Free parent guide

Child development, ages 0 to 18: a free parent guide

What most children do at each age, how they learn best at each stage, and when it is worth a conversation with a professional. Written for parents, based on CDC and American Academy of Pediatrics guidance and peer-reviewed research.

Last reviewed: October 21, 2026

General information only. This guide is educational. It is not medical, developmental, psychological or legal advice, and it cannot diagnose anything. Every child develops at their own pace. If you are worried about your child, talk with your child's doctor. In an emergency, call 911.

Introduction

How to use this guide

Jump to your child's age in the table of contents, or read straight through. Each part covers what is typical, how children of that age learn, what helps at home, and when to ask for help. Part 6 covers topics that run across every age, such as sleep and screens. Part 7 and the appendices list resources, screening tools, a glossary and printable checklists.

Two words come up a lot: typical means what many children do around that age, and range means the spread of ages at which healthy children reach a skill. Neither is a test your child passes or fails.

Understanding developmental ranges, not deadlines

The milestones in this guide come mainly from the CDC's "Learn the Signs. Act Early." checklists, revised in 2022 with the American Academy of Pediatrics (AAP). The revised checklists list skills that most children (about 3 in 4) are expected to show by each age. That change was made on purpose: the old lists used the age when about half of children had a skill, which encouraged "wait and see" when a child was behind.[1]

So, read the lists this way:

When and how to talk to a pediatrician or specialist

CDC advises acting early. Talk with your child's doctor if your child is not meeting one or more milestones, has lost skills they once had, or if you have any other concern.[2] You do not need to wait for the next checkup.

What helps the conversation:

You can also contact services yourself, without a doctor's referral. For children under 3, that is your state's early intervention program. For age 3 and up, it is your local public school district (see When to seek early intervention or school services).

Trusted resources overview

Resource What it is Where
CDC milestone checklists Free checklists from 2 months to 5 years, in English and Spanish cdc.gov/act-early
CDC Milestone Tracker app Free app to track milestones and share with your doctor cdc.gov/act-early/milestones-app
HealthyChildren.org The AAP's site for parents, in English and Spanish healthychildren.org
Early intervention (birth to 3) Free evaluation and, if eligible, services in every state cdc.gov/FindEI
School services (3 and up) Free evaluation through your public school district Parent Center Hub
Parent Centers About 100 centers that help families of children with disabilities parentcenterhub.org/find-your-center

Part 1: Infancy (0–12 months)

How babies learn. In the first year, babies learn through their senses and movement: looking, listening, mouthing, grasping and moving. They also learn through people. Researchers at Harvard's Center on the Developing Child call this "serve and return": the baby coos, points or cries, and an adult responds with eye contact, words or a hug. These everyday back-and-forth moments help build the brain connections that later support language, social and thinking skills.[5] You do not need special toys or programs. Talking, singing, naming things and answering your baby's sounds are the work.

1.1 Sleep and soothing

Safe sleep comes first. The AAP's "ABC" for every sleep, naps included:[6]

The AAP also notes that swaddling does not lower SIDS risk and should stop once a baby shows signs of rolling, and that home breathing monitors do not lower SIDS risk.[6]

How much sleep? For babies 4 to 12 months, sleep experts recommend 12 to 16 hours per 24 hours, naps included. For babies under 4 months, sleep varies too much for a single recommendation.[7]

Soothing. Crying is how babies communicate. Common soothing tries: feeding, a diaper change, holding and rocking, white noise, a pacifier at sleep time once feeding is established, and a calm, dim room. If you feel overwhelmed, it is always okay to put your baby down safely in the crib and step away for a few minutes. If crying seems unusual for your baby, or comes with fever, poor feeding or other worries, call your doctor.

1.2 Feeding, growth and physical care

1.3 Early motor and sensory milestones

What most babies do by each age, from the CDC checklists (a selection; the full lists are longer):[2]

