DEVELOPMENT

Developmental assessments are an integral part of every Well-Child visit with your Paediatrician. At each visit, in addition to the physical exam, your Doctor will look at the signs of your child’s development, and insure that they are consistent with your child’s age. Please keep in mind that the milestones are just guidelines, and each child will develop at their own pace. Your child is being evaluated closely at each visit, and your Doctor is trained to assess if there is any significant cause for concern about the level of developmental milestones which have been achieved. Please feel free to discuss any of your concerns with your Paediatrician at any Well-Child visit.
The following outline will just give you a simple breakdown of the developmental milestones for each age group we see for routine check-ups.

Age Gross Motor Fine Motor Language Social
2 Months Raises chest off bed Follows 180 degrees Coos Smiles
4 Months Pick head and chest up & Rolls one way Reaches for objects Orients to voice Initiates social interaction
6 Months Sits with support & Rolls both ways Transfers objects Babbles Recognizes unfamiliar persons
12 Months Stands alone & Walks holding on Releases an object Single words Imitates & cooperates with dressing
15 Months Walks well Builds 2-block towers 10 words Begins to use cup
18 Months Runs, stoops and recovers Builds 3-block towers & uses spoon 10-25 words & Points to body parts Words to communicate
24 Months Walks up stairs & Kicks ball 4-6 block towers & Uses fork and spoon 2 word phrases & 50 words Removes clothes
36 Months Rides tricycle & Jumps from step Copies circle 5-8 word sentences Group play & Shares
48 Months Balance on one foot & Walks up and down stairs Copies cross & Catches ball Intelligible speech Dresses self & Wash and dry hands
60 Months Skips alternating feet & Hops 10 times Draws person with 6 body parts Ask word meaning Names 4 colors & Plays by the “rules”

DEVELOPMENTAL MILESTONES: 1 MONTH

·  Makes jerky, quivering arm thrusts

·  Brings hands within range of eyes and mouth

·  Moves head from side to side while lying on stomach

·  Head flops backward if unsupported

·  Keeps hands in tight fists

·  Strong reflex movements

Visual and Hearing Milestones

  • Focuses 8 to 12 inches (20.3 to 30.4 cm) away
  • Eyes wander and occasionally cross
  • Prefers black-and-white or high-contrast patterns
  • Prefers the human face to all other patterns
  • Hearing is fully mature
  • Recognizes some sounds
  • May turn toward familiar sounds and voices

Smell and Touch Milestones

  • Prefers sweet smells
  • Avoids bitter or acidic smells
  • Recognizes the scent of his own mother’breastmilk
  • Prefers soft to coarse sensations
  • Dislikes rough or abrupt handling

Developmental Health Watch

If, during the second, third, or fourth weeks of your baby’s life, she shows any of the following signs of developmental delay, notify your pediatrician.

  • Sucks poorly and feeds slowly
  • Doesn’t blink when shown a bright light
  • Doesn’t focus and follow a nearby object moving side to side
  • Rarely moves arms and legs; seems stiff
  • Seems excessively loose in the limbs, or floppy
  • Lower jaw trembles constantly, even when not crying or excited
  • Doesn’t respond to loud sounds

DEVELOPMENTAL MILESTONES: 3 MONTHS 

What are some of the developmental milestones my child should reach by three months of age?
By the time your baby is three months of age, she will have made a dramatic transformation from a totally dependent newborn to an active and responsive infant. She’ll lose many of her newborn reflexes while acquiring more voluntary control of her body. You’ll find her spending hours inspecting her hands and watching their movements.

Here are some other milestones to look for.


Movement Milestones

  • 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 shuts 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

Visual and Hearing Milestones

  • Watches faces intently
  • Follows moving objects
  • Recognizes familiar objects and people at a distance
  • Starts using hands and eyes in coordination
  • Smiles at the sound of your voice
  • Begins to babble
  • Begins to imitate some sounds
  • Turns head toward direction of sound

Social and Emotional Milestones

  • Begins to develop a social smile
  • Enjoys playing with other people and may cry when playing stops
  • Becomes more communicative and expressive with face and body
  • Imitates some movements and facial expressions

Developmental Health Watch

Although each baby develops in her own individual way and at her own rate, failure to reach certain milestones may signal medical or developmental problems requiring special attention. If you notice any of the following warning signs in your infant at this age, discuss them with your pediatrician.

