Newborns to Toddlers

Newborn (0-1 month)

• Motor: Moves head from side to side; jerky movements.
• Social/Emotional: Begins to focus on faces.
• Cognitive: Recognizes parent’s voice.
• Language: Cries to express needs.

These common concerns can help identify potential developmental delays. If you notice multiple areas of concern or major delays, it’s a good idea to consult a pediatrician for further evaluation.

Newborn (0-1 month):

• Difficulty breastfeeding or latching.
• Jaundice (yellowing of the skin/eyes).
• Frequent crying or colic.
• Sleep issues (baby not sleeping enough or waking frequently).
• Baby not gaining enough weight.

This schedule is a guide based on the CDC’s recommendations for childhood immunizations. It’s important to follow the pediatrician’s advice regarding vaccinations and discuss any concerns with them directly.

Hepatitis B (HepB)

• 1st dose (usually within 24 hours of birth)

These milestones provide a general idea of what to expect, but individual variation is normal. If a child is significantly behind in multiple areas, it might be worth discussing with a pediatrician.

1 Month

• Motor: Lifts head briefly while on stomach.
• Social/Emotional: Begins to smile.
• Cognitive: Pays attention to faces.
• Language: Makes cooing sounds.

These common concerns can help identify potential developmental delays. If you notice multiple areas of concern or major delays, it’s a good idea to consult a pediatrician for further evaluation.

1 Month:

• Persistent feeding issues.
• Excessive sleepiness or lethargy.
• Baby not making eye contact or responding to loud sounds.
• Abnormal or slow weight gain.
• Difficulty calming the baby (colic may continue).

This schedule is a guide based on the CDC’s recommendations for childhood immunizations. It’s important to follow the pediatrician’s advice regarding vaccinations and discuss any concerns with them directly.

No vaccines unless catching up on HepB if missed at birth.

These milestones provide a general idea of what to expect, but individual variation is normal. If a child is significantly behind in multiple areas, it might be worth discussing with a pediatrician.

2 Months

• Motor: Lifts head and chest during tummy time.
• Social/Emotional: Smiles at people.
• Cognitive: Follows objects with eyes.
• Language: Turns head toward sounds.

These common concerns can help identify potential developmental delays. If you notice multiple areas of concern or major delays, it’s a good idea to consult a pediatrician for further evaluation.

2 Months:

• Baby not smiling in response to caregivers.
• Little or no head control during tummy time.
• Baby does not follow objects with their eyes.
• Trouble feeding or frequent spitting up.
• Crying that lasts for hours (possible colic).

This schedule is a guide based on the CDC’s recommendations for childhood immunizations. It’s important to follow the pediatrician’s advice regarding vaccinations and discuss any concerns with them directly.

2 Months

• Hepatitis B (HepB)
  • 2nd dose
• Diphtheria, Tetanus, and Pertussis (DTaP)
  • 1st dose
• Haemophilus influenzae type B (Hib)
  • 1st dose
• Polio (IPV)
  • 1st dose
• Pneumococcal conjugate (PCV13)
  • 1st dose
• Rotavirus (RV)
  • 1st dose

These milestones provide a general idea of what to expect, but individual variation is normal. If a child is significantly behind in multiple areas, it might be worth discussing with a pediatrician.

3 Months

• Motor: Opens and closes hands; supports upper body with arms.
• Social/Emotional: Enjoys playing with others.
• Cognitive: Begins to recognize familiar objects.
• Language: Begins to babble.

These common concerns can help identify potential developmental delays. If you notice multiple areas of concern or major delays, it’s a good idea to consult a pediatrician for further evaluation.

3 Months:

• Baby not reaching for or grabbing objects.
• Baby is overly stiff or floppy.
• Lack of social smiling or engagement with others.
• Baby doesn’t turn toward sounds.
• Constant crying or fussiness, especially at night.

This schedule is a guide based on the CDC’s recommendations for childhood immunizations. It’s important to follow the pediatrician’s advice regarding vaccinations and discuss any concerns with them directly.

4 Months

• Diphtheria, Tetanus, and Pertussis (DTaP)
  • 2nd dose
• Haemophilus influenzae type B (Hib)
  • 2nd dose
• Polio (IPV)
  • 2nd dose
• Pneumococcal conjugate (PCV13)
  • 2nd dose
• Rotavirus (RV)
  • 2nd dose

These milestones provide a general idea of what to expect, but individual variation is normal. If a child is significantly behind in multiple areas, it might be worth discussing with a pediatrician.

4 Months

• Motor: Rolls from tummy to back; pushes down with legs when feet are on a hard surface.
• Social/Emotional: Smiles spontaneously, especially at people.
• Cognitive: Reaches for toys with one hand.
• Language: Laughs and mimics sounds.

5 Months

• Motor: Rolls over in both directions.
• Social/Emotional: Shows curiosity about surroundings.
• Cognitive: Explores objects with hands and mouth.
• Language: Makes more varied sounds.

These common concerns can help identify potential developmental delays. If you notice multiple areas of concern or major delays, it’s a good idea to consult a pediatrician for further evaluation.

4 Months:

• Baby not making any attempt to roll over.
• Poor head control.
• Baby not showing interest in toys or surroundings.
• No cooing or vocalizing.
• Baby not making eye contact or interacting socially.

5 Months:

• Little to no interaction with caregivers or toys.
• Lack of interest in reaching for objects.
• Poor muscle tone or inability to support weight on legs when held upright.
• Not responding to loud noises or voices.
• Persistent head lag when pulled to a sitting position.

This schedule is a guide based on the CDC’s recommendations for childhood immunizations. It’s important to follow the pediatrician’s advice regarding vaccinations and discuss any concerns with them directly.

6 Months

• Hepatitis B (HepB)
  • 3rd dose (can be given between 6-18 months)
• Diphtheria, Tetanus, and Pertussis (DTaP)
  • 3rd dose
• Haemophilus influenzae type B (Hib)
  • 3rd dose (depending on vaccine type)
• Polio (IPV)
  • 3rd dose (can be given between 6-18 months)
• Pneumococcal conjugate (PCV13)
  • 3rd dose
• Rotavirus (RV)
  • 3rd dose (if a 3-dose series is used)
• Influenza (Flu)
  • Annual vaccination (can start at 6 months and receive yearly)

These milestones provide a general idea of what to expect, but individual variation is normal. If a child is significantly behind in multiple areas, it might be worth discussing with a pediatrician.

6 Months

• Motor: Sits with support; may start to sit without support.
• Social/Emotional: Recognizes familiar faces.
• Cognitive: Begins to pass things from one hand to the other.
• Language: Responds to sounds by making sounds.

7 Months

• Motor: Sits without support; reaches for objects with one hand.
• Social/Emotional: Enjoys social play.
• Cognitive: Explores objects by shaking or banging them.
• Language: Responds to own name.

8 Months

• Motor: May start to crawl; pulls to stand with support.
• Social/Emotional: Shows separation anxiety.
• Cognitive: Looks for hidden objects.
• Language: Makes a variety of sounds, including “mamama” or “bababa.”

9 Months

• Motor: Stands while holding onto furniture.
• Social/Emotional: Shows preferences for certain people and toys.
• Cognitive: Watches the path of something as it falls.
• Language: Understands “no”; copies sounds and gestures.

10 Months

• Motor: Crawls well; may cruise along furniture.
• Social/Emotional: Plays interactive games like peek-a-boo.
• Cognitive: Finds hidden things easily.
• Language: Uses gestures, such as shaking head for “no.”

11 Months

• Motor: May start to stand alone.
• Social/Emotional: Becomes more attached to caregivers.
• Cognitive: Looks at things when named.
• Language: Says “mama” and “dada” specifically.

These common concerns can help identify potential developmental delays. If you notice multiple areas of concern or major delays, it’s a good idea to consult a pediatrician for further evaluation.

6 Months:

• Baby not rolling over in either direction.
• Lack of interest in toys or hands.
• Baby not sitting with support or making attempts to sit independently.
• Not responding to own name.
• No laughing or squealing.

7 Months:

• Not reaching for things, or not transferring objects between hands.
• Stiffness or difficulty moving arms and legs.
• Lack of babbling or any vocalization.
• Baby doesn’t seem to recognize familiar faces.
• Not enjoying interactive games like peek-a-boo.

8 Months:

• Not attempting to crawl or move towards objects.
• Baby not bearing weight on legs when supported.
• No stranger anxiety or recognition of familiar caregivers.
• Lack of vocalizing or mimicking sounds.
• Baby doesn’t respond to their own name or show any curiosity.

9 Months:

• Baby not sitting without support.
• Lack of crawling or rolling as a means of movement.
• No babbling or use of basic sounds like “mama” or “dada.”
• No interest in playing with toys or exploring surroundings.
• Baby not responding to familiar people.

10 Months:

• Not attempting to pull up to stand or cruise.
• Baby not showing affection or interest in caregivers.
• Not using gestures like waving or shaking head.
• Baby doesn’t seem to notice or react to people entering the room.
• Limited vocalizations or no attempts to mimic speech sounds.

11 Months:

• Baby not crawling or showing desire to move.
• Difficulty standing even when holding onto furniture.
• Not looking for hidden objects (peek-a-boo) or playing social games.
• Lack of vocal variety, still only making simple sounds.
• Baby not showing any interest in communicating or responding to language.

This schedule is a guide based on the CDC’s recommendations for childhood immunizations. It’s important to follow the pediatrician’s advice regarding vaccinations and discuss any concerns with them directly.

9 Months

• Hepatitis B (HepB)
  • 3rd dose (if not given at 6 months)
• Polio (IPV)
  • 3rd dose (if not given at 6 months)
• Influenza (Flu)
  • Annual vaccination (if not given at 6 months)

These milestones provide a general idea of what to expect, but individual variation is normal. If a child is significantly behind in multiple areas, it might be worth discussing with a pediatrician.