Age Social and emotional Language Thinking Movement
2 months Calms when spoken to or picked up; looks at your face; smiles when you talk Makes sounds other than crying; reacts to loud sounds Watches you as you move Holds head up during tummy time; moves both arms and legs
4 months Smiles on their own to get your attention; giggles softly Coos; makes sounds back when you talk; turns head toward your voice Watches their hands Holds head steady without support; holds a toy put in their hand
6 months Knows familiar people; laughs; likes to look in a mirror Takes turns making sounds with you; blows "raspberries"; squeals Puts things in mouth to explore; reaches for a toy Rolls from tummy to back; pushes up on straight arms; leans on hands to sit
9 months Is shy, clingy or fearful around strangers; smiles or laughs at peek-a-boo Makes many sounds like "mamamama" and "babababa"; lifts arms to be picked up Looks for objects dropped out of sight; bangs two things together Gets to a sitting position alone; moves things from one hand to the other; sits without support
12 months Plays games like pat-a-cake Waves bye-bye; calls a parent "mama," "dada" or another special name; understands "no" Puts something in a container; looks for things they see you hide Pulls up to stand; walks holding on to furniture; picks up small food between thumb and finger

Tummy time while your baby is awake and watched helps build the neck, shoulder and arm strength used for rolling, sitting and crawling.[6]

1.4 Resources for infants

Part 2: Toddlers (1–3 years)

How toddlers learn. Toddlers learn by doing: moving, copying adults, handling real objects and, by about 2½, pretending. Language usually grows fast in this period. Research suggests that the amount of back-and-forth conversation a child has with adults (not just how many words they hear) is linked to stronger language skills and language-related brain activity.[8] Narrate your day, ask simple questions, wait for an answer and build on it.

2.1 Motor development

What most toddlers do, from the CDC checklists:[2]

Safe chances to climb, run, throw and build every day are the best "practice."

2.2 Language and communication

"Is it normal for a 2-year-old not to talk?" Toddlers vary a lot, and many late talkers catch up. Still, by the CDC's 2022 checklists most children are putting two words together by 2. If your child is not, or is not pointing, responding to their name, or understanding simple words, ask your doctor about a screening and a hearing check. Early help is free for eligible children under 3 (see early intervention).

2.3 Behavior and emotional regulation

Tantrums are a normal part of this age. Toddlers want independence but do not yet have the words or self-control to handle big feelings. What tends to help:

Ask your doctor if tantrums are very frequent, very long, involve hurting self or others, or come with loss of skills.

2.4 Potty training and daily routines

Most children in the US show readiness for toilet training somewhere between about 18 and 30 months, and many are not ready until after 30 months.[9] Signs of readiness include:

The AAP supports a child-led approach: wait for signs of readiness, go step by step, and avoid pressure or punishment.[9] Setbacks during stress, illness or a new sibling are common.

Picky eating is also typical for toddlers. The AAP suggests calmly offering refused foods again (tastes change), pairing a new food with a familiar one, offering limited choices, avoiding power struggles and not using sweets as rewards.[10]

Sleep: 1 to 2 years, 11 to 14 hours per 24 hours including naps.[7]

2.5 Developmental concerns

Bring these up with your child's doctor (this is not a complete list):

Your child should get a general developmental screening at 18 and 30 months and autism screening at 18 and 24 months.[4] If your child is under 3, you can call your state's early intervention program directly; no doctor's referral is needed.[11]

2.6 Resources for toddlers

Part 3: Preschoolers (3–5 years)

How preschoolers learn. Preschoolers learn through play, conversation, stories and hands-on experiences. Pretend play is a big part of it. Research on guided play, where a child leads the play inside a setting an adult has thoughtfully set up, suggests it can help young children learn specific content while keeping the joy of play.[12] In Piaget's well-known framework, ages 2 to about 7 are the "preoperational" stage: children think in symbols and pictures and are learning to see things from other points of view. Modern research shows the stage ages are approximate.[13]

3.1 School readiness and independence

"Kindergarten ready" is about much more than letters and numbers. The CDC 5-year checklist includes:[2]

Independence skills matter too: using the bathroom, washing hands, putting on a coat, opening a lunch container and asking an adult for help.

3.2 Language, "why" questions and cognitive growth

By 3, most children have conversations with at least two back-and-forth exchanges and ask "who," "what," "where" or "why" questions.[2] Endless "why?" questions are a sign of a growing mind. Answer simply, and sometimes turn it around: "Why do you think the ice melted?"

By 4, most children speak in sentences of four or more words, say some words from a song or rhyme and talk about at least one thing that happened during their day. They name a few colors and can guess what happens next in a familiar story.[2]

Reading aloud every day, talking about the pictures and asking open questions, is one of the simplest habits that supports language at this age.

3.3 Social skills and peer interaction

Playdates, sharing practice and simple turn-taking games build these skills.