  • Doesn’t seem to respond to loud sounds
  • Doesn’t notice her hands by two months
  • Doesn’t smile at the sound of your voice by two months
  • Doesn’t follow moving objects with her eyes by two to three months
  • Doesn’t grasp and hold objects by three months
  • Doesn’t smile at people by three months
  • Cannot support her head well at three months
  • Doesn’t reach for and grasp toys by three to four months
  • Doesn’t babble by three to four months
  • Doesn’t bring objects to her mouth by four months
  • Begins babbling, but doesn’t try to imitate any of your sounds by four months
  • Doesn’t push down with her legs when her feet are placed on a firm surface by four months
  • Has trouble moving one or both eyes in all directions
  • Crosses her eyes most of the time (Occasional crossing of the eyes is normal in these first months.)
  • Doesn’t pay attention to new faces, or seems very frightened by new faces or surroundings
  • Still has the tonic neck reflex at four to five months

DEVELOPMENTAL MILESTONES: 7 MONTHS 

What are some of the developmental milestones my child should reach by seven months of age?
From age four to seven months, the most important changes take place within your child. This is the period when he’ll learn to coordinate his emerging perceptive abilities (the use of senses like vision, touch, and hearing) and his increasing motor abilities to develop skills like grasping, rolling over, sitting up, and possibly even crawling.
Here are some other milestones to look for.

Movement Milestones

  • Rolls both ways (front to back, back to front)
  • Sits with, and then without, support of her hands
  • Supports her whole weight on her legs
  • Reaches with one hand
  • Transfers object from hand to hand
  • Uses raking grasp (not pincer)

Visual Milestones

  • Develops full color vision
  • Distance vision matures
  • Ability to track moving objects improves

Language Milestones

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

Cognitive Milestones

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

Social and Emotional Milestones

  • Enjoys social play
  • Interested in mirror images
  • Responds to other people’s expressions of emotion and appears joyful often

Developmental Health Watch

Because each baby develops in his own particular manner, it’s impossible to tell exactly when or how your child will perfect a given skill. The developmental milestones listed in this book 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. Alert your pediatrician, however, if your baby 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 up to a sitting position
  • Reaches with one hand only
  • Refuses to cuddle
  • Shows no affection for the person who cares for him
  • 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
  • Has difficulty getting objects to his mouth
  • Does not turn his head to locate sounds by four months
  • Doesn’t roll over in either direction (front to back or back to front) by five months
  • Seems inconsolable at night after five months
  • Doesn’t smile spontaneously by five months
  • Cannot sit with help by six months
  • Does not laugh or make squealing sounds by six months
  • Does not actively reach for objects by six to seven months
  • Doesn’t follow objects with both eyes at near (1 foot) [30 cm] and far (6 feet) [180 cm] ranges by seven months
  • Does not bear some weight on legs by seven months
  • Does not try to attract attention through actions by seven months
  • Does not babble by eight months
  • Shows no interest in games of peekaboo by eight months

DEVELOPMENTAL MILESTONES: 12 MONTHS 

What are some of the developmental milestones my child should reach by twelve months of age?
From eight to twelve months of age, your baby will become increasingly mobile, a development that will thrill and challenge both of you. Being able to move from place to place will give your child a delicious sense of power and control—her first real taste of physical independence.
Here are some other milestones to look for.

