Child Life
::
Children's Growth and Development
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
- 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")
- 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
- 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
- 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
- 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"