3.4 Behavior and emotional development

Preschoolers are learning to manage feelings, wait and follow rules. These skills are part of executive function: holding information in mind (working memory), stopping an impulse (inhibitory control) and switching between tasks or ideas (cognitive flexibility). Research suggests these skills can be strengthened with practice that gets gradually harder, and through activities such as active play.[14] Games like "Simon says," freeze dance and taking turns all practice them.

CDC suggests clear, consistent rules, simple choices and praise for good behavior at this age, and 10 to 13 hours of sleep per 24 hours, naps included.[15][7]

3.5 Resources for preschoolers

Part 4: School-age children (6–12 years)

How school-age children learn. Between about 7 and 11 or 12, children move into what Piaget called "concrete operations": they can reason logically about real, concrete things, though abstract ideas are still developing.[13] This is the age of building skills step by step. Two of the best-supported study habits from learning research are practice testing (retrieving answers from memory) and spacing practice out over time; rereading and highlighting are much less effective.[16] For new material, studying worked examples before solving problems alone can reduce overload and help beginners learn.[17]

4.1 Academic development and learning

If a child struggles a lot more than classmates with reading, writing or math, despite good teaching and practice, talk with the teacher and ask whether an evaluation makes sense (see school services).

4.2 Attention and executive function

Attention spans and self-control grow a lot between 6 and 12, but unevenly. Executive function skills keep developing well into adolescence.[14] Practical supports:

If attention problems are ongoing, show up both at home and at school, and get in the way of learning or friendships, ask your child's doctor. Only a qualified professional can evaluate for conditions such as ADHD.

4.3 Social-emotional growth

Friendships, teamwork and fitting in become more important in these years.[18] Children start comparing themselves with others. Praising effort and strategy ("you kept trying different ways") is more useful than praising traits ("you're so smart"); research on feedback finds praise aimed at the person tends to help learning least.[19]

Talk about school and friends often, in low-pressure moments like car rides or meals. Watch for signs of bullying (avoiding school, lost belongings, mood changes) and contact the school if you are concerned.

4.4 Sleep, screen time and daily life

4.5 Resources for school-age children

Part 5: Tweens and teens (13–18 years)

How teens learn. The brain keeps maturing into the mid-to-late 20s. The parts used for planning and weighing consequences (the prefrontal cortex) mature last, which helps explain why teens may take more risks, especially around peers. The teen brain also adapts well to challenge, practice and new experiences, and most teens grow into healthy adults.[21] Teens can reason about abstract ideas, which Piaget called "formal operations," and they are working out who they are.[13]

5.1 Puberty, physical growth and body changes

Growth spurts, acne, body odor and body-image worries are common. Talk early and plainly, and keep the door open for questions.

5.2 Mental health and emotional development

Moodiness is common in the teen years, but many mental health conditions first appear in adolescence.[21] The AAP lists warning signs to watch for, especially when several appear together or last:[24]

What helps: stay calm and open, listen more than you talk, describe what you have noticed ("you've seemed really tired and quiet lately"), and involve your teen's doctor. If your teen talks about wanting to die, take it seriously. Asking directly about suicidal thoughts does not put the idea in their head.[25] Call or text 988 for help (see crisis resources).

5.3 Social relationships, peers and communication

Friends and peers matter more in the teen years, and that is healthy.[21] Interest in romantic relationships grows. Keep talking: regular, low-pressure time together (meals, drives), knowing where your teen is and who they are with, and talking through risky situations before they happen are all part of the CDC's advice for parents of teens.[25]

5.4 Digital life and media

The AAP encourages graduated independence with media for teens, checking readiness for social media and watching for problems such as lost sleep, compulsive use or slipping grades.[20] A family media plan that the teen helps write is more likely to be followed.

Sleep: teens need 8 to 10 hours a night, and puberty shifts their body clock later, which is one reason the AAP supports middle and high school start times of 8:30 a.m. or later.[7][21]

5.5 Independence, decision-making and future planning

Teens build judgment by practicing decisions with support: managing money, schedules, jobs and schoolwork. Let them make real choices, talk through consequences and step back gradually. Steadier work habits and thinking about the future usually grow through the later teen years.[25]

5.6 Resources for teens and parents

Part 6: Cross-age topics

Sleep needs by age

Recommended hours per 24 hours, naps included, from the American Academy of Sleep Medicine, endorsed by the AAP:[7]

