Developmental Milestones

• Talks with you in conversation using at least two back-and-forth exchanges
• Asks “who,” “what,” “where,” or “why” questions, like “Where is mommy/daddy?”
• Says what action is happening in a picture or book when asked, like “running,” “eating,” or “playing”
• Says first name, when asked
• Talks well enough for others to understand, most of the time

Ideas for Learning and Growth

• Encourage your child to solve her own problems with your support. Ask questions to help her understand the problem. Help her think of solutions, try one out, and try more if needed.
• Talk about your child’s emotions and give him words to help him explain how he’s feeling. Help your child manage stressful feelings by teaching him to take deep breaths, hug a favorite toy, or go to a quiet, safe place when he is upset.
• Set a few simple and clear rules that your child can follow, such as use gentle hands when playing. If he breaks a rule, show him what to do instead. Later, if your child follows the rule, recognize and congratulate him.
• Read with your child. Ask questions, such as “What is happening in the picture?” and/or “What do you think will happen next?” When she gives you an answer, ask for more details.
• Play counting games. Count body parts, stairs, and other things you use or see every day. Children this age are starting to learn about numbers and counting.
• Help your child develop his language skills by speaking to him in longer sentences than his, using real words. Repeat what he says, for example, “need nana,” and then show how to use more “grown-up” words by saying, “I want a banana.”
• Let your child help with making meals. Give him simple tasks, such as washing fruits and vegetables or stirring.
• Give your child instructions with 2 or 3 steps. For example, “Go to your room and get your shoes and coat.”
• Limit screen time (TV, tablets, phones, etc.) to no more than 1 hour per day of a children’s program with an adult present. Don’t put any screens in your child’s bedroom. Children learn by talking, playing, and interacting with others.
• Teach your child simple songs and rhymes, such as “Itsy Bitsy Spider” or “Twinkle, Twinkle, Little Star.”
• Give your child an “activity box” with paper, crayons, and coloring books. Color and draw lines and shapes with your child.
• Encourage your child to play with other children. This helps him learn the value of friendship and how to get along with others.

Concerns

• You know your child best. Don’t wait. If your child is not meeting one or more milestones, has lost skills he or she once had, or you have other concerns, act early.
• Talk with your child’s doctor, share your concerns, and ask about a developmental screening.

If you or the doctor are still concerned:

1. Ask for a referral to a specialist who can evaluate your child more; and
2. Call your local Missouri public elementary school in which your family resides and ask for a free evaluation to find out if your child can get services to help.