Milestone Moments Booklet Printer FNL 2020 P

Milestone Moments
Learn the Signs. Act Early.
Learn the Signs. Act Early.

www.cdc.gov/Milestones
1-800-CDC-INFO (1-800-232-4636)
Adapted from CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5, Fifth Edition, edited by Steven
Milestones Matter!
Shelov and Tanya Remer Altmann © 1991, 1993, 1998, 2004, 2009 by the American Academy of Pediatrics and
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 of Pediatrics. Look inside for milestones to watch for in your child and
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; Julia Whitney, BS; and
tips for how you can help your child learn and grow.
Rebecca Wolf, MA.
Download
Centers for Disease CDC’s Milestone
Control and Prevention Tracker App
www.cdc.gov/Milestones
1-800-CDC-INFO
220788
Milestone Moments
3 Years
How your child plays, learns, speaks, acts, and
____________________________________________________________
moves offers important clues about your child’s
____________________________________________________________
development. Developmental milestones are things
___________________________________________________________
most children can do by a certain age.
____________________________________________________________
___________________________________________________________
The lists that follow have milestones to look for when your child is:
4 Years
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 (1½ Years) ........................................... page 23 – 26 5 Years
2 Years................................................................... page 27 – 30 ____________________________________________________________
3 Years................................................................... page 31 – 34 ____________________________________________________________
___________________________________________________________
4 Years................................................................... page 35 – 38
____________________________________________________________
5 Years................................................................... page 39 – 42 ___________________________________________________________
Notes ..................................................................... page 43 – 46
1 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 46

Questions for My Child’s Doctor
1 Year
____________________________________________________________
____________________________________________________________
___________________________________________________________
____________________________________________________________
___________________________________________________________
18 Months
____________________________________________________________ Check the milestones your child has reached by each age.
____________________________________________________________
Take this booklet with you and talk to your child’s doctor at every
___________________________________________________________ well-child visit about the milestones your child has reached and
____________________________________________________________ what to expect next.
___________________________________________________________
2 Years
For more information,
____________________________________________________________ go to www.cdc.gov/Milestones or try
____________________________________________________________ CDC’s FREE Milestone Tracker app!
___________________________________________________________
____________________________________________________________
___________________________________________________________

Your Baby by 2 Months
What most babies

do by this age
Social/Emotional Milestones
6 Months
q Can briefy calm himself q Begins to smile at people
____________________________________________________________
(may bring hands to mouth and q Tries to look at parent
suck on hand) ____________________________________________________________
___________________________________________________________
Language/Communication Milestones ____________________________________________________________
___________________________________________________________
q Coos, makes gurgling sounds q Turns head toward sounds
Cognitive Milestones (learning, thinking, problem-solving) 9 Months
q Pays attention to faces q Begins to act bored (cries, fussy) ____________________________________________________________
q Begins to follow things with eyes if activity doesn’t change ____________________________________________________________

and recognize people at a distance ___________________________________________________________
____________________________________________________________
___________________________________________________________

Talk with your child’s doctor at every visit about the milestones
Questions for My Child’s Doctor your child has reached and what to expect next.
How you can help your baby’s development

2 Months
➔ Cuddle, talk, and play with your baby during feeding, dressing, and bathing.
____________________________________________________________
➔ Help your baby learn to calm herself. It’s okay for her to suck on
____________________________________________________________
her fingers.
___________________________________________________________
➔ Begin to help your baby get into a routine, such as sleeping at night more
____________________________________________________________ than in the day, and have regular schedules.
___________________________________________________________ ➔ Getting in tune with your baby’s likes and dislikes can help you feel more
comfortable and confdent.
➔ Act excited and smile when your baby makes sounds.
4 Months
➔ Copy your baby’s sounds sometimes, but also use clear language.
____________________________________________________________ ➔ Pay attention to your baby’s different 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-safe mirror in your baby’s crib so she can look at herself.

