[Music]
welcome back to the easy med channel
where medical and science topics are
made easy
today we're going to focus on the
pediatric milestones for speech and
language
and i came up with a simple trick that
will help you remember these milestones
because they commonly show up on medical
exams
i also put together this table to make
it easier for you we're going to come
back to this table so you don't need to
worry about it right now
but by the end of this video you'll know
everything's shown so make sure to stay
tuned till the end
there's also a previous easy med video
on the pediatric milestones for gross
motor development
i'm going to link that milestone video
along with this table down below in the
description
so make sure to check them out the first
major milestone occurs at three months
and you're going to see that all of the
speech and language milestones can be
remembered using the age of the child
so the trick to remember three months is
to use the three-letter word ku
so whenever you think of three months
you should automatically think of ku
by this age the infant makes cooing
sounds they also start to smile at
people and make eye contact
they begin to recognize your voice and
they may even stay quiet or smile when
spoken to
they're going to cry differently for
different needs for example if they're
hungry versus tired
those crying sounds might be different
and they also vocalize pleasure and
displeasure sounds differently
for example they laugh and giggle as a
way to communicate happiness
and they cry and fuss as a way to
communicate when they're upset
i do want to point out that as we walk
through these different milestones
remember that they're average time
frames and that some milestones can
occur sooner or later
but for the purposes of this video these
are the milestone time frames that may
come up on medical exams
next we have six months again we're
going to use the age to remember the
milestone
so for six months remember the six
letter word babel
by this age the infant starts to babble
and repeat sounds
they may babble mama or dada without
much meaning and that's because the
repetitive consonant sounds they tend to
produce first when babbling
are b d g m p and t
the infant will also continue to giggle
and laugh more they'll start to make
gurgling noises
and they will also use their own voice
to express pleasure and displeasure
this is different from three months
remember at three months they would use
laughing crying and fussing to vocalize
and communicate
pleasure versus displeasure well by six
months they may start to use their own
voice
and use speech-like babbling sounds to
express when they're happy or upset
finally the infant notices and
recognizes sounds more
they may move their eyes in the
direction towards sound they may pay
attention to music
and they respond to changes in the tone
of your voice
moving on to nine months we're going to
use the age again to remember the
milestone
the nine letter word to remember for
nine months is imitation
this is the start of the baby's
imitation phase they will imitate speech
and non-speech sounds
and they will also imitate actions and
gestures they may gesture without being
prompted to by pointing to objects and
showing them to others they also look at
familiar objects when someone is talking
about them
and the infant starts to recognize their
own name the baby's babbling increases
and they start to string longer babbling
sounds together
next is 12 months of age and using the
age we're going to take the 1 and 2 and
12 to remember one to two words
by 12 months of age the child usually
can say one to two words
this could be an addition to mama and
dada and their vocabulary could be even
larger depending on the child
their use of mama and dada has more
meaning to it now
remember during the babel phase they can
say mama and dada without much meaning
however by 12 months of age they start
to bring meaning to it
you can also think of the 12-month
milestone as the understanding phase
and you can remember that using the
twelve letter phrase understand me
they begin to understand anywhere from
three to fifty words
they begin to bring meaning to their
vocabulary and they begin to understand
simple phrases
instructions requests and commands such
as put the toy on the ground
come here and don't touch along those
same lines the child may start to
understand and answer simple questions
non-verbally
by nodding and shaking their head or
they might go to get an object when
requested to do so
which makes sense because again they're
starting to understand simple
instructions as mentioned before
finally they understand and recognize
the names and words for common items
such as
ball shoe cup juice and dog
this understanding phase is a process
and everything listed here won't happen
right at 12 months of age
however 12 months is when they start to
develop these speech and language skills
and they continue to develop those
skills throughout their second year of
life
as we move on to 18 months we can again
use the age to remember the milestone of
18 words
this will help you remember that by 18
months the child on average will have a
vocabulary of 10 to 20 words
around 18 months or soon after the child
may have a word spurt in which their
vocabulary drastically increases to 50
words
the child also starts to repeat words
overheard in conversation
they also become more interactive with
their understanding they recognize and
point to familiar objects and people in
pictures
they point to pictures in a book when
you name them and they point to familiar
