milestone moment seng 508

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www.cdc.gov/milestones

1-800-CDC-INFO

Learn the Signs. Act Early.

Learn the Signs. Act Early.

Milestone Moments

Adapted rom CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5, Fith Edition, edited by StevenShelov and Tanya Remer Altmann 1991, 1993, 1998, 2004, 2009 by the American Academy o Pediatrics andBRIGHT FUTURES: GUIDELINES FOR HEALTH SUPERVISION OF INFANTS, CHILDREN, AND ADOLESCENTS, ThirdEdition, edited by Joseph Hagan, Jr., Judith S. Shaw, and Paula M. Duncan, 2008, Elk Grove Village, IL: American

Academy o Pediatrics.

Special acknowledgements to Susan P. Berger, PhD; Jenny Burt, PhD; Margaret Greco, MD; Katie G reen, MPH,

CHES; Georgina Peacock, MD, MPH; Lara Robinson, PhD, MPH; Camille Smith, MS, EdS; Julia Whitney, BS; andRebecca Wol, MA.

You can follow your childs development by watching how he or

she plays, learns, speaks, and acts.

Look inside for milestones to watch for in your child and how you

can help your child learn and grow.

Centers for Disease Centers for Disease

Control and Prevention Control and Prevention

www.cdc.gov/milestones www.cdc.gov/milestones

1-800-CDC-INFO 1-800-CDC-INFO

220788


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How your child plays, learns, speaks, and acts offers

important clues about your childs development.

Developmental milestones are things most childrencan do by a certain age.

Milestone Moments

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

2 Months ...............................................................page 3 6

4 Months ...............................................................page 7 10

6 Months ...............................................................page 11 14

9 Months ...............................................................page 15 18

1 Year.....................................................................page 19 22

18 Months (1 Years) ...........................................page 23 26

2 Years...................................................................page 27 303 Years...................................................................page 31 34

4 Years...................................................................page 35 38

5 Years...................................................................page 39 42

Check the milestones your child has reached at each age.

Take this with you and talk with your childs doctor at every

visit about the milestones your child has reached and what to

expect next.

For more information,

go to www.cdc.gov/milestones

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


3/24

What babies do

at this age

Your Baby at 2 MonthsTalk with your childs doctor at every visit about the milestones

your child has reached and what to expect next.

Social/Emotional How you can help your babys development

q Can briefy calm himsel q Begins to smile at people(may bring hands to mouth and

q Tries to look at parentsuck on hand)

Language/Communication

q Coos, makes gurgling sounds q Turns head toward sounds

Cognitive (learning, thinking, problem-solving)

q Pays attention to aces q Begins to act bored (cries, ussy)q Begins to ollow things with eyes i activity doesnt change

and recognize people at a distance

Cuddle, talk, and play with your baby during eeding, dressing, and bathing. Help your baby learn to calm hersel. Its okay or her to suck on

her ingers.

Begin to help your baby get into a routine, such as sleeping at night morethan in the day, and have regular schedules.

Getting in tune with your babys likes and dislikes can help you eel morecomortable and condent.

Act excited and smi le when your baby makes sounds. Copy your babys sounds sometimes, but also use clear language. Pay attention to your babys dierent 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-sae mirror in your babys crib so she can look at hersel.



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Your Baby at 2 Months

Movement/Physical Development How you can help your babys development

q Can hold head up and begins q Makes smoother movements Look at pictures with your baby and talk about them.to push up when lying on with arms and legs

Lay your baby on his tummy when he is awake and put toys near him.tummy

Encourage your baby to lit his head by holding toys at eye level in ront o him. Hold a toy or rattle above your babys head and encourage her to reach or it. Hold your baby upright with his eet on the foor. Sing or talk to your baby

as he is upright.

q Doesnt respond to loud soundsq Doesnt watch things as they moveq Doesnt smile at people

q Doesnt bring hands to mouthq Cant hold head up when pushing

up when on tummy

Act early by talking to your childs doctor if your child:

Tell your childs 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 amiliar with services or young children in your area,

such as your states public early intervention program. For more inormation,

go to www.cdc.gov/concerned.



5/24



What babies do

at this age


q Smiles spontaneously, especiallyat people

q Likes to play with people andmight cry when playing stops

q Copies some movements andacial expressions, like smiling

or rowning


q Begins to babble q Cries in dierent ways to showq Babbles with expression and hunger, pain, or being tired

copies sounds he hears

Hold and talk to your baby; smile and be cheerul while you do. Set steady routines or sleeping and eeding. Pay close attention to what your baby likes and doesnt like; you will

know how best to meet his needs and what you can do to make your

baby happy.

