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Spend a lot of time reading a good child development book, so you will know what a "typical" four year old is like, and be able to assess how delayed the child is that you are considering.
Also, talk to an adoption medicine specialist and get a list of questions to ask and things to observe. He/she may also suggest that you call him/her from Russia if you have questions.
Sharon
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Sharon, age 64
Mom to Rebecca
born 10/18/95
adopted 5/5/97
Xiamen (Fujian prov.), China
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