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Home / Trusted Information / What to Expect

What to Expect

Home / Trusted Information / What to Expect

Jump to

Infancy
Early Childhood
Middle Childhood
Adolescence

Infancy

Click here to print the full Infancy chart

What to expect at your..

Birth Visit
3-5 Day Visit
1-month-old Vist
2, 4, 6-month-old Visit
9-month-old Visit

Developmental Milestones

2 months
4 months
6 months
9 months

Newborn Care Information

Click here to download our caring for a newborn sheet

Birth

What you should expect..

Congratulations! This is an exciting time. The next few months and years, our providers will follow the recommended vaccination schedule from the American Academy of Pediatrics.

Vaccines your child will likely receive:

HepB (Hepatitis B)- to learn more about Hepatitis B click here

Tests & Screens your child will likely receive:

Hearing

 

Newborn Visit

For more Trusted Pediatric Information- Baby Basics click here.

3-5 Day Visit

What you should expect..

At this visit, there will be no vaccines administered. We will check on the well being of you and your child as well as run vitals.

Vaccines your child will likely receive:

none

Tests & Screens your child will likely receive:

none

Vitals:

Height

Weight

Head circumference

Important Information:

Check hearing results

Start vitamin D if not breastfeeding

 

For more Trusted Pediatric Information- Baby Basics click here.

1-month-old Visit

What you should expect..

At this visit, you will be asked to complete a maternal depression screen and tuberculosis risk assessment, your doctor will discuss your child’s growth and development and complete a full physical exam. Your doctor will order tests and vaccines as indicated.

Vaccines your child will likely receive:

HepB (Hepatitis B)- to learn more about Hepatitis B click here

Tests & Screens your child will likely receive:

none

Vitals:

Height

Weight

Head circumference

Important Information:

Check hearing results

Start vitamin D if not breastfeeding

 

For more Trusted Pediatric Information- Baby Basics click here.

2, 4, & 6- Month-Old Visit

What you should expect..

At these visits, you will be asked to complete a maternal depression screen, developmental screen, lead screen and/or tuberculosis risk assessment, your doctor will discuss your child’s growth and development and complete a full physical exam. Your doctor will order tests and vaccines as indicated.

Vaccines your child will likely receive:

Dtap (Diphtheria, tetanus, & acellular pertussis)- to learn more about Diphtheria, tetanus, & acellular pertussis Click Here

HiB (Haemophilus influenza type B)- to learn more about Haemophilus influenza type B Click Here

IPV (Polio)- to learn more about Polio Click Here

PCV (Pneumococcal conjugate)- to learn more about Pneumococcal conjugate Click Here

RV (Rotavirus)- to learn more about Rotavirus Click Here

Flu (Influenza) * 6-month visit- to learn more about Influenza Click Here

Tests & Screens your child will likely receive:

Maternal depression screen (for mother)

Developmental screen

Lead Screen

Tuberculosis risk assessment

Vitals:

Height

Weight

Head circumference

Important Information:

Consider starting fluoride

Two Month Exam

Four Month Exam

Six Month Exam

For more Trusted Pediatric Information- Baby Basics click here.

9 Month-Old Visit

What you should expect..

Vaccines your child will likely receive:

HepB (Hepatitis B)- to learn more about Hepatitis B Click Here

Tests & Screens your child will likely receive:

Developmental screen

Lead Screen

Vitals:

Height

Weight

Head circumference

Important Information:

Consider fluoride

For more Trusted Pediatric Information- Baby Basics click here.

DEVELOPMENTAL MILESTONES: 2 Months

Milestones matter! How your child plays, learns, speaks, acts, and moves offer important clues about his or her development. Check the milestones your child has reached by 2 months.

Physical:

Can hold head up and begins to push up when lying on tummy

Makes smoother movements with arms and legs

Mental:

Pays attention to faces

Begins to follow things with eyes and recognize people at a distance

Begins to act bored (cries, fussy) if activity doesn’t change

Social:

Begins to smile at people

Can briefly calm himself (may bring hands to mouth and suck on hand)

Tries to look at parent

Coos, makes gurgling sounds

Turns head toward sounds

Additional (tips for caretakers):

You can help your baby learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 2-month-old baby today.

Cuddle, talk, and play with your baby during feeding, dressing, and bathing.

Help your baby learn to calm herself. It’s okay for her to suck on her fingers.

