Milestone Moments - Learn the Signs. Act Early. by Health Promotion Division

Milestone Moments Learn the Signs. Act Early.

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You can follow your childâ&#x20AC;&#x2122;s development by watching how he or she plays, learns, speaks, and acts.

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Look inside for milestones to watch for in your child and how you can help your child learn and grow.

Centers for Disease Control and Prevention

www.cdc.gov/milestones 1-800-CDC-INFO This institution is an equal opportunity provider.

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Questions for my Child’s Doctor

Milestone Moments

1 Year

How your child plays, learns, speaks, and acts offers ____________________________________________________________ important clues about your child’s development. ____________________________________________________________ Developmental milestones are things most children ___________________________________________________________ can do by a certain age.

____________________________________________________________

___________________________________________________________

The lists that follow have milestones to look for when your child is: 18 Months

2____________________________________________________________ Months ............................................................... page 3 – 6

____________________________________________________________ 4 Months ............................................................... page 7 –10 ___________________________________________________________ 6 Months ............................................................... page 11 –14 ____________________________________________________________

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9 Months ............................................................... page 15 –18 ___________________________________________________________

1 Year..................................................................... page 19 –22 2 18Years Months (1½ Years) ........................................... page 23 –26 ____________________________________________________________ 2 Years................................................................... page 27 –30 ____________________________________________________________ 3 Years................................................................... page 31 –34 ___________________________________________________________ 4 Years................................................................... page 35 –38 ____________________________________________________________

5 Years................................................................... page 39 –42 ___________________________________________________________

Learnthe thesigns. Signs. Act Act early Early. Learn

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Years

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___________________________________________________________

____________________________________________________________

___________________________________________________________

Years

____________________________________________________________ Check the milestones your child has reached at each age.

____________________________________________________________ Take this with you and talk with your childâ&#x20AC;&#x2122;s doctor at every ___________________________________________________________ visit about the milestones your child has reached and what to

____________________________________________________________ expect next.

___________________________________________________________

Learn more about finding help for your child in Georgia: Years www.p2pga.org or 1-800-229-2038 ____________________________________________________________

____________________________________________________________

For more information, ___________________________________________________________

____________________________________________________________ go to www.cdc.gov/milestones

___________________________________________________________

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Questions forat my2 Child’s Doctor Your Baby Months

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What babies do at this age

oc al mot onal 2 Months

Can briefly calm himself Begins to smile at people ____________________________________________________________ (may bring hands to mouth and Tries to look at parent ____________________________________________________________ suck on hand)

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____________________________________________________________ an ua e ommun cat on ___________________________________________________________ Coos, makes gurgling sounds Turns head toward sounds

4 oMonths n t ve learn n

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____________________________________________________________ Pays attention to faces Begins to act bored (cries, fussy) if activity doesn’t change ____________________________________________________________ Begins to follow things with eyes and recognize people at a distance ___________________________________________________________

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Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

Talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

How you can help your baby’s development Months ➔ Cuddle, talk, and play with your baby during feeding, dressing, and bathing. ____________________________________________________________ ➔ Help your baby learn to calm herself. It’s okay for her to suck on ____________________________________________________________ her fingers. ___________________________________________________________ ➔ Begin to help your baby get into a routine, such as sleeping at night more ____________________________________________________________ than in the day, and have regular schedules. ___________________________________________________________ ➔ Getting in tune with your baby’s likes and dislikes can help you feel more comfortable and confident. ➔ Act excited and smile when your baby makes sounds.

Months

➔ Copy your baby’s sounds sometimes, but also use clear language. ____________________________________________________________ ➔ Pay attention to your baby’s different cries so that you learn to know what

he wants. ____________________________________________________________

➔ Talk, read, and sing to your baby. ___________________________________________________________ ➔ Play peek-a-boo. Help your baby play peek-a-boo, too. ____________________________________________________________

➔ Place a baby-safe mirror in your baby’s crib so she can look at herself. ___________________________________________________________

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Your Child Baby at 2 5 Months Years

Movement/Physical Development Cognitive (learning, thinking, problem-solving)

q Can Counts 10head or more things hold up and begins to push up when lying q Can draw a person withonat least 6tummy body parts

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q Makes Can print some letters or numbers smoother movements with arms and legs q Knows about things used every day, like money and food

q Copies a triangle and other shapes

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Movement/Physical Development q Stands on one foot for 10 seconds or longer

q Uses a fork and spoon and sometimes a table knife

q Hops; may be able to skip

q Can use the toilet on her own

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q Can do a somersault

q Swings and climbs

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Act early by talking to your child’s doctor if your child: q Doesn’t show a wide range of emotions

q Doesn’t respond to people, or responds only superficially

q Shows extreme behavior q Can’t tell what’s real and what’s Act(unusually early by talking to your child’smake-believe doctor if your child: fearful, aggressive, shy, or sad) q Doesn’t play a variety of games q Doesn’t respond to loud sounds q Doesn’t bring hands to mouth q Unusually withdrawn and not active and activities q Doesn’t watch things as they move q Can’t hold head up when pushing q Is easily distracted, has trouble q Can’t give first and last name up when on tummy q Doesn’t at activity people for more focusingsmile on one q Doesn’t draw pictures than 5 minutes

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How you can help your baby’s child’s development Look atyour pictures baby like andmorning, talk aboutafternoon, them. evening, today, ➔ Teach child with time your concepts tomorrow, and yesterday. Start teaching the days of put the week. ➔ Lay your baby on his tummy when he is awake and toys near him. your child’s yourbycommunity. example, yourofchild ➔ ➔ Explore Encourage your babyinterests to lift his in head holding toysFor at eye level iniffront him. loves animals, visit the zoo or petting farm. Go to the library or look on the ➔ Internet Hold a toy rattle above yourtopics. baby’s head and encourage her to reach for it. to or learn about these ➔ Keep Hold your babybox upright with hispaper, feet on the child floor. scissors, Sing or talk your baby a handy of crayons, paint, andtopaste. ➔ as he is upright. Encourage your child to draw and make art projects with different supplies. ➔ Play with toys that encourage your child to put things together. ➔ Teach your child how to pump her legs back and forth on a swing. ➔ Help your child climb on the monkey bars. ➔ Go on walks with your child, do a scavenger hunt in your neighborhood or park, help him ride a bike with training wheels (wearing a helmet).

q Doesn’t talk about daily activities or experiences q Doesn’t use plurals or past tense properly

q Can’t brush teeth, wash and dry hands, or get undressed without help q Loses skills he once had

doctor or or nurse nurse ifif you you notice notice any anyof ofthese thesesigns signsofof Tell your child’s doctor developmental delay delayfor forthis thisage, age,and andtalk talkwith withsomeone someoneininyour possible developmental your community is familiar with services for young children your community who iswho familiar with services for young children in yourinarea, area, as such asstate’s your local public For more information, to such your public earlyschool. intervention program. For moregoinformation, www.cdc.gov/concerned. go to www.cdc.gov/concerned.

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Your Child Baby at 4 5 Months Years What children babies do do at this age

Social/Emotional q Smiles Wants tospontaneously, please friendsespecially at people q Wants to be like friends q sometomovements and q Copies More likely agree with rules facial expressions, like smiling q Likes to sing, dance, and act or frowning q Is aware of gender

H q Likes Showstomore play independence with people and might (for example, cry when may playing visit astops next-door neighbor by himself [adult supervision is still needed]) q Is sometimes demanding and sometimes very cooperative

q Can tell what’s real and what’s Language/Communication make-believe q Begins to babble q Babbles with expression and Language/Communication copies sounds he hears q Speaks very clearly q Tells a simple story using full sentences

q Cries in different ways to show hunger, pain, or being tired q Uses future tense; for example, “Grandma will be here.” q Says name and address

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Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

Talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

How you can help your baby’s child’s development Hold and to talk to yourplay baby; smile and whilegroups. you do.Give ➔ Continue arrange dates, trips to be thecheerful park, or play your child more freedom to choose activities to play with friends, and let ➔ Set steady routines for sleeping and feeding. your child work out problems on her own. ➔ Pay close attention to what your baby likes and doesn’t like; you will ➔ Your start to talk back orand usewhat profanity (swear a knowchild howmight best to meet his needs you can do words) to makeasyour way to feel independent. Do not give a lot of attention to this talk, other baby happy. than a brief time out. Instead, praise your child when he asks for things baby’s takes sounds. ➔ Copy nicelyyour and calmly “no” for an answer. ➔ and smile when your child baby about makessafe sounds. ➔ Act Thisexcited is a good time to talk to your touch. No one should touch quiet “private or or nurses exam or parents ➔ Have playparts” timesexcept when doctors you read sing during to youran baby. when they are trying to keep the child clean. ➔ Give age-appropriate toys to play with, such as rattles or colorful your child her address and phone number. ➔ Teach pictures. ➔ When readingsuch to your child, ask him to predict what will happen next in Play games as peek-a-boo. the story. ➔ Provide safe opportunities for your baby to reach for toys and explore your child to “read” by looking at the pictures and telling ➔ Encourage his surroundings. the story. ➔ Put toys near your baby so that she can reach for them or kick her feet.

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Your Child Baby at 4 Months Years

Cognitive (learning, thinking, problem-solving) q Lets Names yousome knowcolors if sheand is happy some or sad numbers

Followsamoving q Draws person things with 2 with to 4 eyes from side body partsto side

Responds to affection the idea of counting q Understands

Watches faces closely scissors q Uses

q Starts Reaches to understand for toy with time one hand

Recognizes familiar q Starts to copy some people capital and letters things at a distance q Plays board or card games

q Uses Remembers hands and partseyes of atogether, story such as seeing a toy and q Understands the idea of “same” reaching for it and “different”

q Tells you what he thinks is going to happen next in a book

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Movement/Physical Movement/Physical Development Development Holds headstands steady, Hops and onunsupported one foot up to 2 seconds Pushes down on legs when feet are on cuts a hard surface with supervision, q Pours, own May mashes be able to rollfood over from q and tummy to back q q q

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Can holdaabounced toy and shake it and q Catches q ball most of swing at dangling toys the time

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q Brings hands to mouth q When lying on stomach, pushes up to elbows

Act early by talking to your child’s doctor if your child: ActCan’t early byintalking to your child’s doctor if your child: q jump place q Resists dressing, sleeping, and using the toilet q trouble scribbling q Has Doesn’t watch things as they move q Doesn’t push down with legs q Doesn’t understand “same” when feet are placed on a q interest in interactive q Shows Doesn’tno smile at people and “different” hard surface games or make-believe q Can’t hold head steady q use moving “me” and “you” q Doesn’t Has trouble one or both q Ignores other children or q Doesn’t coo or make sounds correctly eyes in all directions doesn’t respond to people

q outside Doesn’t the bring things to mouth family

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q Doesn’t follow 3-part commands

Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

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How you can help your baby’s child’s development Put toys rattles in your baby’sand hand and help to hold them. ➔ Use wordsorlike “first,” “second,” “finally” whenhim talking about everyday activities. This will help your child learn about sequence of events. ➔ Hold your baby upright with feet on the floor, and sing or talk to your baby time as she “stands” with support. to answer your child’s “why” questions. If you don’t know the ➔ Take answer, say “I don’t know,” or help your child find the answer in a book, on the Internet, or from another adult. ➔ When you read with your child, ask him to tell you what happened in the story as you go. ➔ Say colors in books, pictures, and things at home. Count common items, like the number of snack crackers, stairs, or toy trains. ➔ Teach your child to play outdoor games like tag, follow the leader, and duck, duck, goose. ➔ Play your child’s favorite music and dance with your child. Take turns copying each other’s moves.

q Can’t retell a favorite story

q Loses skills he once had

q unclearly TellSpeaks your child’s doctor or nurse if you notice any of these signs of possible developmental delay for ifthis and any talk of with someone Tell your child’s doctor or nurse youage, notice these signsinofyour community who is familiar with services for young children in your area, possible developmental delay for this age, and talk with someone in such as your state’s early intervention Forchildren more information, your community whopublic is familiar with servicesprogram. for young in your go to www.cdc.gov/concerned. area, such as your local public school. For more information, go to www.cdc.gov/concerned.

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Your Child Baby at 6 4 Months Years What children babies do do at this age

Social/Emotional

q Knows Enjoys doing familiar new faces things and begins to know if someone is a stranger q Is more and more creative

to other people’s q Responds Plays “Mom” or “Dad” emotions and often seems happy q Often can’t tell what’s real and

q Likes with make-believe to play with others, play especially parents q Would rather play with other

q what’s Likes tomake-believe look at self in a mirror

children than by himself

q Talks about what she likes and what she is interested in

vowels together when q q Strings Tells stories babbling (“ah,” “eh,” “oh”) and q Sings a songturns or says poem likes taking witha parent from such as the while memory making sounds “Itsy Bitsy Spider” or the “Wheels on the Bus”

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q Cooperates with other children Language/Communication q Responds to sounds by making Language/Communication sounds

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q Responds to own name q Makes sounds to show joy and Knows some basic rules of q displeasure Begins to say sounds q grammar, suchconsonant as correctly using (jabbering with “m,” “b”) “he” and “she” q Can say first and last name

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Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

Talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

How you can help your baby’s child’s development on the floor with your baby every ➔ Play make-believe with your child. Let day. her be the leader and copy what she is doing. ➔ Learn to read your baby’s moods. If he’s happy, keep doing what you are doing. If he’s take a break and comfort your ➔ Suggest your upset, child pretend play an upcoming eventbaby. that might make him nervous, like going to preschool or staying overnight a may suck ➔ Show your baby how to comfort herself when she’s upset.atShe grandparent’s house. on her fingers to self soothe. ➔ your child simple choiceshe whenever yousmile; can. Let yourhechild choose ➔ Give Use “reciprocal” play—when smiles, you when makes what to wear, play, or eat for a snack. Limit choices to 2 or 3. sounds, you copy them. ➔ your child solve her own problems withsounds. friends, but Repeat play yourdates, child’slet sounds and say simple words with those ➔ During be nearby to help out if needed. For example, if your child says “bah,” say “bottle” or “book.” ➔ childchild to use words, take playing Read booksyour to your every day.share Praisetoys, herand when sheturns babbles andgames ➔ Encourage of one another’s choice. “reads” too. ➔ to at build imagination, Whenyour yourchild babytoys looks something, pointlike to itdress-up and talkclothes, about it.kitchen ➔ Give sets, and blocks. ➔ When he drops a toy on the floor, pick it up and give it back. This game when ➔ Use helpsgood him grammar learn cause andspeaking effect. to your child. Instead of “Mommy wants you to come here,” say, “I want you to come here.” ➔ Read colorful picture books to your baby.

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Your Child Baby at 6 3 Months Years

Cognitive (learning, thinking, problem-solving)

q Looks Can work toysatwith buttons, levers, around things nearby and moving parts q Shows curiosity about things make-believe withthat dolls, q Plays and tries to get things are animals, and people out of reach

q Copies a circletowith pencil or crayon Brings things mouth

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q Begins Turns book pages onefrom at a time to pass things one hand to the other q Builds towers of more than

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6 blocks

q Does puzzles with 3 or 4 pieces

q Screws and unscrews jar lids or q Understands what “two” Development means turns door handle Movement/Physical q Rolls over in both directions q Begins to sit without support Movement/Physical Development (front to back, back to front) q Rocks back and forth, sometimes supports weight q q When Climbsstanding, well on legs and might bounce q Runs easily

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crawling q Walks upbackward and downbefore stairs, one moving forward foot on each step

q Pedals a tricycle (3-wheel bike)

Act Act early early by by talking talking to to your your child’s child’s doctor doctor if if your your child: child: q Doesn’t try to get things that are q Falls down a lot or has trouble in reach with stairs q Shows no affection for caregivers q Drools or has very unclear speech q Doesn’t respond to sounds q Can’t work simple toys (such as around him peg boards, simple puzzles, q turning Has difficulty getting things to a handle) mouth q Doesn’t understand simple q Seems very floppy, like a rag doll instructions

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q Doesn’t make vowel sounds q Doesn’t speak in sentences (“ah”, “eh”, “oh”) q Doesn’t make eye contact q Doesn’t roll over in either q Doesn’t directionplay pretend or make-believe q Doesn’t laugh or make squealing q Doesn’t sounds want to play with other children or with toys q Seems very stiff, with tight q Loses skills he once had muscles

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How you can help your baby’s child’s development Pointmatching out new things youryour baby andtoname them. in books or around ➔ Play games.toAsk child find objects the house that are the same. ➔ Show your baby bright pictures in a magazine and name them. Count stairs, things use ➔ ➔ Play Hold counting your babygames. up while she body sits orparts, support her and withother pillows. Let you her look or see every day. around and give her toys to look at while she balances. Hold yourbaby child’s going or upback and down stairs. sheofcan go up and ➔ on hand his tummy and put toysWhen just out reach. ➔ Put your down easily,him encourage hertotoreach use the Encourage to roll over therailing. toys. ➔ Play outside with your child. Go to the park or hiking trail. Allow your child to play freely and without structured activities.

Tell your child’s doctor or nurse if you notice any of these signs of Tell your child’s doctor or nurse if you notice any of these signs of possible developmental delay for this age, and talk with someone in your possible developmental delay for this age, and talk with someone in community who is familiar with services for young children in your area, your community who is familiar with services for young children in your such as your state’s public early intervention program. For more information, area, such as your local public school. For more information, go to go to www.cdc.gov/concerned. www.cdc.gov/concerned.

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Your Child Baby at 9 3 Months Years What children babies do do at this age

Social/Emotional q Copies May beadults afraid and of strangers friends

H favorite toys q Has Understands the idea of “mine” and “his” or “hers”

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q Shows a wide range of emotions

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q Takes turns in games Language/Communication

q Separates easily from mom and dad

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q Shows concern for a crying friend q “no” q Understands Dresses and undresses self q Makes a lot of different sounds like “mamamama” and Language/Communication “bababababa”

q May get upset with major changes sounds and gestures q Copies in routine of others

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q Follows instructions with 2 or 3 steps

q Talks well enough for strangers to understand most of the time

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q Says words like “I,” “me,” “we,” and “you” and some plurals (cars, dogs, cats)

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q May Shows beaffection clingy with forfamiliar friends adults without prompting

q Can name most familiar things q Understands words like “in,” “on,” and “under” q Says first name, age, and sex q Names a friend

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q Uses fingers to point at things

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q Carries on a conversation using 2 to 3 sentences

Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

Talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

How you can help your baby’s child’s development ➔ Go play groups child ortoother where aretry other Paytoattention to thewith wayyour he reacts new places situations andthere people; to children, getting continue to encourage do things that makealong yourwith babyothers. happy and comfortable. ➔ Work youraround child tomore, solvestay the close problem when he is that upset. As shewith moves so she knows you are near. ➔ Talk aboutwith yourroutines; child’s emotions. For example, say, “I now. can tell you feel Continue they are especially important becausewith you“my threw theyour puzzle piece.” Encourage your child to identify ➔ mad Play games turn, turn.” feelings in books. ➔ Say what you think your baby is feeling. For example, say, “You are so sad, ➔ Set for your and stick to them. If your child breaks let’srules see ifand we limits can make youchild, feel better.” a rule, give him a time out for 30 seconds to 1 minute in a chair or in his Describe whatyour yourchild babyforisfollowing looking at; example, “red, round ball.” ➔ room. Praise theforrules. ➔ Give Talk about whatinstructions your baby wants he points at something. your child with 2when or 3 steps. For example, “Go to your ➔ and get yoursounds shoes and coat.” ➔ room Copy your baby’s words. your childthat every AskFor yourexample, child to instead point to of things in the ➔ Read Ask fortobehaviors youday. want. saying pictures and repeat words after you. “don’t stand,” say “time to sit.” child an “activity paper, and coloring ➔ Give Teachyour cause-and-effect by box” rollingwith balls backcrayons, and forth, pushing toybooks. cars Color and draw andblocks shapes with out yourofchild. and trucks, and lines putting in and a container.

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Your Child Baby at 9 2 Months Years

Cognitive (learning, thinking, problem-solving)

q Finds things when hidden Watches the even path of something under two or three covers as it falls

q Might onesmoothly hand more than Movesuse things from the one other hand to the other

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to things sort shapes andyou colors q Begins Looks for he sees hide

Follows instructions q Picks uptwo-step things like cereal o’s such as “Pick up your shoes andfinger put between thumb and index them in the closet.”

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q Names items in a picture book such as a cat, bird, or dog

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q Completes sentences and rhymes Plays peek-a-boo in familiar books q Puts things in her mouth q Plays simple make-believe games q Builds towers of 4 or more blocks

Movement/Physical Development

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Movement/Physical Development q Can get into sitting position q Stands, holding on q q q q

Sits without support Stands on tiptoe Crawls Kicks a ball

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q Pulls stand q Climbs ontotoand down from furniture without help

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q Begins to run

q Throws ball overhand

q Walks up and down stairs holding on

q Makes or copies straight lines and circles

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Act early by talking to your child’s doctor if your child: Act early by talking to your child’s doctor if your child: q Doesn’t bear weight on legs q Doesn’t know what to do with with support common things, like a brush, q Doesn’t sit with help phone, fork, spoon q Doesn’t babble q Doesn’t copy actions and words (“mama”, “baba”, “dada”) q Doesn’t follow simple instructions q Doesn’t play any games involving back-and-forth play

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q Doesn’t respond to own name q Doesn’t use 2-word phrases q Doesn’t seem to recognize (for example, “drink milk”) familiar people q Doesn’t walk steadily q Doesn’t look where you point q Loses skills she once had q Doesn’t transfer toys from one hand to the other

Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

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How you can help your baby’s child’s development Play peek-a-boo and around hide-and-seek. ➔ Hide your child’s toys the room and let him find them. Readyour and child talk todoyour baby.with shapes, colors, or farm animals. Name ➔ Help puzzles piece yourforchild in move place.and explore in a safe area. ➔ each Provide lotswhen of room yourputs babyit to yourclose childtotothings play with ➔ ➔ Encourage Put your baby that blocks. she canTake pull turns up onbuilding safely. towers and knocking them down. ➔ Do art projects with your child using crayons, paint, and paper. Describe what your child makes and hang it on the wall or refrigerator. ➔ Ask your child to help you open doors and drawers and turn pages in a book or magazine. ➔ Once your child walks well, ask her to carry small things for you. ➔ Kick a ball back and forth with your child. When your child is good at that, encourage him to run and kick. ➔ Take your child to the park to run and climb on equipment or walk on nature trails. Watch your child closely.

Tell your child’s doctor or nurse if you notice any of these signs of Tell your developmental child’s doctor or nurse youage, notice these signs in of your possible delay forifthis andany talkofwith someone possible developmental delay for this age, and talk with someone in your community who is familiar with services for young children in your area, community who is familiar with services for young children in your area, such as your state’s public early intervention program. For more information, such your state’s public early intervention program. For more information, go to as www.cdc.gov/concerned. go to www.cdc.gov/concerned. The American Academy of Pediatrics recommends that all children be The American Academy of Pediatrics recommends that all children be screened screened for general development at the 9-month visit. Ask your child’s for general development and autism at the 24-month visit. Ask your child’s doctor about your child’s developmental screening. doctor about your child’s developmental screening.

