Skill or Milestone

• Moves head side to side when lying on stomach.
• Head flops backward if unsupported
• Eyes wander and occasionally cross
• Recognizes some sounds; may turn toward familiar sounds and voices

HEALTH WATCH

(Notify your Paediatrician if these signs are present)

• Sucks poorly & feeds slowly
• Doesn’t blink when shown a bright light; or focus on a nearby object
• Rarely moves arms and legs, seems stiff
• Seems excessively loose in the limbs, or floppy
• Doesn’t respond to loud sounds
• Lower jaw trembles constantly, even when not crying or excited"

Skill or Milestone

• Begins to smile at people
• Can briefly calm himself (may bring hands to mouth and suck on hand)
• Coos, makes gurgling sounds
• Turns head toward sounds
• Recognizes the scent of his own mother’s breast-milk
• Can hold head up and begins to push up when lying on tummy

HEALTH WATCH

(Notify your Paediatrician if these signs are present)

• Doesn’t respond to loud sounds
• Doesn’t notice his/her hands or doesn’t bring hands to mouth
• Doesn’t smile at the sound of the mothers voice
• Doesn’t follow moving objects with his/her eyes
• Can’t hold head up when pushing up on tummy

Skill or Milestone

• Raises head and chest, and supports upper body with arms when lying on stomach.
• Pushes down on legs when feet are placed on a firm surface
• Takes swipes at dangling objects
• Smiles at the sound of parent’s voices
• Begins to babble, and to imitate some sounds, movements and facial expressions

HEALTH WATCH

(Notify your Paediatrician if these signs are present)

• Doesn’t follow moving objects with his/her eyes
• Doesn’t grasp and hold objects
• Doesn’t smile at people
• Cannot support his/her head well
• Doesn’t reach for and grasp toys
• Doesn’t babble

Skill or Milestone

• Smiles spontaneously at people; likes to play with people; copies some movements and facial expressions.
• Babbles with expression and copies sounds he/she hears
• Cries in different ways to show hunger, or being tired
• Reaches for toys with one hand; sees and reaches for toys
• Hold head steady & unsupported
• Can hold a toy and shake it, and swing at dangling toys
• Responds to affection; lets you know if he/she is happy or sad
• Follows moving things with eyes from side to side

HEALTH WATCH

(Notify your Paediatrician if these signs are present)

• Doesn’t reach for and grasp toys
• Doesn’t bring objects to his/her mouth
• Doesn’t babble or begins babbling, but doesn’t try to imitate any of your sounds
• Doesn’t push down with his/ her legs when his/her feet are placed on a firm surface
• Has trouble moving one or both eyes in all directions
• Crosses his/her eyes most of the time
• Doesn’t pay attention to new faces, or seems very frightened

Skill or Milestone

• Rolls over both ways (front to back, back to front)
• Sits with, and then without, support of his/her hands
• Transfers objects from hand to hand; explores with hand and mouth
• Ability to track moving objects improves
• Responds to own name
• Begins to respond to “no”
• Enjoys social play
• Finds partially hidden object; struggles to get objects that are out of reach.

HEALTH WATCH

(Notify your Paediatrician if these signs are present)

• Doesn’t roll over in either direction (front to back or back to front)
• Seems inconsolable at night
• Doesn’t smile spontaneously
• Cannot sit with help
• Does not laugh or make squealing sounds
• Doesn’t actively reach for objects
• Doesn’t follow objects with both eyes at near and far ranges
• Doesn’t bear some weight on legs

Skill or Milestone

• Gets to sitting position without assistance; assumes hands-and- knees position
• Walks holding on to furniture; stands momentarily without support; may walk 2-3 steps without support
• Puts object into container; uses pincer grasp; bangs 2 cubes together
• Responds to simple verbal requests; responds to “no”; babbles with inflection; says “dada” and “mama”
• "Explores objects in different
• ways (shaking, banging, throwing, dropping)"
• Begins to use objects correctly (drinking from cup, brushing hair, talking on phone)
• Enjoys imitating people in play
• Shy or anxious with strangers: cries when mother or father leaves

HEALTH WATCH

(Notify your Paediatrician if these signs are present)

• Does not babble
• Shows no interest in games of peek-a-boo
• Does not crawl
• Drags one side of body while crawling (for over one month)
• Does not search for objects that are hidden while he/she watches
• Says no single words (“mama” or “dada”)
• Does not learn to use gestures, such as waving or shaking head
• Does not point to objects or pictures
• Loses skills he/she once had

Skill or Milestone

• Likes to hand things to others as play
• Plays simple pretend, such as feeding a doll
• Points to show others something interesting
• Says several single words
• Says and shakes head “no”
• Points to one body part
• Can follow 1-step verbal commands without any gestures; for example, sits when you say “sit down”
• Walks alone; may walk up steps and run
• Drinks from a cup; eats with a spoon

HEALTH WATCH

(Notify your Paediatrician if these signs are present)

• Doesn’t point to show things to others
• Doesn’t know what familiar things are for, e.g. telephone, toothbrush, spoon
• 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
• Loses skills he/she once had

Skill or Milestone

• Copies others, especially adults and older children
• "Shows more and more independence; shows defiant behavior (doing what
• he/she has been told not to)"
• Points to things or pictures when they are named
• Says sentences with 2-4 words
• Follows two-step instructions such as “pick up your shoes and put them in the closet”
• Stands on tip-toe; kicks a ball; and begins to run
• Climbs onto and down from furniture without help

HEALTH WATCH

(Notify your Paediatrician if these signs are present)

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

Skill or Milestone

• Hops and stands on 1 foot up to 5 seconds
• Goes up and down stairs without support
• Draws a person with 2-4 body parts
• Draws circles and squares
• Has mastered some basic rules of grammar; speaks in sentences of 5-6 words; tells stories
• Correctly names some colors
• Understands concept of counting and may know a few numbers
• Begins to have a clearer sense of time
• Recalls parts of a story
• Understands the concept of same and different
• Dresses and undresses
• More independent

HEALTH WATCH

(Notify your Paediatrician if these signs are present)

• Cannot throw a ball overhand
• Cannot jump in place
• Cannot ride a tricycle
• Cannot grasp a crayon between thumbs and fingers
• Cannot stack four blocks
• Still clings or cries whenever his parents leave him
• Ignores other children
• Doesn’t respond to people outside the family
• Resists dressing, sleeping, using the toilet
• Lashes out without any self- control when angry or upset
• Cannot copy a circle
• Doesn’t use sentences of more than 3 words
• Doesn’t use “me” and “you” appropriately