Movement/Physical Development Milestones How you can help your child’s development
q Can hold head up and begins q Makes smoother movements ➔ Teach your child time concepts like morning, afternoon, evening, today,
to push up when lying on with arms and legs tomorrow, and yesterday. Start teaching the days of the week.
tummy ➔ Explore your child’s interests in your community. For example, if your child
loves animals, visit the zoo or petting farm. Go to the library or look on the
Internet to learn about these topics.
➔ Keep a handy box of crayons, paper, paint, child scissors, and paste.
Encourage your child to draw and make art projects with different supplies.
➔ Play with toys that encourage your child to put things together.
➔ Teach your child how to pump her legs back and forth on a swing.
➔ Help your child climb on the monkey bars.
➔ Go on walks with your child, do a scavenger hunt in your neighborhood or
park, help him ride a bike with training wheels (wearing a helmet).
Don’t wait. You know your child best.
q Doesn’t talk about daily activities q Can’t brush teeth, wash and
or experiences dry hands, or get undressed
Act early if your child: q Doesn’t use plurals or past without help
tense properly q Loses skills he once had
q Is missing milestones q Doesn’t smile at people
Tell your child’s doctor or nurse if you notice any of these signs of possible
q Doesn’t respond to loud sounds q Doesn’t bring hands to mouth developmental delay and ask for a developmental screening.
q Doesn’t watch things as they move q Can’t hold head up when pushing If you or the doctor is still concerned
up when on tummy 1. Ask for a referral to a specialist and,
2. Call any local public elementary school for a free evaluation to fnd out if your
child can get services to help.
For more information, go to cdc.gov/Concerned.

Your Child by 5 Years
Cognitive Milestones (learning, thinking, problem-solving) How you can help your baby’s development
q Counts 10 or more things q Can print some letters or numbers ➔ Look at pictures with your baby and talk about them.
q Can draw a person with at least q Knows about things used every ➔ Lay your baby on his tummy when he is awake and put toys near him.
6 body parts day, like money and food
➔ Encourage your baby to lift his head by holding toys at eye level in front of him.
q Copies a triangle and other shapes
➔ Hold a toy or rattle above your baby’s head and encourage her to reach for it.
➔ Hold your baby upright with his feet on the foor. Sing or talk to your baby
Movement/Physical Development Milestones as he is upright.
q Stands on one foot for 10 seconds q Uses a fork and spoon and
or longer sometimes a table knife
q Hops; may be able to skip q Can use the toilet on her own
q Can do a somersault q Swings and climbs
Act early if your child:
q Is missing milestones q Doesn’t respond to people, or

q Doesn’t show a wide range of responds only superfcially
emotions q Can’t tell what’s real and what’s Don’t wait. You know your child best.
q Shows extreme behavior make-believe
(unusually fearful, aggressive, q Doesn’t play a variety of games developmental delay and ask for a developmental screening.
shy, or sad) and activities
If you or the doctor is still concerned
q Unusually withdrawn and not active q Can’t give frst and last name
1. Ask for a referral to a specialist and,
q Is easily distracted, has trouble q Doesn’t draw pictures 2. Call your state or territory’s early intervention program to fnd out if your child
focusing on one activity for more can get services to help. Learn more and fnd the number at cdc.gov/FindEI.
than 5 minutes

Your Baby by 4 Months your child has reached and what to expect next.
What most babies

do by this age
Social/Emotional Milestones How you can help your child’s development
q Smiles spontaneously, especially q Likes to play with people and ➔ Continue to arrange play dates, trips to the park, or play groups. Give
at people might cry when playing stops your child more freedom to choose activities to play with friends, and let
q Copies some movements and your child work out problems on her own.
facial expressions, like smiling ➔ Your child might start to talk back or use profanity (swear words) as a
or frowning way to feel independent. Do not give a lot of attention to this talk, other
than a brief time out. Instead, praise your child when he asks for things
nicely and calmly takes “no” for an answer.
Language/Communication Milestones
➔ This is a good time to talk to your child about safe touch. No one should
q Begins to babble q Cries in different ways to show touch “private parts” except doctors or nurses during an exam or parents
hunger, pain, or being tired when they are trying to keep the child clean.
q Babbles with expression and
copies sounds he hears ➔ 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 telling
the story.

Your Child by 5 Years your child has reached and what to expect next.
What most children

do by this age
Social/Emotional Milestones How you can help your baby’s development
q Wants to please friends q Shows more independence ➔ Hold and talk to your baby; smile and be cheerful while you do.
q Wants to be like friends (for example, may visit a next-door ➔ Set steady routines for sleeping and feeding.
neighbor by himself [adult
q More likely to agree with rules supervision is still needed]) ➔ Pay close attention to what your baby likes and doesn’t like; you will
q Likes to sing, dance, and act know how best to meet his needs and what you can do to make your
q Is sometimes demanding and
baby happy.
q Is aware of gender sometimes very cooperative
➔ Copy your baby’s sounds.
q Can tell what’s real and what’s
make-believe ➔ Act excited and smile when your baby makes sounds.
➔ Have quiet play times when you read or sing to your baby.
Language/Communication Milestones ➔ Give age-appropriate toys to play with, such as rattles or colorful
pictures.
q Speaks very clearly q Uses future tense; for example, ➔ Play games such as peek-a-boo.
q Tells a simple story using full “Grandma will be here.”
➔ Provide safe opportunities for your baby to reach for toys and explore
sentences q Says name and address his surroundings.
➔ Put toys near your baby so that she can reach for them or kick her feet.

Cognitive Milestones (learning, thinking, problem-solving) How you can help your child’s development
q Lets you know if she is happy q Follows moving things with eyes ➔ Use words like “frst,” “second,” and “fnally” when talking about everyday
or sad from side to side activities. This will help your child learn about sequence of events.
q Responds to affection q Watches faces closely ➔ Take time to answer your child’s “why” questions. If you don’t know the
answer, say “I don’t know,” or help your child fnd the answer in a book,
q Reaches for toy with one hand q Recognizes familiar people and on the Internet, or from another adult.
q Uses hands and eyes together, things at a distance
➔ When you read with your child, ask him to tell you what happened in the
such as seeing a toy and
story as you go.
reaching for it
➔ Say colors in books, pictures, and things at home. Count common items,
like the number of snack crackers, stairs, or toy trains.
Movement/Physical Development Milestones
➔ Teach your child to play outdoor games like tag, follow the leader, and duck,
q Holds head steady, unsupported q Can hold a toy and shake it and duck, goose.
q Pushes down on legs when feet swing at dangling toys ➔ Play your child’s favorite music and dance with your child. Take turns
are on a hard surface q Brings hands to mouth copying each other’s moves.
q May be able to roll over from q When lying on stomach, pushes
tummy to back up to elbows Don’t wait. You know your child best.
q Can’t retell a favorite story q Loses skills he once had

q Speaks unclearly
q Is missing milestones q Doesn’t bring things to mouth
q Doesn’t watch things as they move q Doesn’t push down with legs developmental delay and ask for a developmental screening.
q Doesn’t smile at people when feet are placed on a
hard surface
q Can’t hold head steady 1. Ask for a referral to a specialist and,
q Has trouble moving one or both 2. Call any local public elementary school for a free evaluation to fnd out if your
q Doesn’t coo or make sounds eyes in all directions child can get services to help.

q Names some colors and some q Draws a person with 2 to 4 ➔ Put toys or rattles in your baby’s hand and help him to hold them.
numbers body parts
➔ Hold your baby upright with feet on the foor, and sing or talk to your
q Understands the idea of counting q Uses scissors
baby as she “stands” with support.
q Starts to understand time q Starts to copy some capital letters
q Remembers parts of a story q Plays board or card games
q Understands the idea of “same” q Tells you what he thinks is going
and “different” to happen next in a book
q Hops and stands on one foot up q Catches a bounced ball most of

to 2 seconds the time
q Pours, cuts with supervision,
and mashes own food
q Is missing milestones q Resists dressing, sleeping, Don’t wait. You know your child best.
q Has trouble scribbling and using the toilet
q Doesn’t understand “same” Tell your child’s doctor or nurse if you notice any of these signs of possible
q Shows no interest in interactive developmental delay and ask for a developmental screening.
games or make-believe and “different”
q Doesn’t use “me” and “you” If you or the doctor is still concerned
q Ignores other children or
doesn’t respond to people correctly 1. Ask for a referral to a specialist and,
outside the family q Doesn’t follow 3-part commands 2. Call your state or territory’s early intervention program to fnd out if your child
can get services to help. Learn more and fnd the number at cdc.gov/FindEI.
q Can’t jump in place

What most babies

do by this age
q Knows familiar faces and begins q Responds to other people’s ➔ Play make-believe with your child. Let her be the leader and copy what
to know if someone is a stranger emotions and often seems happy she is doing.
q Likes to play with others, q Likes to look at self in a mirror ➔ Suggest your child pretend play an upcoming event that might make
especially parents him nervous, like going to preschool or staying overnight at a
grandparent’s house.
➔ Give your child simple choices whenever you can. Let your child choose
what to wear, play, or eat for a snack. Limit choices to 2 or 3.
q Responds to sounds by making q Responds to own name ➔ During play dates, let your child solve her own problems with friends, but
sounds be nearby to help out if needed.
q Makes sounds to show joy and
q Strings vowels together when displeasure ➔ Encourage your child to use words, share toys, and take turns playing games
babbling (“ah,” “eh,” “oh”) and q Begins to say consonant sounds of one another’s choice.
likes taking turns with parent (jabbering with “m,” “b”) ➔ Give your child toys to build imagination, like dress-up clothes, kitchen
while making sounds sets, and blocks.
➔ Use good grammar when speaking to your child. Instead of “Mommy
wants you to come here,” say, “I want you to come here.”

What most children

do by this age
q Enjoys doing new things q Plays “Mom” or “Dad” ➔ Play on the foor with your baby every day.
q Is more and more creative q Often can’t tell what’s real and ➔ Learn to read your baby’s moods. If he’s happy, keep doing what you are
with make-believe play what’s make-believe doing. If he’s upset, take a break and comfort your baby.
q Would rather play with other q Talks about what she likes and ➔ Show your baby how to comfort herself when she’s upset. She may suck
children than by himself what she is interested in on her fngers to self soothe.
q Cooperates with other children ➔ Use “reciprocal” play—when he smiles, you smile; when he makes
sounds, you copy them.
➔ Repeat your child’s sounds and say simple words with those sounds.
For example, if your child says “bah,” say “bottle” or “book.”
q Tells stories q Knows some basic rules of ➔ Read books to your child every day. Praise her when she babbles and
grammar, such as correctly using “reads” too.
q Sings a song or says a poem “he” and “she”
from memory such as the ➔ When your baby looks at something, point to it and talk about it.
“Itsy Bitsy Spider” or the q Can say frst and last name
➔ When he drops a toy on the foor, pick it up and give it back. This game
“Wheels on the Bus” helps him learn cause and effect.
➔ Read colorful picture books to your baby.

q Looks around at things nearby q Brings things to mouth ➔ Play matching games. Ask your child to fnd objects in books or around
q Shows curiosity about things q Begins to pass things from one the house that are the same.
and tries to get things that are hand to the other ➔ Play counting games. Count body parts, stairs, and other things you use
out of reach or see every day.
➔ Hold your child’s hand going up and down stairs. When she can go up and
Movement/Physical Development Milestones down easily, encourage her to use the railing.
➔ Play outside with your child. Go to the park or hiking trail. Allow your child
q Rolls over in both directions q Begins to sit without support to play freely and without structured activities.
(front to back, back to front) q Rocks back and forth, sometimes
q When standing, supports weight crawling backward before
on legs and might bounce moving forward
Act early if your child: Tell your child’s doctor or nurse if you notice any of these signs of possible
developmental delay and ask for a developmental screening.
q Is missing milestones q Seems very foppy, like a rag doll
q Doesn’t try to get things that are q Doesn’t make vowel sounds
in reach (“ah”, “eh”, “oh”) 1. Ask for a referral to a specialist and,
2. Call any local public elementary school for a free evaluation to fnd out if your
q Shows no affection for caregivers q Doesn’t roll over in either direction
child can get services to help.
q Doesn’t respond to sounds q Doesn’t laugh or make squealing
around him sounds For more information, go to cdc.gov/Concerned.
q Has diffculty getting things to mouth q Seems very stiff, with tight muscles

q Can work toys with buttons, levers, q Copies a circle with pencil or crayon ➔ Point out new things to your baby and name them.
and moving parts q Turns book pages one at a time ➔ Show your baby bright pictures in a magazine and name them.
q Plays make-believe with dolls, q Builds towers of more than ➔ Hold your baby up while she sits or support her with pillows. Let her look
animals, and people 6 blocks around and give her toys to look at while she balances.
q Does puzzles with 3 or 4 pieces q Screws and unscrews jar lids or ➔ Put your baby on his tummy or back and put toys just out of reach.
q Understands what “two” means turns door handle Encourage him to roll over to reach the toys.
q Climbs well q Walks up and down stairs, one

q Runs easily foot on each step
q Pedals a tricycle (3-wheel bike)
q Is missing milestones q Doesn’t speak in sentences Don’t wait. You know your child best.
q Falls down a lot or has trouble q Doesn’t make eye contact
with stairs q Doesn’t play pretend or developmental delay and ask for a developmental screening.
q Drools or has very unclear speech make-believe
q Can’t work simple toys (such as q Doesn’t want to play with other
children or with toys 1. Ask for a referral to a specialist and,
peg boards, simple puzzles,
turning a handle) 2. Call your state or territory’s early intervention program to fnd out if your child
q Loses skills he once had can get services to help. Learn more and fnd the number at cdc.gov/FindEI.
q Doesn’t understand simple
instructions For more information, go to cdc.gov/Concerned.

What most babies

do by this age
q May be afraid of strangers q Has favorite toys ➔ Go to play groups with your child or other places where there are other
q May be clingy with familiar adults children, to encourage getting along with others.
➔ Work with your child to solve the problem when he is upset.
➔ Talk about your child’s emotions. For example, say, “I can tell you feel
mad because you threw the puzzle piece.” Encourage your child to identify
q Understands “no” q Copies sounds and gestures feelings in books.
q Makes a lot of different sounds of others ➔ Set rules and limits for your child, and stick to them. If your child breaks
like “mamamama” and q Uses fngers to point at things a rule, give him a time out for 30 seconds to 1 minute in a chair or in his
“bababababa” room. Praise your child for following the rules.
➔ Give your child instructions with 2 or 3 steps. For example, “Go to your
room and get your shoes and coat.”
➔ Read to your child every day. Ask your child to point to things in the
pictures and repeat words after you.
➔ Give your child an “activity box” with paper, crayons, and coloring books.
Color and draw lines and shapes with your child.

What most children

do by this age
q Copies adults and friends q Understands the idea of “mine” ➔ Pay attention to the way he reacts to new situations and people; try to
q Shows affection for friends and “his” or “hers” continue to do things that make your baby happy and comfortable.
without prompting q Shows a wide range of emotions ➔ As she moves around more, stay close so she knows that you are near.
q Takes turns in games q Separates easily from mom and dad ➔ Continue with routines; they are especially important now.
q Shows concern for a crying friend q May get upset with major changes ➔ Play games with “my turn, your turn.”
q Dresses and undresses self in routine
➔ Say what you think your baby is feeling. For example, say, “You are so sad,
let’s see if we can make you feel better.”
Language/Communication Milestones ➔ Describe what your baby is looking at; for example, “red, round ball.”
q Follows instructions with 2 or 3 steps q Talks well enough for strangers ➔ Talk about what your baby wants when he points at something.
q Can name most familiar things to understand most of the time ➔ Copy your baby’s sounds and words.
q Understands words like “in,” q Says words like “I,” “me,” “we,” ➔ Ask for behaviors that you want. For example, instead of saying
“on,” and “under” and “you” and some plurals “don’t stand,” say “time to sit.”
(cars, dogs, cats)
q Says frst name, age, and sex ➔ Teach cause-and-effect by rolling balls back and forth, pushing toy cars
q Carries on a conversation using and trucks, and putting blocks in and out of a container.
q Names a friend 2 to 3 sentences

How you can help your child’s development

Cognitive Milestones (learning, thinking, problem-solving)
➔ Hide your child’s toys around the room and let him fnd them.
q Watches the path of something q Moves things smoothly from
➔ Help your child do puzzles with shapes, colors, or farm animals. Name
as it falls one hand to the other
each piece when your child puts it in place.
q Looks for things he sees you hide q Picks up things like cereal o’s ➔ Encourage your child to play with blocks. Take turns building towers and
q Plays peek-a-boo between thumb and index fnger knocking them down.
q Puts things in her mouth ➔ Do art projects with your child using crayons, paint, and paper. Describe
what your child makes and hang it on the wall or refrigerator.
➔ Ask your child to help you open doors and drawers and turn pages in a
Movement/Physical Development Milestones book or magazine.
➔ Once your child walks well, ask her to carry small things for you.
q Stands, holding on q Can get into sitting position
➔ Kick a ball back and forth with your child. When your child is good at that,
q Sits without support q Pulls to stand encourage him to run and kick.
q Crawls ➔ Take your child to the park to run and climb on equipment or walk on
nature trails. Watch your child closely.
It’s time for developmental screening!

At 2 years, your child is due for general developmental screening and an autism
screening, as recommended for all children by the American Academy of Pediatrics.
Act early if your child: Ask the doctor about your child’s developmental screening.
q Is missing milestones q Doesn’t respond to own name
q Doesn’t bear weight on legs q Doesn’t seem to recognize
with support familiar people Tell your child’s doctor or nurse if you notice any of these signs of possible
q Doesn’t sit with help q Doesn’t look where you point
q Doesn’t babble q Doesn’t transfer toys from one
(“mama”, “baba”, “dada”) hand to the other 1. Ask for a referral to a specialist and,
2. Call your state or territory’s early intervention program to fnd out if your child
q Doesn’t play any games involving can get services to help. Learn more and fnd the number at cdc.gov/FindEI.
back-and-forth play

Cognitive Milestones (learning, thinking, problem-solving)

How you can help your baby’s development
q Finds things even when hidden q Might use one hand more than
➔ Play peek-a-boo and hide-and-seek.
under two or three covers the other
➔ Read and talk to your baby.
q Begins to sort shapes and colors q Follows two-step instructions such
q Completes sentences and rhymes as “Pick up your shoes and put ➔ Provide lots of room for your baby to move and explore in a safe area.
in familiar books them in the closet.” ➔ Put your baby close to things that she can pull up on safely.
q Plays simple make-believe games q Names items in a picture book
such as a cat, bird, or dog
q Builds towers of 4 or more blocks
q Stands on tiptoe q Climbs onto and down from

q Kicks a ball furniture without help It’s time for developmental screening!
q Throws ball overhand At 9 months, your child is due for general developmental screening, as
q Begins to run
recommended for all children by the American Academy of Pediatrics. Ask the
q Walks up and down stairs holding on q Makes or copies straight lines
doctor about your child’s developmental screening.
and circles

q Doesn’t follow simple instructions If you or the doctor is still concerned

q Is missing milestones
q Doesn’t know what to do with q Doesn’t use 2-word phrases 1. Ask for a referral to a specialist and,
common things, like a brush, (for example, “drink milk”) 2. Call your state or territory’s early intervention program to fnd out if your child
phone, fork, spoon q Doesn’t walk steadily
q Doesn’t copy actions and words For more information, go to cdc.gov/Concerned.
q Loses skills she once had

Your Child by 1 Year your child has reached and what to expect next.
What most children

do by this age
q Is shy or nervous with strangers q Repeats sounds or actions to ➔ Encourage your child to help with simple chores at home, like sweeping
q Cries when mom or dad leaves get attention and making dinner. Praise your child for being a good helper.
q Has favorite things and people q Puts out arm or leg to help with ➔ At this age, children still play next to (not with) each other and don’t share
dressing well. For play dates, give the children lots of toys to play with. Watch the
q Shows fear in some situations children closely and step in if they fght or argue.
q Plays games such as
q Hands you a book when he wants “peek-a-boo” and “pat-a-cake” ➔ Give your child attention and praise when he follows instructions. Limit
to hear a story
attention for defant behavior. Spend a lot more time praising good
behaviors than punishing bad ones.
Language/Communication Milestones ➔ Teach your child to identify and say body parts, animals, and other
common things.
q Responds to simple spoken q Says “mama” and “dada” and
➔ Do not correct your child when he says words incorrectly. Rather, say it
requests exclamations like “uh-oh!”
correctly. For example, “That is a ball.”
q Uses simple gestures, like shaking q Tries to say words you say
➔ Encourage your child to say a word instead of pointing. If your child
head “no” or waving “bye-bye”
can’t say the whole word (“milk”), give her the frst sound (“m”) to help.
q Makes sounds with changes in Over time, you can prompt your child to say the whole sentence —
tone (sounds more like speech) “I want milk.”

What most children

do by this age
q Copies others, especially adults q Shows defant behavior (doing ➔ Give your child time to get to know a new caregiver. Bring a favorite toy,
and older children what he has been told not to) stuffed animal, or blanket to help comfort your child.
q Gets excited when with other q Plays mainly beside other ➔ In response to unwanted behaviors, say “no” frmly. Do not yell, spank,
children children, but is beginning to or give long explanations. A time out for 30 seconds to 1 minute might
q Shows more and more include other children, such as help redirect your child.
independence in chase games
➔ Give your child lots of hugs, kisses, and praise for good behavior.
➔ Spend a lot more time encouraging wanted behaviors than punishing
Language/Communication Milestones unwanted behaviors (4 times as much encouragement for wanted
behaviors as redirection for unwanted behaviors).
q Points to things or pictures when q Follows simple instructions ➔ Talk to your child about what you’re doing. For example, “Mommy is
they are named q Repeats words overheard in washing your hands with a washcloth.”
q Knows names of familiar people conversation ➔ Read with your child every day. Have your child turn the pages. Take turns
and body parts q Points to things in a book labeling pictures with your child.
q Says sentences with 2 to 4 words ➔ Build on what your child says or tries to say, or what he points to.
If he points to a truck and says “t” or “truck,” say, “Yes, that’s a big,
blue truck.”

Your Child by 1 Year
q Explores things in different ways, q Bangs two things together ➔ Hide things under blankets and pillows and encourage him to fnd them.
like shaking, banging, throwing q Starts to use things correctly; ➔ Play with blocks, balls, puzzles, books, and toys that teach cause and
q Finds hidden things easily for example, drinks from a cup, effect and problem solving.
q Looks at the right picture or thing brushes hair ➔ Name pictures in books and body parts.
when it’s named q Lets things go without help ➔ Provide toys that encourage pretend play; for example, dolls, play
q Copies gestures q Pokes with index (pointer) fnger telephones.
q Puts things in a container, takes q Follows simple directions like ➔ Provide safe areas for your child to walk and move around in.
things out of a container “pick up the toy” ➔ Provide toys that she can push or pull safely.
➔ Provide balls for her to kick, roll, and throw.
Movement/Physical Development Milestones ➔ Encourage him to drink from his cup and use a spoon, no matter
how messy.
q Gets to a sitting position q May take a few steps without
➔ Blow bubbles and let your child pop them.
without help holding on
q Pulls up to stand, walks holding q May stand alone It’s time for developmental screening!
on to furniture (“cruising”) At 18 months, your child is due for general developmental screening and an autism
screening, as recommended for all children by the American Academy of Pediatrics.
Ask the doctor about your child’s developmental screening.
Act early if your child: Don’t wait. You know your child best.
q Is missing milestones q Doesn’t point to things Tell your child’s doctor or nurse if you notice any of these signs of possible
q Doesn’t crawl q Doesn’t learn gestures like developmental delay and ask for a developmental screening.
q Can’t stand when supported waving or shaking head If you or the doctor is still concerned
q Doesn’t search for things that q Doesn’t say single words like 1. Ask for a referral to a specialist and,
she sees you hide “mama” or “dada” 2. Call your state or territory’s early intervention program to fnd out if your child
q Loses skills he once had can get services to help. Learn more and fnd the number at cdc.gov/FindEI.

