Uses a vocabulary of 50 words, pronunciation is often unclear.Chooses things by size (such as, “big” or “little”).Understands and answers simple “yes-no” questions (such as, “Are you hungry?”).Understands the meaning of action words (such as clap, sit or jump).Vocabulary includes four to six words or more.Says two to three words to label a person or object (pronunciation may not be clear).Answers simple questions by shaking his/her head or going to get an item when asked.Follows one-step commands when shown by a gesture.Understands simple phrases (such as, “put the ball in the box” or “put the car on the table”).Imitates simple words and sounds may use a few single words or baby signs meaningfully.Enjoys games like peek-a-boo and pat-a-cake.Starts to respond to requests (such as, “come here”).Looks at things or pictures when someone talks about them.Tries to communicate by actions or gestures.Babbles (says "ba-ba-ba," "ma-ma" or "da-da").Knows words for common things (such as, “cup” or “shoe”) and sayings (such as, “bye-bye”).Responds to his or her own name, telephone ringing, or someone’s voice even when not loud.Begins to repeat sounds (such as, “ooh,” “aah,” and “ba-ba”).Enjoys rattles and other toys that make sounds.Responds to “no” and changes in tone of voice.Vocalizes pleasure and displeasure sounds differently (laughs, giggles, coos, cries, or fusses.Reacts to loud sounds with a startle reflex. Seems to know your voice and quiets down if crying.Milestones related to speech and language Birth to 3 months If you suspect your child is failing behind his peers, consult your child’s doctor or schedule a speech and language evaluation for your child. While not every child develops speech and language on the same timetable, the National Institute on Deafness and Other Communication Disorders does provide a list of age-appropriate speech and language milestones for babies and young children.
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