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Your Child at 2 1 Years Year What children do at this age

Social/Emotional

q Is Copies shy orothers, nervous especially with strangers adults and older children q Cries when mom or dad leaves

q Repeats Shows defiant soundsbehavior or actions (doing to get whatattention he has been told not to)

➔

q excitedthings when and withpeople other q Gets Has favorite children q Shows fear in some situations q Shows more and more q Hands you a book when he wants independence to hear a story

q Puts Playsout mainly arm or beside leg toother help with dressing children, but is beginning to include othersuch children, q Plays games as such as in chase games “peek-a-boo” and “pat-a-cake”

➔

Language/Communication Language/Communication q Points to things or pictures when q Responds to simple spoken they are named requests q Knows names of familiar people simple gestures, like shaking q Uses and body parts head “no” or waving “bye-bye” q Says sentences with 2 to 4 words q Makes sounds with changes in tone (sounds more like speech)

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➔

➔ Follows simple instructions Says “mama” and “dada” and Repeats wordslike overheard exclamations “uh-oh!”in conversation q Tries to say words you say q Points to things in a book

q q q

➔ ➔

➔

Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

Talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

How you can help your child’s development Give your child to with knowsimple a newchores caregiver. Bring like a favorite toy, ➔ Encourage yourtime childtotoget help at home, sweeping stuffed animal, or blanket help comfort your achild. and making dinner. Praise to your child for being good helper. In response to unwanted behaviors, notand yell,don’t spank, ➔ At this age, children still play next tosay (not“no” with)firmly. each Do other share or give A time out for to 1 with. minute might well. Forlong playexplanations. dates, give the children lots30ofseconds toys to play Watch the help redirect your child. children closely and step in if they fight or argue. of hugs, praise for goodinstructions. behavior. Limit ➔ Give your child child lots attention andkisses, praiseand when he follows attention for defiant behavior. Spend a lot more time praising good ➔ Spend a lot more time encouraging wanted behaviors than punishing behaviors than punishing bad ones. unwanted behaviors (4 times as much encouragement for wanted youraschild to identify and say body parts, animals, and other behaviors redirection for unwanted behaviors). ➔ Teach common things. ➔ Talk to your child about what you’re doing. For example, “Mommy is not correct your child he says words incorrectly. Rather, say it washing your hands with awhen washcloth.” ➔ Do correctly. For example, “That is a ball.” your child turn the pages. Take turns ➔ Read with your child every day. Have your child saychild. a word instead of pointing. If your child labeling pictures with to your ➔ Encourage can’t say the whole word (“milk”), givetoher (“m”)to.to help. say,the or first whatsound he points ➔ Build on what your child says or tries time, you prompt your“t” child to say the whole — IfOver he points to acan truck and says or “truck,” say, “Yes,sentence that’s a big, “I want milk.” blue truck.”

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Your Child at 18 1 Year Months

Cognitive (learning, thinking, problem-solving)

things in different q Explores Knows what ordinary thingsways, are like for shaking, banging, throwing for; example, telephone, spoon things easily Finds hidden q brush,

Bangs to twogetthings togetherof others q Points the attention

➔

to use things q Starts Scribbles on his owncorrectly; for example, drinks from a cup, q Can follow 1-step verbal brushes hair commands without any gestures;

➔

Points at to the oneright bodypicture part or thing q q Looks when it’s namedin a doll or stuffed q Shows interest animal by pretending to feed q Copies gestures

Letsexample, things gosits without q for when help you say “sit down” q Pokes with index (pointer) finger

➔ ➔

q Puts things in a container, takes q Follows simple directions like things out of a container Development “pick up the toy” Movement/Physical

➔ ➔ ➔ ➔

q Walks alone

q Can help undress herself

q May walk up steps and run q a sitting position q Gets Pulls to toys while walking without help

q Drinks from a cup q steps without q May Eats take with aa few spoon holding on

➔ ➔ ➔

q Pulls up to stand, walks holding on to furniture (“cruising”)

q May stand alone

Movement/Physical Development

➔

Act early by talking to your child’s doctor if your child: q Doesn’t point to show things q Doesn’t gain new words Acttoearly doctor if your child: others by talking to your child’s q Doesn’t have at least 6 words Can’t walk Doesn’t crawl Doesn’t know whatsupported familiar Can’t stand when things are for q Doesn’t search for things that q Doesn’t she seescopy you others hide

q Doesn’t learn noticegestures or mind like when a waving or leaves shakingorhead caregiver returns

q Doesn’t point to things

q Loses skills he once had

q q q q

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➔ ➔

say single words q Doesn’t Loses skills he once had like “mama” or “dada”

Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

T p c Ts p g c sT gs y

How you can help your child’s development ➔ Give crayons andand paper, and let child draw Hide your thingschild under blankets pillows andyour encourage himfreely. to findShow them.your child how to draw lines up and down and across the page. Praise your child ➔ Play with blocks, balls, puzzles, books, and toys that teach cause and when she tries to copy them. effect and problem solving. ➔ Play with blocks, shape sorters, and other toys that encourage your child ➔ Name pictures in books and body parts. to use his hands. ➔ Provide toys that encourage pretend play; for example, dolls, play ➔ Hide small toys and other things and have your child find them. telephones. ➔ Ask your child to label body parts or things you see while driving in the car. ➔ Provide safe areas for your child to walk and move around in. ➔ Sing songs with actions, like “The Itsy Bitsy Spider” and “Wheels on the ➔ Provide toys that she can push or pull safely. Bus.” Help your child do the actions with you. ➔ Provide balls for her to kick, roll, and throw. ➔ Give your child pots and pans or a small musical instrument like a drum or ➔ cymbals. Encourage him to drink use a spoon, no matter Encourage yourfrom childhis to cup makeand noise. how messy. ➔ Provide lots of safe places for your toddler to explore. (Toddler-proof your Blow bubbles andproducts let your child pop them. ➔ home. Lock away for cleaning, laundry, lawn care, and car care. Use a safety gate and lock doors to the outside and the basement.) ➔ Give your child push toys like a wagon or “kiddie push car.” Tell your child’s doctor or nurse if you notice any of these signs of possible developmental delay for this age, and talk with someone in your community who is familiar with services for young children in your area, Tell child’s doctor nurse if you notice any ofFor these of suchyour as your state’s publicorearly intervention program. moresigns information, possible developmental delay for this age, and talk with someone in your go to www.cdc.gov/concerned. community who is familiar with services for young children in your area, The American Academy of early Pediatrics recommends thatFor allmore children be such as your state’s public intervention program. information, screened for general development and autism at the 18-month visit. Ask go to www.cdc.gov/concerned. your child’s doctor about your child’s developmental screening.

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Your Child at 18 Months What children do at this age

Social/Emotional

q Likes to hand things to others as play

q May cling to caregivers in new situations

➔

q May have temper tantrums

q Points to show others something interesting

➔

q Explores alone but with parent close by

➔

q May be afraid of strangers q Shows affection to familiar people q Plays simple pretend, such as feeding a doll

➔

Language/Communication q Says several single words q Says and shakes head “no”

➔ q Points to show someone what he wants

➔

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Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

Talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

How you can help your child’s development ➔ Provide a safe, loving environment. It’s important to be consistent and predictable. ➔ Praise good behaviors more than you punish bad behaviors (use only very brief time outs). ➔ Describe her emotions. For example, say, “You are happy when we read this book.” ➔ Encourage pretend play. ➔ Encourage empathy. For example, when he sees a child who is sad, encourage him to hug or pat the other child. ➔ Read books and talk about the pictures using simple words. ➔ Copy your child’s words. ➔ Use words that describe feelings and emotions. ➔ Use simple, clear phrases. ➔ Ask simple questions.

