Peds: Developmental Milestones/Vaccine Charts

Gross motor milestone:

Lifts chin up in prone position

Turns head up when prone

What is the most likely age of your pt?

1 month

Gross motor milestone:

Sits w/ support

No head lag

Rolls from front to back

What is the most likely age of your pt?

4 months

Gross motor milestone:

Sits propped up on hands

Lateral Protection

Bounces when held

What is the most likely age of your pt?

6-7 months

Gross motor milestone:

Pulls to stand

Bear walks

Begins creeping

What is the most likely age of your pt?

9 months

Gross motor milestone:

Stands independently

Starts taking first steps

What is the most likely age of your pt?

12 months

Fine motor milestone:

Hands fisted

What is the most likely age of your pt?

1 month

Fine motor milestone:

Hands predominantly open

Reaches for objects

What is the most likely age of your pt?

4 months

Fine motor milestone:

Transfers objects from hand to hand

Reaches out with one hand

Feeds self cracker

What is the most likely age of your pt?

6-7 months

Fine motor milestone:

Pincer grasp

Bangs two cubes together

What is the most likely age of your pt?

9 months

Fine motor milestone:

Scribbles

Hold crayon

Makes tower w/ two cubes

What is the most likely age of your pt?

12 months

Language milestone:

Makes throaty noises

Startles to sound

What is the most likely age of your pt?

1 month

Language milestone:

Laughs out loud

Stops crying to soothing voice

What is the most likely age of your pt?

4 months

Language milestone:

Babbles, consonant sound

Understands “no”

What is the most likely age of your pt?

6-7 months

Language milestone:

Says “mama” nonspecifically

Imitates sound

Orients to name

What is the most likely age of your pt?

9 months

Language milestone:

Says one word w/ meaning

Points to get objects

Follows one-step commands w/ gesture

What is the most likely age of your pt?

12 months

Social-Emotional milestone:

Discriminates parents’ voices

Follows face

What is the most likely age of your pt?

1 month

Social-Emotional milestone:

Social smile

What is the most likely age of your pt?

4 months

Social-Emotional milestone:

Enjoys reflection in mirror

Looks from object to parent and back when wanting to help

What is the most likely age of your pt?

6-7 months

Social-Emotional milestone:

Follows a point

Enjoys peek a boo

Develops stranger anxiety

What is the most likely age of your pt?

9 months

Social-Emotional milestone:

Shows objects to parents to share

What is the most likely age of your pt?

12 months

Gross motor milestone:

Stoops to pick up toys, climbs on furniture, runs stiff legged

What is the most likely age of your pt?

15 months

Gross motor milestone:

Creeps down stairs, runs well

What is the most likely age of your pt?

18 months

Gross motor milestone:

Walks down stairs holding rail with both feet on one step, kicks ball

What is the most likely age of your pt?

24 months

Gross motor milestone:

Walks up stairs, holding on, alternating feet, jumps in place

What is the most likely age of your pt?

30 months

Gross motor milestone:

Goes up stairs w/o holding on, alternative feet, pedals tricycle

What is the most likely age of your pt?

3 years

Gross motor milestone:

Balances on one foot for 8 seconds, throws ball overhand, catches bounced ball

What is the most likely age of your pt?

4 years

Gross motor milestone:

Walks down stairs, alternating feet, hops on one foot, skips

What is the most likely age of your pt?

5 years

Fine motor milestone:

Uses spoon w/ some spilling, places 10 cups in cup, turns pages in book

What is the most likely age of your pt?

15 months

Fine motor milestone:

Makes 4-cube tower, imitates vertical stroke

What is the most likely age of your pt?

18 months

Fine motor milestone:

Imitates horizontal line, opens door kno, sucks through straw

What is the most likely age of your pt?

24 months

Fine motor milestone:

Makes tower with 8 cubes, can wash hands, brush teeth with help

What is the most likely age of your pt?

30 months

Fine motor milestone:

Copies circle, strings small beds, draws 2-3 part person

What is the most likely age of your pt?

3 years

Fine motor milestone:

Copies square, goes to toilet alone, draws 4-6 part person

What is the most likely age of your pt?

4 years

Fine motor milestone:

Copies triangle, cuts with scissors, writes first name

What is the most likely age of your pt?