Copy your babys sounds.Act excited and smi le when your baby makes sounds. Have quiet play times when you read or sing to your baby. Give age-appropriate toys to play with, such as rattles or colorul

pictures.

Play games such as peek-a-boo. Provide sae opportunities or your baby to reach or toys and explore

his surroundings.

Put toys near your baby so that she can reach or them or kick her eet.



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Cognitive (learning, thinking, problem-solving) How you can help your babys development

q Lets you know i she is happyor sad

qResponds to aection

q Reaches or toy with one handq Uses hands and eyes together,

such as seeing a toy and

reaching or it

q Holds head steady, unsupported q Can hold a toy and shake it andq Pushes down on legs when eet swing at dangling toys

are on a hard surace q Brings hands to mouthq May be able to roll over rom q When lying on stomach, pushes

tummy to back up to elbows

q Follows moving things with eyes Put toys or rattles in your babys hand and help him to hold them.rom side to side

Hold your baby upright with eet on the foor, and sing or talk to yourq

Watches aces closely baby as she stands with support.q Recognizes amiliar people and

things at a distance

Movement/Physical Development

q Doesnt watch things as they moveq Doesnt smile at peopleq Cant hold head steadyq Doesnt coo or make soundsq Doesnt bring things to mouth

q Doesnt push down with legswhen eet are placed on a

hard surace

q Has trouble moving one or botheyes in all directions









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What babies do

at this age


q Knows amiliar aces and beginsto know i someone is a stranger

q Likes to play with others,especially parents

q Responds to sounds by makingsounds

q Strings vowels together whenbabbling (ah, eh, oh) and

likes taking turns with parent

while making sounds

q Responds to other peoplesemotions and oten seems happy

q Likes to look at sel in a mirror

q Responds to own nameq Makes sounds to show joy and

displeasure

qBegins to say consonant sounds(jabbering with m, b)

Play on the foor with your baby every day. Learn to read your babys moods. I hes happy, keep doing what you are

doing. I hes upset, take a break and comort your baby.

Show your baby how to comort hersel when shes upset. She may suckon her ngers to sel soothe.

Use reciprocal playwhen he smiles, you smile; when he makessounds, you copy them.

Repeat your childs sounds and say simple words with those sounds.For example, i your child says bah, say bottle or book.

Read books to your child every day. Praise her when she babbles andreads too.

When your baby looks at something, point to it and talk about it. When he drops a toy on the foor, pick it up and give it back. This game

helps him learn cause and eect.

Read colorul picture books to your baby.




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q Looks around at things nearbyq Shows curiosity about things

and tries to get things that are

out o reach

q Rolls over in both directions q Begins to sit without support(ront to back, back to ront)

q Rocks back and orth, sometimesq When standing, supports weight crawling backward beore

on legs and might bounce moving orward

q Brings things to mouthq Begins to pass things rom one

hand to the other

Point out new things to your baby and name them. Show your baby bright pictures in a magazine and name them. Hold your baby up while she sits or support her with pillows. Let her look

around and give her toys to look at while she balances.

Put your baby on his tummy or back and put toys just out o reach.Encourage him to roll over to reach the toys.Movement/Physical Development


q Doesnt try to get things that arein reach

q Shows no aection or caregiversq Doesnt respond to sounds

around him

q Has diculty getting things tomouth

q Seems very foppy, like a rag doll

q Doesnt make vowel sounds(ah, eh, oh)

q Doesnt roll over in eitherdirection

q Doesnt laugh or make squealingsounds

q Seems very sti, with tightmuscles








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What babies do

at this age


q May be araid o strangers q Has avorite toysq May be clingy with amiliar adults


q Understands no q Copies sounds and gesturesq Makes a lot o dierent sounds o others

like mamamama and q Uses ngers to point at thingsbababababa

Pay attention to the way he reacts to new situations and people; try tocontinue to do things that make your baby happy and comortable.

As she moves around more, stay close so she knows that you are near. Continue with routines; they are especially important now. Play games with my turn, your turn. Say what you think your baby is eeling. For example, say, You are so sad,

lets see i we can make you eel better.

Describe what your baby is looking at; or example, red, round ball. Talk about what your baby wants when he points at something.

Copy your babys sounds and words.Ask or behaviors that you want. For example, instead o saying

dont stand, say time to sit.