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Your Child at 1 18Year Months

Cognitive (learning, thinking, problem-solving)

q Knows Exploreswhat things in different ordinary thingsways, are like shaking, banging, throwing for; for example, telephone, spoon things easily Finds hidden q brush,

twogetthings togetherof others q Bangs Points to the attention

➔

q Scribbles Starts to use things on his owncorrectly; for example, drinks from a cup, q Can follow 1-step verbal brushes hair commands without any gestures;

➔

to the oneright bodypicture part or thing q Points q Looks at namedin a doll or stuffed q when Showsit’s interest animal by pretending to feed q Copies gestures

things gosits without q Lets for example, when help you say “sit down” q Pokes with index (pointer) finger

➔ ➔

q Puts things in a container, takes q Follows simple directions like things out of a container Development “pick up the toy” Movement/Physical

➔ ➔ ➔ ➔

q Walks alone

q Can help undress herself

q May walk up steps and run q a sitting position q Gets Pulls to toys while walking without help

q Drinks from a cup q steps without q May Eats take with aa few spoon holding on

➔ ➔ ➔

q Pulls up to stand, walks holding on to furniture (“cruising”)

q May stand alone

Movement/Physical Development

➔

q Doesn’t learn noticegestures or mind like when a waving or leaves shakingorhead caregiver returns

q Doesn’t point to things

q Loses skills he once had

q q q q

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➔ ➔

q Loses Doesn’tskills say single words he once had like “mama” or “dada”

Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

T p c Ts p g c Ts sg y

How you can help your child’s development Give your crayons andand paper, and let child draw ➔ Hide thingschild under blankets pillows andyour encourage himfreely. to findShow them.your child how to draw lines up and down and across the page. Praise your child ➔ Play with blocks, balls, puzzles, books, and toys that teach cause and when she tries to copy them. effect and problem solving. ➔ Play with blocks, shape sorters, and other toys that encourage your child ➔ Name pictures in books and body parts. to use his hands. ➔ Provide toys that encourage pretend play; for example, dolls, play ➔ Hide small toys and other things and have your child find them. telephones. ➔ Ask your child to label body parts or things you see while driving in the car. ➔ Provide safe areas for your child to walk and move around in. ➔ Sing songs with actions, like “The Itsy Bitsy Spider” and “Wheels on the ➔ Provide toys that she can push or pull safely. Bus.” Help your child do the actions with you. ➔ Provide balls for her to kick, roll, and throw. ➔ Give your child pots and pans or a small musical instrument like a drum or ➔ Encourage him to drink use a spoon, no matter cymbals. Encourage yourfrom childhis to cup makeand noise. how messy. ➔ Provide lots of safe places for your toddler to explore. (Toddler-proof your andproducts let your child pop them. ➔ Blow home.bubbles Lock away for cleaning, laundry, lawn care, and car care. Use a safety gate and lock doors to the outside and the basement.) ➔ Give your child push toys like a wagon or “kiddie push car.” Tell your child’s doctor or nurse if you notice any of these signs of possible developmental delay for this age, and talk with someone in your community who is familiar with services for young children in your area, Tell child’s doctor nurse if you notice any ofFor these of suchyour as your state’s publicorearly intervention program. moresigns information, possible developmental delay for this age, and talk with someone in your go to www.cdc.gov/concerned. community who is familiar with services for young children in your area, The Academy of early Pediatrics recommends thatFor allmore children be suchAmerican as your state’s public intervention program. information, screened for general development and autism at the 18-month visit. Ask go to www.cdc.gov/concerned. your child’s doctor about your child’s developmental screening.

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Your Child at 1 2 Year Years What children do at this age

Social/Emotional

q Copies Is shy orothers, nervous especially with strangers adults and older children q Cries when mom or dad leaves

q Repeats Shows defiant soundsbehavior or actions (doing to get whatattention he has been told not to)

➔

q excitedthings when and withpeople other q Gets Has favorite children q Shows fear in some situations q Shows more and more q Hands you a book when he wants independence to hear a story

➔

19 27 53624_English.indd 28

➔

➔ Follows simple instructions Says “mama” and “dada” and Repeats wordslike overheard exclamations “uh-oh!”in conversation q Tries to say words you say q Points to things in a book

q q q

➔ ➔

➔

Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

Talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

How you can help your child’s development Encourage yourtime childtotoget help at home, sweeping ➔ Give your child to with knowsimple a newchores caregiver. Bring like a favorite toy, and making dinner. Praise to your child for being good helper. stuffed animal, or blanket help comfort your achild. At response this age, children still play next tosay (not“no” with)firmly. each Do other share ➔ In to unwanted behaviors, notand yell,don’t spank, well. Forlong playexplanations. dates, give the children lots30ofseconds toys to play Watch or give A time out for to 1 with. minute mightthe children closely and step in if they fight or argue. help redirect your child. child lots attention andkisses, praiseand when he follows ➔ Give your child of hugs, praise for goodinstructions. behavior. Limit attention for defiant behavior. Spend a lot more time praising good ➔ Spend a lot more time encouraging wanted behaviors than punishing behaviors than punishing bad ones. unwanted behaviors (4 times as much encouragement for wanted Teach youraschild to identify and say body parts, animals, and other ➔ behaviors redirection for unwanted behaviors). common things. ➔ Talk to your child about what you’re doing. For example, “Mommy is Do not correct your child he says words incorrectly. Rather, say it ➔ washing your hands with awhen washcloth.” correctly. For example, “That is a ball.” your child turn the pages. Take turns ➔ Read with your child every day. Have Encourage your child saychild. a word instead of pointing. If your child ➔ labeling pictures with to your can’t say the whole word (“milk”), givetoher (“m”)to.to help. say,the or first whatsound he points ➔ Build on what your child says or tries time, you prompt your“t” child to say the whole — IfOver he points to acan truck and says or “truck,” say, “Yes,sentence that’s a big, “I want milk.” blue truck.”

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Your Baby Child at 9 2 Months Years

Cognitive (learning, thinking, problem-solving)

q Finds things when hidden Watches the even path of something under two or three covers as it falls

q Might onesmoothly hand more than Movesuse things from the other one hand to the other

➔

Beginsfor to things sort shapes andyou colors he sees hide q Looks

Follows instructions uptwo-step things like cereal o’s such q Picks as “Pick up your shoes andfinger put between thumb and index them in the closet.”

➔ ➔ ➔

q Names items in a picture book such as a cat, bird, or dog

➔

q Completes sentences and rhymes Plays peek-a-boo in familiar books q Puts things in her mouth q Plays simple make-believe games q Builds towers of 4 or more blocks

Movement/Physical Development

➔

Movement/Physical Development q Can get into sitting position q Stands, holding on q q q q

Sits without support Stands on tiptoe Crawls Kicks a ball

➔

q Pulls stand q Climbs ontotoand down from furniture without help

➔

q Begins to run

q Throws ball overhand

q Walks up and down stairs holding on

q Makes or copies straight lines and circles

➔

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Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

T Tp p c cs sg g T T s fo d d

How you can help your child’s baby’s development Play peek-a-boo and around hide-and-seek. ➔ Hide your child’s toys the room and let him find them. Readyour and child talk todoyour baby.with shapes, colors, or farm animals. Name ➔ Help puzzles piece yourforchild in move place.and explore in a safe area. ➔ each Provide lotswhen of room yourputs babyit to yourclose childtotothings play with ➔ ➔ Encourage Put your baby that blocks. she canTake pull turns up onbuilding safely. towers and knocking them down. ➔ Do art projects with your child using crayons, paint, and paper. Describe what your child makes and hang it on the wall or refrigerator. ➔ Ask your child to help you open doors and drawers and turn pages in a book or magazine. ➔ Once your child walks well, ask her to carry small things for you. ➔ Kick a ball back and forth with your child. When your child is good at that, encourage him to run and kick. ➔ Take your child to the park to run and climb on equipment or walk on nature trails. Watch your child closely.

