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Child Development: 3 – 6-Month-Old Milestones

5 month old baby

Child Development Guide for 3-6 Months

Babies develop at their own pace, so it’s impossible to tell exactly when your child will learn a given skill. The developmental steps listed below will give you a general idea of the changes you can expect, but don’t be alarmed if your own baby’s development is not exactly as listed.

Social and Emotional

  • Begins to display a social smile
  • Enjoys playing with others and may cry when playing stops
  • Expressive and communicates more with face and body
  • Imitates some movements and facial expressions

Movement

  • Raises head and chest when lying on stomach
  • Supports upper body with arms when lying on stomach
  • Stretches legs out and kicks when lying on stomach or back
  • Opens and closes hands
  • Pushes down on legs when feet are placed on a firm surface
  • Brings hand to mouth
  • Takes swipes at dangling objects with hands
  • Grasps and shakes hand toys

Vision

  • Watches faces closely
  • Follows moving objects
  • Recognizes familiar objects and people at a distance
  • Starts using hands and eyes in coordination

Hearing and Speech

  • Smiles at the sound of your voice
  • Begins to babble
  • Begins to imitate some sounds
  • Turns head toward a sound

Developmental Health Watch

Alert your child’s doctor or nurse if your child displays any
of the following signs of possible developmental delay for
this age range.

  • Does not seem to respond to loud noises
  • Does not notice hands by 2 months
  • Does not follow moving objects with eyes by 2 to 3 months
  • Does not grasp and hold objects by 3 months
  • Does not smile at people by 3 months
  • Cannot support head well by 3 months
  • Does not reach for and grasp toys by 3 to 4 months
  • Does not babble by 3 to 4 months
  • Does not bring objects to mouth by 4 months
  • Begins babbling, but does not try to imitate any of your sounds by 4 months
  • Does not push down with legs when feet are placed on a firm surface by 4 months
  • Has trouble moving one or both eyes in all directions
  • Crosses eyes most of the time (occasional crossing of the eyes is normal in these first months)
  • Does not pay attention to new faces, or seems very frightened by new faces or surroundings

Source: CDC

Learn More about baby development:  Does your Baby Cry too Much?

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Child Development: How Two-Year-Olds Learn Fine Motor Skills

toddler stacking blocks

How Two-Year-Olds Learn Fine Motor Skills?

Your two-year-old has just started enthusiastically running, jumping and — yes — saying “No!” Running and jumping is good for their development. It is important to recognize the need for fine motor skill development — especially young boys who tend to have difficulty sitting still to color.

What are fine motor skills?

Fine motor skills include precise thumb, finger, hand, and wrist movements that are practiced through tracing, scribbling, painting, cutting and pasting.

Scribbling:

Create art with crayons. Random scribbles come first, and then circular scribbles will emerge! Try flat and vertical surfaces. For a good sensory experience, use sticks to draw in sand on warm days or in the snow during the winter.

Puzzles:

Your child will begin to complete 2- 3 piece puzzles with guidance. If your child has a favorite picture, paste it onto heavy cardboard, and then cut it into a few simple pieces. Puzzles are a great way to help your child develop coordination of visual and motor skills.

Stacking Good Time:

Kids love to stack. Help your child learn to stack blocks, empty thread spools, raison boxes, sponges, or small containers. Tochallenge your child’s fine motor movements, stack items that are small enough to fit in your child’shands. This is great for hand-eye coordination, as well as grasp and release movements.

Page Turner:

If your child loves story time, make it as interactive as possible, whilerefining your child’s hand movements. Helpyour child learn to open a book, turn a few pages, and then turn only one page at a time.

Silly Putty:

Play dough or silly putty is a great way toincrease your child’s hand and finger strength. It is also agreat way to introduce a new sensory experience. Help your child pinch, squeeze, poke, and roll the dough. Easy recipes for play dough can be found on the internet.

Double Trouble:

At this age, your child is beginning to use both hands to play. Let your child carry empty plastic bowls, or two large apples or oranges so they use two hands at once. This helps increase bilateral hand use and strength.

Snack Time:

No doubt your child loves to pick up small objects. They might use their whole hand at first, and then will learn to use their thumb and fingers to pick up objects. Give your child cheerios, raisons, or marshmallows to help learn to use a pinch-like grasp. Make sure to supervise your child, to avoid choking.

