Developmental Milestones

1
Developmental Milestones

• Dr. Madhavarapu
• PGY-3
• Dept of Pediatrics
• St. Barnabas Hospital

2
1 Month

• Turns head in supine
• Rasies head from prone position
• Has tight grasp
• Hands fisted near face
• Sucks well
• Gazes at black-white objects
• Looks at face and follows to midline
• Discriminates mother's voice
• Startles to loud noise
• Makes sounds other than crying

3
2 months

• Holds head in midline
• Lifts chest off tablein prone position.
• No longer clenches fists tightly
• Follows object past midline
• Smiles socially (after being stroked or talked
  to)
• Recognizes parent

4
3 Months

• Props on forearms in prone, Holds head up
  steadily
• Inspects fingers
• Holds hands open at rest
• Brings hands to mouth
• Reaches for parent's face/familiar objects
• Follows objects moved in circle (when in supine)
• Visually follows person who is moving across a
  room
• Coos (produces long vowel sounds in musical
  fashion)
• Vocalizes when talked to

5
3 Months

• Supports on forearms in prone position, holds
  head up steadily
• Holds hands open at rest, follows in circular
  fashion, responds to visual threat
• Coos (produces long vowel sounds in musical
  fashion)
• Reaches for familiar people or objects,
  anticipates feeding

6
4 months

• Rolls from prone to supine
• supports on wrists, and shifts weight
• Reaches with arms in unison, brings hands to
  midline
• Laughs, orients to voice
• Enjoys looking around
• Imitates social interaction

7

• http//www.youtube.com/watch?vtt1aE654A4I

8
6 Months

• Sits unsupported,puts feet in mouth in supine
  position
• Reaches for objects, uses raking grasp
• Transfers objects from one hand to other
• Turns directly to sound and voice
• Babbles, ah-goo, razz, lateral orientation to
  bell
• Recognizes that someone is a stranger

9

• http//www.youtube.com/watch?vVc1IBdt0dLM

10
9 Months

• Pivots when sitting, crawls well, pulls to stand,
  cruises
• Uses immature pincer grasp, probes with
  forefinger, holds bottle, throws objects
• Says mama, dada indiscriminately, gestures,
  waves bye-bye, understands no
• Starts exploring environment, plays gesture games
  (e.g., pat-a-cake
• Bangs two blocks together
• Turns when name is called

11

• http//www.youtube.com/watch?vvY2s8rABzTEfeature
  related

12
12 Months

• Takes few steps.
• Uses mature pincer grasp, can make a crayon mark,
  releases voluntarily
• Uses two words other than mama/dada or proper
  nouns
• one-step command with gesture
• Imitates actions, comes when called, cooperates
  with dressing
• Mama Dada Specific

13

• http//www.youtube.com/watch?vcTrwv6ffwwwfeature
  related

14
15 Months

• Creeps up stairs, walks back-wards independently
• Scribbles with crayon, builds tower of two blocks
  in imitation
• Uses 46 words, follows one-step command without
  gesture
• 1518 mo Uses spoon and cup
• Gives and takes a ball
• Puts cube into cup
• Stoops to floor and recovers to standing position
• Points to 1 body part

15
18 Months

• Runs, throws objects from standing without
  falling
• Walks upsatirs without holding hand.
• Scribbles spontaneously, builds tower of 3
  blocks, turns 23 pages at a time
• 710 word vocabulary, knows 5 body parts
• Copies parent in tasks (sweeping, dusting), plays
  in company of other children

16
24 Months

• Walks up and down steps without help
• Imitates stroke with pencil
• Builds tower of 7 blocks, turns pages one at a
  time
• Removes shoes, pants, etc.
• Uses pronouns (I, you, me) inappropriately,
  follows two-step commands, has a 50 word
  vocabulary, uses two-word sentences
• Parallel play
• Washes and dries hands
• Kicks a ball
• Jumps with 2 feet
• Speech is 50 intelligible to a stranger

17
3 Years

• Can alternate feet when going up steps, pedals
  tricycle
• Stands on one foot for 1-2 sec
• Copies a circle, undresses completely, dresses
  partially, dries hands if reminded, unbuttons
• Tower of 8 blocks.
• Uses minimum of 250 words, 3word sentences, uses
  plurals, knows all pronouns, repeats two digits
• Understands basic adjectives, tired, hungry etc
• Group play, shares toys, takes turns, plays well
  with others, knows full name, age, gender
• 75 of speech understandable

18
4 Years

• Hops, skips, alternates feet going down steps
• Balances on 1 foot for 4 sec
• Copies a square, buttons clothing, dresses self
  completely, catches ball
• Names 4 colors, says song or poem from memory,
  asks questions
• Tells tall tales, plays cooperatively with a
  group of children, Pretends play
• Asks where?, Why? , How?
• 100 intelligible speech

19
5 Years

• Skips alternating feet, jumps over low obstacles
• Copies triangle, ties shoe laces, spreads with
  knife
• Prints first name, asks what a word means
• Defines words
• Plays competitive games/board games, abides by
  rules, likes to help in household tasks
• Draws a person with 6 body parts
• Counts 5 blocks
• Names all the primary colors