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Your Baby Child at 9 3 Months Years What babies childrendo do at this age

Social/Emotional q May Copies beadults afraid and of strangers friends

H q Understands Has favorite toys the idea of “mine” and “his” or “hers”

➔

q Shows a wide range of emotions

➔

q Takes turns in games Language/Communication

q Separates easily from mom and dad

➔

q Shows concern for a crying friend q “no” q Understands Dresses and undresses self q Makes a lot of different sounds like “mamamama” and Language/Communication “bababababa”

q May get upset with major changes sounds and gestures q Copies in routine of others

➔

q Follows instructions with 2 or 3 steps

q Talks well enough for strangers to understand most of the time

➔ ➔ ➔

q Says words like “I,” “me,” “we,” and “you” and some plurals (cars, dogs, cats)

➔

q Shows May beaffection clingy with forfamiliar friends adults without prompting

q Can name most familiar things q Understands words like “in,” “on,” and “under” q Says first name, age, and sex q Names a friend

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q Uses fingers to point at things

➔ ➔

➔

q Carries on a conversation using 2 to 3 sentences

Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

Talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

How you can help your child’s a y’s development Go toattention play groups child ortoother where aretry other ➔ Pay to thewith wayyour he reacts new places situations andthere people; to children, to do encourage getting continue things that makealong yourwith babyothers. happy and comfortable. Work youraround child tomore, solvestay the close problem when he is that upset. ➔ As shewith moves so she knows you are near. Talk aboutwith yourroutines; child’s emotions. For example, say, “I now. can tell you feel ➔ Continue they are especially important mad games becausewith you“my threw theyour puzzle piece.” Encourage your child to identify ➔ Play turn, turn.” feelings in books. ➔ Say what you think your baby is feeling. For example, say, “You are so sad, ➔ let’s Set rules for your and stick to them. If your child breaks see ifand we limits can make youchild, feel better.” a rule, give him a time out for 30 seconds to 1 minute in a chair or in his whatyour yourchild babyforisfollowing looking at; example, “red, round ball.” ➔ Describe room. Praise theforrules. ➔ whatinstructions your baby wants he points at something. Give about your child with 2when or 3 steps. For example, “Go to your ➔ Talk room your and get yoursounds shoes and words. coat.” ➔ Copy baby’s Readfortobehaviors your childthat every AskFor yourexample, child to instead point to of things in the ➔ Ask youday. want. saying pictures and repeat words after you. “don’t stand,” say “time to sit.” Give your child an “activity paper, and coloring cause-and-effect by box” rollingwith balls backcrayons, and forth, pushing toybooks. cars ➔ Teach Colortrucks, and draw andblocks shapes with out yourofchild. and and lines putting in and a container.

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Your Baby Child at 6 3 Months Years

Cognitive (learning, thinking, problem-solving)

work toysatwith buttons, levers, q Can Looks around things nearby and moving parts q Shows curiosity about things make-believe withthat dolls, q Plays and tries to get things are animals, and people out of reach

q Brings Copies things a circletowith pencil or crayon mouth

➔

q Turns pages onefrom at a time Beginsbook to pass things one hand to the other q Builds towers of more than

➔ ➔ ➔

6 blocks

q Does puzzles with 3 or 4 pieces

➔ ➔

➔

crawling q Walks upbackward and downbefore stairs, one moving forward foot on each step

q Pedals a tricycle (3-wheel bike)

Act Act early early by by talking talking to to your your child’s child’s doctor doctor if if your your child: child: q Doesn’t try to get things that are q Falls down a lot or has trouble in reach with stairs q Shows no affection for caregivers q Drools or has very unclear speech q Doesn’t respond to sounds q Can’t work simple toys (such as around him peg boards, simple puzzles, q Has difficulty getting things to turning a handle) mouth q Doesn’t understand simple q Seems very floppy, like a rag doll instructions

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T T p p c y s a g w

How you can help your child’s baby’s development Pointmatching out new things youryour baby andtoname them. in books or around ➔ Play games.toAsk child find objects the house that are the same. ➔ Show your baby bright pictures in a magazine and name them. Count stairs, things use ➔ ➔ Play Hold counting your babygames. up while she body sits orparts, support her and withother pillows. Let you her look or see every day. around and give her toys to look at while she balances. Hold yourbaby child’s going or upback and down stairs. sheofcan go up and ➔ on hand his tummy and put toysWhen just out reach. ➔ Put your down easily,him encourage hertotoreach use the Encourage to roll over therailing. toys. ➔ Play outside with your child. Go to the park or hiking trail. Allow your child to play freely and without structured activities.

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Your Baby Child at 6 4 Months Years What babies childrendo do at this age

Social/Emotional

q Enjoys Knows doing familiar new faces things and begins to know if someone is a stranger q Is more and more creative

q Plays Responds to other people’s “Mom” or “Dad” emotions and often seems happy q Often can’t tell what’s real and

q with Likesmake-believe to play with others, play especially parents q Would rather play with other

q Likes look at self in a mirror what’stomake-believe

children than by himself

q Talks about what she likes and what she is interested in

➔ ➔

➔

➔ ➔

q Cooperates with other children Language/Communication q Responds to sounds by making Language/Communication sounds

➔

q Responds to own name q Makes sounds to show joy and Knows some basic rules of q displeasure to say sounds q Begins grammar, suchconsonant as correctly using (jabbering with “m,” “b”) “he” and “she” q Can say first and last name

➔ ➔

➔

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Learnthe thesigns. Signs. Act Act early Early. Learn 3/15/17 5:51 PM

Talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

How you can help your child’s a y’s development make-believe with your child. Let day. her be the leader and copy what ➔ Play on the floor with your baby every she is doing. ➔ Learn to read your baby’s moods. If he’s happy, keep doing what you are ➔ doing. Suggest your upset, child pretend play an upcoming eventbaby. that might make If he’s take a break and comfort your him nervous, like going to preschool or staying overnight a may suck ➔ Show your baby how to comfort herself when she’s upset.atShe grandparent’s house. on her fingers to self soothe. ➔ Use Give“reciprocal” your child simple choiceshe whenever yousmile; can. Let yourhechild choose ➔ play—when smiles, you when makes what to wear, play, or eat for a snack. Limit choices to 2 or 3. sounds, you copy them. ➔ Repeat During play your child solve her own problems withsounds. friends, but yourdates, child’slet sounds and say simple words with those ➔ be nearby to help out if needed. For example, if your child says “bah,” say “bottle” or “book.” ➔ Read Encourage childchild to use words, take playing booksyour to your every day.share Praisetoys, herand when sheturns babbles andgames ➔ of one another’s choice. “reads” too. ➔ When Give your to at build imagination, yourchild babytoys looks something, pointlike to itdress-up and talkclothes, about it.kitchen ➔ sets, and blocks. ➔ When he drops a toy on the floor, pick it up and give it back. This game Use good when ➔ helps him grammar learn cause andspeaking effect. to your child. Instead of “Mommy wants you to come here,” say, “I want you to come here.” ➔ Read colorful picture books to your baby.

