Before you read this handout it is important to realize that each child is unique. It is therefore difficult to describe exactly what should be expected at each stage of a child's development. While certain behaviors and physical milestones tend to occur at certain ages, a wide spectrum of growth and behavior for each age is normal. These guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend. If you have any concerns related to your child's own pattern of development, check with your pediatrician.
Normal Development: Full term Newborn
Here's what you might see your baby doing between the ages of 0 and 2 weeks old.
Reflexive actions: crying, grasping, yawning, swallowing, sucking, blinking, coughing, gagging, sneezing.
Grasps whatever is placed in hand.
Sucks whatever is placed in mouth.
Is startled by sudden noises and movements.
Jerky, mostly uncontrolled motions.
Waves arms, kicks legs, wiggles and squirms.
Cannot turn body or support head without assistance.
May turn head from side to side while lying on back.
Usually sleeps from 17 to 20 hours per day (variable)
Cannot focus clearly.
Sees best at 8 to 10 inches.
Interactive Behaviors and Senses
Smiles spontaneously and unselectively.
Discriminates between some smells.
Begins to turn in direction of sound.
Begins to distinguish the human voice from other sounds.
Is more sensitive to high-pitched voices, especially mother's voice.
Is best calmed by a soft, rhythmic voice.
Makes tiny gurgling sounds when content.
Shows preference for the human face.
Here's what you might see your baby doing between the ages of 2 weeks and 2 months.
Movement
Movements gradually become smoother and more controlled.
Lifts chin for a few seconds when lying on tummy.
Cannot support head without assistance.
Grasps whatever is placed in hand.
May follow some moving objects with eyes.
Explores surroundings with eyes.
Turns in direction of some sounds.
Gives more precise meaning to crying (hunger, discomfort, excitement).
Cries when left alone; usually stops when picked up.
Makes variety of gurgling and cooing sounds when happy and content.
Makes eye contact.
May quiet down in response to human face.
Responds positively to being held and comforted.
May smile socially at familiar faces and voices, especially mother's voice.Â
Here's what you might see your baby doing between the ages of 2 and 4 months.
Daily Activities
Crying gradually becomes less frequent.
Displays greater variety of emotions: distress, excitement, delight.
May begin to sleep through the night.
Smiles, gurgles and coos, particularly when talked to.
Shows more distress when an adult leaves.
Quiets down when held or talked to.
Cannot conceive of an object existing if it cannot be sensed.
Focuses better, but still no more than 12 inches.
Follows objects by moving head from side to side.
Prefers brightly colored objects.
Knows difference between male and female voices.
Knows the difference between angry and friendly voices.
Movements become increasingly smoother.
Lifts chest momentarily when lying on tummy.
Holds head steady when held or seated with support.
Discovers hands and fingers.
Grasps with more control.
May bat at dangling objects with entire body.
Here's what you might notice your baby doing between the ages of 4 months and 6 months of age.
Daily Activities
Is active, playful, and gregarious.
Reaches and grasps some objects.
Shakes rattle when placed in hand.
Carefully studies objects placed in hand.
Puts everything into mouth.
Plays contentedly with fingers and hands.
Usually sleeps through the night.
Acknowledges bottle gleefully.
Laughs and giggles while playing and socializing.
Basks in attention.
Just begins to realize objects exist even when out of sight.
Turns head purposefully in response to human voice.
Smiles and coos when talked to.
Rolls from side to side.
Holds up chest when lying on tummy.
Supports head when held in sitting position.
Sits with support for longer periods.
Enjoys using the legs in kicking motions.
Focuses clearly.
Fascinated with mirror image.
Here's what you might see your baby doing between 6 and 9 months of age.
Adores playing with balls, rattles, and squeaky toys.
Usually sleeps through the night.
Usually begins teething.
May prefer some foods to others.
May enjoy playing with food.
Loves games like peek-a-boo and patty cake.
Babbles and squeals using single syllables.
Loves to jabber.
May recognize own name.
May show sharp mood changes.
Displays especially strong attachment to mother.
Develops deeper attachment to father, siblings, and other familiar people.
Distinguishes children from adults.
Smiles at other children.
May show fear of strangers.
Continues to be intrigued with mirror image.
Rests on elbows.
Begins to sit alone.
Sits in high chair.
Continues to use motions leading to crawling.
Makes jumping motions when held in standing position.
Reaches with one hand.
Bats and grasps dangling objects.
Holds objects between thumb and forefinger.
Passes objects from one hand to another.
Here's what you might see your baby doing between the ages of 9 and 12 months.
Continues to enjoy banging, waving, and throwing toys.
Scrutinizes toys and other objects.
Becomes absorbed in toys and games.
Explores food with fingers.
