Group of toddlers playing with develpomental toys in a nursery setting.

Is Your Child Not Hitting Developmental Milestones? We Can Help.

Group of toddlers playing with develpomental toys in a nursery setting.

Every child develops at their own pace — but developmental milestones exist because most children reach certain skills within predictable windows. When a child isn’t hitting those milestones on time, early evaluation and early intervention make a significant difference in outcomes.

What Are Developmental Milestones?

Developmental milestones are skills that most children achieve by a certain age across four domains: gross motor (physical movement), fine motor (hand and finger skills), language/communication, and social/emotional development. Standardized developmental screening at well-child visits is designed to catch delays before they become problems.

Signs Worth Discussing With Your Provider

By 6 months:

  • Not babbling or making vowel sounds
  • Not responding to sounds or voices
  • Not reaching for objects

By 12 months:

  • No gesturing (pointing, waving)
  • No single words
  • Not pulling to stand or cruising along furniture

By 24 months:

  • Fewer than 50 words or not combining two words
  • No pretend play
  • Losing previously acquired skills (regression is always worth reporting)

What Evaluation Looks Like

If a milestone concern is identified at a well-child visit, your provider may refer for developmental evaluation — which can include speech-language assessment, occupational therapy evaluation, or a developmental pediatrics consultation. Services provided through Nevada’s early intervention programs (for children under 3) are free.

The most important message: don’t wait and see if you’re worried. Early intervention has the strongest evidence base — the sooner concerns are addressed, the better outcomes are for children with developmental differences.

If you have concerns, call (702) 457-5437 or schedule a well-child visit to discuss them with our team.

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