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Monday, September 30, 2013

Developmental Milestones

Some parents were asking me to provide them with some developmental milestones. See below:
Language Development Milestones by American Speech-Language-Hearing Association

Birth
Makes pleasure sounds
0-3 months
Repeats the same sounds a lot (cooing)
Cries differently for different needs
4-6 months
Babbling sounds more speech-like with many different
sounds, including p, b, and m
Tells you (by sound or gesture) when he wants you to do something
7 months - 1 year
Babbling has both long and short groups of sounds such as “tata upup bibibibi.”
Uses speech or non-crying sounds to get and keep attention
Has 1 or 2 words (“uh-oh,” “bye-bye,” “dada,” “mama,”“no”) although they may not be clear
1-2 years
Says more words every month
Uses some 1-2 word questions (“Where kitty?” “Go byebye” “What’s that?”)
Puts 2 words together (“more cookie,” “no juice,” mommy book”)
2-3 years
Has a word for almost everything
Uses 2-3-word “sentences” to talk about and ask for things
Speech is understood by familiar listeners most of the time
3-4 years
Talks about activities at school or at friends’ homes
People outside family usually understand child’s speech
Uses a lot of sentences that have 4 or more words
4-5 years
Uses sentences that give lots of details (eg, “I like to read my books.”)
Tells stories that stick to topic
Communicates easily with other children and adults
Says most sounds correctly except a few, like l, s, r, v, z, j, ch, sh, th

Other Development by the end of 2 years
Movement
  • Walks alone
  • Pulls toys behind her while walking
  • Carries large toy or several toys while walking
  • Begins to run
  • Stands on tiptoe
  • Kicks a ball
  • Climbs onto and down from furniture unassisted
  • Walks up and down stairs holding on to support
Hand and Finger Skills
  • Scribbles spontaneously
  • Turns over container to pour out contents
  • Builds tower of four blocks or more
  • Might use one hand more frequently than the other
Language
  • Points to object or picture when it's named for him
  • Recognizes names of familiar people, objects and body parts
  • Says several single words (by 15 to 18 months)
  • Uses simple phrases (by 18 to 24 months)
  • Uses two- to four-word sentences
  • Follows simple instructions
  • Repeats words overheard in conversation
Cognitive
  • Finds objects even when hidden under two or three covers
  • Begins to sort by shapes and colors
  • Begins make-believe play
Social
  • Imitates behavior of others, especially adults and older children
  • Increasingly aware of herself as separate from others
  • Increasingly enthusiastic about company of other children
Emotional
  • Demonstrates increasing independence
  • Begins to show defiant behavior
  • Episodes of separation anxiety increase toward midyear then fade
Developmental Health Watch
Because each child develops at his own particular pace, it's impossible to tell exactly when yours will perfect a given skill. The developmental milestones will give you a general idea of the changes you can expect as your child gets older, but don't be alarmed if he takes a slightly different course. Alert your pediatrician; however, if he displays any of the following signs of possible developmental delay for this age range.
  • Cannot walk by 18 months
  • Fails to develop a mature heel-toe walking pattern after several months of walking, or walks exclusively on his toes
  • Does not speak at least 15 words by 18 months
  • Does not use two-word sentences by age 2
  • By 15 months, does not seem to know the function of common household objects (brush, telephone, bell, fork, spoon)
  • Does not imitate actions or words by the end of this period
  • Does not follow simple instructions by age 2
  • Cannot push a wheeled toy by age 2
Developmental Milestones by the End of 5 Years
Movement
  • Stands on one foot for 10 seconds or longer
  • Hops, somersaults
  • Swings, climbs
  • May be able to skip
Hand and Finger Skills
  • Copies triangle and other geometric patterns
  • Draws person with body
  • Prints some letters
  • Dresses and undresses without assistance
  • Uses fork, spoon and (sometimes) a table knife
  • Usually cares for own toilet needs
Language
  • Recalls part of a story
  • Speaks sentences of more than five words
  • Uses future tense
  • Tells longer stories
  • Says name and address
Cognitive Milestones
  • Can count 10 or more objects
  • Correctly names at least four colors
  • Better understands the concept of time
  • Knows about things used every day in the home (money, food, appliances)
Social
  • Wants to please friends
  • Wants to be like her friends
  • More likely to agree to rules
  • Likes to sing, dance and act
  • Shows more independence and may even visit a next-door neighbor by herself
Emotional Milestones
  • Aware of sexuality
  • Able to distinguish fantasy from reality
  • Sometimes demanding, sometimes eagerly cooperative
Developmental Health Watch
Because each child develops in her own particular manner, it's impossible to predict exactly when or how your own preschooler will perfect a given skill. The developmental milestones will give you a general idea of the changes you can expect as your child gets older, but don't be alarmed if her development takes a slightly different course. Alert your pediatrician, however, if your child displays any of the following signs of possible developmental delay for this age range.

  • Exhibits extremely fearful or timid behavior
  • Exhibits extremely aggressive behavior
  • Is unable to separate from parents without major protest
  • Is easily distracted and unable to concentrate on any single activity for more than five minutes
  • Shows little interest in playing with other children
  • Refuses to respond to people in general, or responds only superficially
  • Rarely uses fantasy or imitation in play
  • Seems unhappy or sad much of the time
  • Doesn't engage in a variety of activities
  • Avoids or seems aloof with other children and adults
  • Doesn't express a wide range of emotions
  • Has trouble eating, sleeping or using the toilet
  • Can't differentiate between fantasy and reality
  • Seems unusually passive
  • Cannot understand two-part commands using prepositions ("Put the cup on the table"; "Get the ball under the couch.")
  • Can't correctly give her first and last name
  • Doesn't use plurals or past tense properly when speaking
  • Doesn't talk about her daily activities and experiences
  • Cannot build a tower of six to eight blocks
  • Seems uncomfortable holding a crayon
  • Has trouble taking off clothing
  • Cannot brush her teeth efficiently
  • Cannot wash and dry her hands      

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