This study documented the degree and nature of developmental risk associated with intrauterine growth retardation in preterm infants Twenty-three preschool children who were SGA preterms were compared with 30 appropriate for gestational age children using the Stanford Binet 4, the Preschool Behavior Problem Checklist, and the Brazy Perinatal Biological Scoring System There were no significant dffferences between the groups on cognitive or behavioral measures Results suggested that small for gestational age status does not appear to increase the risk associated with prematurity in low socio-economic status children There are indications that environmental factors mediate outcome and that low socioeconomic status children require careful follow up.