5 years

Language milestone:

Uses 3-5 words, mature jargon speech, points to one body part

What is the most likely age of your pt?

15 months

Language milestone:

Uses 10-25 words, points to 3 body parts, points to self, familiar people

What is the most likely age of your pt?

18 months

Language milestone:

Uses 2-word sentences, uses 50+ words, has 50% intelligibility, refers to self by name

What is the most likely age of your pt?

24 months

Language milestone:

Refers to self with correct pronoun, understands action words, understand prepositions

What is the most likely age of your pt?

30 months

Language milestone:

Uses 3-word sentences, has 75% intelligibility, understands negatives, knows own gender

What is the most likely age of your pt?

3 years

Language milestone:

Speaks with 100% intelligibility, follows 3 step commands, understands adjectives

What is the most likely age of your pt?

4 years

Language milestone:

Speaks in 6-8 word sentences,can count to 10, knows colors, knows telephone number, retells story with clear beginning, middle end, enjoys rhyming words

What is the most likely age of your pt?

5 years

Social-emotional milestone:

Shows empathy, gives hugs on request

What is the most likely age of your pt?

15 month

Social-emotional milestone:

Engages in pretend play

What is the most likely age of your pt?

18 months

Social-emotional milestone:

Parallel play

What is the most likely age of your pt?

24 months

Social-emotional milestone:

Imitates adult action (cooking, cleaning, talking on phone)

What is the most likely age of your pt?

30 months

Social-emotional milestone:

Starts to share, imaginative play, fears imaginary things

What is the most likely age of your pt?

3 years

Social-emotional milestone:

Has a preferred friend, labels feelings, group play

What is the most likely age of your pt?

4 years

Social-emotional milestone:

Has a group of friend, apologizes for mistakes

What is the most likely age of your pt?

5 years

What vaccines does an infant need at birth?

Hep B

What vaccines does an infant need at 2 months?

Hep B

RV

DTaP

HiB

PCV

IPV

What vaccines does an infant need at 4 months?

RV

DTaP

Hib

PVCV

IPV

What vaccines does an infant need at 6 months?

HepB

DTaP

*Hib

PCV

IPV

+/- RV

What vaccines does an infant need at 12 months?

MMR

V

HepA

PCV

What vaccines does a toddler need at 15 months?

DTaP

Hib

What vaccines does a toddler need at 18 months?

Hep A

What vaccines does a child need at 4 y/o?

MMR

V

DTaP

IPV

What vaccines does a child need at 11 y/o?

Tdap

HPV

MenACWY

What vaccines does a child need at 16 y/o?

MenACWY

At what do you start giving the yearly flu/covid vaccines?

6 mo

5 y/o pt comes in with mom, is all UTD on vaccines but never had flu shot before and it is flu season, what do you recommend?

Recommend vaccine today and a second dose in 4 weeks

(for all first time flu shots up to 8 years old, recommend two dose series, then once yearly every fall)

What is in the DTaP vaccine?

Diphtheria, Tetanus, pertussis

Which pneumococcal vaccine is preferred?

PCV 15 or 20

What is in the MMR vaccine?

Measles, Mumps, Rubella

What is in the IPV vaccine?

polio

Helpful diagram for Pediatric Vaccinations

What is in the HiB vaccine?

Haemophilus Influenzae type B

Where should you give a patient their IM vaccine if they are <2yo ?

Anterolateral thigh

Where should you give a patient their IM vaccine if they are ≥3 y/o?

deltoid

What does Pediarix give protection from?

diphtheria, tetanus, pertussis, hep B, polio

What does Pentacel give protection from?

diphtheria, tetanus, pertussis, polio, Hib

What does Kinrix/Quadracel give protection from?

diphtheria, tetanus, pertussis, polio

What does Vaxelis give protection from?

diphtheria, tetanus, pertussis, polio, hep B, Hib

What does Proquad give protection from?

measles, mumps, rubella, varicella

What vaccines are combined to form the Pediarix vaccine?

DTap + Hep B + IPV

What vaccines are combined to form the Pentacel vaccine?

DTap + IPV + Hib

What vaccines are combined to form the Kinrix/Quadracel vaccine?

DTap + IPV

What vaccines are combined to form the Vaxelis vaccine?

DTaP + IPV + Hib + HepB

What vaccines are combined to form the Proquad vaccine?

MMR + varicella