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Child Development

 

The Healthy Child Programme is a series of reviews, screening tests, vaccinations and information that supports parents and helps them to give their child the best chance of staying healthy and well.

The Healthy Child team is led by a health visitor, who will work closely with your GP and local Sure Start Children’s Centre. The team includes people with different skills and experience, such as nursery nurses, children’s nurses and Early Years support staff.

The programme will be offered to you in your GP surgery, local clinic or Children’s Centre. Appointments should be arranged so that both you and your partner can be there. Some reviews may be done in your home. The reviews are also an opportunity for you to ask questions and discuss any concerns you may have.

Here are some guidelines for you to get an idea of what your child could be doing at the early stages of life - any concerns or worries - discuss this early on with your Private Health Visitor who will be able to dun some detailed checks and refer your child on to other professinals - such as Speach and Language, Pysiotherapy, GP, or the Child Development Centre.

 



1. Developmental Milestones 1-6 months

Milestone Development 

One to six months

Mastered Skills (most children can do)

Emerging Skills (half of children can do)

Advanced Skills (a few children can do)

Child's Age: One month

Lifts head
• Responds to sound
Stares at faces

• Follows objects
• Ooohs and ahhs
• Can see black-and-white patterns

• Smiles
• Laughs
•     Holds head at 45-degree angle

Child's Age: Two months

• Vocalises sounds - gurgling and cooing
• Follows objects
           • Holds head up for short periods

Smiles responsively, laughs
         • Holds head at 45-degree angle
         • Movements become smoother

• Holds head steady
• Bears weight on legs
• May lift head and shoulder (mini-push up)

Child's Age: Three months

• Laughs
• Holds head steady
           • Recognises your face and scent

• Squeals, gurgles, coos
• Recognises your voice
• Does mini-pushups

• Turns towards loud sounds
          • Can bring hands together and may bat at toys
• Can roll over

Child's Age: Four months

• Holds head up steadily
• Can bear weight on legs
• Coos when you talk to him

• Can grasp a toy
• Reaches out for objects
• Can roll over

• Imitates speech sounds - baba, dada
• May cut first tooth

Child's Age: Five months

• Can distinguish between bold colours
• Can roll over
              •  Amuses himself by playing with hands and feet

• Turns towards new sounds
• Recognises own name
• May be ready for solids.

• May sit momentarily without support
• Mouths objects
Stranger anxiety may begin

Child's Age: Six months

• Turns towards sounds and voices
        • Imitates sounds, blows bubbles
• Rolls in both directions

• Reaches for objects and mouths them
• Sits without support
• Is ready for solids

• May lunge forward or start crawling
• May jabber or combine syllables
• May drag object towards himself

 

 

 

2. Developmental Milestones 7-12 months

Milestone chart: Seven to 12 months

 

Mastered Skills
(Most children can do)

Emerging Skills
(Half of children can do)

Advanced Skills
(A few children can do)

Child's Age: seven months

 

Sits without support
• Reaches for things with a sweeping motion
• Imitates speech sounds (babbles)

• Combines syllables into wordlike sounds
• Begins to crawl or lunges forward

Stands while holding onto something
• Waves goodbye
• Bangs objects together

Child's Age: eight months

 

• Says "dada" and "mama" to both parents (isn't specific)
• Begins to crawl
• Passes object from hand to hand

• Stands while holding onto something
Crawls well
• Points at objects

• Pulls self to standing position, cruises around furniture while holding on
• Picks things up with thumb-finger "pincer" grasp
• Indicates wants with gestures

Child's Age: nine months

Combines syllables into wordlike sounds
• Stands while holding onto something

• Uses pincer grasp to pick up objects
Cruises while holding onto furniture
• Bangs objects together

• Plays patty cake
Says "dada" and "mama" to the right parent (is specific)

Child's Age: 10 months

• Waves goodbye
• Picks things up with pincer grasp
Crawls well
• Cruises

• Says "dada" and "mama" to the right parent (is specific)
Responds to name and understands "no"
• Indicates wants with gestures

• Drinks from a cup
Stands alone for a couple of seconds
• Puts objects into a container

Child's Age: 11 months

Says "dada" and "mama" to the right parent (is specific)
• Plays patty-cake
• Stands alone for a couple of seconds

• Imitates others' activities
• Puts objects into a container
Understands simple instructions

Drinks from a cup
• Says one word besides "mama" and "dada"
• Stoops from standing position

Child's Age: 12 months

Imitates others' activities
• Jabbers wordlike sounds
• Indicates wants with gestures

• Says one word besides "mama" and "dada"
• Takes a few steps
Understands and responds to simple instructions

Scribbles with crayon
Walks well
• Says two words besides "mama" and "dada"

       



 

 

 

3. Development Milestone 13 to 18 Months

Milestone chart: 13 to 18 months

 

Mastered Skills (most children can do)

Emerging Skills (half of children can do)

Advanced Skills (a few children can do)

Child's age: 13 months

• Uses two words skillfully (e.g. "hello" and "bye")

• Enjoys gazing at his reflection

• Combines words and gestures to make needs known

• Bends over and picks up an object

• Drinks from a cup

• Tries to lift heavy things

• Stands alone

• Plays "peekaboo"

• Rolls a ball back and forth

Child's age: 14 months

• Finger feeds

Toddles well

• Uses spoon or fork

• Empties containers of contents

• Initiates games

• Matches lids with appropriate containers (e.g. pots and pans)

