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Child Life :: Children's Growth and Development
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Physical, Language, Cognitive, Social and Emotional

0 - 3 Months

  • Moves both arms in wide circular movements
  • Swipes at toys or your face with arms
  • Briefly holds an object placed in hand
  • Lies on tummy and raises head
  • Lies on back and moves each arm and leg equally
  • Pushes up on arms from tummy and supports self on forearms
  • Holds head up when held in a sitting position, with only occasional bobs forward
  • Turns toward voice
  • Usually awakens when sleeping quietly
  • Laughs
  • Smiles in response to other people smiling
  • Says “coo” or “ahh” sounds
  • Squeals with delight
  • Generalized Tension
  • Delight
  • Looks at your face
  • Watches your face or a toy
  • Can be soothed by a familiar voice
  • Startles (jumps or blinks) to loud sounds
  • Stops playing and appears to listen to sounds or speech
  • Watches a speaker’s face
  • Distress
  • Smiles at Faces

4 - 6 Months

  • Starts to bring both hands together
  • Feels and explores his/her own hands
  • Frequently brings hands to mouth
  • Reaches for a toy with both arms
  • Grasps toys with whole hand and shakes it to make a sound
  • Recognizes the bottle visually and will pat the bottle with both hands while feeding
  • Takes food off spoon
  • On tummy, lifts head up to 90 degrees
  • Holds head steady when upright in your arms
  • On tummy, pushes up onto arms, lifting chest up
  • Begins to roll tummy to back
  • Keeps head in line with body when pulled to sitting holding hands
  • Sits with support
  • Holds head up
  • Sits with straight back
  • Briefly sits leaning on arms for support
  • Shakes and bangs toy
  • Moves eyes independently of head
  • Transfers a toy from one hand to the other
  • Finger feeds on breadsticks/teething biscuits
  • Drinks from a cup held by an adult
  • Babbles with consonant-vowel combinations
  • Looks directly at you
  • Turns towards sound
  • Makes raspberries
  • Attempts to imitate sounds
  • Reacts to loud, angry voices
  • Babbles for attention
  • Enjoys being cuddled
  • Recognizes his mother
  • Distinguishes between familiar persons and strangers, no longer smiles indiscriminately
  • Expects feeding, dressing, and bathing

7 - 9 Months

  • Pushes/pulls toys with wheels
  • Bangs tw
  • toys together
  • Feeds self a cracker
  • Stands up when held
  • Sits alone
  • Works to get an out-of-reach toy
  • May begin to pull up on furniture
  • Responds to name
  • Produces four or more different sounds
  • Frequently uses syllables ba, da, ka
  • Understands "no" and "bye-bye"
  • Imitates sound
  • Specific emotional attachment to mother
  • Protests separation from mother
  • Enjoys "peek-a-boo"

10 – 12 Months

  • Picks up objects using a pinch with thumb and index finger
  • Uses index finger to point at and manipulate toys
  • Finger feeds consistently
  • Holds a spoon
  • Holds a cup with both hands and drinks (though may spill a little)
  • Starts to take off socks
  • Lifts arm or leg to help with dressing
  • Stands holding on to someone or something
  • Pulls up to standing
  • Gets into standing position
  • Turns in a circle when sitting
  • Walks holding onto furniture (cruises)
  • May stand alone momentarily
  • Crawls on hands and knees
  • Repeats sounds and gestures for attention
  • Searches for an object he/she has seen hidden
  • Uses long babbling sentences that are inflected (jargon)
  • Understands simple commands
  • Gives toys on request
  • Points to objects desired
  • Says two or three words
  • Imitates familiar words
  • Shakes head for "no "
  • Likes to imitate sounds of familiar animals
  • Waves bye-bye
  • Still plays peek-a-boo
  • Anger
  • Affection
  • Fear of strangers
  • Curiosity, exploration
  • Responsive to own name
  • Plays pat-a-cake, understands "no-no!"
  • Gives and takes objects

13 - 17 Months

  • Grasps an object with the thumb on one side and the index and second fingers on the other side
  • Builds a tower of two blocks
  • Opens/closes containers
  • Will place a circle shape into a puzzle board
  • Drops objects into containers/empties objects out of containers
  • Brings spoon to mouth, however often it turns it over and spills food
  • Takes off socks
  • Scribbles with a crayon, holding it with a fisted grasp
  • Builds a three to four block tower
  • Will hold the handle of a cup and drink with less spillage
  • Scoops food and brings spoon to mouth with just a little spillage
  • Walks or stands independently
  • Walks upstairs with help
  • Throws a toy from standing without falling
  • Throws ball towards you
  • Attempts to kick a large ball
  • Rolls ball to you
  • Can say about 20 words
  • Recognizes pictures of people and things he/she knows well
  • Points to three body parts (for example, nose, eyes, mouth)
  • Begins to combine two words (for example, "all gone" or "go bye-bye")
  • Brings familiar objects to you when asked
  • Can point to five objects
  • Imitates words and sounds more clearly
  • Dependent behavior
  • Very upset when separated from mother
  • Fear of the bath
  • Obeys limited commands
  • Interested in his mirror image
  • Feeds himself

18 – 24 Months

  • Turns one page of a book at a time
  • Puts a cheerio into a small bottle
  • Separates pop-beads
  • Places three shapes (round, square, triangle) into a puzzle board
  • Imitates a vertical stroke or circular scribble with a crayon
  • Strings large bead on a shoelace
  • Turns the door knob
  • Holds a small glass with one hand
  • Finds armholes in T-shirt and pushes arms through
  • Removes shoes when laces are undone
  • Unzips/zips large zipper
  • Produces a few short phrases
  • Talks in two and three word sentences (for example, "Daddy go work")
  • Uses pronouns me/mine
  • Follows two-step commands (for example, "Pick up your shoe and bring it to me")
  • Uses these speech sounds: p,b,m,w,h,n
  • Says or uses about 300 words
  • Answers simple "wh" (where, what, why) questions by pointing or other actions
  • Knows four to eight body parts
  • Communicates what he/she wants
  • Temper tantrums
  • Resentment of new baby
  • Does opposite of what he is told

2 Years

  • Jumps off a step
  • Rides a tricycle
  • Uses crayons
  • Builds a 9-10 cube tower
  • Starts to use short sentences
  • Controls and explores world with language
  • Stuttering may appear briefly
  • Fear of separation
  • Negativistic
  • Violent emotions
  • Anger
  • Differentiates facial expressions of anger, sorrow, and joy
  • Sense of humor (Plays tricks)
  • Talks, uses "I" "me" "you"
  • Copies parents' actions
  • Dependent, clinging, possessive about toys
  • Enjoys playing alongside another child
  • Negativism
  • Resists parental demands
  • Gives orders
  • Rigid insistence on sameness of routine
  • Inability to make decisions

3 Years

  • Stands on one leg
  • Jumps up and down
  • Draws a circle and a cross
  • Self-sufficient in many routines of home life
  • Affectionate toward parents
  • Pleasure in genital manipulation
  • Romantic attachment to parent of opposite sex
  • Jealousy of same-sex parent
  • Imaginary fears of dark, injury, etc.
  • Likes to share, uses "we"
  • Cooperative play with other children
  • Imitates parents
  • Beginning of identification with same-sex parent
  • Practices sex-role activities
  • Intense curiosity
  • Interest in other children's bodies
  • Imaginary friend

4 Years

  • Can usually count from 1 to 10
  • Can walk on tiptoes, climb a ladder and ride a tricycle
  • Can dress and undress with supervision but still has trouble with laces and buttons
  • Holds and uses a pencil with good control
  • Can to draw a person with a face, arms and legs
  • Can copy a cross, circle and possibly a square
  • Speech is almost always understandable
  • Correctly uses the pronoun "I"
  • Children this age recognize gender differences and will correctly say "I am a girl" or "I am a boy"
  • Engages in conversational "give-and-take"
  • Talks about his or her day's activities and experiences
  • Can sing a song
  • Knows his or her own name
  • May name and match three or four primary colors
  • Begin to be selective about what they wear
  • Can identify emotions such as sadness, anger, anxiety and fear
  • Enjoys the companionship of other children; plays cooperatively and shows interest in other children's bodies 5 Years
    • Skips
    • Can walk on tiptoes and jumps forward
    • Throws a ball overhand
    • Washes and dries hands and brushes teeth unassisted
    • Can cut and paste
    • Can dress and undress without supervision
    • Can copy a triangle from a picture
    • Draws a person with a head, body, arms and legs
    • Can name four or five colors
    • Can state his or her age
    • Has a vocabulary of six to eight word sentences
    • Can tell a simple story
    • nows his or her own phone number, address and several nursery rhymes
    • Understands right and wrong, fair and unfair
    • Understands games that have rules
    • Engages in make-believe and dress-up play, in which your child may assume a specific role ("mommy or daddy")
    6 Years
    • Can bounce a ball 4-6 times
    • Throws and catches
    • Skates
    • Begins to learn some specific sports skills like batting a ball or kicking a soccer ball
    • Can ride a bicycle
    • Can tie shoelaces
    • Can print numbers up to 10
    • Can print first name
    • Can print a few letters
    • Can draw a person with six body parts
    • Can count up to 100
    • Knows right from left
    8 – 10 Years
    • Has more control over small muscles, and therefore writes and draws with more skill
    • Can read for pleasure
    • Able to tell time
    • Has a sense of humor
    • Concerned about rules - good (fair) vs. bad (unfair)
    • Cares for herself, her room, and her belongings
    • Can take responsibility for home chores
    • Likes to belong to informal "clubs" formed by children themselves
    12 – 14 Years
    • Rapid body changes as puberty is in full swing
    • Special athletic, artistic, academic, or musical talents may emerge
    • Very moody
    • Teens wonder if they are going to be normal
    • Very sensitive to their changing body
    • Often measure their physical appearance and skills against idealized images
    • Begin to show concern for their body as rapid changes occur
    • Shyness, blushing, modesty, and the need for privacy
    • Curiosity about sexual matters begins
    • Would much rather be with their friends than their family, especially their parents
    • Realizes parents are not perfect and often points out their faults
    • Searches for new adults to confide in instead of parents
    15 - 17 Years
    • The majority of changes associated with puberty have taken place
    • Concerned with their physical appearance
    • Believe that others are also concerned
    • Greater time is invested in grooming, exercising, and experimenting with new images such as makeup and clothing styles
    • Begins to have increased concerns about their own sexual attractiveness
    • Tenderness is shown toward the opposite sex with frequently changing relationships
    • Sexuality is a major preoccupation for the middle adolescent
    • Experiences of middle adolescents are broadened by their relationships with adults outside the family
    • Often write down their inner thoughts and feelings in a diary
    • Complains that parents interfere with their independence
    • Experience the most conflict with their parents
    • Achieving independence from their parents is particularly important
    • Annoying habits, such as refusal to wash, poor manners, vegetarianism, messy rooms, and untidy dress are normal
    • Feel invincible
    • Friends mean "everything"
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