Which statement describes a communication milestone at 13-18 months?

• A. Anticipates routines, makes wants known
• B. Uses gestures
• C. Recognizes familiar sounds
• D. Responds to familiar requests

Answer: (A)

At this age, the key growth is in intentional, proactive communication. A child starts to expect what’s coming in daily routines and uses signals to make wants known, showing that they can initiate communication to get what they need. This combination of anticipating routine events and expressing a need aligns with the typical 13–18 month development of purposeful communication, often through a few words or distinct gestures.

Using gestures alone tends to occur earlier, as does recognizing familiar sounds or responding to familiar requests, which are more about receptive language and earlier milestones. The emphasis here is on the child’s ability to take the initiative to convey a want in the context of daily routines.