Learn the Signs and act early if your child does not reach age appropriate developmental milestones

Milestones enable parents and physicians to monitor a baby’s learning, behavior and development. The term “milestone” takes its name from a stone marker, placed along the  road, that indicates the distance traveled. So milestones help to mark progress along a child’s developmental journey.

 
While each child develops differently, some differences may indicate a slight delay and others may be  a cause for greater concern. * Before your child’s next visit to the physician, please take the time to see if your child  has met his/her key milestones. 
 
These milestones should not be used in place of a screening,  but should be used as discussion points between parents and physicians at each well visit. 
 
 
At 2 Months
 
  • Doesn’t respond to loud sounds
  • Doesn’t watch things as they move
  • Doesn’t smile at people
  • Doesn’t bring hands to mouth
  • Can’t hold head up when pushing up when on tummy                                                                                                                  

 

At 4 Months

 
  • Doesn’t watch things as they move
  • Doesn’t smile at people
  • Can’t hold head steady
  • Doesn’t coo or make sounds
  • Doesn’t bring things to mouth
  • Doesn’t push down with legs when feet are placed on hard surface
  • Has trouble moving one or both eyes in all directions

 

At 6 Months

 

  • Doesn’t try to get things that are in reach
  • Shows no affection for caregivers
  • Doesn’t respond to sounds around him
  • Has difficulty getting things to mouth
  • Doesn’t make vowel sounds (“ah”, “eh”, “oh”)
  • Doesn’t roll over in either direction
  • Doesn’t laugh or make squealing sounds

 

At 9 Months

 

  • Doesn’t bear weight on legs with support
  • Doesn’t sit with help
  • Doesn’t babble (“mama”, “baba”, “dada”)
  • Doesn’t play any games involving back-and-forth play
  • Doesn’t respond to own name
  • Doesn’t seem to recognize familiar people
  • Doesn’t look where you point
  • Doesn’t transfer toys from one hand to the other

 

At 12 Months                                                       

 

  • Doesn’t crawl
  • Can’t stand when supported
  • Doesn’t search for things that she sees you hide.
  • Doesn’t say single words like “mama” or “dada”
  • Doesn’t learn gestures like waving or shaking head
  • Doesn’t point to things
  • Looses skills he once had

At 18 Months

 

  • Doesn’t point to show things to others
  • Can’t walk
  • Doesn’t know what familiar things are for
  • Doesn’t copy others
  • Doesn’t gain new words
  • Doesn’t have at least 6 words
  • Doesn’t notice or mind when a caregiver leaves or returns
  • Looses skills he once had

                                 

At 2 Years                                                                            

 

  • Doesn’t use 2-word phrases (for example, “drink milk”)
  • Doesn’t know what to do with common things, like a brush, hone, fork, spoon
  • Doesn’t copy actions and words
  • Doesn’t follow simple instructions
  • Doesn’t walk steadily
  • Looses skills she once had

 

At 3 Years

 

  • Falls down a lot or has trouble with stairs
  • Drools or has very unclear speech
  • Can’t work simple toys (such as peg boards, simple puzzles, turning handle)
  • Doesn’t speak in sentences
  • Doesn’t understand simple instructions
  • Doesn’t play pretend or make-believe
  • Doesn’t want to play with other children or with toys
  • Doesn’t make eye contact
  • Looses skills he once had

               

At 4 Years                   

                                                                                            

  • Can’t jump in place
  • Has trouble scribbling
  • Shows no interest in interactive games or make-believe
  • Ignores other children or doesn’t respond to people outside the family
  • Resists dressing, sleeping, and using the toilet
  • Can’t retell a favourite story
  • Doesn’t follow 3-part commands
  • Doesn’t understand “same” and “different”
  • Doesn’t use “me” and “you” correctly
  • Speaks unclearly
  • Looses skills he once had

 

At 5 Years

  •  
  • Doesn’t show a wide range of emotions
  • Shows extreme behaviour (unusually fearful, aggressive, shy or sad)
  • Unusually withdrawn and not active
  • Is easily distracted, has trouble focusing on one activity for more than 5 minutes
  • Doesn’t respond to people, or responds only superficially
  • Can’t tell what’s real and what’s make-believe
  • Doesn’t play a variety of games and activities
  • Can’t give first and last name
  • Doesn’t use plurals or past tense properly
  • Doesn’t talk about daily activities or experiences
  • Doesn’t draw pictures
  • Can’t brush teeth, wash and dry hands, or get undressed without help
  • Looses skills he once had
 
 

 

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