Teach cause-and-eect by rolling balls back and orth, pushing toy carsand trucks, and putting blocks in and out o a container.



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q Watches the path o something q Moves things smoothly rom Play peek-a-boo and hide-and-seek.as it alls one hand to the other

Read and talk to your baby.q Looks or things he sees you hide q Picks up things like cereal os

Provide lots o room or your baby to move and explore in a sae area.q Plays peek-a-boo between thumb and index nger

Put your baby close to things that she can pull up on saely.q Puts things in her mouth


q Stands, holding on q Can get into sitting positionq Sits without support q Pulls to standq Crawls





such as your states public early intervention program. For more inormation,go to www.cdc.gov/concerned.

The American Academy o Pediatrics recommends that all children be

screened or general development at the 9-month visit. Ask your childs

doctor about your childs developmental screening.

q Doesnt bear weight on legswith support

q Doesnt sit with helpq Doesnt babble

(mama, baba, dada)

q Doesnt play any games involvingback-and-orth play

q Doesnt respond to own nameq Doesnt seem to recognize

amiliar people

q Doesnt look where you pointq Doesnt transer toys rom one

hand to the other



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Your Child at 1 YearTalk with your childs doctor at every visit about the milestones


What children do

at this age

Social/Emotional How you can help your childs development

q Is shy or nervous with strangersq Cries when mom or dad leavesq Has avorite things and peopleq Shows ear in some situationsq Hands you a book when he wants

to hear a story

q Responds to simple spokenrequests

q Uses simple gestures, like shakinghead no or waving bye-bye

q Makes sounds with changes intone (sounds more like speech)

q Repeats sounds or actions toget attention

q Puts out arm or leg to help withdressing

q Plays games such aspeek-a-boo and pat-a-cake

q Says mama and dada andexclamations like uh-oh!

q Tries to say words you say

Give your child time to get to know a new caregiver. Bring a avorite toy,stued animal, or blanket to help comort your child.

In response to unwanted behaviors, say no rmly. Do not yell, spank,or give long explanations. A time out or 30 seconds to 1 minute might

help redirect your child.

Give your child lots o hugs, kisses, and praise or good behavior. Spend a lot more time encouraging wanted behaviors than punishing

unwanted behaviors (4 times as much encouragement or wanted

behaviors as redirection or unwanted behaviors).

Talk to your child about what youre doing. For example, Mommy iswashing your hands with a washcloth.

Read with your child every day. Have your child turn the pages. Take turnslabeling pictures with your child.

Build on what your child says or tries to say, or what he points to.I he points to a truck and says t or truck, say, Yes, thats a big,

blue truck.




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Your Child at 1 Year

Cognitive (learning, thinking, problem-solving) How you can help your childs development

qqq

Explores things in dierent ways,

like shaking, banging, throwing

Finds hidden things easily

Looks at the right picture or thing

when its named

qq

q

Bangs two things together

Starts to use things correctly;

or example, drinks rom a cup,

brushes hair

Lets things go without help

q Copies gestures q Pokes with index (pointer) ngerq Puts things in a container, takes

things out o a container

q Follows simple directions likepick up the toy

q Gets to a sitting positionwithout help

q Pulls up to stand, walks holdingon to urniture (cruising)

q May take a ew steps withoutholding on

q May stand alone

Give your child crayons and paper, and let your child draw reely. Show yourchild how to draw lines up and down and across the page. Praise your child

when she tries to copy them.

Play with blocks, shape sorters, and other toys that encourage your childto use his hands.

Hide small toys and other things and have your child nd them.Ask your child to label body parts or th ings you see while driving in the car. Sing songs with actions, like The Itsy Bitsy Spider and Wheels on the

Bus. Help your child do the actions with you.

Give your child pots and pans or a small musical instrument like a drum orcymbals. Encourage your child to make noise.

Provide lots o sae places or your toddler to explore. (Toddler-proo yourhome. Lock away products or cleaning, laundry, lawn care, and car care.

Use a saety gate and lock doors to the outside and the basement.)

Give your child push toys like a wagon or kiddie push car.



q Doesnt crawlq Cant stand when supportedq Doesnt search or things that

she sees you hide

q Doesnt point to things

q Doesnt learn gestures likewaving or shaking headq Doesnt say single words like

mama or dada

q Loses skills he once had

Tell your childs doctor or nurse if you notice any of these signs ofpossible developmental delay for this age,and talk with someone in your






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Your Child at 18 MonthsTalk with your childs doctor at every visit about the milestones


What children do

at this age


q Likes to hand things to othersas play

q May have temper tantrumsq May be araid o strangersq Shows aection to amiliar peopleq Plays simple pretend, such as

eeding a doll

q Says several single wordsq Says and shakes head no

q May cling to caregivers in newsituations

q Points to show others somethinginteresting

q Explores alone but with parentclose by

q Points to show someone whathe wants

Provide a sae, loving environment. Its important to be consistent andpredictable.

Praise good behaviors more than you punish bad behaviors (use onlyvery brie time outs).

Describe her emotions. For example, say, You are happy when we readthis 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 childs words. Use words that describe eelings and emotions. Use simple, clear phrases.Ask simple questions.




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Your Child at 18 Months


q Knows what ordinary things are q Points to get the attention o others

qq

or; or example, telephone,

brush, spoon

Points to one body part

Shows interest in a doll or stued

animal by pretending to eed

qq

Scribbles on his own

Can ollow 1-step verbalcommands without any gestures;

or example, sits when you say

sit down

q Walks alone q Can help undress herselq May walk up steps and run q Drinks rom a cupq Pulls toys while walking q Eats with a spoon

Hide things under blankets and pillows and encourage him to nd them. Play with blocks, balls, puzzles, books, and toys that teach cause and

eect and problem solving. Name pictures in books and body parts. Provide toys that encourage pretend play; or example, dolls, play

telephones.

Provide sae areas or your child to walk and move around in. Provide toys that she can push or pull saely. Provide balls or her to kick, roll, and throw. Encourage him to drink rom his cup and use a spoon, no matter

how messy.

Blow bubbles and let your child pop them.



q Doesnt point to show thingsto others

q Cant walkq Doesnt know what amiliar

things are or

q Doesnt copy others

q Doesnt gain new wordsq Doesnt have at least 6 wordsq Doesnt notice or mind when acaregiver leaves or returnsq Loses skills he once had




such as your states public early intervention program. For more inormation,go to www.cdc.gov/concerned.

The American Academy o Pediatrics recommends that all children be

screened or general development and autism at the 18-month visit. Ask

your childs doctor about your childs developmental screening.



15/24

Your Child at 2 YearsTalk with your childs doctor at every visit about the milestones


What children do

at this age


q Copies others, especially adultsand older children

q Gets excited when with otherchildren

q Shows more and moreindependence

q Points to things or pictures whenthey are named

q Knows names o amiliar peopleand body parts

q Says sentences with 2 to 4 words

q Shows deant behavior (doingwhat he has been told not to)

q Plays mainly beside otherchildren, but is beginning to

include other children, such as

in chase games

q Follows simple instructionsq

Repeats words overheard inconversation

q Points to things in a book

Encourage your child to help with simple chores at home, like sweepingand making dinner. Praise your child or being a good helper.

At this age, children still play next to (not with) each other and dont sharewell. For play dates, give the children lots o toys to play with. Watch the

children closely and step in i they ght or argue.

Give your child attention and praise when he ollows instructions. Limitattention or deant behavior. Spend a lot more time praising good

behaviors than punishing bad ones.

Teach your child to identiy and say body parts, animals, and othercommon things.

Do not correct your child when he says words incorrectly. Rather, say itcorrectly. For example, That is a ball.

Encourage your child to say a word instead o pointing. I your childcant say the whole word (milk), give her the rst sound (m) to help.

Over time, you can prompt your child to say the whole sentence

I want milk.




16/24

Your Child at 2 Years


q Finds things even when hiddenunder two or three covers

q Begins to sort shapes and colorsq Completes sentences and rhymes

in amiliar books

q Plays simple make-believe gamesq Builds towers o 4 or more blocks

q Stands on tiptoeq Kicks a ballq Begins to runq Walks up and down stairs holding on

q Might use one hand more thanthe other

q Follows two-step instructions suchas Pick up your shoes and put

them in the closet.

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

q Climbs onto and down romurniture without help

q Throws ball overhandq Makes or copies straight lines

and circles

Hide your childs toys around the room and let him nd them. Help your child do puzzles with shapes, colors, or arm animals. Name

each piece when your child puts it in place.

Encourage your child to play with blocks. Take turns building towers andknocking them down.

Do art projects with your child using crayons, paint, and paper. Describewhat your child makes and hang it on the wall or rerigerator.

Ask your child to help you open doors and drawers and turn pages in abook or magazine.

Once your child walks well, ask her to carry small things or you.

Kick a ball back and orth 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 onnature trails. Watch your child closely.



q Doesnt know what to do withcommon things, like a brush,

phone, ork, spoonq Doesnt copy actions and wordsq Doesnt ollow simple instructions

q Doesnt use 2-word phrases(or example, drink milk)

q Doesnt walk steadilyq Loses skills she once had



community who is amiliar with services or young children in your area,such as your states public early intervention program. For more inormation,


The American Academy o Pediatrics recommends that all children be screened

or general development and autism at the 24-month visit. Ask your childs

doctor about your childs developmental screening.



17/24



What children do

at this age

How you can help your childs developmentSocial/Emotional

q Copies adults and riendsq Shows aection or riends

without prompting

q Takes turns in gamesq Shows concern or a crying riendq Dresses and undresses sel

q Follows instructions with 2 or 3 steps q Talks well enough or strangersq Can name most amiliar things to understand most o the timeqqq

Understands words like in,

on, and under

Says rst name, age, and sex

Names a riend

q

q

Says words like I, me, we,

and you and some plurals

(cars, dogs, cats)

Carries on a conversation using

2 to 3 sentences

q Understands the idea o mineand his or hers

q Shows a wide range o emotionsq Separates easily rom mom and dadq May get upset with major changes

in routine

Go to play groups with your child or other places where there are otherchildren, to encourage getting along with others.

Work with your child to solve the problem when he is upset. Talk about your childs emotions. For example, say, I can tell you eel

mad because you threw the puzzle piece. Encourage your child to identiy

eelings in books.

Set rules and limits or your child, and stick to them. I your child breaksa rule, give him a time out or 30 seconds to 1 minute in a chair or in his

room. Praise your child or ollowing the rules.

Give your child instructions with 2 or 3 steps. For example, Go to yourroom and get your shoes and coat.

Read to your child every day. Ask your child to point to things in thepictures and repeat words ater you.

Give your child an activity box with paper, crayons, and coloring books.Color and draw lines and shapes with your child.




18/24



q Can work toys with buttons, levers, q Copies a circle with pencil or crayonand moving parts

q Turns book pages one at a timeq Plays make-believe with dolls,

animals, and peopleq

Builds towers o more than6 blocks

q Does puzzles with 3 or 4 piecesq Screws and unscrews jar lids or

q Understands what two means turns door handle

q Climbs wellq Runs easilyq Pedals a tricycle (3-wheel bike)

q Walks up and down stairs, oneoot on each step

Play matching games. Ask your child to nd objects in books or aroundthe house that are the same.

Play counting games. Count body parts, stairs, and other things you useor see every day.

Hold your childs hand going up and down stairs. When she can go up anddown easily, encourage her to use the railing.

Play outside with your child. Go to the park or hiking trail. Allow your childto play reely and without structured activities.Movement/Physical Development


q Falls down a lot or has troublewith stairs

q Drools or has very unclear speechq Cant work simple toys (such as

peg boards, simple puzzles,

turning a handle)

q Doesnt understand simpleinstructions

q Doesnt speak in sentencesq Doesnt make eye contactq Doesnt play pretend or

make-believe

q Doesnt want to play with otherchildren or with toys



possible developmental delay for this age,and talk with someone in

your community who is amiliar with services or young children in your

area, such as your local public school. For more inormation, go towww.cdc.gov/concerned.



19/24



What children do

at this age



q Enjoys doing new thingsq Is more and more creative

with make-believe play

q Would rather play with otherchildren than by himsel

q Cooperates with other children

q Tells storiesq Sings a song or says a poem

rom memory such as the

Itsy Bitsy Spider or the

Wheels on the Bus

q Plays Mom or Dadq Oten cant tell whats real and

whats make-believe

q Talks about what she likes andwhat she is interested in

q Knows some basic rules ogrammar, such as correctly usinghe and she

q Can say rst and last name

Play make-believe with your child. Let her be the leader and copy whatshe is doing.

Suggest your child pretend play an upcoming event that might makehim nervous, like going to preschool or staying overnight at a

grandparents house.

Give your child simple choices whenever you can. Let your child choosewhat to wear, play, or eat or a snack. Limit choices to 2 or 3.

During play dates, let your child solve her own problems with riends, butbe nearby to help out i needed.

Encourage your child to use words, share toys, and take turns playing gameso one anothers choice.

Give your child toys to build imagination, like dress-up clothes, kitchensets, and blocks.

Use good grammar when speaking to your child. Instead o Mommywants you to come here, say, I want you to come here.



20/24




q Names some colors and some q Draws a person with 2 to 4numbers body parts

q Understands the idea o counting q Uses scissorsq Starts to understand time q Starts to copy some capital lettersq Remembers parts o a story q Plays board or card gamesq Understands the idea o same q Tells you what he thinks is going

and dierent to happen next in a book

q Hops and stands on one oot upto 2 seconds

q Pours, cuts with supervision,and mashes own ood

q Catches a bounced ball most othe time

Use words like rst, second, and nally when talking about everydayactivities. This will help your child learn about sequence o events.

Take time to answer your childs why questions. I you dont know theanswer, say I dont know, or help your child nd the answer in a book,

on the Internet, or rom another adult.

When you read with your child, ask him to tell you what happened in thestory as you go.

Say colors in books, pictures, and things at home. Count common items,like the number o snack crackers, stairs, or toy trains.

Teach your child to play outdoor games like tag, ollow the leader, and duck,duck, goose.

Play your childs avorite music and dance with your child. Take turnscopying each others moves.


q Cant retell a avorite storyq Speaks unclearly

q Loses skills he once hadq Cant jump in placeq Has trouble scribblingq Shows no interest in interactive

games or make-believe

q Ignores other children ordoesnt respond to people

outside the amily

q Resists dressing, sleeping,and using the toilet

q Doesnt understand sameand dierent

q Doesnt use me and youcorrectly

q Doesnt ollow 3-part commands




area, such as your local public school. For more inormation, go to

www.cdc.gov/concerned.



21/24



What children do

at this age



q Wants to please riendsq Wants to be like riendsq More likely to agree with rulesq Likes to sing, dance, and actq Is aware o genderq Can tell whats real and whats

make-believe

q Speaks very clearly q Uses uture tense; or example,q Tells a simple story using ull Grandma will be here.

sentences q Says name and address

q Shows more independence(or example, may visit a next-door

neighbor by himsel [adultsupervision is still needed])

q Is sometimes demanding andsometimes very cooperative

Continue to arrange play dates, trips to the park, or play groups. Giveyour child more reedom to choose activities to play with riends, and let

your child work out problems on her own.Your child might start to talk back or use proanity (swear words) as a

way to eel independent. Do not give a lot o attention to this talk, other

than a brie time out. Instead, praise your child when he asks or things

nicely and calmly takes no or an answer.

This is a good time to talk to your child about sae touch. No one shouldtouch private parts except doctors or nurses during an exam or parents

when they are trying to keep the child clean.

Teach your child her address and phone number. When reading to your child, ask him to predict what will happen next in

the story.

Encourage your child to read by looking at the pictures and tellingthe story.



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q Counts 10 or more thingsq Can draw a person with at least

6 body parts

q Copies a triangle and other shapes

q Stands on one oot or 10 seconds q Uses a ork and spoon andor longer sometimes a table knie

q Hops; may be able to skip q Can use the toilet on her ownq Can do a somersault q Swings and climbs

q Can print some letters or numbersq Knows about things used every

day, like money and ood

Teach your child time concepts like morning, aternoon, evening, today,tomorrow, and yesterday. Start teaching the days o the week.

Explore your childs interests in your community. For example, i your childloves animals, visit the zoo or petting arm. Go to the library or look on the

Internet to learn about these topics.

Keep a handy box o crayons, paper, paint, child scissors, and paste.Encourage your child to draw and make art projects with dierent supplies.

Play with toys that encourage your child to put things together. Teach your child how to pump her legs back and orth on a swing. Help your child climb on the monkey bars.

Go on walks with your child, do a scavenger hunt in your neighborhood orpark, help him ride a bike with training wheels (wearing a helmet).






area, such as your local public school. For more inormation, go to

www.cdc.gov/concerned.

q Doesnt show a wide range oemotions

q Shows extreme behavior(unusually earul, aggressive,

shy, or sad)q Unusually withdrawn and not activeq Is easily distracted, has trouble

ocusing on one activity or more

than 5 minutes

q Doesnt respond to people, orresponds only supercially

q Cant tell whats real and whatsmake-believe

q Doesnt play a variety o gamesand activities

q Cant give rst and last nameq Doesnt draw pictures

q Doesnt talk about daily activitiesor experiences

q Doesnt use plurals or pasttense properly

q Cant brush teeth, wash anddry hands, or get undressed

without help




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Questions for my Childs Doctor

6 Months2 Months

4 Months 9 Months



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Questions for my Childs Doctor

1 Year 3 Years

18 Months

2 Years

4 Years

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milestone moment seng 508

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