Developmental Milestones

 
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BIRTH TO 3 MONTHS

  • Startles and reacts to loud sounds

  • Turns head toward sounds

  • Calms down or smiles when spoken to

  • Seems to recognize your voice and quiets if crying

  • Can briefly calm him or herself (may bring hands to mouth & suck on hand)

  • Begins to coo and make pleasure sounds

  • Cries differently for different needs

  •  Begins to smile at people

  • Pays attention to faces

  • Begins to follow things with eyes

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4-6 MONTHS

  • Watches faces closely

  • Likes to play with people and might cry when playing stops

  • Follows sounds with his or her eyes

  • Responds to changes in the tone of your voice

  • Notices toys that make sounds

  • Pays attention to music

  • Responds to own name

  • Responds to sounds by making sounds

  • Makes speech-like babbling sounds like, pa, ba, & mi

  • Giggles & laughs

  • Makes sounds when happy or upset

  • Coos & babbles when playing alone or with you

  • Recognizes familiar people & things at a distance

  • Likes to look at self in the mirror

  • Uses hands & eyes together such as, seeing a toy & reaching for it

  • Follows moving things with eyes from side to side

  • Brings things to mouth

  • Begins to pass things from one hand to the other

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7 MONTHS - 1 YEAR

  • Enjoys playing peek-a-boo & pat-a-cake

  • Has favorite toys

  • Turns and looks in the direction of sounds

  • May be afraid of strangers

  • Looks when you point

  • Listens to songs & stories for a short time

  • Understands words for common items & people such as, “cup,” “shoe,”, “juice”, & "daddy"

  • Responds to simple requests such as, "come here"

  • Babbles using long strings of sounds (“tata, upup, bibibi”)

  • Uses sounds & gestures to get and keep attention

  • Copies sounds & gestures of others

  • Uses simple gestures such as, shaking head for "no" & waving "bye bye"

  • Points to objects & shows them to others

  • Has one or two words such as, “hi,” “dog,” “dada,” or “mama” by first birthday

  • Looks for things he/she sees you hide

  • Explores things in different ways like, shaking, banging. & throwing

  • Puts things in his/her mouth

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ONE TO TWO YEARS

  • Likes to hand things to others as play

  • Shows affection to familiar people

  • May cling to caregivers in new situations

  • Gets excited when with other children

  • Plays simple pretend with toys such as, feeding a doll

  • Shows more and more independence

  • Follows simple commands such as, “roll the ball” or "kiss the baby"

  • Understands simple questions like, "who's that?" or “where’s your shoe?”

  • Knows a few parts of the body & can point to them when asked

  • Listens to simple stories, songs, and rhymes for longer periods

  • Points to things or pictures when they are named

  • Points to show others something interesting

  • Acquires new words on a regular basis

  • Uses p, b, m, h, & w sounds in words

  • Uses some one- or two-word questions such as, “where kitty?” or “what's that?”

  • Puts two words together such as, “more cookie” & "mommy book"

  • Scribbles on own

  • Begins to sort shapes & colors

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TWO TO THREE YEARS

  • Takes turns in games

  • Copies adults & friends

  • Understands new words quickly

  • Understands the idea of "mine" & "his" or "hers"

  • Follows 2-part directions like, "get the spoon & put it on the table"

  • Understands opposite words such as, "go-stop", "big-little", & "up-down"

  • Has a word for almost everything

  • Uses two- or three-word phrases to talk about and ask for things

  • Uses words like, "in", "on" & "under"

  • Uses k, g, f, t, d, & n sounds in words

  • Speaks in a way that is understood by family members and friends

  • Asks "why" questions

  • Says first name, age, & sex

  • Completes simple puzzles with 3 or 4 pieces

  • Understands what "two" means

  • Copies a circle with pencil or crayon

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THREE TO FOUR YEARS

  • Is more & more creative with make-believe play

  • Would rather play with other children than by him or herself

  • Hears you when you call from another room

  • Answers simple “who” “what” & “where” questions

  • Understands words for some colors & shapes

  • Understands the concepts of "same" & "different"

  • Can say first & last name

  • Uses pronouns such as, "I", "you", "me", "we", & "they"

  • Uses some plural words such as, "toys", "birds", & "buses"

  • Talks about what happened during the day. Uses about 4 sentences at a time

  • Asks "when" & "how" questions

  • Talks about what he/she likes & what interested in

  • Uses sentences with four or more words

  • Knows some basic rules of grammar such as, correctly using "he" & "she"

  • Talks well enough for strangers to understand most of the time

  • Starts to copy some capital letters

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four to five years

  • Likes to sing, dance, & act

  • Can tell what is real & what is make-believe

  • Is sometimes demanding & sometimes very cooperative

  • Wants to please friends

  • Understands words for order such as, "first", "next", & "last"

  • Tells you what he/she thinks is going to happen next in a book

  • Understands words for time such as, "yesterday", "today", & "tomorrow"

  • Hears and understands most of what is said at home and in school

  • Says name & address

  • Names letters & numbers

  • Uses sentences that give many details

  • Tells a short story

  • Says all speech sounds in words. May make mistakes on sounds that are harder to say like, l, s, r, v, z, ch, sh,& th

  • Speaks easily without repeating sounds or words most of the time

  • Uses rhyming words

  • Can print some letters or numbers

  • Can draw a person with at least 6 body parts

  • Counts 10 or more things

Child imitating Sherry's mouth movement during an in-home therapy session.

SOURCES:
American Speech-Language-Hearing Association & U.S. Department of Health & Human Services

TRACK YOUR CHILD’S DEVELOPMENT:

EVERY CHILD DEVELOPS AT THEIR OWN PACE

You know your child best, and your questions matter. If you have concerns about your child's speech and language development, Sound Beginnings is here to help you explore your child's communication needs and determine whether an evaluation may be helpful.