I have four grandchildren and the twin girls started walking alone at thirteen months and my two grandsons started walking alone at seventeen months. As you can see, children develop at their own pace, so it’s impossible to tell exactly when yours will learn a given skill. The developmental milestones below will give you a general idea of the changes you can expect as your child gets older, but don’t be alarmed if your child takes a slightly different course.

         During this time, your child is becoming increasingly more mobile, and aware of himself and his surroundings. Her desire to explore new objects and people is also increasing. During this stage, your toddler will show greater independence, begin to show defiant behavior, recognize himself in pictures or a mirror, and imitate the behavior of others, especially adults and older children. Your toddler will also be able to recognize names of familiar people and objects, form simple phrases and sentences, and follow simple instructions and directions.

         If you have any questions above your child’s achievement at certain milestones, don’t hesitate to call your pediatrician, I am only providing information not diagnosis.

 

Movement                                                                                                                                                                

  • Walks alone
  • Pulls toys behind her while walking
  • Carries large toy or several toys while walking
  • Begins to run
  • Stands on tiptoe
  • Kicks a ball
  • Climbs onto and down from furniture unassisted
  • Walks up and down stairs holding on to support

Hand and Finger Skills

  • Scribbles spontaneously
  • Turns over container to pour out contents
  • Builds tower of four blocks or more
  • Might use one hand more frequently than the other

Language

  • Points to object or picture when it’s named for him
  • Recognizes names of familiar people, objects and body parts
  • Says several single words (by 15 to 18 months)
  • Uses simple phrases (by 18 to 24 months)
  • Uses two- to four-word sentences
  • Follows simple instructions
  • Repeats words overheard in conversation

Cognitive

  • Finds objects even when hidden under two or three covers
  • Begins to sort by shapes and colors
  • Begins make-believe play

Social

  • Imitates behavior of others, especially adults and older children
  • Increasingly aware of herself as separate from others
  • Increasingly enthusiastic about company of other children

 

 

Emotional

  • Demonstrates increasing independence
  • Begins to show defiant behavior
  • Episodes of separation anxiety increase toward midyear then fade

Developmental Health Watch

Because each child develops at his own particular pace, it’s impossible to tell exactly when yours will perfect a given skill. The developmental milestones will give you a general idea of the changes you can expect as your child gets older, but don’t be alarmed if he takes a slightly different course. Alert your pediatrician; however, if he displays any of the following signs of possible developmental delay for this age range.

  • Cannot walk by 18 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 15 words by 18 months
  • Does not use two-word sentences by age 2
  • By 15 months, does not seem to know the function of common household objects (brush, telephone, bell, fork, spoon)
  • Does not imitate actions or words by the end of this period
  • Does not follow simple instructions by age 2
  • Cannot push a wheeled toy by age 2

         After age one, children no longer need formula. They can drink cow’s milk. But make sure it’s whole milk, not low-fat or skim milk. Children need milk fat for growth and energy. Serve whole milk until your child is at least two years old. If you are worried that your child has a milk allergy, talk to your doctor about other options to provide the calcium and other nutrients she needs. 

        At this age, children love to experiment. They will dip their fingers into apple juice and smear pudding on their tray. At the same time, they are learning to feed themselves. Milk will get spilled, and food will fall on the floor. Accept your child’s efforts. Gently confine activities to the tray of the high chair. Drape a dishtowel under the child’s chin, or use a bib. Put newspaper or an old shower curtain on the floor. This will make cleanup easier.

 Other tips for mealtime

  • Wash your child’s hands before eating. In crawling and moving around, she picks up germs everywhere. Use soap and warm water and rub her hands together briskly.
  • Use dishes that will lessen frustration. Plastic dishes won’t break. Shallow bowls and cups with broad bases are less likely to spill. Plates with upturned rims will help keep food in place.
  • Serve small portions, just a spoonful or two. Your child wants to show her independence. Let her ask for more when she wants more.
  • Watch for signs of fullness. If your child is playing with her food and no longer eating it, it’s time to take it away.
  • Wash your child’s hands and face after eating. Change a messy shirt, if needed.

 Shy or anxious with strangers

  • Cries when mother or father leaves
  • Enjoys imitating people in his 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 do you do if he cries after you leave the room?)
  • May be fearful in some situations
  • Prefers mother and/or regular caregiver over all others
  • Repeats sounds or gestures for attention
  • Finger-feeds himself/herself
  • Extends arm or leg to help when being dressed

 Movement

  • Reaches sitting position without assistance
  • Crawls forward on belly
  • Assumes hands-and-knees position
  • Creeps on hands and knees
  • Gets from sitting to crawling or prone (lying on stomach) position
  • Pulls self up to stand
  • Walks holding on to furniture
  • Stands momentarily without support
  • May walk two or three steps without support

 Language

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

 Cognitive

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

 Developmental Health Watch

Each baby develops in his own manner, so it’s impossible to tell exactly when your child will perfect a given skill. Although the developmental milestones will give you a general idea of the changes you can expect as your child gets older, don’t be alarmed if his development takes a slightly different course. Alert your pediatrician if your baby displays any of the following signs of possible developmental delay in the 8- to 12-month age range.

  • Does not crawl
  • Drags one side of body while crawling (for over one month)
  • Cannot stand when supported
  • Does not search for objects that are hidden 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

 It is important to remember that this information is not a substitute for professional medical advice. Diagnosis and treatment should be done only by your health care provider. For more information contact your local health department or physician.