Movement Milestones

  • Gets to sitting position without assistance
  • Crawls forward on belly by pulling with arms and pushing with legs
  • Assumes hands-and-knees position
  • Creeps on hands and knees supporting trunk 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

Milestones In Hand and Finger Skills

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

Language Milestones

  • 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
  • Says “dada” and “mama”
  • Uses exclamations, such as “oh-oh!”
  • Tries to imitate words

Cognitive Milestones

  • 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)

Social and Emotional Milestones

  • Shy or anxious with strangers
  • Cries when mother or father leaves
  • Enjoys imitating people in play
  • Shows specific preferences for certain people and toys
  • Tests parental responses to his actions during feedings (What do you do when he refuses a food?)
  • Tests parental responses to his behavior (What do you do if he cries after you leave the room?)
  • 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

Developmental Health Watch

Each baby develops in his own manner, so it’s impossible to tell exactly when your child will perfect a given skill. Although the developmental milestones listed in this book will give you a general idea of the changes you can expect as your child gets older, don’t be alarmed if his development takes a slightly different course. Alert your pediatrician if your baby displays any of the following signs of possible developmental delay in the eight-to twelve-month age range.

Does not crawl
Drags one side of body while crawling (for over one month)
Cannot stand when supported
Does not search for objects that are hidden while he 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

DEVELOPMENTAL MILESTONES: 24 MONTHS 

What are some of the developmental milestones my child should reach by two years of age?
Your baby enters her second year and becomes a toddler, crawling vigorously, starting to walk, even talking a little. Exploring the boundaries established by your rules and her own physical and developmental limits will occupy much of her time for the next few years.

Here are some other milestones to look for.

Movement milestones

  • Walks alone
  • Pulls toys behind her while walking
  • Carries large toy or several toys while walking
  • Begins to run
  • Stands on tiptoe
  • Kicks a ball
  • Climbs onto and down from furniture unassisted
  • Walks up and down stairs holding on to support

Milestones in hand and finger skills

  • Scribbles spontaneously
  • Turns over container to pour out contents
  • Builds tower of four blocks or more
  • Might use one hand more frequently than the other

Language milestones

  • Points to object or picture when it’s named for him
  • Recognizes names of familiar people, objects, and body parts
  • Says several single words (by fifteen to eighteen months)
  • Uses simple phrases (by eighteen to twenty-four months)
  • Uses two- to four-word sentences
  • Follows simple instructions
  • Repeats words overheard in conversation

Cognitive milestones

  • Finds objects even when hidden under two or three covers
  • Begins to sort by shapes and colors
  • Begins make-believe play

Social and emotional milestones

  • Imitates behavior of others, especially adults and older children
  • Increasingly aware of herself as separate from others
  • Increasingly enthusiastic about company of other children
  • Demonstrates increasing independence
  • Begins to show defiant behavior
  • Increasing episodes of separation anxiety toward midyear, then they fade

Developmental health watch

Because each child develops at his own particular pace, it’s impossible to tell exactly when yours will perfect a given skill. The developmental milestones will give you a general idea of the changes you can expect as your child gets older, but don’t be alarmed if he takes a slightly different course. Alert your pediatrician, however, if he displays any of the following signs of possible developmental delay for this age range.

  • Cannot walk by eighteen months
  • Fails to develop a mature heel-toe walking pattern after several months of walking, or walks exclusively on his toes
  • Does not speak at least fifteen words by eighteen months
  • Does not use two-word sentences by age two
  • Does not seem to know the function of common household objects (brush, telephone, bell, fork, spoon) by fifteen months
  • Does not imitate actions or words by the end of this period
  • Does not follow simple instructions by age two
  • Cannot push a wheeled toy by age two

DEVELOPMENTAL MILESTONES: 3-4 YEAR OLDS

What are some of the developmental milestones my child should reach by three to four years of age?
With your child’s third birthday, the “terrible twos” are officially over and the “magic years” of three and four begin—a time when your child’s world will be dominated by fantasy and vivid imagination. During the next two years, he’ll mature in many areas.
Here are some milestones to look for.

