Pediatrics Developmental Milestones

Gross Motor: flexed posture; low tone

newborn

Gross Motor: Head up when prone

2 months

Gross Motor: Rolling over

4 months

Gross Motor: Sitting up

6 months

Gross Motor: Pulling to stand

9 months

Gross Motor: Walking

12 months

Gross Motor: Stoop and recover

18 months

Gross Motor: Jump on two feet

24 months

Fine Motor: Whole hand reach

4 months

Fine motor: Whole hand grasp; transfer objects

6 months

Fine motor: Pincer grasp

9 months

Fine motor: Place blocks in cup

12 months

Fine motor: Hold utensils

18 months

Fine motor: Scribble

24 months

Expressive Language: cooing (vowel sounds)

2-3 months

Expressive Language: babbling (consonant sounds)

6 months

Expressive Language: Mama, dada non-specifically

9 months

Expressive Language: Mama, dada specifically

10 months

Expressive Language: First real word

12 months

Expressive Language: 7-10 words

18 months

Expressive Language: speech 50% understandable to strangers

24 months

Receptive Language: turns to name

6 months

Receptive Language: Joint attention

9 months (impaired in autism)

Receptive Language: Follows a 1 step direction with gesture

11 months

Receptive Language: Follows a 1 step direction without a gesture

15 months

Receptive Language: Identifies body parts

18 months

Receptive Language: Understands prepositions, more complex sentences

30 months

Social: Fixes on face

2 months

Social: Monitors gaze

4 months

Social: Stranger anxiety, peek-a-boo

9 months

Social: Points for requests

12 months

Social: Points to show interest

18 months

Social: Early pretend play

24 months

Gross Motor Red Flags (Infant, Toddler)

Head lag >3 months (low muscle tone), Rolling

Fine Motor Red Flags (Infant, Toddler)

Fisting > 3 months; hand preference < 18 months (may indicate poor hand function rather than preference)

Language Red Flags (Infant, Toddler)

Social-Emotional Red Flags (Infant, Toddler)

No pointing, gaze monitoring or pretend play by 2 years

Gross Motor: Pedal Tricycle

3 years

Fine Motor: Copy a circle, cut with scissors

3 years

Gross Motor: Hop on one foot

4 years

Fine Motor: Copy a cross; button and snap

4 years

Gross Motor: Gallop, skip

5 years

Fine Motor: Print some letters; write name

5 years

Expressive Language: speech 75% understandable

3 years

Receptive language: Identify 2 colors, knows age

3 years

Expressive Language: speech 100% understandable

4 years

Receptive Language: Knows gender of self and others

4 years

Expressive Language: Uses future tense

5 years

Receptive Language: Knows phone number and address

5 years

Social: imaginary play

3 years

Social: Understands perspective of others

4 years

Social: Can cooperate with chores

5 years

Gross Motor Red Flags (Preschooler)

Trouble with stairs, pedaling, jumping or hopping

Fine Motor Red Flags (Preschooler)

Trouble with fasteners, drawing shapes

Language Red Flags (Preschooler)

Trouble understanding directions; speech difficult to understand

Social-Emotional Red Flags (Preschooler)

Lack of complex play; disinterest in peers; persistent difficulty regulating emotions

Gross Motor: bike riding, sports

School aged

Fine Motor: handwriting

School aged

Speech and Language: reciprocal conversations

School aged

Social-Emotional: Peer groups; best friends

School aged

Cognitive: Academics; complex reasoning

School aged

Red Flags for School Aged Children

Academic challenges, difficulties with peer interactions, mood problems, disruptive behavior, inattention

Ages for general developmental screen

9, 18, and 24-30 months (PEDS and Ages and Stages)

Autism-specific screen ages

18 and 24-30 months (M-CHAT)

Social: concepts of good and bad predominate

3 years

Social: complex roles and stories in play

5 years

Receptive Language: recognizes most letters

5 years

Expressive Language: can give definition of words

5 years

Receptive Language: knows first and last name

4 years

Receptive Language: can count to 4

4 years

Expressive Language: 4-5 word sentences

4 years

Expressive Language: uses past tense

4 years

Expressive Language: 3-4 word sentences

3 years

Expressive Language: several hundred word vocabulary

3 years

Expressive Language: 3-4 word sentences

24 months

Expressive Language: 50 words

24 months

Newborn Reflexes

Grasp, sucking, Babinski, gaze at face, Moro, atonic neck reflex (archer, fencer)

Smiles

2 months

Tracking past midline

2 months

Lifts head when on belly and rotates it

2 months

Anticipatory Guidance: Sleeping

sleep on back with no stuffed animals, only small blankets

Anticipatory Guidance: Smoking

NO SMOKING

Anticipatory Guidance: Water Heater

Set

Lifts head when prone and rotates it

2 months

Sits up unassisted

4 months

Raises head 90 degrees while on stomach

4 months

Plays with a rattle

4 months

When lifted there is no head lag

4 months

Laughs

4 months

Anticipates feeding

4 months

Fusses for attention

4 months

Can begin cereal

4-6 months

Has doubled birth weight

6 months

Lifts chest and head while bearing weight on stomach

6 months

Rolls from back to belly and belly to back

6 months

Can sit in a high chair and hold a bottle

6 months

Likes sound of own voice

6 months

Recognizes parents

6 months

Likes mirrors and toys

6 months

Reaches for objects

6 months