12 Months (1 Year)

• Motor: May take first steps.
• Social/Emotional: Waves goodbye; imitates gestures.
• Cognitive: Starts to use objects correctly (e.g., drinks from a cup).
• Language: Responds to simple spoken requests.

13-15 Months

• Motor: Walks independently; starts to climb furniture.
• Social/Emotional: Plays with other children; may show more independence.
• Cognitive: Explores objects in different ways.
• Language: Says a few words other than “mama” or “dada.”

16-18 Months

• Motor: Walks well; may start running; climbs steps.
• Social/Emotional: Starts to show defiance (e.g., “no” stage).
• Cognitive: Knows the use of common objects like a phone.
• Language: Says several single words.

19-21 Months

• Motor: Runs easily; kicks a ball.
• Social/Emotional: Shows more interest in playing with other kids.
• Cognitive: Follows two-step commands like “Pick up the toy and give it to me.”
• Language: Combines two words (e.g., “more juice”).

22-24 Months

• Motor: Jumps with both feet; throws a ball overhand.
• Social/Emotional: Shows increased independence; plays alongside others (parallel play).
• Cognitive: Completes simple puzzles; begins to sort shapes and colors.
• Language: Uses simple sentences; vocabulary rapidly expanding.

These common concerns can help identify potential developmental delays. If you notice multiple areas of concern or major delays, it’s a good idea to consult a pediatrician for further evaluation.

13-15 Months:

• Baby not walking or not using furniture to “cruise.”
• Not saying any words or understanding basic commands.
• Not pointing to objects or using gestures to communicate.
• Limited or no interaction with caregivers or peers.
• Baby doesn’t seem to understand or respond to their name.

16-18 Months:

• Not walking independently.
• Difficulty with balance or falling frequently.
• Lack of interest in playing or interacting with others.
• Not saying at least a few words.
• Not understanding simple directions like “come here” or “give me that.”

19-21 Months:

• Baby not running or kicking a ball.
• Limited vocabulary or not combining two words.
• Not imitating daily activities or playing pretend.
• Baby shows little to no interest in interacting with caregivers or other children.
• Persistent tantrums or frustration due to limited communication.

22-24 Months:

• Difficulty with coordination (e.g., jumping, running).
• Baby not using two-word phrases (e.g., “more milk”).
• Not following two-step instructions.
• Baby shows no interest in other children or parallel play.
• Frequent frustration, tantrums, or inability to communicate needs.

This schedule is a guide based on the CDC’s recommendations for childhood immunizations. It’s important to follow the pediatrician’s advice regarding vaccinations and discuss any concerns with them directly.

12 Months

• Haemophilus influenzae type B (Hib)
  • Final dose (depending on vaccine type)
• Pneumococcal conjugate (PCV13)
  • Final dose (4th dose)
• Measles, Mumps, Rubella (MMR)
  • 1st dose
• Varicella (Chickenpox)
  • 1st dose
• Hepatitis A (HepA)
  • 1st dose (can be given at 12 months, with the 2nd dose 6 months later)
• Influenza (Flu)
  • Annual vaccination

15 Months

• Diphtheria, Tetanus, and Pertussis (DTaP)
  • 4th dose
• Measles, Mumps, Rubella (MMR)
  • 1st dose (if not given at 12 months)
• Varicella (Chickenpox)
  • 1st dose (if not given at 12 months)
• Hepatitis A (HepA)
  • 1st dose (if not given at 12 months)
• Influenza (Flu)
  • Annual vaccination

18 Months

• Hepatitis B (HepB)
  • 3rd dose (if not given earlier)
• Polio (IPV)
  • 3rd dose (if not given earlier)
• Hepatitis A (HepA)
  • 2nd dose (if 1st dose was given at 12 months)
• Influenza (Flu)
  • Annual vaccination

19-23 Months

• Influenza (Flu)
  • Annual vaccination

These milestones provide a general idea of what to expect, but individual variation is normal. If a child is significantly behind in multiple areas, it might be worth discussing with a pediatrician.

24 Months (2 Years)

• Motor: Begins to run; climbs onto and down from furniture without help.
• Social/Emotional: Shows defiant behavior; plays simple make-believe games.
• Cognitive: Builds towers of 4 or more blocks; follows simple instructions.
• Language: Has a vocabulary of about 50 words or more; speaks in two- to four-word sentences.

These common concerns can help identify potential developmental delays. If you notice multiple areas of concern or major delays, it’s a good idea to consult a pediatrician for further evaluation.

24 Months (2 Years):

• Not walking steadily or frequently falling.
• Not using at least 50 words.
• Difficulty understanding or following simple commands.
• No interest in playing make-believe or mimicking adult activities.
• Baby not engaging in any social interaction or showing extreme reactions (e.g., no fear or excessive fear of strangers).

This schedule is a guide based on the CDC’s recommendations for childhood immunizations. It’s important to follow the pediatrician’s advice regarding vaccinations and discuss any concerns with them directly.

2 Years (24 Months)

• Influenza (Flu)
  • Annual vaccination