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Your Baby Child at 4 Months Years

Cognitive (learning, thinking, problem-solving) q Names Lets yousome knowcolors if sheand is happy some numbers or sad

Followsamoving q Draws person things with 2 with to 4 eyes from body side partsto side

Understands to affection the idea of counting q Responds

faces closely Uses scissors q Watches

q Reaches Starts to understand for toy with time one hand

q Recognizes familiar Starts to copy some people capital and letters things at a distance q Plays board or card games

q Remembers Uses hands and partseyes of atogether, story such as seeing a toy and q Understands the idea of “same” reaching for it and “different”

q Tells you what he thinks is going to happen next in a book

➔

➔ ➔

➔

Movement/Physical Movement/Physical Development Development Holds headstands steady, Hops and onunsupported one foot up to 2 seconds Pushes down on legs when feet are on cuts a hard surface with supervision, q Pours, and mashes own be able to rollfood over from q May tummy to back q q q

➔

holdaabounced toy and shake it and q q Can Catches ball most of swing at dangling toys the time

➔

q Brings hands to mouth q When lying on stomach, pushes up to elbows

Act early by talking to your child’s doctor if your child: Act early byintalking to your child’s doctor if your child: q Can’t jump place q Resists dressing, sleeping, q q q q q q q q

Has trouble scribbling Doesn’t watch things as they move Shows no interest in interactive Doesn’t smile at people games or make-believe Can’t hold head steady Ignores other children or Doesn’t coo or make sounds doesn’t respond to people Doesn’t bring things to mouth outside the family

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and using the toilet q Doesn’t push down with legs q Doesn’t understand “same” when feet are placed on a and “different” hard surface q use moving “me” and “you” q Doesn’t Has trouble one or both correctly eyes in all directions q Doesn’t follow 3-part commands

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q T p T cp sy ga

How you can help your child’s baby’s development Put toys rattles in your baby’sand hand and help to hold them. ➔ Use wordsorlike “first,” “second,” “finally” whenhim talking about everyday activities. This will help your child learn about sequence of events. ➔ Hold your baby upright with feet on the floor, and sing or talk to your baby time as she “stands” with support. to answer your child’s “why” questions. If you don’t know the ➔ Take answer, say “I don’t know,” or help your child find the answer in a book, on the Internet, or from another adult. ➔ When you read with your child, ask him to tell you what happened in the story as you go. ➔ Say colors in books, pictures, and things at home. Count common items, like the number of snack crackers, stairs, or toy trains. ➔ Teach your child to play outdoor games like tag, follow the leader, and duck, duck, goose. ➔ Play your child’s favorite music and dance with your child. Take turns copying each other’s moves.

q Can’t retell a favorite story

q Loses skills he once had

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Your Baby Child at 4 5 Months Years What babies childrendo do at this age

Social/Emotional q Wants Smiles tospontaneously, please friendsespecially at people q Wants to be like friends q sometomovements and q Copies More likely agree with rules facial expressions, like smiling q Likes to sing, dance, and act or frowning q Is aware of gender

H q Shows Likes tomore play independence with people and (for example, might cry when may playing visit astops next-door neighbor by himself [adult supervision is still needed]) q Is sometimes demanding and sometimes very cooperative

q Cries in different ways to show hunger, pain, or being tired q Uses future tense; for example, “Grandma will be here.” q Says name and address

➔

➔ ➔

➔

➔ ➔ ➔

➔ ➔

➔

➔ ➔

➔

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Talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

How you can help your child’s a y’s development Continue arrange dates, trips to be thecheerful park, or play ➔ Hold and to talk to yourplay baby; smile and whilegroups. you do.Give your child more freedom to choose activities to play with friends, and let ➔ Set steady routines for sleeping and feeding. your child work out problems on her own. ➔ Pay close attention to what your baby likes and doesn’t like; you will ➔ know Your child start to talk back orand usewhat profanity (swear a howmight best to meet his needs you can do words) to makeasyour way to feel independent. Do not give a lot of attention to this talk, other baby happy. than a brief time out. Instead, praise your child when he asks for things baby’s takes sounds. ➔ Copy nicelyyour and calmly “no” for an answer. ➔ and smile when your child baby about makessafe sounds. ➔ Act Thisexcited is a good time to talk to your touch. No one should touch quiet “private or or nurses exam or parents ➔ Have playparts” timesexcept when doctors you read sing during to youran baby. when they are trying to keep the child clean. ➔ Give age-appropriate toys to play with, such as rattles or colorful Teach your child her address and phone number. ➔ pictures. Whengames readingsuch to your child, ask him to predict what will happen next in as peek-a-boo. ➔ Play the story. ➔ Provide safe opportunities for your baby to reach for toys and explore Encourage your child to “read” by looking at the pictures and telling ➔ his surroundings. the story. ➔ Put toys near your baby so that she can reach for them or kick her feet.

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Your Baby Child at 2 5 Months Years

Movement/Physical Development ognitive learning thinking problem solving

10head or more things q Counts Can hold up and begins to push up when lying q Can draw a person withonat least 6tummy body parts

➔

print some letters or numbers Makes smoother movements q Can with arms and legs q Knows about things used every day, like money and food

q Copies a triangle and other shapes

➔ ➔ ➔

➔

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Movement/Physical Development q Stands on one foot for 10 seconds or longer

q Uses a fork and spoon and sometimes a table knife

q Hops; may be able to skip

q Can use the toilet on her own

➔

q Can do a somersault

q Swings and climbs

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Act early by talking to your child’s doctor if your child: q Doesn’t show a wide range of emotions

q Doesn’t respond to people, or responds only superficially

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How you can help your child’s baby’s development Look atyour pictures baby like andmorning, talk aboutafternoon, them. evening, today, ➔ Teach child with time your concepts tomorrow, and yesterday. Start teaching the days of put the week. ➔ Lay your baby on his tummy when he is awake and toys near him. your child’s yourbycommunity. example, yourofchild ➔ ➔ Explore Encourage your babyinterests to lift his in head holding toysFor at eye level iniffront him. loves animals, visit the zoo or petting farm. Go to the library or look on the ➔ Internet Hold a toy rattle above yourtopics. baby’s head and encourage her to reach for it. to or learn about these ➔ Keep Hold your babybox upright with hispaper, feet on the child floor. scissors, Sing or talk your baby a handy of crayons, paint, andtopaste. ➔ as he is upright. Encourage your child to draw and make art projects with different supplies. ➔ Play with toys that encourage your child to put things together. ➔ Teach your child how to pump her legs back and forth on a swing. ➔ Help your child climb on the monkey bars. ➔ Go on walks with your child, do a scavenger hunt in your neighborhood or park, help him ride a bike with training wheels (wearing a helmet).

q Doesn’t talk about daily activities or experiences q Doesn’t use plurals or past tense properly

q Can’t brush teeth, wash and dry hands, or get undressed without help q Loses skills he once had

Tell your child’s doctor doctor or or nurse nurse ifif you you notice notice any anyof ofthese thesesigns signsofof possible developmental developmental delay delayfor forthis thisage, age,and andtalk talkwith withsomeone someoneininyour your community is familiar with services for young children your community who iswho familiar with services for young children in yourinarea, area, such asstate’s your local public For more information, to such as your public earlyschool. intervention program. For moregoinformation, www.cdc.gov/concerned. go to www.cdc.gov/concerned.

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Questions forat my2 Childâ&#x20AC;&#x2122;s Doctor Your Baby Months

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What babies do at this age

Social/Emotional Months

q Can briefly calm himself q Begins to smile at people ____________________________________________________________ (may bring hands to mouth and q Tries to look at parent ____________________________________________________________ suck on hand)

___________________________________________________________

____________________________________________________________ Language/Communication

___________________________________________________________ q Coos, makes gurgling sounds q Turns head toward sounds

Months (learning, thinking, problem-solving) Cognitive

____________________________________________________________ q Pays attention to faces q Begins to act bored (cries, fussy) if activity doesnâ&#x20AC;&#x2122;t change ____________________________________________________________ q Begins to follow things with eyes

and recognize people at a distance ___________________________________________________________

____________________________________________________________

___________________________________________________________

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Talk with your child’s doctor at every visit about the milestones your child has reached and what to expect next.

o ou can help our bab s evelopment 6 Months Cuddle, talk, and play with your baby during feeding, dressing, and bathing. ____________________________________________________________ Help your baby learn to calm herself. It’s okay for her to suck on ____________________________________________________________ her fingers. ___________________________________________________________ Begin to help your baby get into a routine, such as sleeping at night more ____________________________________________________________ than in the day, and have regular schedules. ___________________________________________________________ Getting in tune with your baby’s likes and dislikes can help you feel more comfortable and confident. Act excited and smile when your baby makes sounds.