Your Child by 18 Months
q Knows what ordinary things are q Points to get the attention of others ➔ Give your child crayons and paper, and let your child draw freely. Show your
for; for example, telephone, child how to draw lines up and down and across the page. Praise your child
q Scribbles on his own when she tries to copy them.
brush, spoon
q Can follow 1-step verbal ➔ Play with blocks, shape sorters, and other toys that encourage your child
q Points to one body part commands without any gestures; to use his hands.
q Shows interest in a doll or stuffed for example, sits when you say ➔ Hide small toys and other things and have your child fnd them.
animal by pretending to feed “sit down” ➔ 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 or
cymbals. Encourage your child to make noise.
q Walks alone q Can help undress herself
➔ Provide lots of safe places for your toddler to explore. (Toddler-proof your
q May walk up steps and run q Drinks from a cup home. Lock away products for cleaning, laundry, lawn care, and car care.
q Pulls toys while walking q Eats with a spoon Use a safety gate and lock doors to the outside and the basement.)
➔ Give your child push toys like a wagon or “kiddie push car.”
Act early if your child: Don’t wait. You know your child best.
q Is missing milestones q Doesn’t copy others
q Doesn’t point to show things q Doesn’t gain new words
to others If you or the doctor is still concerned
q Doesn’t have at least 6 words
q Can’t walk 1. Ask for a referral to a specialist and,
q Doesn’t notice or mind when a
2. Call your state or territory’s early intervention program to fnd out if your child
q Doesn’t know what familiar caregiver leaves or returns
things are for q Loses skills he once had

Your Child by 18 Months your child has reached and what to expect next.
What most children

do by this age
q Likes to hand things to others q May cling to caregivers in new ➔ Provide a safe, loving environment. It’s important to be consistent and
as play situations predictable.
q May have temper tantrums q Points to show others something ➔ Praise good behaviors more than you punish bad behaviors (use only
q May be afraid of strangers interesting very brief time outs).
q Shows affection to familiar people q Explores alone but with parent ➔ Describe her emotions. For example, say, “You are happy when we read
close by this book.”
q Plays simple pretend, such as
feeding a doll ➔ 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.
q Says several single words q Points to show someone what ➔ Copy your child’s words.
q Says and shakes head “no” he wants
➔ Use words that describe feelings and emotions.
➔ Use simple, clear phrases.
➔ Ask simple questions.

Milestone Moments Booklet Printer FNL 2020 P

Uploaded by

Copyright:

Available Formats

You might also like

Milestone Moments Booklet Printer FNL 2020 P

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Milestone Moments Booklet Printer FNL 2020 P

Uploaded by

Copyright:

Available Formats

Milestone Moments

Learn the Signs. Act Early.

Learn the Signs. Act Early.

1 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 46

45 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 2

What most babies

Cognitive Milestones (learning, thinking, problem-solving) 9 Months

q Pays attention to faces q Begins to act bored (cries, fussy) ____________________________________________________________

q Begins to follow things with eyes if activity doesn’t change ____________________________________________________________

3 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 44

How you can help your baby’s development

____________________________________________________________ ➔ Play peek-a-boo. Help your baby play peek-a-boo, too.

43 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 4

Don’t wait. You know your child best.

5 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 42

Act early if your child:

q Is missing milestones q Doesn’t respond to people, or

41 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 6

What most babies

Social/Emotional Milestones How you can help your child’s development

7 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 40

What most children

Social/Emotional Milestones How you can help your baby’s development

39 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 8

q Can’t retell a favorite story q Loses skills he once had

9 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 38

Movement/Physical Development Milestones

q Hops and stands on one foot up q Catches a bounced ball most of

Act early if your child:

37 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 10

What most babies

Social/Emotional Milestones How you can help your child’s development

11 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 36

What most children

Social/Emotional Milestones How you can help your baby’s development

35 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 12

Don’t wait. You know your child best.

13 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 34

Movement/Physical Development Milestones

q Climbs well q Walks up and down stairs, one

q Pedals a tricycle (3-wheel bike)

Act early if your child:

33 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 14

What most babies

Social/Emotional Milestones How you can help your child’s development

15 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 32

What most children

Social/Emotional Milestones How you can help your baby’s development

31 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 16

How you can help your child’s development

It’s time for developmental screening!

17 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 30

Cognitive Milestones (learning, thinking, problem-solving)

Movement/Physical Development Milestones

q Stands on tiptoe q Climbs onto and down from

Don’t wait. You know your child best.

q Doesn’t follow simple instructions If you or the doctor is still concerned

29 Learn the Signs. Act Early. www.cdc.gov/Milestones | 1-800-CDC-INFO (1-800-232-4636) 18

What most children