Initiates play.
Goes from sitting to lying position unassisted.
May pull self to standing position.
Stands holding on to furniture.
Tries to move one foot in front of the other when held upright.
May try to crawl up stairs.
May begin to walk with assistance.
Imitates the rising and falling sounds of adult conversation.
Imitates more speech sounds, but does not yet understand them.
Repeats sounds again and again.
May begin to say "mama" or "dada" appropriately.
Continues to resist doing what he does not want to do.
Begins trying to imitate some parent behaviors.
Loves showing off for family audience.
May cry when parent leaves the room.
May resist diapering.
Here's what you might see your baby doing between 12 months and 15 months old.
Usually follows a definite daily pattern.
Opens cabinets, pulls tablecloths.
Usually examines an object before putting into mouth.
Likes to feed self.
Expresses complete thought with single syllable ("da" means "I want that").
Shows definite understanding of a few simple words.
Utters a few words ("mama", "dada", "ball", "dog").
Loves rhythms and rhymes.
Shows more negativism (may resist naps, refuse certain foods, throw occasional tantrums).
Continues to prefer people to toys.
Has developed a deep attachment to a few familiar people.
Loves to make parents laugh.
Shows somewhat less stranger anxiety.
May give up something on request.
Displays a sense of humor.
Usually walks with assistance; may walk without assistance.
Crawls rapidly.
Stands alone.
Seats self on floor.
Here's what you might see your child doing between the ages of 15 and 18 months.
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Avidly explores everything.
Revels in water play.
Likes to feed self from cup and spoon
Begins to use more objects conventionally (for example, may put comb in hair).
Enjoys throwing, rolling, pushing, pulling toys.
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Walks without Stands unsupported.assistance with wide stance and outstretched arms.
Climbs stairs with assistance.
Refines grasp.
Picks up objects from a standing position.
Adds gestures to speech.
Prefers adults to other children.
Likes to watch and imitate activities.
Looks to parent for help in solving problems.
Learns cause-effect relationship (repeats enjoyable actions).
Looks for hidden objects in last place seen.
Begins to experiment through trial and error.
Each child is unique. It is therefore difficult to describe exactly what should be expected at each stage of a child's development. While certain attitudes, behaviors, and physical milestones tend to occur at certain ages, a wide spectrum of growth and behavior for each age is normal. These guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend.
If you have any concerns related to your child's own pattern of development, check with your pediatrician or family physician
Here's what you might see your child doing between the ages of 18 and 24 months.
Begins to eat with fork.
Enjoys imitating parents.
Walks proficiently.
Enjoys pushing and pulling toys while walking.
Runs awkwardly and falls a lot.
Walks backward a short distance.
Understands that something can exist even when hidden.
Can picture objects and events mentally.
Speaks from 3 to 50 words.
Wants to name everything.
May use a few two-word combinations.
Repeats familiar and unfamiliar sounds and gestures.
May begin to show frustration when not understood.
May show strong attachment to a toy or blanket.
May resist bedtime, prefers predictable pattern of bedtime events.
May respond with "no" constantly.
Likes to show some independence (feeds self, undresses self).
Begins to develop a self-concept.
Responds to simple requests ("Bring me your book").
Each child is unique. It is therefore difficult to describe exactly what should be expected at each stage of a child's development. While certain attitudes, behaviors, and physical milestones tend to occur at certain ages, a wide spectrum of growth and behavior for each age is normal. These guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend.
If you have any concerns related to your child's own pattern of development, check with your pediatrician or family physician.
is constantly in motion
tires easily
runs and climbs
walks up and down stairs alone
begins to walk on tiptoe
builds a tower of 3 to 5 blocks
progresses from random scribbling to somewhat more controlled movements
begins to button and unbutton large buttons
develops greater independence in toileting needs (still needs some assistance)
may have difficulty settling down for bedtime
gets upset and impatient easily
shows anger by crying or striking out
becomes frustrated when not understood
wants own way
may assert self by saying "no"
reverts to baby behavior at times
gets upset when daily routine changes
shows sharp mood changes
imitates with considerable realism
becomes more interested in brothers and sisters
knows gender
may have an imaginary playmate
enjoys playing among, not with, other children
does not share
claims everything is "mine"
may scratch, hit, bite, and push other children
dramatically increases interest in language
shows frustration if not understood
uses child grammar
uses three- to five-word phrases by end of second year
understands more words than can speak
is in the "do-it-myself" stage
cannot be reasoned with much of the time
cannot choose between alternatives
Each child is unique. It is therefore difficult to describe exactly what should be expected at each stage of a child's development. While certain attitudes, behaviors, and physical milestones tend to occur at certain ages, a wide spectrum of growth and behavior for each age is normal. These guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend.
