Milestones for Your Child

• Doesn’t try to get things that are in reach
• Shows no affection for caregivers
• Doesn’t respond to sounds around him
• Has difficulty getting things to mouth
• Doesn’t make vowel sounds (“ah”, “eh”, “oh”)
• Doesn’t roll over in either direction
• Doesn’t laugh or make squealing sounds
• Seems very stiff, with tight muscles
• Seems very floppy, like a rag doll

Social and Emotional

• Is shy or nervous with strangers
• Cries when mom or dad leaves
• Has favorite things and people
• Shows fear in some situations
• Hands you a book when he wants to hear a story
• Repeats sounds or actions to get attention
• Puts out arm or leg to help with dressing
• Plays games such as “peek-a-boo” and “pat-a-cake”

Language/Communication

• Responds to simple spoken requests
• Uses simple gestures, like shaking head “no” or waving “bye-bye”
• Makes sounds with changes in tone (sounds more like speech)
• Says “mama” and “dada” and exclamations like “uh-oh!”
• Tries to say words you say

Cognitive (learning, problem-solving)

• Explores things in different ways, like shaking, banging, throwing
• Finds hidden things easily
• Looks at the right picture or thing when it’s named
• Copies gestures
• Starts to use things correctly; for example, drinks from a cup, brushes hair
• Bangs two things together
• Puts things in a container, takes things out of a container
• Lets things go without help
• Pokes with index (pointer) finger
• Follows simple directions “pick up the toy”

Movement/Physical Development

• Gets to a sitting position without help
• Pulls up to stand, walks holding on to furniture (“cruising”)
• May take a few steps without holding on
• May stand alone

• Doesn’t crawl
• Can’t stand when supported
• Doesn’t search for things that she sees you hide
• Doesn’t say single words like “mama” or “dada”
• Doesn’t learn gestures like waving or shaking head
• Doesn’t point to things
• Loses skills he once had

Cognitive (learning, problem-solving)

• Knows what ordinary things are for; for example, telephone, brush, spoon
• Points to get the attention of others
• Shows interest in a doll or stuffed animal by pretending to feed
• Points to one body part
• Scribbles on his own
• Can follow 1-step verbal commands without any gestures; for example, sits when you say “sit down”

Movement/Physical Development

• Walks alone
• May walk up steps and run
• Pulls toys while walking
• Can help undress herself
• Drinks from a cup
• Eats with a spoon

Act early by talking to your child’s doctor if your child:

• Doesn’t point to show things to others
• Can’t walk
• Doesn’t know what familiar things are for
• Doesn’t copy others
• Doesn’t gain new words
• Doesn’t have at least 6 words
• Doesn’t care when a caregiver leaves
• Loses skills he once had

Social and Emotional

• Copies others, especially adults and older children
• Gets excited when with other children
• Shows more and more independence
• Shows defiant behavior (doing what he has been told not to)
• Plays mainly beside other children, but is beginning to include other children, such as in chase games

Language/Communication

• Points to things or pictures when they are named
• Knows names of familiar people and body parts
• Says sentences with 2 to 4 words
• Follows simple instructions
• Repeats words overheard in conversation
• Points to things in a book

Cognitive (learning, problem-solving)

• Finds things even when hidden under two or three covers
• Begins to sort shapes and colors
• Completes sentences and rhymes in familiar books
• Plays simple make-believe games
• Builds towers of 4 or more blocks
• Might use one hand more than the other
• Follows two-step instructions such as “Pick up your shoes and put them in the closet.”
• Names items in a picture book such as a cat, bird, or dog

Movement/Physical Development

• Stands on tiptoe
• Kicks a ball
• Begins to run
• Climbs onto and down from furniture without help
• Walks up and down stairs holding on
• Throws ball overhand
• Makes or copies straight lines and circles
   

Act early by talking to your child’s doctor if your child:

• Doesn’t use 2-word phrases (for example, “drink milk”)
• Doesn’t know what to do with common things, like a brush, phone, fork, spoon
• Doesn’t copy actions and words
• Doesn’t follow simple instructions
• Doesn’t walk steadily
• Loses skills she once had

Social and Emotional

• Copies adults and friends
• Shows affection for friends without prompting
• Takes turns in games
• Shows concern for crying friend
• Understands the idea of “mine” and “his” or “hers”
• Shows a wide range of emotions
• Separates easily from mom and dad
• May get upset with major changes in routine
• Dresses and undresses self

Language/Communication

• Follows instructions with 2 or 3 steps
• Can name most familiar things
• Understands words like “in,” “on,” and “under”
• Says first name, age, and sex
• Names a friend
• Says words like “I,” “me,” “we,” and “you” and some plurals (cars, dogs, cats)
• Talks well enough for strangers to understand most of the time
• Carries on a conversation using 2-3 sentences

Cognitive (learning, problem-solving)

• Can work toys with buttons, levers, and moving parts
• Plays make-believe with dolls, animals, and people
• Does puzzles with 3 or 4 pieces
• Understands what “two” means
• Copies a circle with pencil or crayon
• Turns book pages one at a time
• Builds towers of more than 6 blocks
• Screws and unscrews jar lids or turns door handle

Movement/Physical Development

• Climbs well
• Runs easily
• Pedals a tricycle (3-wheel bike)
• Walks up and down stairs, one foot on each step

Act early by talking to your child’s doctor if your child:

Social and Emotional

• Enjoys doing new things
• Plays “Mom” and “Dad”
• Is more and more creative with make-believe play
• Would rather play with other children than by himself
• Cooperates with other children
• Often can’t tell what’s real and what’s make-believe
• Talks about what she likes and what she is interested in

Language/Communication

• Knows some basic rules of grammar, such as correctly using “he” and “she”
• Sings a song or says a poem from memory such as the “Itsy Bitsy Spider” or the “Wheels on the Bus”
• Tells stories
• Can say first and last name

Cognitive (learning, thinking, problem-solving)

• Names some colors and some numbers
• Understands the idea of counting
• Starts to understand time
• Remembers parts of a story
• Understands the idea of “same” and “different”
• Draws a person with 2 to 4 body parts
• Uses scissors
• Starts to copy some capital letters
• Plays board or card games
• Tells you what he thinks is going to happen next in a book

Movement/Physical Development

• Hops and stands on one foot up to 2 seconds
• Catches a bounced ball most of the time
• Pours, cuts with supervision, and mashes own food

Act early by talking to your child’s doctor if your child: