Peds Developmental Progressions

Dressing 1 yr

Cooperates in dressing - pulls off shoes and socks

Dressing 2 yrs

Removes unfastened front opening garments (coat) and helps pull down pants

Dressing 3 yrs

Puts on pull over shirt, puts on shoes without fasteners, puts on socks, pulls pants down/up independently, zips/unzips engaged (parent holds bottom) zipper, buttons large buttons

Dressing 3.5 yrs

Snaps or hooks in front, unzips separating zipper, can dress with supervision for correct orientation of front and back garments (clothes put on but might be backward)

Dressing 4 yrs

Removes pullover garment, zips, buckles, puts on shoes, lace but cannot tie, consistent with front/back of garments

Dressing 5 yrs

Ties/unties knots and dresses unsupervised

Toileting 1 yr

Shows distress when soiled

Toileting 2 yrs

Child begins to initiate interest in potty training

Toileting 30 mos

Child indicates a need to urinate or have bowel movement

Toileting 3 yrs

Child will often toilet on own

Toileting 4 yrs

Child has few accidents

Toileting 4.5 yrs

Child toilets independently and pulls up and adjust clothing

Toileting 5 yrs

Child washes hands after toileting

Self feeding 6-9 mos

Wants to help with feeding, starts holding and mouthing large crackers/cookies, plays with spoon, grabs/bangs spoon, puts both ends in mouth

Self feeding 9-13 mos

Finger feeds soft foods and foods that melt quickly (puffs/yogurt bites)

Self feeding 12-14 mos

Dips spoon in food, moves spoon to mouth but is messy and spills

Self feeding 15-18 mos

Scoops food with a spoon and feeds self

Self feeding 18-24 mos

Wants to feed self

Self feeding 2-3 yrs

Stabs food with a fork

Self feeding 3-5 yrs

Eats independently