Age Hours of sleep
Under 4 months Varies too widely for one recommendation
4–12 months 12–16
1–2 years 11–14
3–5 years 10–13
6–12 years 9–12
13–18 years 8–10

"Is this normal?" decision guide

You notice Usually Talk to the doctor soon if…
Skill a little later than a friend's child Within the typical range Several milestones are missed for the CDC age, or you are worried
Lost a skill they had (words, walking, eye contact) Not typical at any age Always mention it promptly
Tantrums at 2–3 Common Very frequent or long, or involve hurting self or others
Late talker at 2 Many catch up No two-word phrases by 2, little pointing or not responding to name
Not potty trained at 2½ Often still within range Was trained and lost it, or pain, or other concerns
Teen moody or private Common Mood changes last weeks, school drops, withdrawal, any talk of self-harm

This table is a starting point, not a diagnosis. When in doubt, ask.

Comparing children and managing parent anxiety

Siblings and classmates develop on different timelines, and the ranges are wide. Comparing is natural, but your child's own progress over time is the more useful measure. Tracking milestones with a checklist, then talking with your doctor about anything that worries you, is a calmer path than searching late at night. Remember that asking early costs little, and most questions turn out to be within the normal range.

Screen time and technology across stages

The AAP now puts more weight on what children watch and do, and on watching together, than on fixed time limits.[20] Apps that are truly educational tend to keep a child actively thinking, avoid distractions, connect to the child's real life and involve other people.[27]

When to seek early intervention or school services

Birth to age 3: early intervention. Every state and territory has a program. You can call yourself, and a doctor's referral is not required. The evaluation is free. If your child is eligible, services are free or low-cost, and a plan called an IFSP (Individualized Family Service Plan) is written with your family.[11][28] Find your program at cdc.gov/FindEI.

Age 3 and up: your public school district. Call or write to your local public elementary school, even if your child does not attend it, and ask for an evaluation for special education services. A written, dated request is a good idea. If the school agrees, the evaluation is free and needs your written consent. If eligible, your child gets an IEP (Individualized Education Program). If you disagree with the results, you can ask for an independent evaluation.[11][29] Schools also have a process under Section 504, a federal civil rights law; ask your school how it works.

Your state's Parent Center can help you through these steps.[30]

Building connection and communication at every age

Part 7: Resources and next steps

National and local developmental resources

Screening tools and milestone checklists

Finding early intervention, speech, OT or counseling

Pediatric and specialist referral tips

Emergency and crisis resources

  • Emergency or immediate danger: call 911.
  • 988 Suicide & Crisis Lifeline: call or text 988, or chat at 988lifeline.org. Free, confidential, 24/7. In Spanish, call 988 and press 2, or text AYUDA to 988.[32]
  • Crisis Text Line: text HOME to 741741 (Spanish: HOLA).[33]
  • Poison Help: 1-800-222-1222. If someone has collapsed, has a seizure, is having trouble breathing or cannot be woken, call 911.[34]

These are US services.

Appendices

Quick-reference milestone charts by age

What most children can do by each age (selected items from the CDC checklists):[2]

Age A few things most children do
2 months Smiles when you talk; holds head up on tummy
4 months Coos; holds head steady; watches their hands
6 months Laughs; rolls tummy to back; reaches for toys
9 months Babbles "mamama"; sits without support; looks for hidden things
12 months Waves bye-bye; pulls up to stand; pincer grasp
15 months Says 1–2 words; takes a few steps; points to ask
18 months Says 3+ words; walks alone; scribbles
2 years Two-word phrases; kicks a ball; runs
30 months About 50 words; jumps with both feet; simple pretend play
3 years Conversation with 2+ exchanges; asks "why"; uses a fork
4 years Sentences of 4+ words; names a few colors; catches a large ball most of the time
5 years Tells a two-event story; counts to 10; hops on one foot

For ages 6 to 18, development is less tied to exact months; see Parts 4 and 5.

Common parent search questions index

Glossary of developmental terms

Printable checklists and conversation starters

Before a doctor visit

Conversation starters

Use your browser's print button to print this page or just this section.

About this guide

UpOnly Learning publishes ready-to-teach lessons, workbooks, practice sheets and flashcards in English, Spanish and Portuguese, from kindergarten to grade 5 today and growing. We made this guide because parents ask us about much more than schoolwork. Our belief is simple: every student deserves clear lessons, one step at a time, and that starts with understanding how children grow.

