Milestones  – Hearing, Speech and Language

your baby has a hearing impairment, he/she can hear even before
birth. Children learn to talk by imitating the sounds around
them and the voices of their parents and caregivers. But that’s
not true for all children. Two or three out of every 1,000 children
are born deaf or hard-of-hearing and more lose their hearing
later during childhood.  You know your child better than
anyone: you are with your child the most and will likely be
the first to notice his or her developmental milestones. There
are several signs that may indicate your child has a hearing
loss. If your baby or child does not appear to have reached
one or more of these developmental milestones at the age indicated,
talk to your family doctor about having his or her hearing tested.

0-1 Month
Hearing is fully mature
Recognizes some sounds
May turn toward familiar sounds and voices
Startles or jumps when there are loud sounds
Stops sucking or crying when there is a new sound

1-3 Months
Smiles at the sound of your voice
Begins to babble
Begins to imitate some sounds
Turns head toward direction of sound

3 – 7 Months
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
Turns head toward a sound source

7 – 12 Months
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
Babbles chains of consonants
Says “dada” and “mama”
Uses exclamations, such as “Oh-oh!”
Tries to imitate words

1 – 2 Years
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 15 to 18 months)
Uses simple gestures, such as shaking head for “no”
Uses simple phrases (by 18 to 24 months)
Uses two- to four-word sentences
Follows simple instructions
Repeats words overheard in conversation

2 – 3 Years
Follows a two- or three-component command
Recognizes and identifies almost all common objects and pictures
Understands most sentences
Understands physical relationships (“on,” “in,” “under”)
Uses four- and five-word sentences
Can say name, age and sex
Uses pronouns (I, you, me, we, they) and some plurals (cars,
dogs, cats)
Strangers can understand most of her words

3 – 4 Years
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

4 – 5 Years
Recalls part of a story
Speaks sentences of more than five words
Uses future tense
Tells longer stories
Says name and address

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