Child Development

The changes babies and toddlers go through are made up of different skills, like walking and talking. These skills, or Developmental Milestones, usually happen by certain ages.

Although each child is special and develops at his or her own pace, watching to see when your child reaches these milestones can help you know how your child is developing.

Developmental Milestones

3 months

  • Turn toward bright colors and lights
  • Follow moving toys or faces with their eyes
  • Recognize or know the bottle or breast
  • Respond to loud or new sounds
  • Reach for and grasp toys or hair
  • Wiggle and kick with legs and arms
  • Lift head and shoulders up while on stomach
  • Smile back at parents or other family members
  • Make sounds, like gurgling, cooing or babbling
  • Reacts (jumps) to loud sounds
  • Can be soothed by a familiar voice
  • Makes verbal noises
  • Will "talk" back and forth with parents.
6 months
  • Turn toward voices
  • Reach for toys and pick them up
  • Roll over front-to-back and back to front
  • Play with their toes
  • Help hold the bottle during feedings, if bottle fed
  • Know faces of family members
  • Babble, squeal, and repeat vowel sounds, like ooh, -ae, -e
  • Sit by leaning on their hands
  • Turns head toward interesting sounds
  • Responds to quiet talking
  • Will awaken to a loud noise
  • Responds when you say babyís name
  • Enjoys rattles and other toys that make sounds
9 months
  • Copy sounds or gestures
  • Reach for crumbs or other small things with their thumb and fingers
  • Move toys from one hand to the other hand
  • Support themselves with straightened arms when on their stomachs
  • Sit unassisted
  • Turns head toward interesting sounds
  • Responds to quiet talking
  • Will awaken to a loud noise
  • Responds when you say babyís name
  • Enjoys rattles and other toys that make sounds
12 months
  • Respond to their name
  • May be scared of strangers
  • Look for an object if you hide it from them, even if they canít see it
  • Crawl on hands and knees
  • Pull themselves up to a standing position
  • Walk by holding onto furniture
  • Drink from a cup with your help
  • Enjoy playing games, like peek-a-boo or patty cake
  • Says 1 to 2 words
  • Can point and look at familiar people or objects when asked to
  • Uses voice to get your attention
  • Begins to say simple words like "mama" or "bye"
  • Imitates words you say
  • Enjoys music
15 months
  • Use gestures
  • Like to look at pictures in a book
  • Can hold a crayon in a fist
  • Hand toys to you when asked
  • Can point to pictures you name, if the things in the picture are familiar
  • Walk alone without help
  • Can point and look at familiar people or objects when asked to
  • Uses voice to get your attention
  • Begins to say simple words like "mama" or "bye"
  • Imitates words you say
  • Enjoys music
18 months
  • Like to pull and push things
  • Follow simple directions
  • Pull off shoes and socks
  • Feed themselves sometimes
  • Step off low objects and keep their balance
  • Turn 2 to 3 pages of a book at a time
  • Can point to one body part
  • Can name one object
  • Like to copy your words or actions
20 months
  • Can name 2 objects
  • Like to pretend-play
  • Can put together a simple picture
  • Puzzle if it has only 2 or 3 large pieces
  • Like to throw balls
  • Like to play alone with toys for a short time
  • Says "No" a lot
24 months
  • Use 2 to 3 words together, like "No, Mommy" or "More cookies"
  • Say names of toys and people
  • Feed themselves with a spoon
  • Turn one page at a time
  • Point to hair, eyes and nose when someone asks them
  • Show affection to family members and pets
  • Run short distances without falling
36 months
  • Answer simple questions
  • Walk up steps, alternating feet
  • Put their clothes on by themselves
  • Open simple containers
  • Like to play with other children
  • Repeat simple rhymes and songs
  • Use 3 to 5 word sentences
  • Name at least one color correctly
  • Jump in place
  • Express their emotions

Red Flags

The following are red flags in a child's development that can prevent a child from learning. If you notice any of these red flags contact ECI.

Baby
  • Cannot bend arms or legs
  • Does not smile, move or look at you when you talk or play with her
  • Does not want to be held
  • Does not make sounds by 3 months
  • Does not babble by 6 months
Toddler
  • Temper tantrums that last 20 minutes or longer
  • Breaks things on purpose
  • Hurts or bites other people
  • Does not look at you when you call her name
  • Does not play with toys
  • Flaps hands, rocks or sways over and over
  • Does not point at objects he wants
  • Not talking by 12 months
Any Age
  • Is fussy or cries a lot, even when not tired or hungry
  • Has trouble falling asleep or staying asleep
  • Does not notice people
  • Is unhappy most of the time
  • Quits talking or babbling, loses social skills

Hearing

A hearing screening is very important to your baby. Hearing loss happens to 3 out of 1,000 babies. It is one of the most common birth disabilities. Language learning starts at birth. If your baby canít, hear learning language is hard. A hearing test lets you catch the problem early. If you find hearing loss early, your baby can get help. If you start before your baby is 6 months old, he or she may learn language like babies who do not have hearing loss.

Texas Early Detection Hearing & Intervention (TEDHI) Protocol
To ensure that all infants and toddlers with hearing loss are identified as early as possible and provided with timely and appropriate audiological, educational, and medical intervention, an early hearing detection and intervention (EHDI) program is essential. Here are some forms to assist in detection: