- Shakes head to signify “no” to an adult
- Begins to use a few words and babbling to seek attention/express self
- Babbles to self when alone
- Enjoys exploring toys with an adult
| - Jayma (9 months) crawls across the floor until she reaches the plastic rings. She balances on one arm and picks one up, looks at it, babbles a few syllables, and then puts it in her mouth. Her caregiver comes over to her and says, “Jayma, did you find something to chew on?” Jayma responds by taking the ring out of her mouth, laughing, and handing the ring to her caregiver.
- Kylea (10 months) sits on her caregiver’s lap exploring a book. As the caregiver turns the page and describes the pictures, Kylea imitates the caregiver’s tone of voice with an excited, “bah” and “whoa.” After finishing the book, the caregiver says, “Well Kylea, it is time for your nap. Are you ready for your nap?” To this Kylea responds by shaking her head “no.” The caregiver picks her up and talks to her softly and rocks her gently as she walks toward the crib.
| When the home visitor arrives, Liam (10 months) is asleep. While he sleeps, the home visitor asks the parents if they would be willing to complete a developmental questionnaire. As she goes over some of the items, she notices the mother and father are looking at each other with puzzled looks. Sensing their confusion, she asks if they have any questions. Liam’s mother reluctantly says, “Um, he doesn’t do any of this,” as the father nods his head. The home visitor talks with the parents about their concerns. When Liam wakes, the home visitor sees that indeed, Liam is highly unresponsive, is not babbling, does not make eye contact, and does not explore the environment. |