Ace the 2026 Pediatrics Rehabilitation Exam 2 – Power Up Your Skills for Pediatric Progress!

Session length

1 / 20

By age 5, children with Down syndrome are commonly how many years behind peers?

1 year behind

2 years behind

Children with Down syndrome typically show a developmental delay across several domains, and by age five the common gap compared with age-matched peers is about two years in cognitive and language skills. This means a five-year-old with Down syndrome often functions around a three-year-old level in these areas, though there is variation among individuals. Early and ongoing therapies—speech, occupational, and physical—aim to maximize skills and help narrow the gap, but the most frequently observed difference at this age is roughly two years behind.

3 years behind

4 years behind

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