This guide was written by our team with the help of advanced AI research tools, using the sources listed below. It was last reviewed on October 21, 2026. Guidance from the CDC and AAP changes, so check the linked sources for the latest. If you spot something out of date, email support@uponlylearning.com.

References

  1. Zubler JM, Wiggins LD, Macias MM, et al. Evidence-informed milestones for developmental surveillance tools. Pediatrics. 2022;149(3):e2021052138. doi.org/10.1542/peds.2021-052138
  2. Centers for Disease Control and Prevention. Developmental milestones (checklists, 2 months to 5 years). cdc.gov/act-early/milestones
  3. CDC. Milestone Tracker app. cdc.gov/act-early/milestones-app
  4. American Academy of Pediatrics. Developmental surveillance and screening. aap.org
  5. Center on the Developing Child, Harvard University. Serve and return. developingchild.harvard.edu
  6. American Academy of Pediatrics. A parent's guide to safe sleep. HealthyChildren.org. healthychildren.org
  7. Paruthi S, Brooks LJ, D'Ambrosio C, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. J Clin Sleep Med. 2016;12(6):785–786. pubmed.ncbi.nlm.nih.gov/27250809; AAP summary at healthychildren.org
  8. Romeo RR, Leonard JA, Robinson ST, et al. Beyond the 30-million-word gap: children's conversational exposure is associated with language-related brain function. Psychological Science. 2018;29(5):700–710. doi.org/10.1177/0956797617742725
  9. Toilet training: common questions and answers. American Family Physician. 2019;100(8):468–474. aafp.org
  10. American Academy of Pediatrics. How do I deal with my picky eater? HealthyChildren.org. healthychildren.org
  11. CDC. Early intervention: find EI contacts. cdc.gov/FindEI
  12. Weisberg DS, Hirsh-Pasek K, Golinkoff RM, Kittredge AK, Klahr D. Guided play: principles and practices. Current Directions in Psychological Science. 2016;25(3):177–182. doi.org/10.1177/0963721416645512
  13. Piaget's theory of cognitive development. Encyclopaedia Britannica. britannica.com
  14. Diamond A. Executive functions. Annual Review of Psychology. 2013;64:135–168. doi.org/10.1146/annurev-psych-113011-143750
  15. CDC. Positive parenting tips: preschoolers (3–5 years). cdc.gov
  16. Dunlosky J, Rawson KA, Marsh EJ, Nathan MJ, Willingham DT. Improving students' learning with effective learning techniques. Psychological Science in the Public Interest. 2013;14(1). Summary: psychologicalscience.org
  17. Sweller J. Cognitive load during problem solving: effects on learning. Cognitive Science. 1988;12(2):257–285.
  18. CDC. Positive parenting tips: middle childhood (6–8 years). Legacy CDC page.
  19. Hattie J, Timperley H. The power of feedback. Review of Educational Research. 2007;77(1):81–112. doi.org/10.3102/003465430298487
  20. American Academy of Pediatrics. Screen time guidelines (Q&A). aap.org; How to make a family media use plan, healthychildren.org
  21. National Institute of Mental Health. The teen brain: 7 things to know. nimh.nih.gov
  22. Eunice Kennedy Shriver National Institute of Child Health and Human Development. Puberty and precocious puberty. nichd.nih.gov
  23. Office on Women's Health. Puberty timing. girlshealth.gov. girlshealth.gov
  24. American Academy of Pediatrics. Mental health and teens: watch for danger signs. HealthyChildren.org. healthychildren.org
  25. CDC. Positive parenting tips for healthy child development: teenagers (15–17 years). 2015. stacks.cdc.gov/view/cdc/155271
  26. AAP Council on Communications and Media. Media and young minds. Pediatrics. 2016;138(5):e20162591.
  27. Hirsh-Pasek K, Zosh JM, Golinkoff RM, et al. Putting education in "educational" apps: lessons from the science of learning. Psychological Science in the Public Interest. 2015;16(1). psychologicalscience.org
  28. Center for Parent Information and Resources. Overview of early intervention. parentcenterhub.org
  29. Center for Parent Information and Resources. Evaluation for special education. parentcenterhub.org
  30. Center for Parent Information and Resources. Find your Parent Center. parentcenterhub.org
  31. CDC. Developmental monitoring and screening. cdc.gov
  32. 988 Suicide & Crisis Lifeline. 988lifeline.org
  33. Crisis Text Line. crisistextline.org
  34. Poison Control. poison.org
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