Begin to help your baby get into a routine, such as sleeping at night more than in the day, and have regular schedules.

Getting in tune with your baby’s likes and dislikes can help you feel more comfortable and confident.

Act excited and smile when your baby makes sounds.

Copy your baby’s sounds sometimes, but also use clear language.

Pay attention to your baby’s different cries so that you learn to know what he wants.

Talk, read, and sing to your baby.

Play peek-a-boo. Help your baby play peek-a-boo, too.

Place a baby-safe mirror in your baby’s crib so she can look at herself.

Look at pictures with your baby and talk about them.

Lay your baby on his tummy when he is awake and put toys near him.

Encourage your baby to lift his head by holding toys at eye level in front of him.

Hold a toy or rattle above your baby’s head and encourage her to reach for it.

Hold your baby upright with his feet on the floor. Sing or talk to your baby as he is upright.

This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov

 

For more Trusted Pediatric Information- Baby Basics click here.

 

DEVELOPMENTAL MILESTONES: 4 Months

Milestones matter! How your child plays, learns, speaks, acts, and moves offer important clues about his or her development. Check the milestones your child has reached by 4 months.

Physical:

Holds head steady, unsupported

Pushes down on legs when feet are on a hard surface

May be able to roll over from tummy to back

Can hold a toy and shake it and swing at dangling toys

Brings hands to mouths

When lying on stomach, pushes up to elbows

Mental:

Let’s you know if he is happy or sad

Responds to affection

Reaches for a toy with one hand

Uses hands and eyes together, such as seeing you and reaching for it

Follows moving things with eyes from side to side

Watches faces closely

Recognizes familiar people and things at a distance

Social:

Smiles spontaneously, especially at people

Likes to play with people and might cry when playing stops

Copies some movements and facial expressions, like smiling or frowning

Begins to babble

Babbles with expression and copies sounds he hears

Cries in different ways to show hunger, pain, or being tired

Additional (tips for caretakers):

Hold and talk to your baby; smile and be cheerful while you do.

Set steady routines for sleeping and feeding.

Pay close attention to what your baby likes and doesn’t like; you will know how best to meet his needs and what you can do to make your baby happy.

Copy your baby’s sounds.

Act excited and smile when your baby makes sounds.

Have quiet play times when you read or sing to your baby.

Give age-appropriate toys to play with, such as rattles or colorful pictures.

Play games such as peek-a-boo.

Talk, read, and sing to your baby.

Play peek-a-boo. Help your baby play peek-a-boo, too.

Provide safe opportunities for your baby to reach for toys and explore his surroundings.

Put toys near your baby so that she can reach for them or kick her feet.

Put toys or rattles in your baby’s hand and help him to hold them.

Hold your baby upright with feet on the floor and sing or talk to your baby as she “stands” with support.

This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov


For more Trusted Pediatric Information- Baby Basics click here.

 

DEVELOPMENTAL MILESTONES: 6 Months

Milestones matter! How your child plays, learns, speaks, acts, and moves offer important clues about his or her development. Check the milestones your child has reached by 6 months

Physical:

Rolls over in both directions (front to back, back to front)

Begins to sit without support

When standing, supports weight on legs and might bounce

Rocks back and forth, sometimes crawling backward before moving forward

Mental:

Looks around at things nearby

Brings things to mouth

Shows curiosity about things and tries to get things that are out of reach

Begins to pass things from one hand to the other

Social:

Knows familiar faces and begins to know if someone is a stranger

Likes to play with others, especially parents

Responds to other people’s emotions and often seems happy

Likes to look at self in a mirror

Responds to sounds by making sounds

Strings vowels together when babbling (“ah,” “eh,” “oh”) and likes taking turns with parent while making sounds

Responds to own name

Makes sounds to show joy and displeasure

Begins to say consonant sounds (jabbering with “m,” “b”)

Additional (tips for caretakers):

You can help your baby learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 6-month-old baby today.

Play on the floor with your baby every day.

Learn to read your baby’s moods. If he’s happy, keep doing what you are doing. If he’s upset, take a break and comfort your baby.

Show your baby how to comfort herself when she’s upset. She may suck on her fingers to self soothe.

Use “reciprocal” play—when he smiles, you smile; when he makes sounds, you copy them.

Repeat your child’s sounds and say simple words with those sounds. For example, if your child says “bah,” say “bottle” or “book.”

Read books to your child every day. Praise her when she babbles and “reads” too.

When your baby looks at something, point to it and talk about it.

When he drops a toy on the floor, pick it up and give it back. This game helps him learn cause and effect.

Read colorful picture books to your baby.

This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov

 

For more Trusted Pediatric Information- Baby Basics click here.

 

DEVELOPMENTAL MILESTONES: 9 Months

Milestones matter! How your child plays, learns, speaks, acts, and moves offer important clues about his or her development. Check the milestones your child has reached by 9 months.

Physical:

Stands, holding on

Can get into sitting position

Sits without support

Pulls to stand

Crawls

Mental:

Watches the path of something as it falls

Looks for things he sees you hide

Plays peek-a-boo

Puts things in her mouth

Moves things smoothly from one hand to the other

Picks up things like cereal o’s between thumb and index finger

Social:

May be afraid of strangers

May be clingy with familiar adults

Has favorite toys

Understands “no”

Makes a lot of different sounds like “mamamama” and “bababababa”

Copies sounds and gestures of others

Uses fingers to point at things

Additional (tips for caretakers):

You can help your baby learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 9-month-old baby today.

Pay attention to the way he reacts to new situations and people; try to continue to do things that make your baby happy and comfortable.

As she moves around more, stay close so she knows that you are near.

Continue with routines; they are especially important now.

Play games with “my turn, your turn.”

Say what you think your baby is feeling. For example, say, “You are so sad, let’s see if we can make you feel better.”

Describe what your baby is looking at; for example, “red, round ball.”

Talk about what your baby wants when he points at something.

Copy your baby’s sounds and words.

Ask for behaviors that you want. For example, instead of saying “don’t stand,” say “time to sit.”

Teach cause-and-effect by rolling balls back and forth, pushing toy cars and trucks, and putting blocks in and out of a container.

Play peek-a-boo and hide-and-seek.

Read and talk to your baby.

Provide lots of room for your baby to move and explore in a safe area.

Put your baby close to things that she can pull up on safely.

 

This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov

 

 

For more Trusted Pediatric Information- Baby Basics click here.

 

Early Childhood

Click here to print the full Early Childhood chart

What to expect at your..

12-month-old Visit
15-month-old Visit
18-month-old Visit
24-month-old Visit
30-month-old Visit

Developmental Milestones

1 year
18 months
2 years

12-month-old

What you should expect..

Vaccines your child will likely receive:

MMR (Measles, mumps, and rubella)- to learn more about Measles, mumps, and rubella click here

HepA (Hepatitis A)- to learn more about Hepatitis A click here

VZV (Chicken Pox)- to learn more about Chicken Pox click here

Flu (Influenza) **YEARLY- to learn more about Influenza click here

Tests & Screens your child will likely receive:

Developmental screen

Hemoglobin

Lead test

Tuberculosis risk assessment

Vitals:

Height

Weight

Head circumference

Important Information:

Consider dentist

15-month-old Visit

What you should expect..

Vaccines your child will likely receive:

Dtap (Diphtheria, tetanus, & acellular pertussis)- to learn more about Diphtheria, tetanus, & acellular pertussis Click Here

HiB (Haemophilus influenza type B)- to learn more about Haemophilus influenza type B Click Here

PCV (Pneumococcal conjugate)- to learn more about Pneumococcal conjugate Click Here

Tests & Screens your child will likely receive:

none

Vitals:

Height

Weight

Head circumference

Important Information:

Consider fluoride

18-month-old Visit

What you should expect..

Vaccines your child will likely receive:

HepA (Hepatitis A)- to learn more about Hepatitis A Click Here

Tests & Screens your child will likely receive:

Developmental screen

Autism screen

Vitals:

Height

Weight

Head circumference

24-month-old Visit

What you should expect..

Vaccines your child will likely receive:

Flu (Influenza) **YEARLY- to learn more about Influenza <ahref=”https://www.cdc.gov/flu/about/index.html”target=”_blank”class=”sub-page”>Click Here

Tests & Screens your child will likely receive:

Autism Screen

Lead Test

Tuberculosis risk assessment

Vitals:

Height

Weight

Head circumference

Important Information:

Consider fluoride

 

30-month-old Visit

What you should expect..

