Prenatal Tests
Vaccination
Developmentalstages
Early Diagnosis
Diagnostic Assessment

Important Milestones
~7 Months ~12 Months ~24 Months ~60 Months

Babies develop at their own pace, so it’s impossible to tell exactly when your child will learn a given skill. The developmental milestones listed below will give you a general idea of the changes you can expect, but don’t be alarmed if your own baby’s development takes a slightly deferent course.

Social
 Wants to please friends
 Wants to be like her friends
 More likely to agree to rules
 Likes to sing, dance, and act
 Shows more independence and may even visit a next-door neighbor by herself

Emotional
 Aware of gender
 Able to distinguish fantasy from reality
 Sometimes demanding, sometimes eagerly cooperative

Cognitive
 Can count 10 or more objects
 Correctly names at least four colors
 Better understands the concept of time
 Knows about things used every day in the home (money, food, appliances)

Language
 Recalls part of a story
 Speaks sentences of more than five words
 Uses future tense
 Tells longer stories
 Says name and address

Movement
 Stands on one foot for 10 seconds or longer
 Hops, somersaults
 Swing, climbs
 May be able to skip

Hand and finger skills
 Copies triangle and other shapes
 Draws person with body
 Prints some letters
 Dresses and undresses without help
 Uses fork, spoon, and (sometimes) a table knife
 Usually cares for own toilet needs

Developmental Health Watch

Alert your child’s doctor or nurse if your child displays any of the following signs of possible developmental delay for this age range.

 Acts extremely fearful or timid
 Acts extremely aggressively
 Is unable to separate from parents without major pretest
 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 only superficially
 Rarely uses fantasy or imitation in play
 Seems unhappy or sad much of the time
 Doesn’t engage in a variety 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 tell the difference between fantasy and reality
 Seems unusually passive
 Cannot understand two –part commands using prepositions (“put the doll on the bed, and get the ball under the couch”)
 Can’t correctly give her first and last name
 Doesn’t uses plurals or past tense properly when speaking
 Doesn’t talk about her daily activities and experiences
 Cannot build a tower of six to eight blocks
 Seems uncomfortable holding a crayon
 Has trouble taking off clothing
 Cannot brush her teeth efficiently
 Cannot wash and dry her hands
 Experiences a dramatic loss of skills he or she once had

From www.cdc.gov/actearly
From CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5 by Steven Shelov, Robert E. Hannermann, © 1991, 1993, 1998, 2004 by the American Academy of Pediatrics. Used by permission of Bantam Books, a division of Random House, Inc.