Movement milestones

  • Hops and stands on one foot up to five seconds
  • Goes upstairs and downstairs without support
  • Kicks ball forward
  • Throws ball overhand
  • Catches bounced ball most of the time
  • Moves forward and backward with agility

Milestones in hand and finger skills

  • Copies square shapes
  • Draws a person with two to four body parts
  • Uses scissors
  • Draws circles and squares
  • Begins to copy some capital letters

Language milestones

  • Understands the concepts of “same” and “different”
  • Has mastered some basic rules of grammar
  • Speaks in sentences of five to six words
  • Speaks clearly enough for strangers to understand
  • Tells stories

Cognitive milestones

  • Correctly names some colors
  • Understands the concept of counting and may know a few numbers
  • Approaches problems from a single point of view
  • Begins to have a clearer sense of time
  • Follows three-part commands
  • Recalls parts of a story
  • Understands the concept of same/different
  • Engages in fantasy play

Social and emotional milestones

  • Interested in new experiences
  • Cooperates with other children
  • Plays “Mom” or “Dad”
  • Increasingly inventive in fantasy play
  • Dresses and undresses
  • Negotiates solutions to conflicts
  • More independent
  • Imagines that many unfamiliar images may be “monsters”
  • Views self as a whole person involving body, mind, and feelings
  • Often cannot distinguish between fantasy and reality

Developmental health watch

Because each child develops in his own particular manner, it’s impossible to tell exactly when or how he’ll perfect a given skill. The developmental milestones listed in this book will give you a general idea of the changes you can expect as your child gets older, but don’t be alarmed if his development takes a slightly different course. Alert your pediatrician, however, if your child displays any of the following signs of possible developmental delay for this age range.

  • Cannot throw a ball overhand
  • Cannot jump in place
  • Cannot ride a tricycle
  • Cannot grasp a crayon between thumb and fingers
  • Has difficulty scribbling
  • Cannot stack four blocks
  • Still clings or cries whenever his parents leave him
  • Shows no interest in interactive games
  • Ignores other children
  • Doesn’t respond to people outside the family
  • Doesn’t engage in fantasy play
  • Resists dressing, sleeping, using the toilet
  • Lashes out without any self-control when angry or upset
  • Cannot copy a circle
  • Doesn’t use sentences of more than three words
  • Doesn’t use “me” and “you” appropriately

DEVELOPMENTAL MILESTONES: 4-5 YEAR OLDS 

What are some of the developmental milestones my child should reach by four to five years of age?
Before you know it, the somewhat calm child of three becomes a dynamo of energy, drive, bossiness, belligerence, and generally out-of-bounds behavior. You may be reminded of the earlier trials and tribulations you went through when he was two. Also obvious during this time is the tremendous spurt of imaginative ideas that spring from children’s minds and mouths. All of this behavior and thinking will help your youngster build a secure foundation as he emerges into the world of kindergarten.
Here are some other milestones to look for.

Movement milestones

  • Stands on one foot for ten seconds or longer
  • Hops, somersaults
  • Swings, climbs
  • May be able to skip

Milestones in hand and finger skills

  • Copies triangle and other geometric patterns
  • Draws person with body
  • Prints some letters
  • Dresses and undresses without assistance
  • Uses fork, spoon, and (sometimes) a table knife
  • Usually cares for own toilet needs

Language milestones

  • Recalls part of a story
  • Speaks sentences of more than five words
  • Uses future tense
  • Tells longer stories
  • Says name and address

Cognitive milestones

  • Can count ten or more objects
  • Correctly names at least four colors
  • Better understands the concept of time
  • Knows about things used every day in the home (money, food, appliances)

Social and emotional milestones

  • Wants to please friends
  • Wants to be like her friends
  • More likely to agree to rules
  • Likes to sing, dance, and act
  • Shows more independence and may even visit a next-door neighbor by herself
  • Aware of sexuality
  • Able to distinguish fantasy from reality
  • Sometimes demanding, sometimes eagerly cooperative

Developmental health watch

Because each child develops in her own particular manner, it’s impossible to predict exactly when or how your own preschooler will perfect a given skill. The developmental milestones listed here will give you a general idea of the changes you can expect as your child gets older, but don’t be alarmed if her development takes a slightly different course. Alert your pediatrician, however, if your child displays any of the following signs of possible developmental delay for this age range.