Vaccines your child will likely receive:

none

Tests & Screens your child will likely receive:

Developmental screen

Vitals:

Height

Weight

Head circumference

Important Information:

Consider fluoride

 

DEVELOPMENTAL MILESTONES: 1 Year

Milestones matter! How your child plays, learns, speaks, acts, and moves offer important clues about his or her development. Check the milestones your child has reached by age 1.

Physical:

Gets to a sitting position without help

Pulls up to stand, walks holding on to furniture (“cruising”)

May take a few steps without holding on

May stand alone

Mental:

Explores things in different ways, like shaking, banging, throwing

Finds hidden things easily

Looks at the right picture or thing when it’s named

Copies gestures

Starts to use things correctly; for example, drinks from a cup, brushes hair

Bangs two things together

Puts things in a container, takes things out of a container

Let’s things go without help

Pokes with index (pointer) finger

Follows simple directions like “pick up the toy”

Social:

Is shy or nervous with strangers

Cries when mom or dad leaves

Has favorite things and people

Shows fear in some situations

Hands you a book when he wants to hear a story

Repeats sounds or actions to get attention

Puts out arm or leg to help with dressing

Plays games such as “peek-a-boo” and “pat-a-cake”

Responds to simple spoken requests

Uses simple gestures, like shaking head “no” or waving “bye-bye”

Makes sounds with changes in tone (sounds more like speech)

Says “mama” and “dada” and exclamations like “uh-oh!”

Tries to say words you say

Additional (tips for caretakers):

You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 1-year-old child today.

Give your child time to get to know a new caregiver. Bring a favorite toy, stuffed animal, or blanket to help comfort your child.

In response to unwanted behaviors, say “no” firmly. Do not yell, spank, or give long explanations. A time out for 30 seconds to 1 minute might help redirect your child.

Give your child lots of hugs, kisses, and praise for good behavior.

Spend a lot more time encouraging wanted behaviors than punishing unwanted behaviors (4 times as much encouragement for wanted behaviors as redirection for unwanted behaviors).

Talk to your child about what you’re doing. For example, “Mommy is washing your hands with a washcloth.”

Read with your child every day. Have your child turn the pages. Take turns labeling pictures with your child.

Build on what your child says or tries to say, or what he points to. If he or she points to a truck and says “t” or “truck,” say, “Yes, that’s a big, blue truck.” Give your child crayons and paper, and let your child draw freely. Show your child how to draw lines up and down and across the page. Praise your child when he or she tries to copy them

 

This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov

 

DEVELOPMENTAL MILESTONES: 18 Months

Milestones matter! How your child plays, learns, speaks, acts, and moves offer important clues about his or her development. Check the milestones your child has reached by 18 months.

Physical:

Walks alone

May walk up steps and run

Pulls toys while walking

Can help undress herself

Drinks from a cup

Eats with a spoon

Mental:

Knows what ordinary things are for; for example, telephone, brush, spoon

Points to get the attention of others

Shows interest in a doll or stuffed animal by pretending to feed

Points to one body part

Scribbles on his own

Can follow 1-step verbal commands without any gestures; for example, sits when you say “sit down”

Social:

Likes to hand things to others as play

May have temper tantrums

May be afraid of strangers

Shows affection to familiar people

Plays simple pretend, such as feeding a doll

May cling to caregivers in new situations

Points to show others something interesting

Explores alone but with parent close by

Says several single words

Says and shakes head “no”

Points to show someone what he wants

Additional (tips for caretakers):

You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 18-month-old child today.

Provide a safe, loving environment. It’s important to be consistent and predictable.

Praise good behaviors more than you punish bad behaviors (use only very brief time outs).

Describe her emotions. For example, say, “You are happy when we read this book.”

Encourage pretend play.

Encourage empathy. For example, when he sees a child who is sad, encourage him to hug or pat the other child.

Read books and talk about the pictures using simple words.

Copy your child’s words.

Use words that describe feelings and emotions.

Use simple, clear phrases and ask simple questions.

Hide things under blankets and pillows and encourage him to find them.

Play with blocks, balls, puzzles, books, and toys that teach cause and effect and problem-solving.

Name pictures in books and body parts.

Provide toys that encourage pretend play; for example, dolls, play telephones.

Provide safe areas for your child to walk and move around in.

Provide toys that she can push or pull safely.

Provide balls for her to kick, roll, and throw.