Getting Ready for Scissors:

Practice with spray bottles, clothes pins, salad tongs, and tweezers to develop the ‘open-shut’ hand movements needed for scissors. For a good sensory experience, help your child use the tongs to puck up objects out of sand, snow, water, rice, etc.

Open Sesame:

Encourage your child to begin opening bottles and doorknobs, or to play with toys that require twisting. Put goodies or toys in a jar, and let your child undo the lids to get to the prize. These types of activities help develop wrist rotation.

Little Painter:

At this age, your child can imitate and create lines and circles. Tape paper to a vertical surface to create proper grasp and hand movements. For a good sensory experience, use hands and fingers in finger paint, pudding, or play dough. This will help your child learn the motor patterns used for drawing and writing.

Puzzles:

Your child can being completing 4- 5 piece puzzles. If your child has a favorite picture, paste it onto heavy cardboard, and then cut it into simple shapes. Puzzles are a great way to help your child develop coordination of visual and motor skills.

Sky Scrapers:

Your child may now be able to stack as many as 5 or 6 objects. You may also begin teaching your child how to line up object horizontally or in a row, to make a train or truck they can push around. Use blocks, raison boxes, sponges or small containers.

Kitchen Helper:

Your child may love to imitate your actions. When you are busy making dinner or baking, let your child pretend they are working too. Give them simple tools to play with, and that will increase their hand dexterity and strength at the same time. For example, let your child stir water in a bowl with a spatula, use a garlic press with play dough, wipe the tables with a washcloth, play and make drawings in salt on a cookie tray, or scrub vegetables with a cloth or brush. These activities will strength fine motor abilities, and give your child new sensory experiences.

Snack Time:

At this age, your child should be using his or her thumb and fingers to pick up foods. Give your child cheerios, raisons, or marshmallows to help learn these skills. Make sure to supervise your child to avoid choking. For other foods, encourage the use of a spoon and fork to increase coordination and control of the hands. 

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Newborn Baby Guide – Ages and Stages

newborn baby Indian

Babies develop at their own pace, so it’s impossible to tell exactly when your child will learn a given skill. The developmental steps listed below will give you a general idea of the changes you can expect, but don’t be alarmed if your own baby’s development takes a slightly different course.

Child Development Guide for Newborn through 2 months

Movement

The infant can lift and turn the head when lying on its back.

The neck is unable to support the head when pulled to a sitting position.

The hands are fisted, the arms are flexed.

Mimics stepping and walking — takes brisk steps when both feet placed on a surface, with body supported.

What are primitive reflexes? When should babies be in full operation?

Rooting and sucking — turns head in search of nipple when cheek is touched and begins to suck when nipple touches lips.

Tonic neck response — left leg extends when infant gazes to the left, while right arm and leg flex inward, and vice versa.

Palmar hand grasp — infant closes its hand and “grips” your finger.

Plantar grasp — infant flexes the toes and forefoot.

Babinski reflex — toes fan outward when sole of foot is stroked.

Moro reflex — extends arms then bends and pulls them in toward body.
placing — leg extends when sole of foot is stimulated.

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Is Pertussis (Whooping Cough) a Serious Threat?

pregnant woman

Pertussis is  Highly Contagious but Preventable.

It is a vaccine-preventable disease that is spread through the air by infectious respiratory droplets. It is caused by a bacterium called Bordetella pertussis, which is found in the mouth, nose and throat of the person infected with the disease. The milder form of the disease, which usually occurs in adults and older children, is often mistaken for the common cold or bronchitis and can be easily spread.

What is Whooping Cough?

The disease is usually more severe in babies and young children, who will often experience severe coughing that can be followed by a “whooping” sound as they gasp for air. Oftentimes, coughing episodes can be so intense that vomiting follows. Pertussis also can lead to other serious complications, such as pneumonia, hospitalizations and even death.  In recent years, about 92 per cent of pertussis deaths have occurred in infants younger than 12 months of age.