  • Exhibits extremely fearful or timid behavior
  • Exhibits extremely aggressive behavior
  • Is unable to separate from parents without major protest
  • Is easily distracted and unable to concentrate on any single activity for more than five minutes
  • Shows little interest in playing with other children
  • Refuses to respond to people in general, or responds only superficially
  • Rarely uses fantasy or imitation in play
  • Seems unhappy or sad much of the time
  • Doesn’t engage in a variety of activities
  • Avoids or seems aloof with other children and adults
  • Doesn’t express a wide range of emotions
  • Has trouble eating, sleeping, or using the toilet
  • Can’t differentiate between fantasy and reality
  • Seems unusually passive
  • Cannot understand two-part commands using prepositions (“Put the cup on the table”; “Get the ball under the couch.”)
  • Can’t correctly give her first and last name
  • Doesn’t use plurals or past tense properly when speaking
  • Doesn’t talk about her daily activities and experiences
  • Cannot build a tower of six to eight blocks
  • Seems uncomfortable holding a crayon
  • Has trouble taking off her clothing
  • Cannot brush her teeth efficiently
  • Cannot wash and dry her hands

DEVELOPMENTAL MILESTONES: 6-8 YEARS 

Middle childhood brings many changes in a child’s life. By this time, children can dress themselves, catch a ball more easily using only their hands, and tie their shoes. Having independence from family becomes more important now. Events such as starting school bring children this age into regular contact with the larger world. Friendships become more and more important. Physical, social, and mental skills develop quickly at this time. This is a critical time for children to develop confidence in all areas of life, such as through friends, schoolwork, and sports.
Here is some information on how children develop during middle childhood:

Emotional/Social Changes

Children in this age group might:

  • Show more independence from parents and family.
  • Start to think about the future.
  • Understand more about his or her place in the world.
  • Pay more attention to friendships and teamwork.
  • Want to be liked and accepted by friends.

Thinking and Learning

Children in this age group might:

  • Show rapid development of mental skills.
  • Learn better ways to describe experiences and talk about thoughts and feelings.
  • Have less focus on one’s self and more concern for others.

Positive Parenting Tips

Following are some things you, as a parent, can do to help your child during this time:

  • Show affection for your child. Recognize her accomplishments.
  • Help your child develop a sense of responsibility—ask him to help with household tasks, such as setting the table.
  • Talk with your child about school, friends, and things she looks forward to in the future.
  • Talk with your child about respecting others. Encourage him to help people in need.
  • Help your child set her own achievable goals—she’ll learn to take pride in herself and rely less on approval or reward from others.
  • Help your child learn patience by letting others go first or by finishing a task before going out to play. Encourage him to think about possible consequences before acting.
  • Make clear rules and stick to them, such as how long your child can watch TV or when she has to go to bed. Be clear about what behavior is okay and what is not okay.
  • Do fun things together as a family, such as playing games, reading, and going to events in your community.
  • Get involved with your child’s school. Meet the teachers and staff and get to understand their learning goals and how you and the school can work together to help your child do well.
  • Continue reading to your child. As your child learns to read, take turns reading to each other.
  • Use discipline to guide and protect your child, rather than punishment to make him feel bad about himself. Follow up any discussion about what not to do with a discussion of what to do instead.
  • Praise your child for good behavior. It’s best to focus praise more on what your child does (“you worked hard to figure this out”) than on traits she can’t change (“you are smart”).
  • Support your child in taking on new challenges. Encourage her to solve problems, such as a disagreement with another child, on her own.
  • Encourage your child to join school and community groups, such as a team sports, or to take advantage of volunteer opportunities.

MIDDLE CHILD HOOD 6-8 YEARS 

Child Safety First

More physical ability and more independence can put children at risk for injuries from falls and other accidents. Motor vehicle crashes are the most common cause of death from unintentional injury among children this age.

  • Protect your child properly in the car.
  • Teach your child to watch out for traffic and how to be safe when walking to school, riding a bike, and playing outside.
  • Make sure your child understands water safety, and always supervise her when she’s swimming or playing near water.
  • Supervise your child when he’s engaged in risky activities, such as climbing.
  • Talk with your child about how to ask for help when she needs it.
  • Keep potentially harmful household products, tools, equipment, and firearms out of your child’s reach.

