MilestoneMomentsEng508_CDC

8/6/2019 MilestoneMomentsEng508_CDC

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www.cdc.gov/milestones

1-800-CDC-INFO

Learn the Signs. Act Early.

Learn the Signs. Act Early.

Milestone Moments

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;

and Rebecca Wol, MA.

Adapted with permission rom 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 o Pediatrics.

Centers for Disease

Control and Prevention


1-800-CDC-INFO

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

Control and Prevention


1-800-CDC-INFO
http://www.cdc.gov/milestoneshttp://www.cdc.gov/milestoneshttp://www.cdc.gov/milestoneshttp://www.cdc.gov/milestones


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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..............................................................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 towww.cdc.gov/milestones

or call 1-800-CDC-INFO

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


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What babies do at this age

and how you can help their

development.

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 child learn and grow

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

q Attempts 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 smile 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 child learn and grow

q Can hold head up and beginsto push up when lying on

tummy

q Makes smoother movementswith arms and legs

Hold and talk to your baby; smile and be cheerul while you do. Look at pictures with your baby and talk about them. Lay your baby on his tummy when he is awake and put toys near him. 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 baby:

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/concernedor call 1-800-CDC-INFO.



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Talk with your childs doctor at every visit about the milestones




development.


q Smiles and laughs, especially q Likes to play with people and Hold and talk to your baby; smile and be cheerul while you do.at people might cry when playing stops

Set steady routines or sleeping and eeding.q Copies some movements and q Waves arms and kicks legs to Pay close attention to what your baby likes and doesnt like; you will

acial expressions, like smiling show excitementknow how best to meet his needs and what you can do to make your

or rowningbaby happy.

Language/Communication Copy your babys sounds.Act excited and smile when your baby makes sounds.

q Coos (ooo or aaa) when you q Cries in dierent ways to show Have quiet play times when you read or sing to your baby.talk to him hunger, pain, or being tired Give age-appropriate toys to play with, such as rattles or colorul

q Babbles with expression and pictures.copies sounds they hear Play games such as peek-a-boo.

Provide sae opportunities or your baby to reach or toys and explorehis 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 child learn and grow

qq

Lets you know i she is happy

or sad

Responds to aection

qq

Follows moving things with eyes

rom side to side

Watches aces closely

Put toys or rattles in your babys hand and help him to hold them. Hold your baby upright with eet on the foor, and sing or talk to your

baby as she stands with support.qq

Reaches or toy with one hand

Uses hands and eyes together,

q Recognizes amiliar people andthings at a distance

such as in playing peek-a-boo

Movement/Physical Development

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 When lying on stomach, pushesq Brings hands to mouth up to elbows


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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development.


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

q Likes to play with others,especially parents

q Makes sounds to show joy anddispleasure

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 Copies soundsq Responds to own nameq Begins 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 Doesnt respond to soundsaround him

q Has diculty getting things tomouth

q Shows no aection or caregiversq Seems very foppy, like a rag doll

q Doesnt roll over in eitherdirection

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

q Doesnt laugh or make squealingsounds

q Seems very sti, with tightmuscles








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development.


q May be araid o strangersq May be clingy with amiliar adults

q Makes a lot o dierent soundslike mamamama and

bababababa

q Expresses emotion whilemaking sounds

q Recognizes amily membersq Has avorite toys

q Understands noq Copies sounds o othersq Uses ngers to point at things

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 as q Experiments with simple Play peek-a-boo and hide-and-seek.it alls cause-and-eect (banging,

Read and talk to your baby.rattling, dropping things)

q Looks or things he sees you hide Provide lots o room or your baby to move and explore in a sae area.q Puts things in her mouth

q Plays peek-a-boo Put your baby close to things that she can pull up on saely.

q Picks up things like cereal osq Transers things smoothly rom

between thumb and index ngerone hand to the other


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

q Doesnt bear weight on legswith support

q Doesnt sitq 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





such as your states public early intervention program. For more inormation,go to www.cdc.gov/concernedor call 1-800-CDC-INFO.

The American Academy o Pediatrics recommends that children be screened

or general development at 9 months. Ask your childs doctor i your child

should be screened.



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What children do at this

age and how you can help

their development.

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



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 copy wordsq Begins to talk in a way that is like

a conversation

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


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 things 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.


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

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




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



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their development.

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




q Recognizes himsel in mirrorq Likes to hand things to others

as play

q May have temper tantrumsq May be araid o strangersq Shows aection to amiliar peopleq Has a ull range o emotions, such

as happy, sad, angry

q Understands almost everythingsaid to her

q Points to show someone whathe wants

q Plays simple pretend, such aseeding a doll

q Clings to caregivers in newsituations

q Points to show others somethinginteresting

q Explores alone but with parentclose by

q Says several single wordsq Says and shakes head noq Points to things in a book

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 areor; or example, telephone,

brush, spoon

q Solves a puzzle with circularpuzzle pieces

q Shows interest in a doll or stuedanimal by pretending to eed

q Walks alone q Can help undress herselq Pulls toys while walking q Drinks rom a cupq Climbs up and down on urniture q Eats with a spoon

q Points to get the attention o othersq Scribbles on his ownq Can ollow 1-step verbalcommands without any gestures;

or example, sits when you say

sit down

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.






such as your states public early intervention program. For more inormation,go to www.cdc.gov/concernedor call 1-800-CDC-INFO.

The American Academy o Pediatrics recommends that children be screened

or general development and autism at 18 months. Ask your childs doctor i

your child should be screened.

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



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their development.

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




q Copies others, especially adultsand older children

q Shows more and moreindependence

q Laughs at unusual words orthings; or example, calling a

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

qnose an ear

Gets excited when with other

children

q Play begins to include otherchildren such as in play tea

parties or chase games

q Points to things or pictures when q Follows simple instructionstheyre named

q Repeats words overheard inq Knows names o amiliar people conversation

and body partsq Is understandable to others hal

q Says sentences with 2 to 4 words the time

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.



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Your Child at 2 Years


q Finds things even when hiddenunder two or three covers

q Begins to sort shapes and colorsq Points to one body partq Plays simple make-believe gamesq Builds towers o 4 or more blocks

q Stands on tiptoeq Kicks a ballq Begins to runq Climbs onto and down rom

urniture without help

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 Walks up and down stairswith help

q Throws ball overhandq Makes or copies straight lines

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.








The American Academy o Pediatrics recommends that children be screened or

autism at 24 months. Ask your childs doctor i your child should be screened.

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

phone, ork, spoon

q Doesnt copy actions and wordsq Doesnt point to body partsq Doesnt ollow simple instructions

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

q Doesnt walk steadilyq Loses skills she once had



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their development.




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 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.

q Copies adults and playmatesq Shows aection or playmates

without prompting

q Takes turns in gamesq Cares about others eelings

q Follows instructions with 2 or 3 stepsq

Can name most amiliar thingsq Understands words like in,

on, and under

q Says rst name, age, and sexq Names a riend

q Understands the idea o mineand his or hers

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

in routine

q Talks well enough or strangersto understand most o the time

q Says words like I, me, we,and you and some plurals

(cars, dogs, cats)

q Carries on a conversation using2 to 3 sentences




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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


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 local

school district. For more inormation, go to www.cdc.gov/concernedor call1-800-CDC-INFO.



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their development.





q Enjoys doing new thingsq Is more and more creative

with make-believe play

q Would rather play with otherchildren than by himsel

q Gets scared easily byunamiliar things

qTells stories

q Sings a song or says a poemrom memory such as the

Itsy Bitsy Spider or the

Wheels on the Bus

q Plays cooperativelyq Plays Mom and Dadq Oten cant tell whats real and

whats make-believe

q Describes what she likes andwhat she is interested in

qKnows some basic rules ogrammar, such as correctly using

he 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.



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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 Says the word or some colors andsome numbers

q Understands the idea o countingq Starts to understand timeq Remembers parts o a storyq Starts to copy some capital lettersq Draws a person with 2 to 4

body parts

q Hops and stands on one oot upto 2 seconds

q Pours, cuts, and mashes own ood

q Uses scissorsq Understands the idea o same

and dierent

q Names our colorsq Plays board or card gamesq Tells you what he thinks is going

to happen next in a book

q Catches a bounced ball most othe time




school district. For more inormation, go to www.cdc.gov/concernedor call

1-800-CDC-INFO.


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



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their development.



q Wants to please riendsq Wants to be like riendsq More likely to agree with rulesq Likes to sing, dance, and actq Shows concern and sympathy

or others

q Is aware o gender


q Speaks very clearlyq Tells a simple story using ull

sentences


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.

q Can tell whats real and whatsmake-believe

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

neighbor by himsel)

q Is sometimes demanding andsometimes very cooperative

q Uses uture tense; or example,Grandma will be here.

q Says name and address



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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 othergeometric shapes

q Can print some letters or numbersq Can tell a simple storyq Knows about things used everyday, like money and ood

Cognitive (learning, thinking, problem-solving)

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).

q Stands on one oot or 10 secondsor longer

q Hops; may be able to skipq Can do a somersault

q Uses a ork and spoon andsometimes a table knie

q Can use the toilet on her ownq Swings and climbs

How you can help your child learn and grow






school district. For more inormation, go to www.cdc.gov/concernedor call

1-800-CDC-INFO.

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

5 Years

Documents

MilestoneMomentsEng508_CDC