Encourage him to drink from his cup and use a spoon, no matter how messy.

Blow bubbles and let your child pop them.

 

This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov

DEVELOPMENTAL MILESTONES: 2 Years

Milestones matter! How your child plays, learns, speaks, acts, and moves offer important clues about his or her development. Check the milestones your child has reached by age 2.

Physical:

Stands on tiptoe

Kicks a ball

Begins to run

Climbs onto and down from furniture without help

Walks up and down stairs holding on

Throws ball overhand

Makes or copies straight lines and circles

Mental:

Finds things even when hidden under two or three covers

Begins to sort shapes and colors

Completes sentences and rhymes in familiar books

Plays simple make-believe games

Builds towers of 4 or more blocks

Might use one hand more than the other

Follows two-step instructions such as “Pick up your shoes and put them in the closet.”

Names items in a picture book such as a cat, bird, or dog

Social:

Copies others, especially adults and older children

Gets excited when with other children

Shows more and more independence

Shows defiant behavior (doing what he has been told not to)

Plays mainly beside other children, but is beginning

to include other children, such as in chase games

Points to things or pictures when they are named

Knows names of familiar people and body parts

Says sentences with 2 to 4 words

Follows simple instructions

Repeats words overheard in conversation

Points to things in a book

Additional (tips for caretakers):

You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 2-year-old child today.

Encourage your child to help with simple chores at home, like sweeping and making dinner. Praise your child for being a good helper.

At this age, children still play next to (not with) each other and don’t share well. For play dates, give the children lots of toys to play with. Watch the children closely and step in if they fight or argue.

Give your child attention and praise when he follows instructions. Limit attention for defiant behavior. Spend a lot more time praising good behaviors than punishing bad ones.

Teach your child to identify and say body parts, animals, and other common things.

Do not correct your child when he says words incorrectly. Rather, say it correctly. For example, “That is a ball.”

Encourage your child to say a word instead of pointing. If your child can’t say the whole word (“milk”), give her the first sound (“m”) to help. Over time, you can prompt your child to say the whole sentence — “I want milk.”

Hide your child’s toys around the room and let him find them.

Help your child do puzzles with shapes, colors, or farm animals. Name each piece when your child puts it in place.

Encourage your child to play with blocks. Take turns building towers and knocking them down.

Do art projects with your child using crayons, paint, and paper. Describe what your child makes and hang it on the wall or refrigerator.

Ask your child to help you open doors and drawers and turn pages in a book or magazine.

Once your child walks well, ask her to carry small things for you.

Kick a ball back and forth with your child. When your child is good at that, encourage him to run and kick.

Take your child to the park to run and climb on equipment or walk on nature trails. Watch your child closely.

 

This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov

Middle Childhood

Click here to print the full Middle Childhood chart

What to expect at your..

3-year-old Visit
4-year-old Visit
5 to 10-year-old Visit
11-year-old Visit

Developmental Milestones

3 years
4 years
5 years

 

3-year-old Visit

What you should expect..

Vaccines your child will likely receive:

Flu (Influenza) **YEARLY- to learn more about Influenza click here

Tests & Screens your child will likely receive:

Developmental screen

Lead Screen

Vision

Tuberculosis risk assessment

Vitals:

Height

Weight

Blood Pressure

Pulse

Important Information:

Consider fluoride

Resources:

4-year-old Visit

What you should expect..

Vaccines your child will likely receive:

Dtap (Diphtheria, tetanus, & acellular pertussis)- to learn more about Diphtheria, tetanus, & acellular pertussis Click Here

IPV (Polio)- to learn more about Polio Click Here

MMR (Measles, mumps, and rubella)- to learn more about Measles, mumps, and rubella Click Here

VZV (Chicken Pox)- to learn more about Chicken Pox Click Here

Flu (Influenza) **YEARLY- to learn more about Influenza Click Here

Tests & Screens your child will likely receive:

Autism Screen

Lead Test

Tuberculosis risk assessment

Vitals:

Height

Weight

Head circumference

Important Information:

Consider fluoride

Resources:

5-10-year-old Visit

What you should expect..

Vaccines your child will likely receive:

Flu (Influenza) **YEARLY- to learn more about Influenza Click Here

Tests & Screens your child will likely receive:

Lead screen

Vision

Hearing

Hemoglobin

Cholesterol

Tuberculosis risk assessment

Vitals:

Height

Weight

Blood pressure

Pulse

Important Information:

 

11-Year-Old Visit

What you should expect..