If you have any concerns related to your child's own pattern of development, check with your pediatrician or family physician
jumps, gallops, tiptoes, runs smoothly
can walk backwards a long distance
may stumble and fall frequently
rides a tricycle
pours from a pitcher or milk carton using both hands
undresses self, but needs help with dressing
buttons and unbuttons large buttons
uses crayons with somewhat more control
most primary teeth have erupted
becoming more relaxed and flexible
still cries and hits at times
quickly alternates between shyness and exuberance
may show fear of unfamiliar objects or activities
may want to be a baby at times
begins to talk about dreams
is keenly interested in family activities
idolizes parents
seeks approval from adults
tests limits constantly
often prefers to play alone
may have an imaginary playmate
shares and takes turns occasionally
quarrels with other children
develops more stable concept of self
speaks about 1,000 words
begins to use pronouns in speech
grasps some grammatical principles
delights in hearing stories over and over again
loves learning short rhymes and songs
may match or identify primary colors
enjoys imaginative and imitative play
can assume some very simple responsibilities
puts toys away with adult help
has attention span of no more than a few minutes
can choose between alternatives
Each child is unique. It is therefore difficult to describe exactly what should be expected at each stage of a child's development. While certain attitudes, behaviors, and physical milestones tend to occur at certain ages, a wide spectrum of growth and behavior for each age is normal. These guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend.
If you have any concerns related to your child's own pattern of development, check with your pediatrician or family physician.
hops, runs, skips, climbs with increasing skill
tires easily
is accident prone
enjoys making loud noises, but is frightened by unexpected sounds
toilets independently
makes designs and draws recognizable objects
manipulates blunt scissors
dresses self (with exception of shoes)
small muscle control lags behind large muscle
regresses to baby behavior periodically
shows new fears (becoming aware of more dangers)
has a penchant for silliness
refers to parents as final authority
continues to test parental limits
uses "naughty" words to observe reaction
is ready for group activities
talks "with" another child, but does not listen to what other child says
is comfortable with other children, but shares grudgingly
tattles and name-calls
is more aware of sex role differences
imitates adult activities
is more likely to solve problems through words than aggressive action
has a vocabulary of about 1,500 to 2,000 words
speaks in 4 to 5 word sentences
fancies funny, exaggerated stories
can count to 5
identifies some shapes
begins to understand some concepts of time (yesterday, today, tomorrow)
asks endless "why" questions
usually can put toys and materials away without adult assistance
insists on finishing an activity or project
likes helping with simple tasks
begins to know difference between right and wrong
shows growing ability to distinguish real-life from make-believe
tells tall tales, but cannot always distinguish between honesty and dishonesty
believes the only viewpoint is his or her own
believes two unrelated events can have a cause-effect relationship
These guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend.
If you have any concerns related to your child's own pattern of development, check with your pediatrician or family physician
begins to lose primary (baby) teeth
displays left- or right-handedness
builds elaborate structures
tires easily
bathes, eats, dresses, toilets independently
begins to participate in semistructured games
enjoys active games and movement
enjoys playing noisy rhythm instruments
is curious about reproduction and birth
begins to express more feelings in words
embarrasses easily, and cannot yet laugh at self
feelings about death appear
shows guilt over misbehavior
likes independence
is serious and dependable
submits to more rules and regulations
may tattle, name-call, hit and shove at times
distinguishes between sex roles
cooperates in simple group tasks
likes to please adults
takes turns during playing and speaking
gets along comfortably with other children
is keenly interested in family activities
begins to recognize letters and words
sustains activities over longer periods of time
has developed an overall image of self
craves facts
names simple colors
understands left and right on self
has a vocabulary of about 2,000 to 2,500 words
can help with chores
can learn address and phone number
can think some things through
counts to 10
begins to understand concept of opposites
can speak in sentences of 6 to 8 words
identifies coins
engages in elaborate dramatic play
understands concepts of morning, afternoon, night; yesterday, today, tomorrow
is better able to distinguish make-believe from real life
These guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend.
If you have any concerns related to your child's own pattern of development, check with your pediatrician or family physician.
loves active play but may tire easily
can be reckless (does not understand dangers completely)
is still improving basic motor skills
is still not well coordinated
begins to learn some specific sports skills like batting a ball
dawdles much of the time
is fascinated with the subject of teeth
may become a more finicky eater
uses crayons and paints with some skill, but has difficulty writing and cutting
may resist baths
permanent teeth erupting, both molars and front teeth
may have unpredictable mood swings
is quite sensitive to criticism
has a problem admitting a mistake
feels quite guilty about mistakes
evaluates self and friends
begins to impose rules on play activities
cooperates with other children with some difficulty
has difficulty considering the feelings of others
values independence
likes taking responsibility for simple household chores
likes to make simple decisions
counts to 100
asks endless "how-what-when-where-why" questions
continues to refine concepts of shape, space, time, color, and numbers
begins to understand the difference between intentional and accidental
begins to understand differences of opinion
still has a short attention span (about 15 minutes maximum)
enjoys dramatic play
These guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend.