• Imitates others

• Points to one body part when   

   asked

• Pushes and pulls toys while walking

Child's age: 15 months

• Plays with ball

• Can draw a line

• Walks up stairs

• Vocabulary increases up to five words

• Runs well

• "Helps" around the house

• Walks backward

• Adopts "no" as his favourite

   word

• Puts his fingers to his mouth and says "shhh"

Child's age: 16 months

• Turns the pages of a book

• Discovers joy of climbing

• Takes off one piece of clothing by himself

• Has temper tantrums when frustrated

• Stacks three bricks

• Gets fussy about food

• Becomes attached to a soft toy or other object

• Learns the correct way to use

    common objects (e.g. the 

    telephone)

• Switches from two daytime sleeps to one

Child's age: 17 months

• Uses a handful of words regularly

• Responds to directions (e.g. "Sit

   down")

• Dances to music

• Enjoys pretend games

• Feeds doll

• Sorts toys by colour, shape, or size

• Likes riding toys

• Talks more clearly

• Kicks ball forward

Child's age: 18 months

• Will "read" board books on his own

• Strings words together in

   phrases

• Throws ball overhand

• Can pedal when put on trike

Brushes teeth with help

• Takes toys apart and puts them back together

• Scribbles well

• Builds a tower of four cubes

• Shows signs of toilet training readiness

 

4. Developmental Milestones 19 to 24 Months

 

Milestone chart: 19 to 24 months

 

Mastered Skills (most children can do)

Emerging Skills (half of children can do)

Advanced Skills (a few children can do)

Child's age: 19 months

• Can use a spoon and fork

• Half of speech may be understandable

• Can wash and dry hands and brush teeth with help

• Can run

• Recognises when something is wrong (calling a dog a cat)

• Can point to picture of cat or dog when you say the word

• Can throw a ball underarm

 

• May know when she needs to urinate

Child's age: 20 months

• Will pretend to feed a doll

• Learns words at a rate of ten or more a day

• May start exploring genitals

• Can take off own clothes with help

• Can walk up (but probably not down) stairs

Draws straighter lines

   • Will throw away an object such as rubbish, in imitation

• Searches for hidden objects

• Names several body parts

Child's age: 21 months

• Can walk up steps

• Can throw a ball overarm

• Can name cat or dog when you show a picture

• Enjoys helping around the house

• Can kick a ball

• Can make short sentences (Me go)

• Can set simple goals (e.g. deciding to put a toy in a certain place)

• Can make building brick towers

• Can walk down stairs

Child's age: 22 months

• Can kick a ball forward

• Can do simple puzzles

• Can put on clothing

• Follows two-step requests (get your doll and bring it here)

• Can draw a straight line

• Might be ready for a big bed

• Imitates others' behaviour

• Can identify several body parts

• Understands opposites (tall and short)

Child's age: 23 months

• Can make a tower of four bricks

• Can make two- or three-word sentences

• Can walk down stairs

• Can name a simple picture in a book

• Can sing simple tunes

• Talks about self (likes, dislikes)

• Can use 50 single words

• Takes more of an interest in playing with other children

• Asks "Why?"

Child's age: 24 months

• Can name at least six body parts on a doll

• Starts talking about self

• Begins to understand abstract concepts like sooner and later

• Half of speech is understandable

• Can arrange things in categories

• Becomes attuned to gender differences

• Can make short sentences

• Can walk down stairs

• Learns to jump

 

 

 

5. Developmental Milestones 25-30 months

 

Milestone chart: 25 to 30 months

 
Mastered Skills (most children can do)
Emerging Skills (half of children can do)
Advanced Skills (a few children can do)
Child's age: 25 and 26 months
• Takes off clothes
• Washes hands (needs help with drying)
Speaks clearly most of the time
• Names several body parts
Brushes teeth with help
• Draws vertical line
• Builds a tower out of three or four building bricks
• Puts on clothes
 
 
Throws a ball overarm
 
Child's age: 27 and 28 months
• Speaks clearly most of the time
• Builds a tower out of several bricks
• Draws vertical line
• Puts on clothes
• Balances on one foot
Jumps up off the ground
 
 
Child's age: 29 and 30 months
• Brushes teeth with help
• Draws a vertical line
• Puts on T-shirt
• Washes hands (needs help with drying)
Balances on one foot
• Names one colour
 
• Names one friend
 
 

 

6. Developmental Milestones 31 to 36 Months

Milestone chart: 31 to 36 months

Mastered Skills (most children can do)

Emerging Skills (half of children can do)

Advanced Skills (a few children can do)

Child's age: 31 and 32 months

• Builds a tower of six building bricks

• Puts on a T-shirt

• Calls a friend by his name

• Names at least six body parts

• Balances on each foot for a second

 

Throws ball overarm

Brushes teeth with supervision

• Uses two adjectives

Child's age: 33 and 34 months

• Names one colour

• Builds a tower of eight building bricks

• Completely toilet trained during the day

• Carries on a conversation of two to three sentences

• Uses prepositions (e.g. on, in, over)

• Wiggles thumb

• Names at least four pictures in a book

• Speaks clearly most of the time

• Expresses a wide range of emotions

Child's age: 35 and 36 months

• Can describe how two objects are used

Balances on each foot for three seconds

• Hops and skips

• Uses four to five words in a sentence

• Can follow a two- or three-component command

Draws a circle

• Names two actions (e.g. skipping, jumping)

• Separates fairly easily from parents

• Gets dressed without help

 

 

 


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