Hearing Developmental Milestones Checklist :: Nationwide Children's Hospital

Hearing Developmental Milestones Checklist

The following milestones are behaviors that we would expect to see in typically-developing hearing infants and toddlers.

Birth to 5 Months

  • Reacts to loud sounds.
  • Turns head towards a sound source.
  • Watches your face when you speak.
  • Vocalizes pleasure and displeasure sounds (laughs, giggles, coos, cries, fusses).
  • Makes noise when talked to.
  • Begins to incorporate changes in pitch in cooing (intonation).
  • Spontaneously makes raspberry sounds.

6 to 11 Months

  • Understands “no-no”.
  • Babbles (says “ba-ba-ba” or “ma-ma-ma”).
  • Tries to communicate by actions or gestures.
  • Tries to repeat your sounds.
  • Attempts to imitate familiar sounds.

12 to 17 Months

  • Begins to produce a variety of non-repetitive syllables such as “ba-ma” or “ba-go”.
  • Pays attention to a book or toy for about two minutes.
  • Follows simple directions accompanied by gestures.
  • Answers simple questions nonverbally.
  • Points to objects, pictures, and family members.
  • Says two to three words to label a person or object (pronunciation may not be clear).
  • Tries to imitate simple words.

18 to 23 Months

  • Enjoys being read to.
  • Follows simple commands without gestures.
  • Points to simple body parts such as “nose”.
  • Understands simple verbs such as “eat”, “sleep”.
  • Correctly pronounces most vowels and n, m, p, h, especially in the beginning of syllables and short words. Also begins to use other speech sounds.
  • Says eight to ten words (pronunciation may still be unclear).
  • Asks for common foods by name.
  • Makes animal sounds such as “moo”.
  • Starting to combine words such as “more milk”.
  • Begins to use pronouns such as “mine”.

Two to Three Years

  • Knows about 50 words at 24 months.
  • Knows some spatial concepts such as “in”, “on”.
  • Knows pronouns, such as “you”, “me”, “her”.
  • Knows descriptive words such as “big”, “happy”.
  • Says around 40 words at 24 months.
  • Speech is becoming more accurate, but may still leave off ending sounds. Strangers may not be able to understand much of what is said.
  • Answers simple questions.
  • Begins to use more pronouns such as “you, “I”.
  • Speaks in two to three word phrases.
  • Uses question inflection to ask for something (e.g., “My ball?”).
  • Begins to use plurals, such as “shoes” or “socks” and regular past tense verbs, such as “jumped”.

Three to Four Years

  • Groups objects, such as food, clothes, etc.
  • Identifies colors.
  • Uses most speech sounds, but may distort some of the more difficult sounds, such as l, r, a, sh, ch, y, v, z, th. (May not fully master these sounds until age seven or eight.)
  • Uses consonants in the beginning, middle, and end of words. Some of the more difficult consonants may be distorted, but attempts to say them.
  • Strangers are able to understand much of what is said.
  • Able to describe the use of objects, such as “fork” or “car”.
  • Has fun with language. Enjoys poems and recognizes language absurdities, such as “Is that an elephant on your head?”.
  • Expresses ideas and feelings rather than just talking about the world around him or her.
  • Uses verbs that end in “ing”, such as “walking”, “talking”.
  • Answers simple questions such as “What do you do when you are hungry?”.
  • Repeats sentences.

Four to Five Years

  • Understands spatial concepts such as “behind”, “next to”.
  • Understands complex questions.
  • Speech is understandable, but makes mistakes, too.
  • Pronounces long, difficult, or complex words such as “hippopotamus”.
  • Says about 200 to 300 different words.
  • Uses some irregular past tense verbs, such as “ran”, “fell”.
  • Describes how to do things, such as painting a picture.
  • Defines words.
  • Lists items that belong in a category, such as animals and vehicles.
  • Answers “why” questions.

Five Years

  • Understands more than 2,000 words.
  • Understands time sequences (what happened first, second, third, etc.).
  • Carries out a series of three directions.
  • Understands rhyming.
  • Engages in conversation.
  • Sentences can be eight or more words in length.
  • Uses compound and complex sentences.
  • Describes objects.

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