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Signs of Possible Developmental Delays: Two to Three Years
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The following may be signs of developmental delay. If these signs are present during this age range, notify your pediatrician.

Gross Motor and Sensory
  • Walks clumsily, often losing balance
  • Throws a ball with difficulty
  • Jumps with difficulty
  • Loses balance often when running
  • Fixated on activities like swinging, jumping, climbing, pushing, or biting to the exclusion of other activities
  • Tends to push too hard; has trouble with grading his force
  • Has little interest in interactive games
Fine Motor and Vision
  • Has trouble grasping a crayon or pen (uses a very immature grasp pattern, such as using the fist)
  • Has trouble with scribbling
  • Has trouble towering blocks
  • Has oversensitivity to light
  • Avoids near-vision activities, such as working with puzzles
  • Avoids far-vision activities, such as ball play
  • Complains of double vision
  • Has changes in the appearance of the eyes
Cognitive and Behavior
  • Has decreased interest in interactive games
  • Demonstrates poor attention to games, other children, family members
  • Has decreased interest in fantasy play
  • Has no interest in other children
  • Doesn’t respond to people other than family members
  • Continues to have great difficulty separating from parents
Speech and Language
  • Has a limited vocabulary of less than 50 words
  • Has poor attention when spoken to
  • Does not use sentences with multiple words
Social and Emotional
  • Does not respond to people outside the family
  • Continues to have great trouble separating from parents
Daily Routines
  • Has very unusual food preferences
  • Still requires being spoon-fed
  • Still uses the bottle
  • Has trouble falling or staying asleep
  • Is chronically sleepy
  • Has trouble with breathing or snoring during sleep
  • Has frequent nightmares or screaming during sleep
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