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Child Developmental Assessments
Safeguard your child's well-being with our Child Developmental Assessment Services. From 1 month to 6 years old, we passionately accompany you on every crucial step of your child's health journey.

Child Development Guide
Every child follows a unique developmental path. Here's a guide outlining developmental milestones by
KK Women’s and Children’s Hospital, presented by Normanton Medical
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Usually sleepy but gradually has longer periods of alert wakefulness and physical activity.
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Bonds with mother; Smiles at mother – Keep talking to him/ her!
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Rooting Reflex – This reflex is elicited when the corner of the baby’s mouth is stroked or touched. Your new-born will turn his or her head and open his or her mouth in the direction of the stroking. This helps the baby find the breast or bottle to start feeding.
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Startle Reflex- In response to a loud sound or sudden movement, the baby throws back his or her head and extends out his or her arms and legs, cries and then pulls the arms and legs back in.

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Moves his arms and legs in a jerky manner and the arms are usually more active.
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Able to follow the slow movement of an object held six to ten inches from his or her face.
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Able to move eyes and head towards the source of sound or voice.
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Head still falls loosely when lifted but he makes attempts to hold it erect.

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Eyes can follow (track) an object to right and left sides, past the midline.
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Able to bring to the hands together at the midline.
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Able to raise head and chest with arms when lying stomach down.
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Movements of his or her arms and legs are smoother and more continuous.
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Can react through smiles and “coos” when presented with familiar care routines such as bathing or feeding.

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Able to lift the legs up and grasp feet.
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Able to bring objects to mouth and able to transfer objects from one hand to the other.
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When pulled by the hands, he or she will be able to pull to sit with the head erect.
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Able to maintain posture with a straight back and good head control from side to side when held in a seated position.
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Uses raking motion to pick up smaller objects.
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Can grasp a rattle and shake it deliberately to make a sound.
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Starts to imitate sounds.
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Can recognize parents.
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Vocalizes with a wider vocabulary.

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Can sit alone for 10 - 15 minutes on the floor and leans forward to pick up toys without losing balance.
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Can roll or squirm and attempts to crawl.
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Able to pull to stand for a few moments while holding onto support but falls backwards with a bump as he cannot lower himself properly.
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Can pick up fine objects like sweets, crumbs, or strings using a pincer grasp.
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Begins to understand simple terms like "no no" and "bye bye".
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Can point to objects that interest him or her.
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Knows and responds immediately to his own name and understands several words and instructions like "Give to daddy" or "Come to mummy".
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Plays interactive games, such as peek-a-boo and pat-a-cake.

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Pull to stand. Walk with help or alone. Sit down without help.
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Turn through the pages of a book by flipping many at a time.
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Can place small objects into a small container.
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Drink from a cup.
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May develop attachment to a toy or object.
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Experiences separation anxiety and may cling to parents.
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Responds to his or her name. Responds to “no” Understands several words and simple commands.
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Can say mamma, dada, and at least one or two other words.

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Runs with a lack of coordination and falls frequently.
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Can walk up stairs while holding on with one hand.
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Can use a spoon and cup with help to feed himself or herself.
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Can turn two or three pages of a book at a time.
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Can say 10 or more words when asked.
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Explores environment Identifies one or more parts of the body.
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Understands and is able to point to and identify common objects.
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Imitates domestic activities such as sweeping the floor.
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Is able to take off some clothing items, such as gloves, hats, and socks.
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Begins to feel a sense of ownership, identifying people and objects
by saying "my".
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Attains bowel control.

Although no two children are exactly alike, distinct development patterns can be observed in your children aged two to six years old.
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Able to run. Walks up and down stairs two feet per step. Kicks a ball. Climbs onto and down from furniture unassisted.
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Joins two to three words in sentences. Vocabulary has increased to about 50 - 300 words.
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Turns picture book pages one at a time. Scribbles on his or her own. Might use one hand more often than the other.
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Able to put on simple clothes without help (often better at removing clothes than putting them on). Dry by day.
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Uses own name to refer to self.
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Understand two-step command ("give me the ball and then get your shoes").
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Able to communicate needs such as thirst, hunger, need to use the restroom.
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Temper Tantrums: Throw temper tantrums when you don’t give them what they want, but get over them very quickly too.


