This chapter describes some of the developmental issues that characterize the preschool years. We will touch on the importance to a child with spina bifida of a developing sense of self and an awareness of the social world. Such key habilitation issues as the use of wheelchairs will be addressed, as will a few relevant medical issues, including latex allergy. The author also provides some tips on how to prepare your child for surgery, as well as a few gems of advice from parents. It is often said that a child's development takes place not smoothly but in sudden spurts of growth followed by quiet periods or plateaus. The three-year-old child is typically poised for a dramatic spurt in receptive and expressive language. Vocabulary expands from perhaps one hundred words to several thousand during the preschool years.
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