          Since a baby wants to put everything in his mouth, his toys must be those that can safely be used in this way. They should be washable and should have no sharp points nor corners to hurt the eyes. We wouldn’t give baby toys that have small or loose parts that may be swallowed. Rubber toys, which may be washed, are excellent for a baby. I know as grandparents and parents we tend to give our children or grandchildren a lot of toys, try not to since a child is very easily distracted and will loose interest. We find that they are satisfied with a few things, like an empty plastic cup will keep them occupied for awhile just as much as an expensive doll or other toy. We have given our grandchildren an empty ‘Puffs’ container with the lid and they learned how to remove and replace the lid. Since everything goes into the baby’s mouth, and all his toys are thrown on the floor, they should be frequently washed and, when possible, boiled, to keep them sweet and clean. It is important to remember that this information is not a substitute for professional medical advice. Diagnosis and treatment should be done only by your health care provider. For more information contact your local health department or physician.

Movement

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

Vision

  • Develops full color vision
  • Distance vision matures
  • Ability to track moving objects matures

Language

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

Cognitive

  • Finds partially hidden object
  • Explores with hands and mouth
  • Struggles to get objects that are out of reach

Social/Emotional

  • Enjoys social play
  • Interested in mirror images
  • Responds to other people’s expressions of emotion

Developmental Health Watch

Because each baby develops in his own particular manner, it’s impossible to tell exactly when or how your child will perfect a given skill. The developmental milestones 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 different course. Alert your pediatrician; however, if your baby displays any of the following signs of possible developmental delay for this age range.

  • Seems very stiff with tight muscles
  • Seems very floppy like a rag doll
  • Head still flops back when body is pulled up to a sitting position
  • Reaches with one hand only
  • Refuses to cuddle
  • Shows no affection for the person who cares for him
  • Doesn’t seem to enjoy being around people
  • One or both eyes consistently turn in or out
  • Persistent tearing, eye drainage or sensitivity to light
  • Does not respond to sounds around him
  • Has difficulty getting objects to his mouth
  • Does not turn his head to locate sounds by 4 months
  • Doesn’t roll over in either direction (front to back or back to front) by 5 months
  • Seems inconsolable at night after 5 months
  • Doesn’t smile spontaneously by 5 months
  • Cannot sit with help by 6 months
  • Does not laugh or make squealing sounds by 6 months
  • Does not actively reach for objects by 6 to 7 months
  • Doesn’t follow objects with both eyes at near (1 foot) and far (6 feet) ranges by 7 months
  • Does not bear some weight on legs by 7 months
  • Does not try to attract attention through actions by 7 months
  • Does not babble by 8 months
  • Shows no interest in games of peek-a-boo by 8 months

              As we continue with developmental milestones, today’s blog will start with milestones concerning the end of three months. Each stage of your child’s life is special. Infants and toddlers all the way up to adolescence there are developmental and social steps and stages. Learning about these and keeping track with them can help you guide your kids and help keep you involved. It is important that we take every step necessary to ensure that children grow up in environments where their social, emotional and educational needs are met. It is important to remember that this information is not a substitute for professional medical advice. Diagnosis and treatment should be done only by your health care provider. For more information contact your local health department or physician.

Movement

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

Visual

  • Watches faces intently
  • Follows moving objects
  • Recognizes familiar objects and people at a distance
  • Starts using hands and eyes in coordination

Hearing and Speech

  • Smiles at the sound of your voice
  • Begins to babble
  • Begins to imitate some sounds
  • Turns head toward direction of sound

Social/Emotional

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

 Developmental Health Watch

Although each baby develops in her own individual way and at her own rate, failure to reach certain milestones may signal medical or developmental problems requiring special attention. If you notice any of the following warning signs in your infant at this age, discuss them with your pediatrician.

  • Still has Moro reflex after 4 months
  • Doesn’t seem to respond to loud sounds
  • Doesn’t notice hands by 2 months
  • Doesn’t smile at the sound of your voice by 2 months
  • Doesn’t follow moving objects with eyes by 2 to 3 months
  • Doesn’t grasp and hold objects by 3 months
  • Doesn’t smile at people by 3 months
  • Cannot support  head well at 3 months
  • Doesn’t reach for and grasp toys by 3 to 4 months
  • Doesn’t babble by 3 to 4 months
  • Doesn’t bring objects to  mouth by 4 months
  • Begins babbling, but doesn’t try to imitate any of your sounds by 4 months
  • Doesn’t push down with legs when feet are placed on a firm surface by 4 months
  • Has trouble moving one or both eyes in all directions
  • Crosses her eyes most of the time. (Occasional crossing of the eyes is normal in these first months.)
  • Doesn’t pay attention to new faces, or seems very frightened by new faces or surroundings
  • Still has the tonic neck reflex at 4 to 5 months

 Reference:

Reflexes: http://www.drhull.com/EncyMaster/R/reflexes_primitive.html

              Each stage of your child’s life is special. Infants and toddlers all the way up to adolescence there are developmental and social steps and stages. Learning about these and keeping track with them can help you guide your kids and help keep you involved. It is important that we take every step necessary to ensure that children grow up in environments where their social, emotional and educational needs are met.  Today’s blog will start with milestones concerning the end of the first month. It is important to remember that this information is not a substitute for professional medical advice. Diagnosis and treatment should be done only by your health care provider. For more information contact your local health department or physician.

Movement

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

Visual

  • Focuses 8 to 12 inches away
  • Eyes wander and occasionally cross
  • Prefers black-and-white or high-contrast patterns
  • Prefers the human face to all other patterns

Hearing

  • Hearing is fully mature
  • Recognizes some sounds
  • May turn toward familiar sounds and voices

Smell and Touch

  • Prefers sweet smells
  • Avoids bitter or acidic smells
  • Recognizes the scent of his own mother’s breast milk
  • Prefers soft to coarse sensations
  • Dislikes rough or abrupt handling

Developmental Health Watch

If, during the second, third or fourth weeks of your baby’s life, she/he shows any of the following signs of developmental delay, notify your pediatrician.

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