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Babies develop at their own pace, so it’s impossible to Developmental Health Watch
tell exactly when your child will learn a given skill. Alert your child’s doctor or nurse if your child displays any
The developmental milestones listed below will give you of the following signs of possible developmental delay for
a general idea of the changes you can expect, but don’t this age range.
be alarmed if your own baby’s development takes a
slightly different course. n Does not seem to respond to loud noises
n Does not notice hands by 2 months
Social and Emotional n Does not follow moving objects with eyes by 2 to 3 months
n Begins to develop a social smile n Does not grasp and hold objects by 3 months
n Enjoys playing with other people and may cry when n Does not smile at people by 3 months
playing stops n Cannot support head well by 3 months
n Becomes more expressive and communicates more with n Does not reach for and grasp toys by 3 to 4 months
face and body n Does not babble by 3 to 4 months
n Imitates some movements and facial expressions n Does not bring objects to mouth by 4 months
n Begins babbling, but does not try to imitate any of your
Movement sounds by 4 months
n Raises head and chest when lying on stomach n Does not push down with legs when feet are placed on
n Supports upper body with arms when lying on stomach a firm surface by 4 months
n Stretches legs out and kicks when lying on stomach n Has trouble moving one or both eyes in all directions
or back n Crosses eyes most of the time (occasional crossing of the
n Opens and shuts hands eyes is normal in these first months)
n Pushes down on legs when feet are placed on a firm n Does not pay attention to new faces, or seems very
surface frightened by new faces or surroundings
n Brings hand to mouth n Experiences a dramatic loss of skills he or she once had
n Takes swipes at dangling objects with hands
From CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5 by Steven
n Grasps and shakes hand toys
Shelov, Robert E. Hannermann, © 1991, 1993, 1998, 2004 by the American Academy
of Pediatrics. Used by permission of Bantam Books, a division of Random House, Inc.
Vision
n Watches faces intently
n Follows moving objects
n Recognizes familiar objects and people at a distance
n Starts using hands and eyes in coordination
www.cdc.gov/actearly
Learn the Signs. Act Early.
Important Milestones
By The End Of 7 Months
Babies develop at their own pace, so it’s impossible to Developmental Health Watch
tell exactly when your child will learn a given skill. Alert your child’s doctor or nurse if your child displays any
The developmental milestones listed below will give you of the following signs of possible developmental delay for
a general idea of the changes you can expect, but don’t this age range.
be alarmed if your own baby’s development takes a
slightly different course. n Seems very stiff, with tight muscles
n Seems very floppy, like a rag doll
Social and Emotional n Head still flops back when body is pulled to a sitting
n Enjoys social play position
n Interested in mirror images n Reaches with one hand only
n Responds to other people’s expressions of emotion n Refuses to cuddle
and appears joyful often n Shows no affection for the person who cares for him or her
n Finds partially hidden object n Persistent tearing, eye drainage, or sensitivity to light
n Explores with hands and mouth n Does not respond to sounds around him or her
n Struggles to get objects that are out of reach n Has difficulty getting objects to mouth
n Can tell emotions by tone of voice n Does not smile on his or her own by 5 months
n Uses voice to express joy and displeasure n Does not laugh or make squealing sounds by 6 months
n Babbles chains of sounds n Does not actively reach for objects by 6 to 7 months
www.cdc.gov/actearly
Learn the Signs. Act Early.
Important Milestones
By The End Of 1 Year (12 Months)
Babies develop at their own pace, so it’s impossible to n Creeps on hands and knees
tell exactly when your child will learn a given skill. n Gets from sitting to crawling or prone (lying on
The developmental milestones listed below will give you stomach) position
n Pulls self up to stand
a general idea of the changes you can expect, but don’t
n Walks holding on to furniture
be alarmed if your own baby’s development takes a
n Stands momentarily without support
slightly different course.
n May walk two or three steps without support
n Responds to simple verbal requests n Experiences a dramatic loss of skills he or she once had
n Responds to “no”
From CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5 by Steven
n Uses simple gestures, such as shaking head for “no” Shelov, Robert E. Hannermann, © 1991, 1993, 1998, 2004 by the American Academy
n Babbles with inflection (changes in tone) of Pediatrics. Used by permission of Bantam Books, a division of Random House, Inc.
www.cdc.gov/actearly
Learn the Signs. Act Early.
Important Milestones
By The End Of 2 Years (24 Months)
Children develop at their own pace, so it’s impossible Hand and Finger Skills
to tell exactly when yours will learn a given skill. The n Scribbles on his or her own
developmental milestones below will give you a general n Turns over container to pour out contents
idea of the changes you can expect as your child gets n Builds tower of four blocks or more
older, but don’t be alarmed if your child takes a slightly n Might use one hand more often than the other
different course.
n Begins to sort by shapes and colors n Does not follow simple instructions by age 2
Language
From CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5 by Steven
n Points to object or picture when it’s named for him Shelov, Robert E. Hannermann, © 1991, 1993, 1998, 2004 by the American Academy
n Recognizes names of familiar people, objects, and of Pediatrics. Used by permission of Bantam Books, a division of Random House, Inc.
body parts
n Says several single words (by 15 to 18 months)
Movement
n Walks alone
n Pulls toys behind her while walking
n Carries large toy or several toys while walking
n Begins to run Department of Health and Human Services
Stands on tiptoe
n
n Kicks a ball
Centers for Disease Control and Prevention
n Climbs onto and down from furniture unassisted
n Walks up and down stairs holding on to support
www.cdc.gov/actearly
Learn the Signs. Act Early.