9 Months

Copy your baby’s sounds sometimes, but also use clear language. ____________________________________________________________ Pay attention to your baby’s different cries so that you learn to know what

he wants. ____________________________________________________________

Talk, read, and sing to your baby. ___________________________________________________________ Play peek-a-boo. Help your baby play peek-a-boo, too. ____________________________________________________________

Place a baby-safe mirror in your baby’s crib so she can look at herself. ___________________________________________________________

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Questions for my Child’s Doctor

Milestone Moments Year

____________________________________________________________

___________________________________________________________

The lists that follow have milestones to look for when your child is: s

2____________________________________________________________ Months ............................................................... page 3 – 6

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9 Months ............................................................... page 15 –18 ___________________________________________________________

1 Year..................................................................... page 19 –22 18Years Months (1½ Years) ........................................... page 23 –26

____________________________________________________________ 2 Years................................................................... page 27 –30 ____________________________________________________________ 3 Years................................................................... page 31 –34 ___________________________________________________________ 4 Years................................................................... page 35 –38 ____________________________________________________________

___________________________________________________________ 5 Years................................................................... page 39 –42

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3 Years

____________________________________________________________

___________________________________________________________

____________________________________________________________

___________________________________________________________

4 Years

____________________________________________________________ Check the milestones your child has reached at each age.

____________________________________________________________ expect next.

___________________________________________________________

5 Years

____________________________________________________________

For more information, ___________________________________________________________

____________________________________________________________ go to www.cdc.gov/milestones

___________________________________________________________

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Georgia Department of Public Health Georgia Department of Public Health Maternal and Child Health District Offices Maternal and Child Health District Office District 1-1: ROME Northwest Health District www.nwgapublichealth.org Rome, GA Phone#: 706.802.55387 Counties Served: Bartow, Catoosa, Chattooga, Dade, Floyd, Gordon, Haralson, Paulding, Polk, Walker District 1-2: DALTON North Georgia Health District www.nghd.org Dalton, GA Phone#: 706.529.5763 or 1.888.276.1558 Counties Served: Cherokee, Fannin, Gilmer, Murray, Pickens, Whitfield District 2: GAINESVILLE North Health District www.phdistrict2.org Gainesville, GA Phone#: 770.538.2778 or 770.535.6907 Counties Served: Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart, Lumpkin, Rabun, Stephens, Towns, Union, White District 3-1: COBB/DOUGLAS Health District www.cobbanddouglaspublichealth.org Marietta, GA Phone#: 770.514.2404 Counties Served: Cobb, Douglas District 3-2: FULTON Health District www.fultoncountyhealth.org Atlanta, GA Phone#: 404.613.1636 Counties Served: Fulton

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District 3-3: CLAYTON Health District www.claytoncountypublichealth.org Jonesboro, GA Phone#: 678.479.2232 Counties Served: Clayton District 3-4: GWINNETT East Metro Health District www.gnrhealth.com Lawrenceville, GA Phone#: 770.339.5048 Counties Served: Gwinnett, Newton, Rockdale District 3-5: DEKALB Health District www.dekalbhealth.net Decatur, GA Phone#: 404.294.3814 Counties Served: DeKalb District 4: LAGRANGE Health District www.district4health.org Lagrange, GA Phone#: 706.298.7747 Counties Served: Butts, Carroll, Coweta, Fayette, Heard, Henry, Lamar, Meriwether, Pike, Spalding, Troup, Upson District 5-1: DUBLIN South Central Health District www.southcentralhealth.info Dublin, GA Phone#: 478.275.5116 Counties Served: Bleckley, Dodge, Johnson, Laurens, Montgomery, Pulaski, Telfair, Treutlen, Wheeler, Wilcox

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Georgia Department of Public Health Georgia of Health Georgia Department Department of Public Public Health Maternal and Child Health District Offices Maternal and Child Health District Maternal and Child Health District Office Office District 5-2: MACON North CentralHealth District www.northcentralhealthdistrict.com Macon, GA Phone#: 478.751.6359 Counties Served: Baldwin, Bibb, Crawford, Hancock, Houston, Jasper, Jones, Monroe, Peach, Putnam, Twiggs, Wilkinson, Washington District 6: AUGUSTA East Central Health District www.ecphd.com Augusta, GA Phone#: 706.667.4757 Counties Served: Burke, Columbia, Emanuel, Glascock, Jefferson, Jenkins, Lincoln, McDuffie, Richmond, Screven, Taliaferro, Warren, Wilkes. District 7: COLUMBUS West Central Health District www.columbushealth.com Columbus, GA Phone#: 706.321.6314 Counties Served: Chattahoochee, Clay, Crisp, Dooly, Harris, Macon, Marion, Muscogee*, Quitman, Randolph, Schley, Stewart, Sumter, Talbot, Taylor, Webster. District 8-1: VALDOSTA South Health District www.southhealthdistrict.com Valdosta, GA Phone#: 229.293.6286 Counties Served: Ben, Hill, Berrien, Brooks, Cook, Echols, Irwin, Lanier, Lowndes*, Tift, Turner.

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ly.

District 8-2: ALBANY Southwest Health District www.southwestgeorgiapublichealth.org Albany, GA Phone#: 229.430.4310 Counties Served: Baker, Calhoun, Colquitt, Decatur, Dougherty*, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth. District 9-1: COASTAL Coastal Health District www.gachd.org Savannah, GA Phone#: 912.644.5804 Counties Served: Bryan, Camden, Chatham*, Effingham, Glynn, Liberty, Long, McIntosh. District 9-2: WAYCROSS Southeast Health District www.sehdph.org Waycross, GA Phone#: 912.287.4843 Counties Served: Appling, Atkinson, Bacon, Brantley, Bulloch, Candler, Charlton, Clinch, Coffee, Evans, Jeff Davis, Pierce, Tattnall, Toombs, Ware*, Wayne. District 10: ATHENS Northeast Health District www.publichealthathens.com Athens, GA Phone#: 706.227.7182 Counties Served: Barrow, Clarke*, Elbert, Greene, Jackson, Madison, Morgan, Oconee, Oglethorpe, Walton.

For additional information contact your local health district or call 1-800-436-7442. www.cdc.gov/milestones I 1-800-CDC-INFO www.cdc.gov/milestones | 1-800-CDC-INFO 53624_English.indd 51

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Learn the Signs. Act Early. www.cdc.gov/milestones 1-800-CDC-INFO

Adapted from CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5, Fifth Edition, edited by Steven Shelov and Tanya Remer Altmann Â© 1991, 1993, 1998, 2004, 2009 by the American Academy of Pediatrics and BRIGHT FUTURES: GUIDELINES FOR HEALTH SUPERVISION OF INFANTS, CHILDREN, AND ADOLESCENTS, Third Edition, edited by Joseph Hagan, Jr., Judith S. Shaw, and Paula M. Duncan, 2008, Elk Grove Village, IL: American Academy of Pediatrics. Special acknowledgements to Susan P. Berger, PhD; Jenny Burt, PhD; Margaret Greco, MD; Katie Green, MPH, CHES; Georgina Peacock, MD, MPH; Lara Robinson, PhD, MPH; Camille Smith, MS, EdS; Julia Whitney, BS; and Rebecca Wolf, MA.

Centers for Disease Control and Prevention

www.cdc.gov/milestones 1-800-CDC-INFO

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