Baby Milestones at 2 Months PDF

Your baby at 2 months Baby’s Name Baby’s Age Today’s Date Milestones matter! How your baby plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your baby has reached by 2 months. Take...

Your baby at 2 months Baby’s Name Baby’s Age Today’s Date Milestones matter! How your baby plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your baby has reached by 2 months. Take this with you and talk with your baby’s doctor at every well-child visit about the milestones your baby has reached and what to expect next. What most babies do by this age: Social/Emotional Milestones Cognitive Milestones  Calms down when spoken to or picked up (learning, thinking, problem-solving)  Looks at your face  Watches you as you move  Seems happy to see you when you walk up to her  Looks at a toy for several seconds  Smiles when you talk to or smile at her Movement/Physical Development Language/Communication Milestones Milestones  Makes sounds other than crying  Holds head up when on tummy  Reacts to loud sounds  Moves both arms and both legs  Opens hands briefly Other important things to share with the doctor… What are some things you and your baby do together? What are some things your baby likes to do? Is there anything your baby does or does not do that concerns you? Has your baby lost any skills he/she once had? Does your baby have any special healthcare needs or was he/she born prematurely? You know your baby best. Don’t wait. If your baby is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your baby’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your baby more; and 2. Call your state or territory’s early intervention program to find out if your baby can get services to help. Learn more and find the number at cdc.gov/FindEI. For more on how to help your baby, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your baby learn and grow As your baby’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your baby’s doctor and teachers if you have questions or for more ideas on how to help your baby’s development. Respond positively to your baby. Act excited, smile, and talk to him when he makes sounds. This teaches him to take turns “talking” back and forth in conversation. Talk, read, and sing to your baby to help her develop and understand language. Spend time cuddling and holding your baby. This will help him feel safe and cared for. You will not spoil your baby by holding or responding to him. Being responsive to your baby helps him learn and grow. Limiting your screen time when you are with your baby helps you be responsive. Take care of yourself. Parenting can be hard work! It’s easier to enjoy your new baby when you feel good yourself. Learn to notice and respond to your baby’s signals to know what she’s feeling and needs. You will feel good and your baby will feel safe and loved. For example, is she trying to “play” with you by making sounds and looking at you, or is she turning her head away, yawning, or becoming fussy because she needs a break? Lay your baby on his tummy when he is awake and put toys at eye level in front of him. This will help him practice lifting his head up. Do not leave your baby alone. If he seems sleepy, place him on his back in a safe sleep area (firm mattress with no blankets, pillows, bumper pads, or toys). Feed only breast milk or formula to your baby. Babies are not ready for other foods, water or other drinks for about the first 6 months of life. Learn when your baby is hungry by looking for signs. Watch for signs of hunger, such as putting hands to mouth, turning head toward breast/bottle, or smacking/licking lips. Look for signs your baby is full, such as closing her mouth or turning her head away from the breast/bottle. If your baby is not hungry, it’s ok to stop feeding. Do not shake your baby or allow anyone else to—ever! You can damage his brain or even cause his death. Put your baby in a safe place and walk away if you’re getting upset when he is crying. Check on him every 5–10 minutes. Infant crying is often worse in the first few months of life, but it gets better! Have routines for sleeping and feeding. This will help your baby begin to learn what to expect. To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early. Your baby at 4 months Baby’s Name Baby’s Age Today’s Date Milestones matter! How your baby plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your baby has reached by 4 months. Take this with you and talk with your baby’s doctor at every well-child visit about the milestones your baby has reached and what to expect next. What most babies do by this age: Social/Emotional Milestones Cognitive Milestones  Smiles on his own to get your attention (learning, thinking, problem-solving)  Chuckles (not yet a full laugh) when you try to make  If hungry, opens mouth when she sees breast or bottle her laugh  Looks at his hands with interest  Looks at you, moves, or makes sounds to get or keep your attention Movement/Physical Development Milestones Language/Communication Milestones  Holds head steady without support when you are  Makes sounds like “oooo”, “aahh” (cooing) holding her  Makes sounds back when you talk to him  Holds a toy when you put it in his hand  Turns head towards the sound of your voice  Uses her arm to swing at toys  Brings hands to mouth  Pushes up onto elbows/forearms when on tummy Other important things to share with the doctor… What are some things you and your baby do together? What are some things your baby likes to do? Is there anything your baby does or does not do that concerns you? Has your baby lost any skills he/she once had? Does your baby have any special healthcare needs or was he/she born prematurely? You know your baby best. Don’t wait. If your baby is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your baby’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your baby more; and 2. Call your state or territory’s early intervention program to find out if your baby can get services to help. Learn more and find the number at cdc.gov/FindEI. For more on how to help your baby, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your baby learn and grow As your baby’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your baby’s doctor and teachers if you have questions or for more ideas on how to help your baby’s development. Respond positively to your baby. Act excited, smile, and talk to him when he makes sounds. This teaches him to take turns “talking” back and forth in conversation. Provide safe opportunities for your baby to reach for toys, kick at toys and explore what is around her. For example, put her on a blanket with safe toys. Allow your baby to put safe things in his mouth to explore them. This is how babies learn. For example, let him see, hear, and touch things that are not sharp, hot, or small enough to choke on. Talk, read, and sing to your baby. This will help her learn to speak and understand words later. Limit screen time (TV, phones, tablets, etc.) to video calling with loved ones. Screen time is not recommended for children younger than 2 years of age. Babies learn by talking, playing, and interacting with others. Feed only breast milk or formula to your baby. Babies are not ready for other foods, water or other drinks for about the first 6 months of life. Give your baby safe toys to play with that are easy to hold, like rattles or cloth books with colorful pictures for her age. Let your baby have time to move and interact with people and objects throughout the day. Try not to keep your baby in swings, strollers, or bouncy seats for too long. Set steady routines for sleeping and feeding. Lay your baby on her back and show her a bright-colored toy. Move the toy slowly from left to right and up and down to see if she watches how the toy moves. Sing and talk to your baby as you help her “exercise” (move her body) for a few minutes. Gently bend and move her arms and legs up and down. To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early. Your baby at 6 months Baby’s Name Baby’s Age Today’s Date Milestones matter! How your baby plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your baby has reached by 6 months. Take this with you and talk with your baby’s doctor at every well-child visit about the milestones your baby has reached and what to expect next. What most babies do by this age: Social/Emotional Milestones Cognitive Milestones  Knows familiar people (learning, thinking, problem-solving)  Likes to look at himself in a mirror  Puts things in her mouth to explore them  Laughs  Reaches to grab a toy he wants  Closes lips to show she doesn’t want more food Language/Communication Milestones  Takes turns making sounds with you Movement/Physical Development  Blows “raspberries” (sticks tongue out and blows) Milestones  Makes squealing noises  Rolls from tummy to back  Pushes up with straight arms when on tummy  Leans on hands to support himself when sitting Other important things to share with the doctor… What are some things you and your baby do together? What are some things your baby likes to do? Is there anything your baby does or does not do that concerns you? Has your baby lost any skills he/she once had? Does your baby have any special healthcare needs or was he/she born prematurely? You know your baby best. Don’t wait. If your baby is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your baby’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your baby more; and 2. Call your state or territory’s early intervention program to find out if your baby can get services to help. Learn more and find the number at cdc.gov/FindEI. For more on how to help your baby, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your baby learn and grow As your baby’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your baby’s doctor and teachers if you have questions or for more ideas on how to help your baby’s development. Use “back and forth” play with your baby. When your baby smiles, you smile; when he makes sounds, you copy them. This helps him learn to be social. “Read” to your baby every day by looking at colorful pictures in magazines or books and talk about them. Respond to her when she babbles and “reads” too. For example, if she makes sounds, say “Yes, that’s the doggy!” Point out new things to your baby and name them. For example, when on a walk, point out cars, trees, and animals. Sing to your baby and play music. This will help his brain develop. Limit screen time (TV, tablets, phones, etc.) to video calling with loved ones. Screen time is not recommended for children younger than 2 years of age. Babies learn by talking, playing, and interacting with others. When your baby looks at something, point to it and talk about it. Put your baby on her tummy or back and put toys just out of reach. Encourage her to roll over to reach the toys. Learn to read your baby’s moods. If he’s happy, keep doing what you are doing. If he’s upset, take a break and comfort your baby. Talk with your baby’s doctor about when to start solid foods and what foods are choking risks. Breast milk or formula is still the most important source of “food” for your baby. Learn when your baby is hungry or full. Pointing to foods, opening his mouth to a spoon, or getting excited when seeing food are signs that he is hungry. Others, like pushing food away, closing his mouth, or turning his head away from food tells you that he’s had enough. Help your baby learn she can calm down. Talk softly, hold, rock, or sing to her, or let her suck on her fingers or a pacifier. You may offer a favorite toy or stuffed animal while you hold or rock her. Hold your baby up while she sits. Let her look around and give her toys to look at while she learns to balance herself. To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early. Your baby at 9 months* Baby’s Name Baby’s Age Today’s Date Milestones matter! How your baby plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your baby has reached by 9 months. Take this with you and talk with your baby’s doctor at every well-child visit about the milestones your baby has reached and what to expect next. What most babies do by this age: Social/Emotional Milestones Cognitive Milestones  Is shy, clingy, or fearful around strangers (learning, thinking, problem-solving)  Shows several facial expressions, like happy, sad,  Looks for objects when dropped out of sight angry, and surprised (like his spoon or toy)  Looks when you call her name  Bangs two things together  Reacts when you leave (looks, reaches for you, or cries) Movement/Physical Development  Smiles or laughs when you play peek-a-boo Milestones Gets to a sitting position by herself Language/Communication Milestones   Moves things from one hand to her other hand  Makes different sounds like “mamamama” and  Uses fingers to “rake” food towards himself “babababa”  Sits without support  Lifts arms up to be picked up * It’s time for developmental screening! At 9 months, your baby is due for general developmental screening, as recommended for all children by the American Academy of Pediatrics. Ask the doctor about your baby’s developmental screening. Other important things to share with the doctor… What are some things you and your baby do together? What are some things your baby likes to do? Is there anything your baby does or does not do that concerns you? Has your baby lost any skills he/she once had? Does your baby have any special healthcare needs or was he/she born prematurely? You know your baby best. Don’t wait. If your baby is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your baby’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your baby more; and 2. Call your state or territory’s early intervention program to find out if your baby can get services to help. Learn more and find the number at cdc.gov/FindEI. For more on how to help your baby, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your baby learn and grow As your baby’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your baby’s doctor and teachers if you have questions or for more ideas on how to help your baby’s development. Repeat your baby’s sounds and say simple words using those sounds. For example, if your baby says “bababa,” repeat “bababa,” then say “book.” Place toys on the ground or on a play mat a little out of reach and encourage your baby to crawl, scoot, or roll to get them. Celebrate when she reaches them. Teach your baby to wave “bye-bye” or shake his head “no.” For example, wave and say “bye-bye” when you are leaving. You can also teach simple baby sign language to help your baby tell you what he wants before he can use words. Play games, such as peek-a-boo. You can cover your head with a cloth and see if your baby pulls it off. Play with your baby by dumping blocks from a container and putting them back in together. Play games with your baby, such as my turn, your turn. Try this by passing a toy back and forth. “Read” to your baby. Reading can be talking about pictures. For example, while looking at books or magazines, name the pictures as you point to them. Limit screen time (TV, tablets, phones, etc.) to video calling with loved ones. Screen time is not recommended for children younger than 2 years of age. Babies learn by talking, playing, and interacting with others. Find out about choking risks and safe foods to feed your baby. Let him practice feeding himself with his fingers and using a cup with a small amount of water. Sit next to your baby and enjoy mealtime together. Expect spills. Learning is messy and fun! Ask for behaviors that you want. For example, instead of saying “don’t stand,” say “time to sit.” Help your baby get used to foods with different tastes and textures. Foods can be smooth, mashed, or finely chopped. Your baby might not like every food on the first try. Give her a chance to try foods again and again. Say a quick and cheerful goodbye instead of sneaking away so your baby knows you are leaving, even if he cries. He will learn to calm himself and what to expect. Let him know when you return by saying “Daddy’s back!” To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early. Your baby at 12 months Baby’s Name Baby’s Age Today’s Date Milestones matter! How your baby plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your baby has reached by 12 months. Take this with you and talk with your baby’s doctor at every well-child visit about the milestones your baby has reached and what to expect next. What most babies do by this age: Social/Emotional Milestones Movement/Physical Development  Plays games with you, like pat-a-cake Milestones  Pulls up to stand Language/Communication Milestones  Walks, holding on to furniture  Drinks from a cup without a lid, as you hold it  Waves “bye-bye”  Picks things up between thumb and pointer finger,  Calls a parent “mama” or “dada” or another special like small bits of food name  Understands “no” (pauses briefly or stops when you say it) Cognitive Milestones (learning, thinking, problem-solving)  Puts something in a container, like a block in a cup  Looks for things he sees you hide, like a toy under a blanket Other important things to share with the doctor… What are some things you and your baby do together? What are some things your baby likes to do? Is there anything your baby does or does not do that concerns you? Has your baby lost any skills he/she once had? Does your baby have any special healthcare needs or was he/she born prematurely? You know your baby best. Don’t wait. If your baby is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your baby’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your baby more; and 2. Call your state or territory’s early intervention program to find out if your baby can get services to help. Learn more and find the number at cdc.gov/FindEI. For more on how to help your baby, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your baby learn and grow As your baby’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your baby’s doctor and teachers if you have questions or for more ideas on how to help your baby’s development. Teach your baby “wanted behaviors.” Show her what to do and use positive words or give her hugs and kisses when she does it. For example, if she pulls your pet’s tail, teach her how to pet gently and give her a hug when she does it. Talk or sing to your baby about what you’re doing. For example, “Mommy is washing your hands” or sing, “This is the way we wash our hands.” Build on what your baby tries to say. If he says “ta,” say “Yes, a truck,” or if he says “truck,” say “Yes, that’s a big, blue truck.” Redirect your baby quickly and consistently by giving her a toy or moving her if she is getting into things you don’t want her to get into. Save “no” for behaviors that are dangerous. When you say “no,” say it firmly. Do not spank, yell, or give her long explanations. Give your baby safe places to explore. Baby-proof your home. For example, move sharp or breakable things out of reach. Lock away medicines, chemicals, and cleaning products. Save the Poison Help Line number, 800-222-1222, in all phones. Respond with words when your baby points. Babies point to ask for things. For example, say “You want the cup? Here is the cup. It’s your cup.” If he tries to say “cup,” celebrate his attempt. Point to interesting things you see, such as a truck, bus, or animals. This will help your baby pay attention to what others are “showing” him through pointing. Limit screen time (TV, tablets, phones, etc.) to video calling with loved ones. Screen time is not recommended for children younger than 2 years of age. Babies learn by talking, playing, and interacting with others. Give your baby water, breast milk, or plain milk. You don’t need to give your baby juice, but if you do, give 4 ounces or less a day of 100% fruit juice. Do not give your baby other sugary beverages, such as fruit drinks, soda, sports drinks, or flavored milks. Help your baby get used to foods with different tastes and textures. Foods can be smooth, mashed, or finely chopped. Your baby might not like every food on the first try. Give your baby a chance to try foods again and again. Give your baby time to get to know a new caregiver. Bring a favorite toy, stuffed animal, or blanket to help comfort your baby. Give your baby pots and pans or a small musical instrument like a drum or cymbals. Encourage your baby to make noise. To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early. Your child at 15 months Child’s Name Child’s Age Today’s Date Milestones matter! How your child plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your child has reached by 15 months. Take this with you and talk with your child’s doctor at every well-child visit about the milestones your child has reached and what to expect next. What most children do by this age: Social/Emotional Milestones Cognitive Milestones  Copies other children while playing, like taking toys (learning, thinking, problem-solving) out of a container when another child does  Tries to use things the right way, like a phone, cup,  Shows you an object she likes or book  Claps when excited  Stacks at least two small objects, like blocks  Hugs stuffed doll or other toy  Shows you affection (hugs, cuddles, or kisses you) Movement/Physical Development Milestones Language/Communication Milestones  Takes a few steps on his own  Tries to say one or two words besides “mama” or  Uses fingers to feed herself some food “dada,” like “ba” for ball or “da” for dog  Looks at a familiar object when you name it  Follows directions given with both a gesture and words. For example, he gives you a toy when you hold out your hand and say, “Give me the toy.”  Points to ask for something or to get help Other important things to share with the doctor… What are some things you and your child do together? What are some things your child likes to do? Is there anything your child does or does not do that concerns you? Has your child lost any skills he/she once had? Does your child have any special healthcare needs or was he/she born prematurely? You know your child best. Don’t wait. If your child is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your child’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your child more; and 2. Call your state or territory’s early intervention program to find out if your child can get services to help. Learn more and find the number at cdc.gov/FindEI. For more on how to help your child, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your child learn and grow As your child’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your child’s doctor and teachers if you have questions or for more ideas on how to help your child’s development. Help your child learn to speak. A child’s early words are not complete. Repeat and add to what he says. He may say “ba” for ball and you can say “Ball, yes, that’s a ball.” Tell your child the names of objects when he points to them and wait a few seconds to see if he makes any sounds before handing it to him. If he does make a sound, acknowledge him, and repeat the name of the object. “Yes! Cup.” Find ways to let your child help with everyday activities. Let her get her shoes to go outside, put the snacks in the bag for the park, or put the socks in the basket. Have steady routines for sleeping and feeding. Create a calm, quiet bedtime for your child. Put on his pajamas, brush his teeth, and read 1 or 2 books to him. Children between 1 and 2 years of age need 11 to 14 hours of sleep a day (including naps). Consistent sleep times make it easier! Show your child different things, such as a hat. Ask him, “What do you do with a hat? You put it on your head.” Put it on your head and then give it to him to see if he copies you. Do this with other objects, such as a book or a cup. Sing songs with gestures, such as “Wheels on the Bus.” See if your child tries to do some of the actions. Say what you think your child is feeling (for example, sad, mad, frustrated, happy). Use your words, facial expressions, and voice to show what you think she is feeling. For example, say “You are frustrated because we can’t go outside, but you can’t hit. Let’s go look for an indoor game.” Expect tantrums. They are normal at this age and are more likely if your child is tired or hungry. Tantrums should become shorter and happen less as he gets older. You can try a distraction, but it is ok to let him have the tantrum without doing anything. Give him some time to calm down and move on. Teach your child “wanted behaviors.” Show her what to do and use positive words or give her hugs and kisses when she does it. For example, if she pulls your pet’s tail, teach her how to pet gently. Give her a hug when she does it. Limit screen time (TV, tablets, phones, etc.) to video calling with loved ones. Screen time is not recommended for children younger than 2 years of age. Children learn by talking, playing, and interacting with others. Encourage your child to play with blocks. You can stack the blocks and she can knock them down. Let your child use a cup without a lid for drinking and practice eating with a spoon. Learning to eat and drink is messy but fun! To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early. Your child at 18 months* Child’s Name Child’s Age Today’s Date Milestones matter! How your child plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your child has reached by 18 months. Take this with you and talk with your child’s doctor at every well-child visit about the milestones your child has reached and what to expect next. What most children do by this age: Social/Emotional Milestones Movement/Physical  Moves away from you, but looks to make sure you Development Milestones are close by  Walks without holding on to anyone or anything  Points to show you something interesting  Scribbles  Puts hands out for you to wash them  Drinks from a cup without a lid and may spill  Looks at a few pages in a book with you sometimes  Helps you dress him by pushing arm through sleeve  Feeds herself with her fingers or lifting up foot  Tries to use a spoon  Climbs on and off a couch or chair without help Language/Communication Milestones  Tries to say three or more words besides “mama” or “dada”  Follows one-step directions without any gestures, * It’s time for developmental screening! At 18 months, your child is due for general developmental screening and an autism screening, as recommended for all like giving you the toy when you say, “Give it to me.” children by the American Academy of Pediatrics. Ask the doctor about your child’s developmental screening. Cognitive Milestones (learning, thinking, problem-solving)  Copies you doing chores, like sweeping with a broom  Plays with toys in a simple way, like pushing a toy car Other important things to share with the doctor… What are some things you and your child do together? What are some things your child likes to do? Is there anything your child does or does not do that concerns you? Has your child lost any skills he/she once had? Does your child have any special healthcare needs or was he/she born prematurely? You know your child best. Don’t wait. If your child is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your child’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your child more; and 2. Call your state or territory’s early intervention program to find out if your child can get services to help. Learn more and find the number at cdc.gov/FindEI. For more on how to help your child, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your child learn and grow As your child’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your child’s doctor and teachers if you have questions or for more ideas on how to help your child’s development. Use positive words and give more attention to behaviors you want to see (“wanted behaviors”). For example, “Look how nicely you put the toy away.” Give less attention to those you don’t want to see. Encourage “pretend” play. Give your child a spoon so she can pretend to feed her stuffed animal. Take turns pretending. Help your child learn about others’ feelings and about positive ways to react. For example, when he sees a child who is sad, say “He looks sad. Let’s bring him a teddy.” Ask simple questions to help your child think about what’s around her. For example, ask her, “What is that?” Let your child use a cup without a lid for drinking and practice eating with a spoon. Learning to eat and drink is messy but fun! Give simple choices. Let your child choose between two things. For example, when dressing, ask him if he wants to wear the red or blue shirt. Have steady routines for sleeping and eating. For example, sit at the table with your child when she’s eating meals and snacks. This helps set mealtime routines for your family. Limit screen time (TV, tablets, phones, etc.) to video calling with loved ones. Screen time is not recommended for children younger than 2 years of age. Children learn by talking, playing, and interacting with others. Limit your own screen time when you are with your child so you are able to respond to her words and actions. Ask your child’s doctor and/or teachers if your child is ready for toilet training. Most children are not successful at toilet training until 2 to 3 years old. If he is not ready, it can cause stress and setbacks, which can cause training to take longer. Expect tantrums. They are normal at this age and should become shorter and happen less often as your child gets older. You can try distractions, but it’s ok to ignore the tantrum. Give him some time to calm down and move on. Talk with your child by facing her and getting down to her eye level when possible. This helps your child “see” what you’re saying through your eyes and face, not just your words. Start to teach your child the names for body parts by pointing them out and saying things like “Here’s your nose, here’s my nose,” while pointing to her nose and your own. To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early. Your child at 2 years* Child’s Name Child’s Age Today’s Date Milestones matter! How your child plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your child has reached by age 2. Take this with you and talk with your child’s doctor at every well-child visit about the milestones your child has reached and what to expect next. What most children do by this age: Social/Emotional Milestones  Tries to use switches, knobs, or buttons on a toy  Notices when others are hurt or upset, like pausing  Plays with more than one toy at the same time, or looking sad when someone is crying like putting toy food on a toy plate  Looks at your face to see how to react in a new situation Language/Communication Milestones Movement/Physical Development Milestones  Points to things in a book when you ask, like “Where is the bear?”  Kicks a ball  Says at least two words together, like “More milk.”  Runs  Points to at least two body parts when you ask him  Walks (not climbs) up a few stairs with or to show you without help  Uses more gestures than just waving and pointing,  Eats with a spoon like blowing a kiss or nodding yes Cognitive Milestones * It’s time for developmental screening! At 2 years, your child is due for an autism screening, as recommended for all children by the American Academy of (learning, thinking, problem-solving) Pediatrics. Ask the doctor about your child’s developmental screening.  Holds something in one hand while using the other hand; for example, holding a container and taking the lid off Other important things to share with the doctor… What are some things you and your child do together? What are some things your child likes to do? Is there anything your child does or does not do that concerns you? Has your child lost any skills he/she once had? Does your child have any special healthcare needs or was he/she born prematurely? You know your child best. Don’t wait. If your child is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your child’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your child more; and 2. Call your state or territory’s early intervention program to find out if your child can get services to help. Learn more and find the number at cdc.gov/FindEI. For more on how to help your child, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your child learn and grow As your child’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your child’s doctor and teachers if you have questions or for more ideas on how to help your child’s development. Help your child learn how words sound, even if he can’t say them clearly yet. For example, if your child says, “or nana,” say “You want more banana.” Watch your child closely during playdates. Children this age play next to each other, but do not know how to share and solve problems. Show your child how to deal with conflicts by helping her share, take turns, and use words when possible. Have your child help you get ready for mealtime, by letting him carry things to the table, such as plastic cups or napkins. Thank your child for helping. Give your child balls to kick, roll, and throw. Give toys that teach your child how to make things work and how to solve problems. For example, give her toys where she can push a button and something happens. Let your child play dress up with grown-up clothes, such as shoes, hats, and shirts. This helps him begin to pretend play. Allow your child to eat as much or as little as she wants at each meal. Toddlers don’t always eat the same amount or type of food each day. Your job is to offer her healthy foods and it’s your child’s job to decide if and how much she needs to eat. Have steady routines for sleeping and feeding. Create a calm, quiet bedtime for your child. Put on his pajamas, brush his teeth, and read 1 or 2 books to him. Children this age need 11 to 14 hours of sleep a day (including naps). Consistent sleep times make it easier. Ask your child’s doctor and/or teachers about toilet training to know if your child is ready to start. Most children are not able to toilet train until 2 to 3 years old. Starting too early can cause stress and setbacks, which can cause training to take longer. Use positive words when your child is being a good helper. Let him help with simple chores, such as putting toys or laundry in a basket. Play with your child outside, by playing “ready, set, go.” For example, pull your child back in a swing. Say “Ready, set….”, then wait and say “Go” when you push the swing. Let your child create simple art projects with you. Give your child crayons or put some finger paint on paper and let her explore by spreading it around and making dots. Hang it on the wall or refrigerator so your child can see it. To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early. Your child at 30 months* Child’s Name Child’s Age Today’s Date Milestones matter! How your child plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your child has reached by 30 months. Take this with you and talk with your child’s doctor at every well-child visit about the milestones your child has reached and what to expect next. What most children do by this age: Social/Emotional Milestones  Shows simple problem-solving skills, like standing on a small stool to reach something  Plays next to other children and sometimes plays  Follows two-step instructions like “Put the toy down with them and close the door.”  Shows you what she can do by saying, “Look at me!”  Shows he knows at least one color, like pointing to a  Follows simple routines when told, like helping to pick red crayon when you ask, “Which one is red?” up toys when you say, “It’s clean-up time.” Language/Communication Milestones Movement/Physical Development Milestones  Uses hands to twist things, like turning doorknobs  Says about 50 words or unscrewing lids  Says two or more words together, with one action  Takes some clothes off by himself, like loose pants word, like “Doggie run” or an open jacket  Names things in a book when you point and ask,  Jumps off the ground with both feet “What is this?”  Turns book pages, one at a time, when you read to her  Says words like “I,” “me,” or “we” Cognitive Milestones * It’s time for developmental screening! At 30 months, your child is due for general developmental (learning, thinking, problem-solving) screening as recommended for all children by the American Academy of Pediatrics. Ask the doctor about your child’s  Uses things to pretend, like feeding a block to a doll developmental screening. as if it were food Other important things to share with the doctor… What are some things you and your child do together? What are some things your child likes to do? Is there anything your child does or does not do that concerns you? Has your child lost any skills he/she once had? Does your child have any special healthcare needs or was he/she born prematurely? You know your child best. Don’t wait. If your child is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your child’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your child more; and 2. Call your state or territory’s early intervention program to find out if your child can get services to help. Learn more and find the number at cdc.gov/FindEI. For more on how to help your child, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your child learn and grow As your child’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your child’s doctor and teachers if you have questions or for more ideas on how to help your child’s development. Encourage “free play,” where your child can follow her interests, try new things, and use things in new ways. Use positive words and give more attention to behaviors you want to see (“wanted behaviors”), than to those you don’t want to see. For example, say “I like how you gave Jordan the toy.” Give your child food choices that are simple and healthy. Let him choose what to eat for a snack or what to wear. Limit choices to two or three. Ask your child simple questions about books and stories. Ask questions, such as “Who?” “What?” and “Where?” Help your child learn how to play with other children. Show him how by helping him share, take turns, and use his “words.” Let your child “draw” with crayons on paper, shaving cream on a tray, or chalk on a sidewalk. If you draw a straight line, see if she will copy you. When she gets good at lines, show her how to draw a circle. Let your child play with other children, such as at a park or library. Ask about local play groups and pre-school programs. Playing with others helps him learn the value of sharing and friendship. Eat family meals together as much as you can. Give the same meal to everyone. Enjoy each other’s company and avoid screen time (TV, tablets, and phones, etc.) during meals. Limit screen time (TV, tablets, phones, etc.) to no more than 1 hour per day of a children’s program with an adult present. Children learn by talking, playing, and interacting with others. Use words to describe things to your child, such as big/small, fast/slow, on/off, and in/out. Help your child do simple puzzles with shapes, colors, or animals. Name each piece when your child puts it in place. Play with your child outside. For example, take your child to the park to climb on equipment and run in safe areas. Allow your child to eat as much or as little as she wants at each meal. Your job is to offer her healthy foods and it’s your child’s job to decide if and how much she wants to eat. To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early. Your child at 3 years Child’s Name Child’s Age Today’s Date Milestones matter! How your child plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your child has reached by age 3. Take this with you and talk with your child’s doctor at every well-child visit about the milestones your child has reached and what to expect next. What most children do by this age: Social/Emotional Milestones Cognitive Milestones  Calms down within 10 minutes after you leave her, (learning, thinking, problem-solving) like at a childcare drop off  Draws a circle, when you show him how  Notices other children and joins them to play  Avoids touching hot objects, like a stove, when you warn her Language/Communication Milestones  Talks with you in conversation using at least two Movement/Physical Development back-and-forth exchanges Milestones  Asks “who,” “what,” “where,” or “why” questions,  Strings items together, like large beads or macaroni like “Where is mommy/daddy?”  Puts on some clothes by himself, like loose pants or  Says what action is happening in a picture or book a jacket when asked, like “running,” “eating,” or “playing”  Uses a fork  Says first name, when asked  Talks well enough for others to understand, most of the time Other important things to share with the doctor… What are some things you and your child do together? What are some things your child likes to do? Is there anything your child does or does not do that concerns you? Has your child lost any skills he/she once had? Does your child have any special healthcare needs or was he/she born prematurely? You know your child best. Don’t wait. If your child is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your child’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your child more; and 2. Call any local public elementary school for a free evaluation to find out if your child can get services to help. For more on how to help your child, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your child learn and grow As your child’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your child’s doctor and teachers if you have questions or for more ideas on how to help your child’s development. Encourage your child to solve her own problems with your support. Ask questions to help her understand the problem. Help her think of solutions, try one out, and try more if needed. Talk about your child’s emotions and give him words to help him explain how he’s feeling. Help your child manage stressful feelings by teaching him to take deep breaths, hug a favorite toy, or go to a quiet, safe place when he is upset. Set a few simple and clear rules that your child can follow, such as use gentle hands when playing. If he breaks a rule, show him what to do instead. Later, if your child follows the rule, recognize and congratulate him. Read with your child. Ask questions, such as “What is happening in the picture?” and/or “What do you think will happen next?” When she gives you an answer, ask for more details. Play counting games. Count body parts, stairs, and other things you use or see every day. Children this age are starting to learn about numbers and counting. Help your child develop his language skills by speaking to him in longer sentences than his, using real words. Repeat what he says, for example, “need nana,” and then show how to use more “grown-up” words by saying, “I want a banana.” Let your child help with making meals. Give him simple tasks, such as washing fruits and vegetables or stirring. Give your child instructions with 2 or 3 steps. For example, “Go to your room and get your shoes and coat.” Limit screen time (TV, tablets, phones, etc.) to no more than 1 hour per day of a children’s program with an adult present. Don’t put any screens in your child’s bedroom. Children learn by talking, playing, and interacting with others. Teach your child simple songs and rhymes, such as “Itsy Bitsy Spider” or “Twinkle, Twinkle, Little Star.” Give your child an “activity box” with paper, crayons, and coloring books. Color and draw lines and shapes with your child. Encourage your child to play with other children. This helps him learn the value of friendship and how to get along with others. To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early. Your child at 4 years Child’s Name Child’s Age Today’s Date Milestones matter! How your child plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your child has reached by age 4. Take this with you and talk with your child’s doctor at every well-child visit about the milestones your child has reached and what to expect next. What most children do by this age: Social/Emotional Milestones Cognitive Milestones  Pretends to be something else during play (teacher, (learning, thinking, problem-solving) superhero, dog)  Names a few colors of items  Asks to go play with children if none are around, like  Tells what comes next in a well-known story “Can I play with Alex?”  Draws a person with three or more body parts  Comforts others who are hurt or sad, like hugging a crying friend Movement/Physical Development  Avoids danger, like not jumping from tall heights at the playground Milestones  Likes to be a “helper”  Catches a large ball most of the time  Changes behavior based on where she is (place of  Serves himself food or pours water, with adult worship, library, playground) supervision  Unbuttons some buttons  Holds crayon or pencil between fingers and thumb Language/Communication Milestones (not a fist)  Says sentences with four or more words  Says some words from a song, story, or nursery rhyme  Talks about at least one thing that happened during his day, like “I played soccer.”  Answers simple questions like “What is a coat for?” or “What is a crayon for?” Other important things to share with the doctor… What are some things you and your child do together? What are some things your child likes to do? Is there anything your child does or does not do that concerns you? Has your child lost any skills he/she once had? Does your child have any special healthcare needs or was he/she born prematurely? You know your child best. Don’t wait. If your child is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your child’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your child more; and 2. Call any local public elementary school for a free evaluation to find out if your child can get services to help. For more on how to help your child, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your child learn and grow As your child’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your child’s doctor and teachers if you have questions or for more ideas on how to help your child’s development. Help your child be ready for new places and meeting new people. For example, you can read stories or role play (pretend play) to help him be comfortable. Read with your child. Ask him what’s happening in the story and what he thinks might happen next. Help your child learn about colors, shapes, and sizes. For example, ask the color, shapes, and size of things she sees during the day. Encourage your child to use “his words” to ask for things and solve problems but show him how. He may not know the words he needs. For example, help your child say, “Can I have a turn?” instead of taking something from someone. Help your child learn about others’ feelings, and about positive ways to react. For example, when he sees a child who is sad, say “He looks sad. Let’s bring him a teddy.” Use positive words and give attention to behaviors you want to see (“wanted behaviors”). For example, say “You’re sharing that toy so nicely!” Give less attention to those you don’t want to see. Tell your child in a simple way why she can’t do something you don’t want her to do (“unwanted behavior”). Give her a choice of what she can do instead. For example, “You can’t jump on the bed. Do you want to go outside and play or put on some music and dance?” Let your child play with other children, such as at a park or library. Ask about local play groups and pre-school programs. Playing with others helps you child learn the value of sharing and friendship. Eat meals with your child when possible. Let her see you enjoying healthy foods, such as fruits, vegetables, and whole grains, and drinking milk or water. Create a calm, quiet bedtime routine. Avoid any screen time (TV, phone, tablet, etc.) for 1 to 2 hours before bed and don’t put any screens in your child’s bedroom. Children this age need 10 to 13 hours of sleep a day (including naps). Consistent sleep times make it easier! Give your child toys or things that encourage his imagination, such as dress-up clothes, pots and pans to pretend cook, or blocks to build with. Join him in pretend play, such as eating the pretend food he cooks. 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 find the answer in a book, on the Internet, or from another adult. To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early. Your child at 5 years Child’s Name Child’s Age Today’s Date Milestones matter! How your child plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your child has reached by age 5. Take this with you and talk with your child’s doctor at every well-child visit about the milestones your child has reached and what to expect next. What most children do by this age: Social/Emotional Milestones Cognitive Milestones  Follows rules or takes turns when playing games (learning, thinking, problem-solving) with other children  Counts to 10  Sings, dances, or acts for you  Names some numbers between 1 and 5 when you  Does simple chores at home, like matching socks point to them or clearing the table after eating  Uses words about time, like “yesterday,” “tomorrow,” “morning,” or “night” Language/Communication Milestones  Pays attention for 5 to 10 minutes during activities. For example, during story time or making arts and  Tells a story she heard or made up with at least two crafts (screen time does not count) events. For example, a cat was stuck in a tree and  Writes some letters in her name a firefighter saved it  Names some letters when you point to them  Answers simple questions about a book or story after you read or tell it to him  Keeps a conversation going with more than three Movement/Physical Development back-and-forth exchanges Milestones  Uses or recognizes simple rhymes  Buttons some buttons (bat-cat, ball-tall)  Hops on one foot Other important things to share with the doctor… What are some things you and your child do together? What are some things your child likes to do? Is there anything your child does or does not do that concerns you? Has your child lost any skills he/she once had? Does your child have any special healthcare needs or was he/she born prematurely? You know your child best. Don’t wait. If your child is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early. Talk with your child’s doctor, share your concerns, and ask about developmental screening. If you or the doctor are still concerned: 1. Ask for a referral to a specialist who can evaluate your child more; and 2. Call any local public elementary school for a free evaluation to find out if your child can get services to help. For more on how to help your child, visit cdc.gov/Concerned. Don’t wait. Acting early can make a real difference! Help your child learn and grow As your child’s first teacher, you can help his or her learning and brain development. Try these simple tips and activities in a safe way. Talk with your child’s doctor and teachers if you have questions or for more ideas on how to help your child’s development. Your child might start to “talk back” in order to feel independent and test what happens. Limit the attention you give to the negative words. Find alternative activities for her to do that allow her to take the lead and be independent. Make a point of noticing good behavior. “You stayed calm when I told you it’s bedtime.” Ask your child what she is playing. Help her expand her answers by asking “Why?” and “How?” For example, say “That’s a nice bridge you’re building. Why did you put it there?” Play with toys that encourage your child to put things together, such as puzzles and building blocks. Use words to help your child begin to understand time. For example, sing songs about the days of the week and let him know what day it is. Use words about time, such as today, tomorrow, and yesterday. Let your child do things for himself, even if he doesn’t do it perfectly. For example, let him make his bed, button his shirt, or pour water into a cup. Celebrate when he does it and try not to “fix” anything you don’t have to. Talk about and label your child’s and your own feelings. Read books and talk about the feelings characters have and why they have them. Play rhyming games. For example, say “What rhymes with cat?” Teach your child to follow rules in games. For example, play simple board games, card games, or Simon Says. Create a spot in your home for your child to go to when he’s upset. Stay nearby so your child knows he is safe and can come to you for help calming as needed. Set limits for screen time (TV, tablets, phones, etc.) for your child, to no more than 1 hour per day. Make a media use plan for your family. Eat meals with your child and enjoy family time talking together. Give the same meal to everyone. Avoid screen time (TV, tablets, phones, etc.) during mealtime. Let your child help prepare the healthy foods and enjoy them together. Encourage your child to “read” by looking at the pictures and telling the story. Play games that help with memory and attention. For example, play card games, Tic Tac Toe, I Spy, or Hot and Cold. To see more tips and activities download CDC’s Milestone Tracker app. This milestone checklist is not a substitute for a standardized, validated developmental screening tool. These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus. www.cdc.gov/ActEarly | 1-800-CDC-INFO (1-800-232-4636) Learn the Signs. Act Early.