Important Milestones
By The End Of 3 Years (36 Months)
Emotional
n Expresses affection openly Developmental Health Watch
n Expresses a wide range of emotions Alert your child’s doctor or nurse if your child displays any
n By 3, separates easily from parents of the following signs of possible developmental delay for
n Objects to major changes in routine this age range.
n Plays make-believe with dolls, animals, and people n Cannot copy a circle by age 3
n Understands placement in space (“on,” “in,” “under”) From CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5 by Steven
n Uses 4- to 5-word sentences Shelov, Robert E. Hannermann, © 1991, 1993, 1998, 2004 by the American Academy
of Pediatrics. Used by permission of Bantam Books, a division of Random House, Inc.
n Can say name, age, and sex
n Uses pronouns (I, you, me, we, they) and some plurals
www.cdc.gov/actearly
Learn the Signs. Act Early.
Important Milestones
By The End Of 4 Years (48 Months)
Children develop at their own pace, so it’s impossible n Catches bounced ball most of the time
to tell exactly when yours will learn a given skill. The n Moves forward and backward with agility
developmental milestones below will give you a general
idea of the changes you can expect as your child gets Hand and Finger Skills
older, but don’t be alarmed if your child takes a slightly n Copies square shapes
different course. n Draws a person with two to four body parts
n Uses scissors
Social n Draws circles and squares
n Interested in new experiences n Begins to copy some capital letters
n Cooperates with other children
n Plays “Mom” or “Dad” Developmental Health Watch
n Increasingly inventive in fantasy play Alert your child’s doctor or nurse if your child displays any
n Dresses and undresses of the following signs of possible developmental delay for
n Negotiates solutions to conflicts this age range.
n More independent
n Cannot throw a ball overhand
Emotional n Cannot jump in place
n Imagines that many unfamiliar images may be “monsters” n Cannot ride a tricycle
n Views self as a whole person involving body, mind, n Cannot grasp a crayon between thumb and fingers
and feelings n Has difficulty scribbling
n Often cannot tell the difference between fantasy and reality n Cannot stack four blocks
n Still clings or cries whenever parents leave
Cognitive n Shows no interest in interactive games
n Correctly names some colors n Ignores other children
n Understands the concept of counting and may know n Doesn’t respond to people outside the family
a few numbers n Doesn’t engage in fantasy play
n Tries to solve problems from a single point of view n Resists dressing, sleeping, using the toilet
n Begins to have a clearer sense of time n Lashes out without any self-control when angry or upset
n Follows three-part commands n Cannot copy a circle
n Recalls parts of a story n Doesn’t use sentences of more than three words
n Understands the concepts of “same” and “different” n Doesn’t use “me” and “you” correctly
n Engages in fantasy play n Experiences a dramatic loss of skills he or she once had
From CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5 by Steven
Language Shelov, Robert E. Hannermann, © 1991, 1993, 1998, 2004 by the American Academy
of Pediatrics. Used by permission of Bantam Books, a division of Random House, Inc.
n Has mastered some basic rules of grammar
n Speaks in sentences of five to six words
n Speaks clearly enough for strangers to understand
n Tells stories
Department of Health and Human Services
Movement
n Hops and stands on one foot up to five seconds
Centers for Disease Control and Prevention
n Goes upstairs and downstairs without support
n Kicks ball forward
n Throws ball overhand
www.cdc.gov/actearly
Learn the Signs. Act Early.
Important Milestones
By The End Of 5 Years (60 Months)
Children develop at their own pace, so it’s impossible Developmental Health Watch
to tell exactly when yours will learn a given skill. The Alert your child’s doctor or nurse if your child displays any
developmental milestones below will give you a general of the following signs of possible developmental delay for
idea of the changes you can expect as your child gets this age range.
older, but don’t be alarmed if your child takes a slightly
different course. n Acts extremely fearful or timid
n Acts extremely aggressively
Social n Is unable to separate from parents without major protest
n Wants to please friends n Is easily distracted and unable to concentrate on any
n Wants to be like her friends single activity for more than five minutes
n More likely to agree to rules
n Shows little interest in playing with other children
n Likes to sing, dance, and act
n Refuses to respond to people in general, or responds
n Shows more independence and may even visit a
only superficially
next-door neighbor by herself n Rarely uses fantasy or imitation in play
n Correctly names at least four colors n Cannot understand two-part commands using prepositions
n Better understands the concept of time (“Put the doll on the bed, and get the ball under the couch.”)
n Knows about things used every day in the home n Can’t correctly give her first and last name
(money, food, appliances) n Doesn’t use plurals or past tense properly when speaking
Movement From CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5 by Steven
Shelov, Robert E. Hannermann, © 1991, 1993, 1998, 2004 by the American Academy
n Stands on one foot for 10 seconds or longer of Pediatrics. Used by permission of Bantam Books, a division of Random House, Inc.
n Hops, somersaults
n Swings, climbs
n May be able to skip
www.cdc.gov/actearly
Learn the Signs. Act Early.