Cases on the Rise

Often considered to be a disease of the past, pertussis is in fact on the rise; in 2010, more than 22,000 provisional cases of pertussis, including 26 deaths associated with the disease, were reported to the U.S. Centers for Disease Control and Prevention (CDC). California declared a pertussis epidemic in June 2010. Throughout the year, more than 9,000 cases of pertussis were reported statewide, according to the California Department of Public Health. This is the greatest number of cases reported in 65 years and the highest incidence in 52 years. Moreover, 10 infants in California died from pertussis in 2010, compared to three in 2009.

Does the Whooping Cough vaccine wear off?

Immunity from childhood pertussis vaccinations wears off over time, after about five to 10 years.  

That’s why the CDC recommends that adults and adolescents, especially those in close contact with an infant, receive a single dose of a Tdap vaccine.(11) If you’re pregnant and have never had a pertussis booster vaccine.

Talk to your health-care provider about the best time for you to receive the vaccine, because there have been some recent updates to the recommendations.

For the most current CDC guidelines

 

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Wearing Pull-Ups While Potty Training?

boy in diaper coloring

Should a Toddler Wear Pull-Ups While Potty Training?

You’ll get lots of tips and advice, some of which is valuable, and some that will leave you undecided about things like should a toddler wear pull-ups while potty training?

Parenting toddlers can be challenging and no challenge is bigger than potty training. As a parent, you’ve learned a lot while your child moved from being an infant to crawling, to the mobile stage of an active toddler.

Now that they are older and able to understand simple directions and associations, you’re working towards the goal of “no more diapers”.

Disposable vs Cloth Training Pants

Again, we go back to the disposable diaper versus cloth debate, although the sheer quantity of either is somewhat reduced by the age of 18-24 months when most children are attempting to stay dry through the day and night. But the major question becomes one of convenience, versus what may be a better and more “natural” way to get your toddler into the bathroom when he or she needs to go.

Wearing training pants, which are made extra thick and absorbent, is often a deterrent to the child who dislikes being wet. With cloth, the wetness stays close to the skin, where disposable paper-based products tend to draw the liquid away, and the child will play happily, even though their pull-ups are drenched.

Even a young child can pull up an elastic-waisted pair of underpants, so there is nothing unique in the disposable version, except the cute patterns, and you can get those on training pants as well. What they pull down is not going to matter to a young child, as much as it does to the parent.
So when it comes to wondering should a toddler wear pull-ups while potty training, consider the cost, convenience, and your success in having the child acknowledge “accidents”, which will eventually prevent them from happening again.

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Child Development: Baby 7-12 Months Old

8 month old baby

Child Development – Ages and Stages 7 Months – 12 Months. Babies develop at their own pace, so it’s impossible to tell exactly when your child will learn a given skill. The developmental steps listed below will give you a general idea of the changes you can expect, but don’t be alarmed if your own baby’s development takes a slightly different course.

Child development by the end of 7 Months

Social and Emotional

  • Enjoys social play
  • Watches self in mirror images
  • Responds to other adult’s expressions of emotion and appears joyful often

Cognitive

  • Finds partially hidden object
  • Explores with hands and mouth
  • Tries to get objects that are out of reach

Movement

  • Rolls front to back and visa versa
  • Sits with, and then without, support on hands
  • Supports body weight on legs
  • Reaches with one hand
  • Transfers object from hand to hand
  • Uses hand to rake objects

Vision

  • Develops full-color vision
  • Distance vision matures
  • Tracks moving objects improves

Language

  • Responds to own name
  • Begins to respond to “no”
  • Can tell emotions by tone of voice
  • Responds to sound by making sounds
  • Uses voice to express joy and displeasure
  • Babbles chains of sounds

Developmental Health Watch
Alert your child’s doctor or nurse if your child displays any
of the following signs of possible developmental delay for
this age range.

  • Seems very stiff, with tight muscles
  • Seems very floppy, like a rag doll
  • Head still flops back when body is pulled to a sitting position
  • Reaches with one hand only
  • Refuses to cuddle
  • Shows no affection for the person who cares for him or her
  • Doesn’t seem to enjoy being around people
  • One or both eyes consistently turn in or out
  • Persistent tearing, eye drainage, or sensitivity to light
  • Does not respond to sounds around him or her
  • Has difficulty getting objects to mouth
  • Does not turn head to locate sounds by 4 months
  • Does not roll over in either direction (front to back or back to front) by 5 months
  • Seems impossible to comfort at night after 5 months
  • Does not smile on his or her own by 5 months
  • Cannot sit with help by 6 months
  • Does not laugh or make squealing sounds by 6 months
  • Does not actively reach for objects by 6 to 7 months
  • Does not follow objects with both eyes at near (1 foot) and far (6 feet) ranges by 7 months
  • Does not bear weight on legs by 7 months
  • Does not try to attract attention through actions by 7 months
  • Does not babble by 8 months
  • Shows no interest in games of peek-a-boo by 8 months

Child development by the end of 12 months

Social and Emotional

  • Shy or anxious with strangers
  • Cries when mother or father leaves
  • Enjoys imitating people in his play
  • Shows specific preferences for certain people and toys
  • Tests parental responses to his actions during feedings
  • Tests parental responses to his behavior
  • May be fearful in some situations
  • Prefers mother and/or regular caregiver over all others
  • Repeats sounds or gestures for attention
  • Finger-feeds himself
  • Extends arm or leg to help when being dressed

Cognitive

  • Explores objects in many different ways (shaking, banging, throwing, dropping)
  • Finds hidden objects easily
  • Looks at correct picture when the image is named
  • Imitates gestures
  • Begins to use objects correctly (drinking from cup, brushing hair, dialing phone, listening to receiver)

Language

  • Pays increasing attention to speech
  • Responds to simple verbal requests
  • Responds to “no”
  • Uses simple gestures, such as shaking head for “no”
  • Babbles with inflection (changes in tone)
  • Says “dada” and “mama”
  • Uses exclamations, such as “Oh-oh!”
  • Tries to imitate words

Movement

  • Reaches sitting position without assistance
  • Crawls forward on belly
  • Assumes hands-and-knees position
  • Creeps on hands and knees
  • Gets from sitting to crawling or prone (lying on stomach) position
  • Pulls self up to stand
  • Walks holding on to furniture
  • Stands momentarily without support
  • May walk two or three steps without support

Hand and Finger Skills

  • Uses pincer grasp
  • Bangs two objects together
  • Puts objects into a container
  • Takes objects out of a container
  • Lets objects go voluntarily
  • Pokes with index finger
  • Tries to imitate scribbling

Developmental Health Watch
Alert your child’s doctor or nurse if your child displays any
of the following signs of possible developmental delay for
this age range.

  • Does not crawl
  • Drags one side of the body while crawling (for over one month)
  • Cannot stand when supported
  • Does not search for objects that are hidden while he or 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
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Positive Discipline for a Happy Toddler

mother and baby
by Nancy Samalin

When we hurt, insult or label someone we love, whose character is just starting to form, we’re obviously not helping their self-esteem.

Discipline and self-esteem have an important connection, especially when talking about toddlers.

“When you punish, slap, spank or yell, is it working? It’s not just that you’re saying something negative that makes a child feel bad about himself but we also need to realize that it doesn’t work.” says Nancy Samalin, M.S. and founding director of Parent Guidance Workshops in New York City.

A Practical Approach

An internationally acclaimed speaker and author of 3 popular books, Nancy Samalin educates and helps parents get along with kids. Nancy says “I think the emphasis should be on practical rather than theoretical approaches.”

Ms. Samalin’s books do not tell parents what they “should” do but offer concrete information that they can use immediately in the here and now.
Children not only learn by what we tell them; that is why it is so important that parents become educated in the ways to deal effectively with young children in a positive way, so as to form a foundation for their healthy self esteem.

Parents of toddlers often use the word “no” too much.

“Save the ‘no’s for serious stuff,”

Nancy Samalin advises parents, “and keep in mind that toddlers have a limited vocabulary. Set limits on hurtful and dangerous behavior and let the small stuff go.” Giving the toddler more areas that are childproof means less need to constantly admonish and correct the child. Limited rules are necessary, but are rarely respected by young children. And it’s exhausting for a parent to be spending all of her time trying to enforce too many rules.

How to understand toddlers deliberate behavior and unintentional behavior.

