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Wednesday, April 2, 2008

Important milestones:By the end of 36 months (3 years)

* Imitates adults and playmates
* Spontaneously shows affection for familiar playmates
* Can take turns in games
* Understands concept of “mine” and “his/hers”
* Expresses affection openly
* Expresses a wide range of emotions
* By 3, separates easily from parents
* Objects to major changes in routine
* Makes mechanical toys work
* Matches an object in her hand or room to a picture in a book
* Plays make-believe with dolls, animals, and people
* Sorts objects by shape and color
* Completes puzzles with three or four pieces
* Understands concept of “two”
* Follows a two- or three-part command
* Recognizes and identifies almost all common objects and pictures
* Understands most sentences
* Understands placement in space (“on,” “in,” “under”)
* Uses 4- to 5-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
* Climbs well
* Walks up and down stairs, alternating feet (one foot per stair step)
* Kicks ball
* Runs easily
* Pedals tricycle
* Bends over easily without falling
Hand and Finger Skills
* Makes up-and-down, side-to-side, and circular lines with pencil or crayon
* Turns book pages one at a time
* Builds a tower of more than six blocks
* Holds a pencil in writing position
* Screws and unscrews jar lids, nuts, and bolts
* Turns rotating handles

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.

- Frequent falling and difficulty with stairs
- Persistent drooling or very unclear speech
- Cannot build a tower of more than four blocks
- Difficulty manipulating small objects
- Cannot copy a circle by age 3
- Cannot communicate in short phrases
- No involvement in “pretend” play
- Does not understand simple instructions
- Little interest in other children
- Extreme difficulty separating from mother or primary caregiver
- Poor eye contact
- Limited interest in toys
- Experiences a dramatic loss of skills he or she once had

From CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5 by Steven Shelov, Robert E. Hannermann, © 1991, 1993, 1998, 2004 by the American Academy of Pediatrics. Used by permission of Bantam Books, a division of Random House, Inc.Content source: National Center on Birth Defects and Developmental Disabilities, USA