Vaccines your child will likely receive:

Tdap (Tetanus, diphtheria, and pertussis)- to learn more about Tetanus, diphtheria, and pertussis Click Here

HPV9 (Human papilloma-virus)- to learn more about Human papilloma-virus Click Here

MCV4 (Meningitis)- to learn more about Meningitis Click Here

Flu (Influenza) **YEARLY- to learn more about Influenza Click Here

Tests & Screens your child will likely receive:

Tuberculosis risk assessment

Vitals:

Height

Weight

Blood pressure

Pulse

Important Information:

DEVELOPMENTAL MILESTONES: 3 Years

Milestones matter! How your child plays, learns, speaks, acts, and moves offer important clues about his or her development. Check the milestones your child has reached by age 3.

Physical:

Climbs well

Runs easily

Pedals a tricycle (3-wheel bike)

Walks up and down stairs, one foot on each step

Mental:

Can work toys with buttons, levers, and moving parts

Plays make-believe with dolls, animals, and people

Does puzzles with 3 or 4 pieces

Understands what “two” means

Copies a circle with a pencil or crayon

Turns book pages one at a time

Builds towers of more than 6 blocks

Screws and unscrews jar lids or turns a door handle

Social:

Copies adults and friends

Shows affection for friends without prompting

Takes turns in games

Shows concern for a crying friend

Understands the idea of “mine” and “his” or “hers”

Shows a wide range of emotions

Separates easily from mom and dad

May get upset with major changes in routine

Dresses and undresses self

Follows instructions with 2 or 3 steps

Can name most familiar things

Understands words like “in,” “on,” and “under”

Says first name, age, and sex

Names a friend

Says words like “I,” “me,” “we,” and “you” and some plurals (cars, dogs, cats)

Talks well enough for strangers to understand most of the time

Carries on a conversation using 2 to 3 sentences

Additional (tips for caretakers):

You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 3-year-old child today.

Go to playgroups with your child or other places where there are other children, to encourage getting along with others.

Work with your child to solve the problem when he is upset.

Talk about your child’s emotions. For example, say, “I can tell you feel mad because you threw the puzzle piece.” Encourage your child to identify feelings in books.

Set rules and limits for your child, and stick to them. If your child breaks a rule, give him a time out for 30 seconds to 1 minute in a chair or in his room. Praise your child for following the rules.

Give your child instructions with 2 or 3 steps.

For example, “Go to your room and get your shoes and coat.”

Read to your child every day. Ask your child to point to things in the pictures and repeat words after you.

Give your child an “activity box” with paper, crayons, and coloring books. Color and draw lines and shapes with your child.

Play matching games. Ask your child to find objects in books or around the house that are the same.

Play counting games. Count body parts, stairs, and other things you use or see every day.

Hold your child’s hand going up and down stairs. When she can go up and down easily, encourage her to use the railing.

Play outside with your child. Go to the park or hiking trail. Allow your child to play freely and without structured activities.

 

This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov

DEVELOPMENTAL MILESTONES: 4 Years

Milestones matter! How your child plays, learns, speaks, acts, and moves offer important clues about his or her development. Check the milestones your child has reached by age 4.

Physical:

Hops and stands on one foot up to 2 seconds

Catches a bounced ball most of the time

Pours, cuts with supervision and mashes own food

Mental:

Names some colors and some numbers

Understands the idea of counting

Starts to understand time

Remembers parts of a story

Understands the idea of “same” and “different”

Draws a person with 2 to 4 body parts

Uses scissors

Starts to copy some capital letters

Plays board or card games

Tells you what he thinks is going to happen next in a book

Social:

Enjoys doing new things

Plays “Mom” and “Dad”

Is more and more creative with make-believe play

Would rather play with other children than by himself

Cooperates with other children

Often can’t tell what’s real and what’s make-believe

Talks about what she likes and what she is interested in

Knows some basic rules of grammar, such as correctly using “he” and “she

Sings a song from memory like the “Itsy Bitsy Spider” or the “Wheels on the Bus”

Tells stories

Can say first and last name

Additional (tips for caretakers):

You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 4-year-old child today.

Play make-believe with your child. Let her be the leader and copy what she is doing.