If you have any concerns related to your child's own pattern of development, check with your pediatrician or family physician
still has better large muscle than small muscle coordination
rides a bicycle
begins to alternate rigorous and restful activities independently
favors competitive games
has more refined eye-hand coordination
may ask questions about life, death, and the human body
still preoccupied with subject of teeth
becomes better at expressing negative feelings through language
may blame another for own mistake
plays with boys and girls together
usually has a best friend of the same sex
shows growing concern about popularity among peers
seeks approval of peers as well as adults
takes it upon self to enforce rules
tattles on other children perceived to be misbehaving
tends to be quite critical
begins to look for role-models
experiences rapid language development
wants to be "first," "best," "perfect," "correct," in everything
is greatly concerned with right and wrong
still has difficulty with the concepts of honesty and dishonesty
begins to use logical reasoning to solve problems
continues to enjoy dramatic play
These guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend.
If you have any concerns related to your child's own pattern of development, check with your pediatrician or family physician.
Continues to be accident prone, especially on the playground.
Has more control over small muscles, and therefore writes and draws with more skill.
Displays a casual attitude toward clothing and appearance.
Seems to be all hands and arms.
May be concerned about height and weight.
Seems to possess boundless energy.
Begins to realize others experience similar feelings of anger, fear, sadness.
Is easily embarrassed.
Becomes discouraged easily.
Is often self-deprecating.
Can be argumentative and bossy.
Can be generous and responsive.
Shows increasing ability to understand the needs and opinions of others.
Is preoccupied with finding compatible friends.
Especially likes to belong to informal "clubs" formed by children themselves.
Also likes to belong to more structured adult-led groups such as Scouts.
Begins to display a sense of loyalty.
Enjoys secrets.
Shows some hostility toward the opposite sex.
May question duty to participate in household chores.
Is often idealistic.
Is keenly interested in projects and collections.
Is proud of completing tasks.
Resists adult guidance at times.
These guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend.
If you have any concerns related to your child's own pattern of development, check with your pediatrician or family physician.
acquires greater small muscle coordination
has increasing dexterity
favors active, highly-charged games and sports
wants to excel in sports and recreational skills
becomes more interested in clothing and appearance
laughs at bathroom humor
becomes self-absorbed and introspective
tends to be critical of self
takes comfort in knowing others experience similar troubling feelings
has ideas and interests independent from parents
does not like anything "different"
wants to talk, dress, and act just like friends
is involved in informal clubs and small groups of the same sex
begins to just sit and talk with friends
uses reference books with increasing skill
becomes immersed in a hobby or project, then drops it for another
may be a perfectionist
generally follows instructions
is developing personal standards of right and wrong
is highly concerned about fairness
Each child is unique. It is therefore difficult to describe exactly what should be expected at each stage of a child's development. While certain attitudes, behaviors, and physical milestones tend to occur at certain ages, a wide spectrum of growth and behavior for each age is normal. Consequently, these guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend. Keep this in mind as you review these milestones.
If you have any concerns related to your child's own pattern of development, check with your pediatrician or family physician
physical growth and development varies enormously among this age group
is energetic and spirited
is usually awkward
strives to be physically fit
is fascinated with how the body works
may be curious about drugs, alcohol, and tobacco
continues to revel in bathroom humor
fluctuates between dependent child and independent pre-teen
becomes increasingly self-conscious
seeks approval for being "good" from significant people
becomes preoccupied with the opposite sex
relates to peer group intensely and abides by group decisions
succumbs to peer pressure more readily
does not want to be "different"
continues to participate in small groups of same sex
confides constantly in best friend
can be fickle
is eager to learn and master new skills
is proud of doing things well
is concerned about personal capabilities
has internalized standards of right and wrong to some degree
Each child is unique. It is therefore difficult to describe exactly what should be expected at each stage of a child's development. While certain attitudes, behaviors, and physical milestones tend to occur at certain ages, a wide spectrum of growth and behavior for each age is normal. Consequently, these guidelines are offered as a way of showing a general progression through the developmental stages rather than as fixed requirements for normal development at specific ages. It is perfectly natural for a child to attain some milestones earlier and other milestones later than the general trend. Keep this in mind as you review these milestones.
If you have any concerns related to your child's own pattern of development, check with your pediatrician or family physician
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