DEVELOPMENTAL MILESTONES

AGE PHYSICAL-NEURO GROSS MOTORCephalocaudal

FINE MOTORProximo-distal

LANGUAGESimple to Complex

INTERERPERSONAL SOCIAL

PLAY FEEDING

Neonate Head lag Reflex grasp Cry Prefers human face Solitary Games Root, suck, swallowsOne Month Dance reflex disappears Follows mobiles Strong Extrusion reflexTwo Months Closure of posterior fontanels Lifts head on prone Hands held open Social smileThree Months Grasp reflex disappears Lifts head and chest on

prone positionDifferential cryingCoos and gurgles

Recognizes the mother Plays with rattle Extrusion reflex fades, drools

Four Months Front to backBack to Front

Brings hands together Laughs aloud, imitating sound

Very talkative Attempts to bring lips to cup

Five Months Moro reflex gone Rolls over Vocalizes displeasure Anticipates food, begins solid foods

Six Months Doubles birth weight, dentition Sits with support, hitches Holds bottle with 2 hands, (palmar grasp)

Extends arms to loved Begins finger food, self-feeding

Seven Months Bounces, feet in mouth Transfers objcects m-m-m when crying Coughs to get attention, begins to fear strangers

Chews, bites, begins to have food preference

Eight Months Sits without support Height of stranger anxietyNine Months Crawls then creeps Pincer grasp – uses thumb and

fingers to holdCombines syllables mama, dada

Cries when scolded “peek-a-boo, picks up small objects

Ten Months Moves from prone to sitting, pulls self to standing position

Points at objects Understands “NO”Responds to own name

Drinks from cup, uses spoon but may spill

Eleven Months Cruises, almost ready to walk

Puts objects in a container, preference for one hand

Twelve Months Triples birth weightBabinski reflex disappears

Walks with support, stands alone

Put and Throws objectsAttempts two tower blocks

Follows directions Enjoys several toys, enjoys dropping objects to see where they will go

14-15 Months Plateau stage Walks alone Names familiar objects Vocalizes wants Grasps the spoon18 Months Anterior fontanel closes Sits self on a chair Attempts 3 tower block Uses phrases Smears stool, started on

bowel trainingHas a favorite toy

2 years Terrible twos Jumps crudely, goes up and down stairs with both feet on same step

Attempts 5 tower block, writes vertical lines

Uses short sentences Helps undress himself Parallel play, takes favorite toys to bed

2 ½ years 20 temporary teeth Tiptoes, stands on one foot

Piles 7-8 blocks Rides tricycle, throws ball

3 years Trusting three Walks backwards Uses scissors, copies circles Speaks fluently using longer sentences

Knows family name,sings simple songs, knows own sex

Cooperative/Associative Games, Pedals well

Feeds self well, Begins to have food jags

4 years Furious four Jumps and climbs well Copies squares, unbuttons buttons

Exaggerates and boasts Knows how old he is, names colors

5 years Frustrating five, “I can and you can’t” stage

Runs skillfully Copies triangles, prints letters, draws pictures of a man, ties shoe lace

Talks constantly Knows relatives, aunts, uncles, cousins

6 years Years of expansion of physical and psychological changes

Clumsy movement because of fatigue

Recognizes and draws all shapes

Fixed speech, may use slang, may swear

Beginning interest in God

7 years Assimilative quieting down period

Wiggles loose teeth Copies a diamond Enjoys teasing, has high standards for family

Competitive Games

8 years Expansive age, Age of broadening experience

Smoother movement Writes more than print Counts backwards Normal homosexual

9 years Neither a child nor a youth Uses both hands independently

Takes care of body completely Tells time correctly “hero worship”

10 years Age of special talents Writes legibly Reasons using cause and effect

Well mannered with adults Involved in group activities

11-12 years Pre-adolescent Full of energy, constantly active

“secret language” Critical of adults. Shares secrets with friends

Joins organization like scouting