Deliberate behaviors are unacceptable such as biting, hitting or purposely spilling milk. When parents assume that kids are misbehaving on purpose they are bound to get angry. Some behavior is age-appropriate.

“Discipline can be defined as the ability to set limits (which all kids need and very few want) without putting them down or making them feel bad about themselves,” says Nancy Samalin. Getting messages across clearly and simply without putting your child down (i.e.telling them that something is wrong with them) is key to your child’s confidence and esteem.

Avoid Labels

Nancy Samalin speaks about the power of words. “We speak the least care to the people we care the most about.” For the toddler whose character is still developing, we need to avoid labelling him or telling him what’s wrong with him. Mrs. Samalin says to try the “I’m mad vs.your bad” concept.

“For example, as seeing your child spill milk on purpose, you don’t want to say ‘you’re so messy’ but you can say ‘I don’t like that.’ Or talk about the milk: say ‘we drink milk, not pour it on the floor’. Using the word ‘you’ plus a negative word is saying to a child that something is wrong with you.”

When we talk this way children can’t help but feel as though they’re not ok or that they are a disappointment to their parents. Words, tone and expressions are picked up on by the toddler. “We need to use our words carefully,” says Samalin .

Turning Negative to Positive

For example, one mistake that parents often make is asking a child who is jumping on the table “What are you doing?”. It’s obvious the child isn’t about to tell you! You might say “no jumping on the table” or just remove them from the table.

You might even turn this unacceptable behavior into a positive experience by taking the child and saying “the floor is where we jump. I know how much you like to jump. So let’s jump together.” Offering an alternative is an effective way to redirect misbehavior.

Nancy knows that all parents no matter how loving get mad at their kids. Getting angry especially at toddlers is inevitable. The goal is to express anger without hurting your child (Love and Anger, Chapter 9).

Parents Need Time Out Too

Any parent of a toddler is familiar with the term “time out” “which offers a child a chance to cool down. But time out shouldn’t only be for kids. For a parent who is very angry and about to hit or insult her child, a time out, too, is beneficial.” Whereas discipline is teaching and guiding, punishment is different in that it hurts children whether physically or emotionally.

A parent needs to consider the importance of acknowledging good behavior, not just focus on the negative. “Whenever a child does something helpful or thoughtful be sure to say something specific or even hug them,” says Samalin. “Saying something as simple as ‘I like that’ or ‘I admire that’ is important. Point out the positive in a concrete way.”

When a child’s behavior is pleasing, a parent often believes a reward reinforces the act.

“The best reward for a young child should be your approval and your delight in them. Parents often believe a reward has to be something material. The best reward to give your child is your time.” This is tough today because parents are so busy.

Little things such as letting the answering machine pick up the phone while reading to a child is reinforcing that they are important. Reading with a child is one of the best activities you can share with them. The one on one closeness emphasizes how important they are.

“Read the book with enthusiasm and read a book that you enjoy as well,” advises Samalin. Many parents believe that lots of sports and numerous activities are essential to their young child’s confidence and esteem, whether their child wants to be there or not.  It’s not unusual today to hear of toddlers in dance, art, soccer or karate classes. Many parents have their kids over-scheduled, going from appointment to appointment.

Don’t Over Schedule

“Parents push too much. Children don’t have to be occupied every minute of the day,” Samalin says “they need lots of downtime.” Mrs. Samalin reminds parents that child does not need a room full of toys nor to be glued to a television set for hours at a time (please don’t keep a television in your child’s room).

When asked how to spot or know if a toddler’s esteem is healthy, Nancy Samalin gave this simple definition “A healthy toddler is a child who is able to be silly, funloving, full of laughter and energy.”

When it comes to esteem and your toddler, Nancy reminds parents of the one thing children need most – to have the adults in their lives enjoy them as they are and not as they wish they would be.

“A child’s self-esteem grows from the delight he sees in our eyes.”

Nancy Samalin is the author of LOVING YOUR CHILD IS NOT ENOUGH – Positive Discipline That Works, LOVE AND ANGER: The Parental Dilemma and LOVING EACH ONE BEST – A Caring and Practical Approach to Raising Siblings.

For more information about her books, her Parent Guidance Workshops or to contact Nancy about speaking arrangements and workshops