-10

Key checklist for this stage

  • Check the age 4–6 boosters (DTaP 5th, polio 4th, MMR 2nd). In Korea, schools check vaccination records at entry.
  • In Korea, attend the 7th (54–60 months) and 8th (66–71 months) infant health checkups and the 3rd dental checkup (54–65 months).
  • Make time for at least 60 minutes a day of active play that gets them breathing hard.
  • Keep screens under 1 hour a day, with content chosen by parents.
  • Decide when to move from a harness seat to a booster by your child's size and the seat's limits, not by age.

Development

Gross motor: hops on one foot, catches a ball, swings alone. Around age 5, some learn to jump rope or ride a bike with training wheels.

Fine motor: cuts along a line with scissors, draws a person with head, body and limbs, copies their name or some letters. Dresses and undresses mostly alone.

Language and thinking: tells about past events, makes up stories, counts, and names colors and shapes. Interest in letters comes at different times, and there's no need to rush reading at this age.

Social and emotional: chooses friends, plays games with rules, and begins to consider others' feelings. Mixing imagination and reality — which can look like 'lying' — is also common.

SEE A DOCTOR IFIf at 4–5 your child can't tell things in sentences, shows little interest in playing with peers, is very withdrawn or aggressive, or loses skills, seek a developmental assessment.

Play and learning

At this age, learning happens through play. Pretend play, blocks, drawing and outdoor play build language, problem-solving and self-control together. Reading and talking together every day lays a better foundation for reading and vocabulary than worksheets.

WHO recommends that children aged 3–4 get at least 180 minutes a day of varied physical activity, including at least 60 minutes that gets them breathing hard. Playgrounds, walks in the park and ball games all count.

TIPAfter reading, ask open questions like 'What do you think happens next?' or 'What would you do?'

Boosters, checkups and teeth

Between 4 and 6 come the DTaP 5th, polio 4th and MMR 2nd boosters, and children who received the inactivated Japanese encephalitis vaccine get a 4th dose at age 6. In Korea, schools check these records at entry, so it's easier to finish early. Check your child's exact schedule in the immunization registry.

In Korea, the last infant health checkups are at 54–60 and 66–71 months, with a dental checkup at 54–65 months. If vision hasn't been tested yet, make sure it is now — amblyopia responds best to treatment when found early.

The first permanent molars start coming in around age 6. In Korea, dental sealants for permanent molars are covered by national health insurance, so ask your dentist about timing.

Sleep, meals and daily habits

Children aged 3–5 are recommended to sleep 10–13 hours a day. Most stop napping, so a consistent bedtime matters. Turning off screens an hour before bed helps.

Eat with the family at set times. Offer vegetables, fruit, whole grains and protein, with water and milk instead of sweet drinks. Gradually handing over habits like handwashing, dressing and tidying up builds confidence and school readiness.

Safety

  • When your child outgrows the harness seat's limits, move to a booster seat and use it until the seat belt fits properly across the shoulder and hips. In Korea, car seats are legally required under age 6.
  • Use helmets for bikes and scooters and life jackets near water. Keep supervising around water even after swimming lessons.
  • Practice crossing the street holding hands, and repeatedly teach waiting for the signal and looking both ways.
  • 'My body is mine' — teach that no one may touch or ask to see the parts covered by underwear, and that it's always okay to tell a parent.

Vaccines & checkups in this stage

DTaP (diphtheria, tetanus, pertussis) · Dose 5Age 4–6 IPV (polio) · Dose 4Age 4–6 MMR (measles, mumps, rubella) · Dose 2Age 4–6 Influenza · Every year6 mo – age 13
  • General checkup 6 — Age 42–48 months
  • General checkup 7 — Age 54–60 months
  • General checkup 8 — Age 66–71 months
  • Dental checkup 2 — Age 42–53 months
  • Dental checkup 3 — Age 54–65 months

Korea's Childhood Vaccine Schedule →   Infant and Child Health Checkups →

FAQ

Does my child need to read before starting school?

In Korea, the elementary curriculum teaches reading Korean step by step from first grade. It's fine not to read beforehand. Reading together, talking about stories and recognizing their own name are enough preparation.

When is best for the age 4–6 boosters?

Any time between 4 and 6, and several vaccines can be given on the same day. Because schools check records at entry, finishing before age 6 is convenient. Check the schedule in the immunization registry.

My child tells lies. Should I worry?

At this age, children often say wishes and imaginings as if they were true. Rather than scolding, acknowledge the wish ('You wish that had happened'), and respond calmly when they tell the truth — honest talk grows that way.

When should we start a booster seat?

It depends on size, not age. Switch when your child outgrows the height or weight limits of the harness seat, and use the booster until the belt fits across the collarbone and hips — usually until around the middle elementary years.

Sources

  • KDCA immunization registry
  • National Health Insurance Service infant health checkups (Korea)
  • Korean Pediatric Society
  • AAP HealthyChildren.org
  • WHO guidelines on physical activity, sedentary behaviour and sleep for children under 5
  • Ministry of Education Nuri curriculum (Korea)

Medical information is for reference only. This is general information and does not replace diagnosis or treatment. Always talk to your child's doctor. In an emergency in Korea, call 119.

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