Suggest your child pretend to play an upcoming event that might make him nervous, like going to preschool or staying overnight at a grandparent’s house.

Give your child simple choices whenever you can. Let your child choose what to wear, play, or eat for a snack. Limit choices to 2 or 3.

During play dates, let your child solve her own problems with friends, but be nearby to help out if needed.

Encourage your child to use words, share toys, and take turns playing games of one another’s choice.

Give your child toys to build imagination, like dress-up clothes, kitchen sets, and blocks.

Use good grammar when speaking to your child. Instead of “Mommy wants you to come here,” say, “I want you to come here.”

Use words like “first,” “second,” and “finally” when talking about everyday activities. This will help your child learn about sequence of events.

Take time to answer your child’s “why” questions. If you don’t know the answer, say “I don’t know,” or help your child find the answer in a book, on the Internet, or from another adult.

When you read with your child, ask him to tell you what happened in the story as you go.

When you read with your child, ask him to tell you what happened in the story as you go.

Teach your child to play outdoor games like tag, follow the leader, and duck, duck, goose.

Play your child’s favorite music and dance with your child. Take turns copying each other’s moves.

 

This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov

 

DEVELOPMENTAL MILESTONES: 5 Years

Milestones matter! How your child plays, learns, speaks, acts, and moves offer important clues about his or her development. Check the milestones your child has reached by age 5.

Physical:

Stands on one foot for 10 seconds or longer

Hops; may be able to skip

Can do a somersault

Uses a fork and spoon and sometimes a table knife

Can use the toilet on her own

Swings and climbs

Mental:

Counts 10 or more things

Can draw a person with at least 6 body parts

Can print some letters or numbers

Copies a triangle and other geometric shapes

Knows about things used every day, like money and food

Social:

Wants to please friends

Wants to be like friends

More likely to agree with rules

Likes to sing, dance, and act

Is aware of gender

Can tell what’s real and what’s make-believe

Shows more independence (for example, may visit a next-door neighbor by himself [adult supervision is still needed])

Is sometimes demanding and sometimes very cooperative

Speaks very clearly

Tells a simple story using full sentences

Uses future tense; for example, “Grandma will be here.”

Says name and address

Additional (tips for caretakers):

You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 5-year-old child today.

Continue to arrange play dates, trips to the park, or play groups. Give your child more freedom to choose activities to play with friends, and let your child work out problems on her own.

Your child might start to talk back or use profanity (swear words) as a way to feel independent.

Do not give a lot of attention to this talk, other than a brief time out. Instead, praise your child when he asks for things nicely and calmly takes “no” for an answer.

This is a good time to talk to your child about safe touch. No one should touch “private parts” except doctors or nurses during an exam or parents when they are trying to keep the child clean.

Teach your child her address and phone number.

When reading to your child, ask him to predict what will happen next in the story.

Encourage your child to “read” by looking at the pictures and telling the story.

Teach your child time concepts like morning, afternoon, evening, today, tomorrow, and yesterday. Start teaching the days of the week.

Explore your child’s interests in your community. For example, if your child loves animals, visit the zoo or petting farm. Go to the library or look on the Internet to learn about these topics.

Keep a handy box of crayons, paper, paint, child scissors, and paste. Encourage your child to draw and make art projects with different supplies.

Play with toys that encourage your child to put things together.

Teach your child how to pump her legs back and forth on a swing.

Help your child climb on the monkey bars.

Go on walks with your child, do a scavenger hunt in your neighborhood or park, help him ride a bike with training wheels (wearing a helmet).

 

This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov

Middle Childhood

Click here to print the full Adolescence chart

What to expect at your..

12 to 21-year-old Visit

12 to 21-year-old

What you should expect..

Vaccines your child will likely receive:

MCV4 (Meningitis)**At the 16 year-old visit- to learn more about Meningitis click here

MenB (Meningitis B)**As indicated at the 18-year-old visit- to learn more about Meningitis B click here

Flu (Influenza) **YEARLY- to learn more about Influenza click here

Tests & Screens your child will likely receive:

Developmental screen

Vision

Hearing

Cholesterol

Sexually transmitted infection risk assessment and testing as indicated

Offer HIV test

Tuberculosis risk assessment

Vitals:

Height

Weight

Blood Pressure

Pulse

Important Information:

Consider fluoride

Resources:

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