This page* offers parenting tips and information condensed from the book
by Dr. Brenda Hussey-Gardner ©1992-2003

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When to Talk with My Doctor
[ Eighteen Months | Two Years | Three Years | Four Years ]


Below is a partial list of some of the skills and behaviors children usually learn at certain ages. Each child learns and develops at a different age and at a different rate. If I am unable to do the items by the age shown, it may or may not mean there is a problem with my development. It only means that you should mention it to my doctor or consult with a developmental specialist so that you can determine whether my development needs to be evaluated.

You may contact a developmental specialist privately or through your local Child Find program. Under the Individuals with Disabilities Education Act, Child Find provides free screening and evaluation to identify children who may have special needs. You can find the phone number for our local Child Find program by contacting our county Department of Education, Department of Health and Human Services, or Department of Public Welfare. You can also get the phone number for the Child Find program in our area by calling the U.S. Department of Education in Washington, D.C.


By Eighteen Months [ Top]

  • Follow a one-step direction with gesture.
  • Point to desired objects.
  • Say "Mama" for Mommy or "Dada" for Daddy.
  • Say three words.
  • Walk.
  • Crawl up steps.
  • Throw a ball.
  • Put nine small blocks in a cup.
  • Scribble with a crayon.


By Two Years [ Top]

  • Place a round block in a pegboard.
  • Pull a string to get a toy.
  • Find an object hidden under one of two cups.
  • Imitate invisible gestures.
  • Identify one body part.
  • Enjoy messy play.
  • Point to a few pictures of familiar objects.
  • Say ten words.
  • Use two-word sentences.
  • Crawl down steps.
  • Run.
  • Walk up steps, placing one foot on each step.
  • Kick a ball forward.
  • Build a tower of four small blocks.
  • Place a circle and a square into a shape sorter or puzzle.


By Three Years [ Top]

  • Identify six body parts.
  • Point to pictures of animals or objects.
  • Understand the concept of one.
  • Engage in simple pretend play.
  • Match colors or shapes.
  • Listen as you read for ten minutes.
  • Name a few pictures of familiar objects.
  • Speak clearly 80 percent of the time.
  • Pronounce b, p, m, t, w, d.
  • Walk up steps alternating feet.
  • Jump up
  • Pedal a tricycle a few feet.
  • Build a tower of six small blocks.
  • Imitate a vertical and horizontal stroke with a crayon.


By Four Years [ Top]

  • Assemble a four-piece puzzle.
  • Participate in dramatic play.
  • Identify square and round.
  • Understand concepts like up, down, fast, slow, tall, and short.
  • Say a nursery rhyme or sing a song with an adult.
  • Count six objects in a row.
  • Follow a two-step direction involving sequence.
  • Use three- or four-word sentences.
  • Use action words.
  • Use adjectives.
  • Speak clearly 90 percent of the time.
  • Broad jump over a piece of paper 8 1/2 inches long.
  • Balance on one foot for two seconds.
  • Build a tower of eight small blocks.
  • Copy a circle.


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