Parents can be first to notice childs hearing and speech problems
Nothing makes parents hearts leap more than hearing their child utter ma-ma or da-da for the first time.
Those first words are also an important developmental milestone. They are an indication that your childs speech and language skills are developing.
Parents can be on the lookout for other important milestones even before those first words. Speech and language development is strongly tied to a childs hearing ability. Generally, by two months of age your child should begin indicating responsiveness to sound — by quieting when they hear soothing sounds and startling when they hear very loud sounds.
The Baptist Memorial Hospital-Memphis Pediatric Audiology Center has put together a list of speech and hearing milestones that parents can use to keep track of their childs development.
These milestones are meant to be a guide; dont become anxious if your child doesnt reach every single milestone exactly at the age indicated. Every child develops at his own pace, said Baptist audiologist Cynthia Gore. You dont want to take this list too literally and become overly worried. On the other hand, we do want parents to be alert to signs that their child may not be responding normally to sound.
Parents are often the ones who initially pick up on their childs hearing problems. If you suspect your child isnt responding to sounds as would be expected, be proactive and be your childs advocate. Call problems to your pediatricians attention and/or consult an audiologist. Your childs hearing can be tested at any time even newborns younger than 24 hours old can have their hearing checked.
If you have any concerns, there is no reason not to have your childs hearing checked, Gore said.
If you have any questions about your childs hearing, call the Baptist Pediatric Audiology Center at
(901) 226-5682.
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Speech and Hearing
Developmental Milestones
At two months:
Be quieted by a familiar, friendly voice
Startle, cry, or wake to loud sounds
Smile back to parents
Make cooing and gurgling sounds
At four months:
Babble, coo, laugh and squeal
Recognize and respond to parents voices
Smile socially
Be able to comfort himself
Enjoy rattles and other sound makers
At six months:
Turn and look at new sounds
React to loud, angry, or friendly voices
Recognize familiar faces
Imitate facial expressions or tongue movements of speaker
Make lots of different consonant and vowel sounds
At nine months:
Respond to his name and pat image of self in mirror
Understand routine words when accompanied by gesture
May imitate bye-bye, ma-ma, da-da and other reduplicated syllables
Play peek-a-boo
Find toys hidden under cloth
Enjoy dumping out and picking up toys
At twelve months:
Use jargon (babbling that sounds like real speech)
Use conversational tone of voice
Respond to his name
Wave bye-bye
Point to familiar objects or family members when asked Where is _____?
Give a toy on request
At eighteen months:
Enjoy nursery rhymes and songs (pat-a-cake)
Discriminate among many sounds and associate it with object (ringing-phone,
horn-train)
Feed self finger foods
Identify sound coming from another room or outside
Enjoy being read to
Use 10-20 words including names of family members
Recognize pictures of familiar people and objects
Point to facial features on request
(show me your nose....)
Combine two words (all gone,
go bye-bye)
At two years:
Say names of family members and toys
Use his own name
Use simple, short sentences (2-3words)
Listen for the meaning of words, not just sounds
Understand simple questions and follow commands
Identify and names 10-15 body parts
Uses action words
Understand and use possessive words
Carry on conversation with self or dolls
Ask simple questions
Stay focused on one activity for 10 minutes
At two and a half years:
Give first name when asked
Begin using appropriate verb tenses
Understand some time concepts
Understand 3 or more prepositions
(in, on, under or beside)
Match 3-4 colors
Use words to get adult attention
(watch me)
Like to hear same story repeated
Know big and little
At three years:
Use 3-4 word sentences
Name colors
Follow simple commands (Put the block under the chair.)
Tell a story or relate ideas
Sing songs
Consistently produce these sounds: m, n, ng, p, f, h, w, t, and d
Stay on task for 15 minutes
At four years:
Recognize and name colors and shapes
Use sentences of 4-5 words
Use past tense correctly
Begin to use complex sentences
Ask complex questions
Speak in a moderate voice (neither too loud, nor too soft)
Count to 5
At five years:
Tell full name and address on request
Know opposites
Count to 10
Retell familiar story
Make up stories of his own
Use all speech sounds correctly (with the possible exceptions of: l, r, th, and z)
Use adult-like grammar and sentence structure
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Published: June 13, 2003
Source: Cynthia Gore, Baptist Pediatric Audiology Center
Writer: Elizabeth Todd Bartholomew
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