How to Help Your Baby Reach Metnal Milestones

Thanks to the American Academy of Pediatrics for this content.

American Academy of Pediatrics healthychildren.org

Every kid is dissimilar, and and then is every parent's feel; but experts have a clear thought most the range of normal evolution from nascency to age 5 — and signs that a child might have a developmental delay. Beneath you'll find milestones organized by period of evolution, and tips on when to contact a health professional person nearly your concerns. Remember — there is no penalty for being cautious nearly your growing child, and if there is a trouble acting early on can make all the difference.

Milestones at 1 Month

Movement Milestones

  • Makes jerky, quivering arm thrusts
  • Brings easily inside range of eyes and mouth
  • Moves head from side to side while lying on tummy
  • Head flops astern if unsupported
  • Keeps hands in tight fists
  • Strong reflex movements

Visual and Hearing Milestones

  • Focuses 8 to 12 inches (20.3 to 30.4 cm) away
  • Eyes wander and occasionally cross
  • Prefers black-and-white or loftier-dissimilarity patterns
  • Prefers the human face to all other patterns
  • Hearing is fully mature
  • Recognizes some sounds
  • May turn toward familiar sounds and voices

Odor and Touch Milestones

  • Prefers sweet smells
  • Avoids bitter or acidic smells
  • Recognizes the smell of his own female parent's breastmilk
  • Prefers soft to fibroid sensations
  • Dislikes rough or sharp handling

Developmental Health Watch

If, during the 2d, third, or fourth weeks of your baby'south life, she shows any of the following signs of developmental delay, notify your pediatrician.

  • Sucks poorly and feeds slowly
  • Doesn't blink when shown a bright calorie-free
  • Doesn't focus and follow a nearby object moving side to side
  • Rarely moves arms and legs; seems potent
  • Seems excessively loose in the limbs, or floppy
  • Lower jaw trembles constantly, even when non crying or excited
  • Doesn't respond to loud sounds

Milestones at 3 Months

Motility Milestones

  • Raises head and chest when lying on stomach
  • Supports upper body with arms when lying on tum
  • Stretches legs out and kicks when lying on stomach or back
  • Opens and shuts easily
  • Pushes down on legs when feet are placed on a house surface
  • Brings manus to mouth
  • Takes swipes at dangling objects with hands
  • Grasps and shakes hand toys

Visual and Hearing Milestones

  • Watches faces intently
  • Follows moving objects
  • Recognizes familiar objects and people at a altitude
  • Starts using hands and eyes in coordination
  • Smiles at the sound of your phonation
  • Begins to babble
  • Begins to imitate some sounds
  • Turns head toward management of audio

Social and Emotional Milestones

  • Begins to develop a social smile
  • Enjoys playing with other people and may cry when playing stops
  • Becomes more chatty and expressive with face and body
  • Imitates some movements and facial expressions

Developmental Health Scout

Although each baby develops in her own private manner and at her own rate, failure to attain certain milestones may signal medical or developmental bug requiring special attention. If you notice whatever of the following warning signs in your infant at this age, talk over them with your pediatrician.

  • Doesn't seem to respond to loud sounds
  • Doesn't notice her hands by two months
  • Doesn't smiling at the sound of your voice by two months
  • Doesn't follow moving objects with her eyes by two to three months
  • Doesn't grasp and hold objects past 3 months
  • Doesn't smile at people by 3 months
  • Cannot back up her head well at 3 months
  • Doesn't reach for and grasp toys by three to four months
  • Doesn't blubbering by 3 to four months
  • Doesn't bring objects to her mouth by four months
  • Begins babbling, but doesn't endeavor to imitate whatsoever of your sounds by four months
  • Doesn't push downward with her legs when her feet are placed on a firm surface by four months
  • Has trouble moving i or both eyes in all directions
  • Crosses her eyes well-nigh of the time (Occasional crossing of the eyes is normal in these starting time months.)
  • Doesn't pay attention to new faces, or seems very frightened past new faces or surroundings
  • Even so has the tonic neck reflex at 4 to v months

Milestones at 7 Months

Movement Milestones

  • Rolls both means (front to back, back to front)
  • Sits with, then without, back up of her hands
  • Supports her whole weight on her legs
  • Reaches with one mitt
  • Transfers object from hand to hand
  • Uses raking grasp (not pincer)

Visual Milestones

  • Develops full color vision
  • Distance vision matures
  • Ability to rails moving objects improves

Language Milestones

  • Responds to own name
  • Begins to respond to "no"
  • Distinguishes emotions past tone of voice
  • Responds to audio by making sounds
  • Uses voice to express joy and displeasure
  • Babbles chains of consonants

Cognitive Milestones

  • Finds partially hidden object
  • Explores with hands and oral fissure
  • Struggles to get objects that are out of accomplish

Social and Emotional Milestones

  • Enjoys social play
  • Interested in mirror images
  • Responds to other people's expressions of emotion and appears joyful often

Developmental Health Watch

Because each baby develops in his ain particular fashion, it's impossible to tell exactly when or how your child will perfect a given skill. The developmental milestones listed in this book will requite you a general idea of the changes you can wait, but don't exist alarmed if your own babe's evolution takes a slightly different grade. Alert your pediatrician, still, if your baby displays any of the following signs of possible developmental delay for this age range.

  • Seems very strong, with tight muscles
  • Seems very floppy, similar a rag doll
  • Caput still flops back when trunk is pulled up to a sitting position
  • Reaches with ane hand only
  • Refuses to cuddle
  • Shows no affection for the person who cares for him
  • Doesn't seem to enjoy beingness around people
  • Ane or both optics consistently turn in or out
  • Persistent tearing, eye drainage, or sensitivity to light
  • Does non reply to sounds around him
  • Has difficulty getting objects to his mouth
  • Does not turn his head to locate sounds past four months
  • Doesn't roll over in either direction (front to back or back to forepart) past v months
  • Seems inconsolable at night subsequently five months
  • Doesn't grin spontaneously by v months
  • Cannot sit with assist by six months
  • Does non laugh or brand squealing sounds by six months
  • Does not actively reach for objects by six to seven months
  • Doesn't follow objects with both optics at near (1 human foot) [30 cm] and far (6 feet) [180 cm] ranges by 7 months
  • Does not bear some weight on legs by seven months
  • Does not try to attract attention through deportment by seven months
  • Does not babble by eight months
  • Shows no interest in games of peekaboo past eight months

Milestones at one Year

Movement Milestones

  • Gets to sitting position without aid
  • Crawls forward on abdomen by pulling with artillery and pushing with legs
  • Assumes hands-and-knees position
  • Creeps on hands and knees supporting trunk on easily and knees
  • Gets from sitting to crawling or prone (lying on stomach) position
  • Pulls cocky up to stand
  • Walks holding on to article of furniture
  • Stands momentarily without support
  • May walk ii or three steps without support

Milestones In Paw and Finger Skills

  • Uses pincer grasp
  • Bangs two cubes together
  • Puts objects into container
  • Takes objects out of container
  • Lets objects become voluntarily
  • Pokes with index finger
  • Tries to imitate scribbling

Linguistic communication Milestones

  • Pays increasing attention to speech
  • Responds to simple verbal requests
  • Responds to "no"
  • Uses simple gestures, such equally shaking head for "no"
  • Babbles with inflection
  • Says "dada" and "mama"
  • Uses exclamations, such as "oh-oh!"
  • Tries to imitate words

Cerebral Milestones

  • Explores objects in many different ways (shaking, banging, throwing, dropping)
  • Finds hidden objects hands
  • Looks at correct motion picture when the paradigm is named
  • Imitates gestures
  • Begins to use objects correctly (drinking from cup, brushing hair, dialing phone, listening to receiver)

Social and Emotional Milestones

  • Shy or anxious with strangers
  • Cries when female parent or father leaves
  • Enjoys imitating people in play
  • Shows specific preferences for certain people and toys
  • Tests parental responses to his actions during feedings (What do you do when he refuses a food?)
  • Tests parental responses to his behavior (What exercise you do if he cries later you leave the room?)
  • May be fearful in some situations
  • Prefers mother and/or regular caregiver over all others
  • Repeats sounds or gestures for attending
  • Finger-feeds himself
  • Extends arm or leg to aid when beingness dressed

Developmental Health Lookout

Each baby develops in his own manner, so it'southward impossible to tell exactly when your child will perfect a given skill. Although the developmental milestones listed in this book will give you a general idea of the changes you can expect equally your kid gets older, don't be alarmed if his evolution takes a slightly different course. Alert your pediatrician if your baby displays whatsoever of the following signs of possible developmental filibuster in the 8-to twelve-calendar month age range.

  • Does not crawl
  • Drags 1 side of body while crawling (for over one month)
  • Cannot stand when supported
  • Does not search for objects that are subconscious while he watches
  • Says no single words ("mama" or "dada")
  • Does not learn to use gestures, such as waving or shaking head
  • Does not point to objects or pictures

Milestones at 2 Years

Movement milestones

  • Walks alone
  • Pulls toys behind her while walking
  • Carries big toy or several toys while walking
  • Begins to run
  • Stands on tiptoe
  • Kicks a ball
  • Climbs onto and downward from furniture unassisted
  • Walks upwards and down stairs property on to support
  • Milestones in hand and finger skills
  • Scribbles spontaneously
  • Turns over container to pour out contents
  • Builds tower of four blocks or more
  • Might use one mitt more frequently than the other

Language milestones

  • Points to object or picture when information technology's named for him
  • Recognizes names of familiar people, objects, and body parts
  • Says several single words (past fifteen to eighteen months)
  • Uses simple phrases (by eighteen to 20-four months)
  • Uses two- to iv-give-and-take sentences
  • Follows simple instructions
  • Repeats words overheard in conversation

Cognitive milestones

  • Finds objects fifty-fifty when subconscious nether 2 or three covers
  • Begins to sort by shapes and colors
  • Begins make-believe play

Social and emotional milestones

  • Imitates behavior of others, specially adults and older children
  • Increasingly aware of herself equally separate from others
  • Increasingly enthusiastic nigh company of other children
  • Demonstrates increasing independence
  • Begins to show defiant behavior
  • Increasing episodes of separation anxiety toward midyear, then they fade

Developmental health watch

Because each child develops at his ain particular pace, information technology'southward impossible to tell exactly when yours will perfect a given skill. The developmental milestones volition give y'all a general idea of the changes y'all can await as your child gets older, simply don't be alarmed if he takes a slightly dissimilar course. Warning your pediatrician, withal, if he displays any of the following signs of possible developmental filibuster for this age range.

  • Cannot walk past xviii months
  • Fails to develop a mature heel-toe walking pattern after several months of walking, or walks exclusively on his toes
  • Does not speak at least xv words past eighteen months
  • Does non use two-word sentences by age two
  • Does not seem to know the function of mutual household objects (brush, phone, bell, fork, spoon) by fifteen months
  • Does not imitate actions or words by the end of this catamenia
  • Does not follow unproblematic instructions by age two
  • Cannot push a wheeled toy by age two

Milestones at 4 Years

Movement milestones

  • Hops and stands on 1 foot up to five seconds
  • Goes upstairs and downstairs without support
  • Kicks brawl forward
  • Throws brawl overhand
  • Catches bounced ball most of the time
  • Moves forward and backward with agility

Milestones in hand and finger skills

  • Copies foursquare shapes
  • Draws a person with two to four body parts
  • Uses scissors
  • Draws circles and squares
  • Begins to copy some capital letters

Linguistic communication milestones

  • Understands the concepts of "same" and "different"
  • Has mastered some basic rules of grammar
  • Speaks in sentences of five to six words
  • Speaks clearly enough for strangers to understand
  • Tells stories

Cognitive milestones

  • Correctly names some colors
  • Understands the concept of counting and may know a few numbers
  • Approaches problems from a single indicate of view
  • Begins to have a clearer sense of time
  • Follows iii-part commands
  • Recalls parts of a story
  • Understands the concept of same/different
  • Engages in fantasy play

Social and emotional milestones

  • Interested in new experiences
  • Cooperates with other children
  • Plays "Mom" or "Dad"
  • Increasingly inventive in fantasy play
  • Dresses and undresses
  • Negotiates solutions to conflicts
  • More independent
  • Imagines that many unfamiliar images may be "monsters"
  • Views self as a whole person involving torso, mind, and feelings
  • Frequently cannot distinguish between fantasy and reality

Developmental health picket

Because each child develops in his own particular manner, it'south incommunicable to tell exactly when or how he'll perfect a given skill. The developmental milestones listed here will give you lot a general idea of the changes you lot can expect every bit your child gets older, simply don't exist alarmed if his development takes a slightly different course. Alert your pediatrician, nonetheless, if your kid displays any of the following signs of possible developmental delay for this age range.

  • Cannot throw a ball overhand
  • Cannot jump in identify
  • Cannot ride a tricycle
  • Cannot grasp a crayon betwixt thumb and fingers
  • Has difficulty scribbling
  • Cannot stack four blocks
  • However clings or cries whenever his parents go out him
  • Shows no interest in interactive games
  • Ignores other children
  • Doesn't answer to people exterior the family
  • Doesn't engage in fantasy play
  • Resists dressing, sleeping, using the toilet
  • Lashes out without any self-control when angry or upset
  • Cannot copy a circle
  • Doesn't use sentences of more than than iii words
  • Doesn't use "me" and "you" accordingly

Milestones at five Years

Motion milestones

  • Stands on ane foot for x seconds or longer
  • Hops, somersaults
  • Swings, climbs
  • May be able to skip

Milestones in hand and finger skills

  • Copies triangle and other geometric patterns
  • Draws person with body
  • Prints some messages
  • Dresses and undresses without assistance
  • Uses fork, spoon, and (sometimes) a table pocketknife
  • Normally cares for ain toilet needs

Language milestones

  • Recalls part of a story
  • Speaks sentences of more than 5 words
  • Uses hereafter tense
  • Tells longer stories
  • Says proper name and address

Cognitive milestones

  • Can count ten or more than objects
  • Correctly names at least four colors
  • Ameliorate understands the concept of fourth dimension
  • Knows about things used every mean solar day in the abode (coin, nutrient, appliances)

Social and emotional milestones

  • Wants to please friends
  • Wants to exist like her friends
  • More than probable to agree to rules
  • Likes to sing, dance, and act
  • Shows more independence and may even visit a next-door neighbor past herself
  • Aware of sexuality
  • Able to distinguish fantasy from reality
  • Sometimes demanding, sometimes eagerly cooperative

Developmental wellness spotter

Because each child develops in her own particular manner, information technology'due south incommunicable to predict exactly when or how your own preschooler will perfect a given skill. The developmental milestones listed here will requite you a full general idea of the changes you can await as your child gets older, but don't exist alarmed if her development takes a slightly different course. Alert your pediatrician, however, if your child displays any of the following signs of possible developmental delay for this age range.

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

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Source: https://childmind.org/guide/parents-guide-to-developmental-milestones/

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