body parts like eyes ears and nose when
you ask
as we mentioned before with 12 months
they continue to develop their
understanding and ability to follow
simple commands
like put the toy down or roll the ball
and they continue to understand more
simple questions like where's your cup
or where are your shoes
next we have two years of age the two
can be used to remember the milestone of
two word phrases
the child would begin to use two word
phrases in order to talk about or ask
for things
they will put two words together like
more milk no juice
or daddy book and they will ask two word
questions like where's doggy where's
kitty
go bye-bye or what's that keeping in
line with using the number two
you can remember that by two years of
age they will start following two-step
directions
such as pick up your toy and give it to
mommy they may have a vocabulary of 50
words or more
however the pronunciation is often
unclear the parents and primary
caregiver usually can understand at
least half of the speech
the child may also use gestures and
words during pretend play
and they also start to make animal
sounds
moving on to three years old we can use
a similar trick as we did for two to
remember two word phrases
now for three years old we'll remember
three word phrases
the child will begin to use three word
phrases in order to talk about and ask
for things
by age three the vocabulary can be 200
words or more
and not only does their vocabulary
expand but their grammar and
pronunciation also improve
their speech becomes more clear
especially to the parents or primary
caregiver
they begin to ask what and where type
questions and they understand spatial
concepts such as
in on or under as well as concepts
involving different colors and time
the child will understand and use more
pronouns such as you
me him or her and they will also
understand and use plurals such as cats
dogs shoes and socks
finally we have four years old the trick
to remember this milestone is four or
more word sentences
the child will use sentences with at
least four words and they will also use
four more sentences at a time when
talking about their day or telling a
story
they have a deeper understanding of more
abstract concepts
and will understand and ask how and why
type questions
along those same lines they will start
to express their ideas and feelings
rather than just talking about the world
around them they talk more about their
day and activities at school
daycare or home parents and caregivers
will understand most if not all of their
speech
and strangers can typically understand
the child without much difficulty
they typically can identify colors by
this age and this often happens even
sooner
and they can usually group objects into
different categories such as food or
clothes
now it's time to quiz yourself and see
if you can name the milestone trick that
correlates with each age
starting with three months what did we
say was the trick to remember
it was the three letter word coup to
help you remember the infant coups at
this age
so for three months always think of the
word ku moving on to six months of age
what did we say the trick was
it was the six letter word babble to
help you remember the infant babbles at
this age
so for six months always think of the
word babel
next is nine months try to name the
trick for this
you're going to use the nine letter word
imitation and this will help you
remember the imitation
phase in which they imitate speech and
non-speech sounds
actions and gestures so for nine months
always think of imitation
moving on to 12 months what did we say
the trick was
you're going to take the 1 and 2 and 12
months to help you remember one to two
words
the child has a vocabulary of one to two
words usually in addition to mama and
dada
you can also use the 12 to remember the
12-letter phrase understand me
and this will help you remember the
child starts to understand words
requests
instructions commands and questions as
we progress to 18 months
name the trick for this it's 18 words
which will help you remember that they
have a vocabulary of 10 to 20 words
which rapidly increases to 50 or more
words as they approach 2 years old
next we have 2 years of age so what's
the trick for this
the trick to remember is two word
phrases which will help you recall that
by two years of age the child starts to
put two words together
in order to talk about or ask for things
the two can also be used to remember
two-step directions
and this will help you recall that the
child can understand and respond to
two-step instructions
moving on to three years old what's the
milestone the trick to remember is three
word phrases
which will help you recall that by three
years of age the child starts to put
three words together
in order to talk about or ask for things
finally we have four years old
what's the trick to remember at four
years of age the child uses four more
word sentences
and uses four or more sentences when
telling a story or talking about their
day
so if we go back to the table i put
together you can see that it summarizes
everything we talked about
including the speech and language
milestones for each age
along with the tricks to remember them
all you can find this table link down
below in the description
if you found this video useful along
with the table and tricks then please
hit that like button and comment down
below
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remember you can find the notes and
table for this video on the easymed
website linked below
thanks for watching and i hope you check
out future videos