Poster: Milestones of Normal Hearing and Speech Development Early identification and assessment are the first steps in helping a child with a hearing impairment. 0 - 4 Months * Stops movement or quiets in response to speech. * Startles to loud sounds. * Moves eyes toward sound source. * Arouses from light sleep to sudden loud noises. 4 - 7 Months * Begins head turn toward sounds and voices out of sight (4 months) and turns head directly toward the sound source (7 months) * Smiles in response to speech. * Looks in response to own name. * Babbling begins. 7 - 9 Months * Turns to find a sound source out of sight. * Gurgles or coos to sounds out of sight. * Intonation patterns heard in speech. * Comprehends "No." * Babbles in multiple syllables. 9 - 12 Months * Acquires first true word. * Imitates sounds. * Looks at a common object when named. * Responds to music. * Understands simple commands. 13 - 18 Months * Uses sentence-like intonation. * Perceives emotions of others. * Uses 3 - 20 words. * Uses all vowels and consonants in jargon. 19 - 24 Months * Uses more words than jargon. * Raises intonation at end of phrase to ask question. * Comprehends about 300 words. * Uses about 50 words. * Produces animal sounds. * Combines 2 words into phrases. * Listens to simple stories. Source: http://www.hsdc.org/News/Audiology/riskfactors.htm If you have a concern about the hearing or speech development in your infant, Call the Guam Early Hearing Detection and Intervention Project (Guam EHDI) at735-2466 or visit our website at www.guamehdi.org This poster was reproduced with 100% funding support by the Guam Early Hearing Detection and Intervention (Guam EHDI) Project, Grant Number 2H61MC00094-08-00, Department of Health and Human Services, Health Resources and Services Administration and facilitated by the University of Guam, Center for Excellence in Developmental Disabilities Education, Research, and Service (Guam CEDDERS). The University of Guam is an equal opportunity employer and provider.