Healthy Bodies

  • Parents can help make schools healthier. Work with your child’s school to limit access to foods and drinks with added sugar, solid fat, and salt that can be purchased outside the school lunch program.
  • Make sure your child has 1 hour or more of physical activity each day.
  • Limit screen time for your child to no more than 1 to 2 hours per day of quality programming, at home, school, or afterschool care.
  • Practice healthy eating habits and physical activity early. Encourage active play, and be a role model by eating healthy at family mealtimes and having an active lifestyle.

MIDDLE CHILD HOOD 9-11 YEARS 

Developmental Milestones

Your child’s growing independence from the family and interest in friends might be obvious by now. Healthy friendships are very important to your child’s development, but peer pressure can become strong during this time. Children who feel good about themselves are more able to resist negative peer pressure and make better choices for themselves. This is an important time for children to gain a sense of responsibility along with their growing independence. Also, physical changes of puberty might be showing by now, especially for girls. Another big change children need to prepare for during this time is starting middle or junior high school.
Here is some information on how children develop during middle childhood:

Emotional/Social Changes

Children in this age group might:

  • Start to form stronger, more complex friendships and peer relationships. It becomes more emotionally important to have friends, especially of the same sex.
  • Experience more peer pressure.
  • Become more aware of his or her body as puberty approaches. Body image and eating problems sometimes start around this age.

Thinking and Learning

Children in this age group might:

  • Face more academic challenges at school.
  • Become more independent from the family.
  • Begin to see the point of view of others more clearly.
  • Have an increased attention span.

Positive Parenting Tips

Following are some things you, as a parent, can do to help your child during this time:

  • Spend time with your child. Talk with her about her friends, her accomplishments, and what challenges she will face.
  • Be involved with your child’s school. Go to school events; meet your child’s teachers.
  • Encourage your child to join school and community groups, such as a sports team, or to be a volunteer for a charity.
  • Help your child develop his own sense of right and wrong. Talk with him about risky things friends might pressure him to do, like smoking or dangerous physical dares.
  • Help your child develop a sense of responsibility—involve your child in household tasks like cleaning and cooking. Talk with your child about saving and spending money wisely.
  • Meet the families of your child’s friends.
  • Talk with your child about respecting others. Encourage her to help people in need. Talk with her about what to do when others are not kind or are disrespectful.
  • Help your child set his own goals. Encourage him to think about skills and abilities he would like to have and about how to develop them.
  • Make clear rules and stick to them. Talk with your child about what you expect from her (behavior) when no adults are present. If you provide reasons for rules, it will help her to know what to do in most situations.
  • Use discipline to guide and protect your child, instead of punishment to make him feel badly about himself.
  • When using praise, help your child think about her own accomplishments. Saying “you must be proud of yourself” rather than simply “I’m proud of you” can encourage your child to make good choices when nobody is around to praise her.
  • Talk with your child about the normal physical and emotional changes of puberty.
  • Encourage your child to read every day. Talk with him about his homework.
  • Be affectionate and honest with your child, and do things together as a family.

MIDDLE CHILD HOOD 9-11 YEARS 

Child Safety First

More independence and less adult supervision can put children at risk for injuries from falls and other accidents. Here are a few tips to help protect your child:

  • Protect your child in the car. It is recommended that you keep your child in a booster seat until he is big enough to fit in a seat belt properly. Remember: your child should still ride in the back seat until he or she is 12 years of age because it’s safer there. Motor vehicle crashes are the most common cause of death from unintentional injury among children of this age.
  • Know where your child is and whether a responsible adult is present. Make plans with your child for when he will call you, where you can find him, and what time you expect him home.
  • Make sure your child wears a helmet when riding a bike or a skateboard or using inline skates; riding on a motorcycle, snowmobile, or all-terrain vehicle; or playing contact sports.
  • Many children get home from school before their parents get home from work. It is important to have clear rules and plans for your child when she is home alone.