Tips
Two-year-olds are at a stage of exploring the world around them and are trying to master skills on their own.
They seek to attain independence and to satisfy their curiosity.
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Give plenty of opportunity for exploration in their environment.
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Equip them with toys and activities that stimulate imagination and promote exploration.
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Distract the child when he is frustrated by giving other activities. Or help him if he can't handle a certain task.
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Create a game out of tasks that you would like him or her to do if he or she is uninterested or answers with a "No!"
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Skips, jumps and hops with good balance.
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Maintaining balance while standing on one foot with eyes closed.
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Well-developed ball skills.
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Colours pictures carefully.
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Vocabulary increasing to over 2,000 words. Speaks sentences of more than five words. Talks about the past, present and future with a good sense of time.
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Dresses and undresses alone.
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Copes well with personal needs.
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Able to distinguish fantasy from reality.
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Language Skills: As they are good in language skills now, children love to talk, tell stories and question adults.
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High Initiative: Usually, they want to start a conversation or to try new things.
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Vigorous And Noisy Group Games: Having a group of friends of their own age. Chooses own friends.
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Sense of Responsibility: They feel "grown-up" when they do little tasks and duties and are always keen to help mum and dad do things.


Tips
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Give some time for conversation with your child. Read stories together. Encourage them to tell stories or share jokes with one another.
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Distinguish good work and compensate them appropriately.
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Organize games for them and do support them to join in group games.
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Set aside watching TV and get them out for the exercise they need.
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Teach children to be responsible in the home such as setting the table, drying dishes, picking up toys etc.
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Learns to skip with rope.
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Copies a diamond.
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Knows right from left and number of fingers.
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Ties shoe laces.
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Developing reading skills well.
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May write independently.
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Talk fluently and with confidence.
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Short Attention Span: Easily distracted, some children at this age lacks concentration on any one task.
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Highly Active And Restless: Fidgety and restless, they are full of energy that they simply can't sit still. They are always involved in active play like running, jumping and tugging.
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Eager To Learn: Everything is interesting to them. Reading books, enacting stories and watching cartoons are their favourite activities.
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Highly Competitive: They are eager to participate in games and play and are very sensitive about their performance.
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Strong Gender Affinity: There is a strong preference for friends and playmates of the same sex at this stage.


Tips
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Develop in your child an interest in nature.
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Introduce lots of books, tapes, songs and educational videos to your child.
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Allow time for outdoor activities and things that hold his interests.
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Teach your child how to play and participate in group games.
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Highlight the values of team effort, group spirit and having a good time rather than the significance of winning.
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Can briefly balance on one foot.
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Can pedal a tricycle.
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May walk up the stairs with alternating feet.
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Copies circle. Imitates cross and draws man on request. Builds tower of 8 cubes.
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Has good pencil control. Can cut paper with scissors. Can thread large beads on a string.
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Can dress self, only requiring assistance with laces, buttons, and other fasteners in awkward places. Feeds self without difficulty.
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May have daytime control over bowel and bladder functions (may have night time control as well).
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Has a vocabulary of many hundreds of words. Composes sentences of three to four words. Uses plurals and pronouns (he/she). Understands concept of “mine” and “his/hers” .
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Frequently asks questions.
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Cooperative: They enjoy following orders and working with other children. They also like to share now, because they are very interested in other people.
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Very Energetic: They are on the go almost every minute of the day and tire themselves out easily.
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Highly Imaginative: They exist in a world of make-believe and are not yet able to distinguish between the real and the imaginary.


Tips
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Provide active games and fun for the child, but be sure to give him rest periods throughout the day
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Give time and materials for imaginative play
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Organize cooperative activities for the child and his siblings, and with other children
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Reward him for working together with others
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Inquisitive: This is the age of many questions. Even when answers are given, the 4-year-old continues to ask "Why?"
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Talkative: Because of their increasing capacity for language, children have a tendency to speak constantly.
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Hops and stands on one foot up to five seconds.
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Kicks ball forward.
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Catches bounced ball most of the time.
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Throws a ball overhand with coordination.
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Builds a tower of 10 cubes. Draws circles and squares. Draws a person with two to four body parts.
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Follows three-part commands.
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Has a vocabulary of more than 1,000 words.
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Easily composes sentences of four or five words.
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Understands the concept of counting and may know
a few numbers.
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Argues with other children. Plans games co-operatively.


Tips
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Encourage the child to ask questions. If you don't have the answer, find out the answer together with the child by
looking it up
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Promote plenty of large motor skill activities. Allow them to climb, swing, ride a bicycle, jump etc.
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Talk to your child, read to your child. Build his vocabulary skills.
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Let him to take part in your conversations.
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Give opportunities for the child to have social activities. Let him invite friends home for a party, or have a popcorn night.

