North Carolina Early Learning and Development Progressions: Birth to Five

Domain: NC Foundations for Early Learning: Health and Physical Development (HPD)

Subdomain: Motor Development

Goal: Children develop small muscle control and hand-eye coordination to manipulate objects and work with tools.

Skill Progression: Manipulation/Tool use

Age: 18-21 Months

Click here to go to all skills for ages 18-21 Months.

Turns pages of a book

Situations for Observation of Skill

Observe the child using fingers to string beads, feed a piggy bank, and read a book with an adult.

Elicitation Strategy

The adult and child share a book, with the child turning to the next page.

Behavior Observed

The child now turns pages one at a time.

Routines-based Intervention (Embedded Instruction)

A simple, but popular homemade toy is a Pringles can with a slot cut in the top and poker chips. Encourage parents to provide opportunities such as this for the child to practice fine motor skills during play. (They can also put toast in a toaster slot, a DVD in the player, dollars in a wallet, etc.)

 North Carolina Department of Public Instruction, 2015

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