Healthy Bodies

  • Provide plenty of fruits and vegetables; limit foods high in solid fats, added sugars, or salt, and prepare healthier foods for family meals.
  • Keep television sets out of your child’s bedroom. Limit screen time, including computers and video games, to no more than 1 to 2 hours.
  • Encourage your child to participate in an hour a day of physical activities that are age appropriate and enjoyable and that offer variety! Just make sure your child is doing three types of activity: aerobic activity like running, muscle strengthening like climbing, and bone strengthening – like jumping rope – at least three days per week.

YOUNG TEENS 

Developmental Milestones

This is a time of many physical, mental, emotional, and social changes. Hormones change as puberty begins. Most boys grow facial and pubic hair and their voices deepen. Most girls grow pubic hair and breasts, and start their period. They might be worried about these changes and how they are looked at by others. This also will be a time when your teen might face peer pressure to use alcohol, tobacco products, and drugs, and to have sex. Other challenges can be eating disorders, depression, and family problems. At this age, teens make more of their own choices about friends, sports, studying, and school. They become more independent, with their own personality and interests, although parents are still very important.
Here is some information on how young teens develop:

Emotional/Social Changes

Children in this age group might:

  • Show more concern about body image, looks, and clothes.
  • Focus on themselves; going back and forth between high expectations and lack of confidence.
  • Experience more moodiness.
  • Show more interest in and influence by peer group.
  • Express less affection toward parents; sometimes might seem rude or short-tempered.
  • Feel stress from more challenging school work.
  • Develop eating problems.
  • Feel a lot of sadness or depression, which can lead to poor grades at school, alcohol or drug use, unsafe sex, and other problems.

Thinking and Learning

Children in this age group might:

  • Have more ability for complex thought.
  • Be better able to express feelings through talking.
  • Develop a stronger sense of right and wrong.

Positive Parenting Tips

Following are some things you, as a parent, can do to help your child during this time:

  • Be honest and direct with your teen when talking about sensitive subjects such as drugs, drinking, smoking, and sex.
  • Meet and get to know your teen’s friends.
  • Show an interest in your teen’s school life.
  • Help your teen make healthy choices while encouraging him to make his own decisions.
  • Respect your teen’s opinions and take into account her thoughts and feelings. It is important that she knows you are listening to her.
  • When there is a conflict, be clear about goals and expectations (like getting good grades, keeping things clean, and showing respect), but allow your teen input on how to reach those goals (like when and how to study or clean).

Child Safety First

You play an important role in keeping your child safe―no matter how old he or she is. Here are a few tips to help protect your child:

  • Make sure your teen knows about the importance of wearing seatbelts. Motor vehicle crashes are the leading cause of death among 12- to 14-year-olds.
  • Encourage your teen to wear a helmet when riding a bike or a skateboard or using inline skates; riding on a motorcycle, snowmobile, or all-terrain vehicle; or playing contact sports. Injuries from sports and other activities are common.
  • Talk with your teen about the dangers of drugs, drinking, smoking, and risky sexual activity. Ask him what he knows and thinks about these issues, and share your thoughts and feelings with him. Listen to what she says and answer her questions honestly and directly.
  • Talk with your teen about the importance of having friends who are interested in positive activities. Encourage her to avoid peers who pressure her to make unhealthy choices.
  • Know where your teen is and whether an adult is present. Make plans with him for when he will call you, where you can find him, and what time you expect him home.
  • Set clear rules for your teen when she is home alone. Talk about such issues as having friends at the house, how to handle situations that can be dangerous (emergencies, fire, drugs, sex, etc.), and completing homework or household tasks.

Healthy Bodies

  • Encourage your teen to be physically active. She might join a team sport or take up an individual sport. Helping with household tasks such as mowing the lawn, walking the dog, or washing the car also will keep your teen active.
  • Meal time is very important for families. Eating together helps teens make better choices about the foods they eat, promotes healthy weight, and gives your family members time to talk with each other.
  • Limit screen time for your child to no more than 1 to 2 hours per day of quality programming, at home, school, or afterschool care.

© Vaatsalya Clinic. All rights reserved. Website Designed by Shaivali Joshi and  Jimmy Thakkar.