Developmental Milestones

Developmental milestones during first year of life
Age
(months)
Gross Motor
Fine Motor
Language
Social/cognitive
 2
 • Lifts head/chest in prone position
• Hands unfisted 50%
of the time
• Tracks past midline
• Alerts to voice/sound
• Coos
• Social smile
• Recognizes parents
 4
• Sits with trunk support
Begins rolling
• Hands mostly open
• Reaches midline
·       Laughs
·       Turns to voice
·       Enjoys looking around
 6
• Sits momentarily propped on hands
(unsupported by 7 months)
• Transfers objects
hand to hand
• Raking grasp
• Responds to name
• Babbles
• Stranger anxiety
 9
• Pulls to stand
• Cruises
• 3-finger pincer
grasp
• Holds bottle or cup
 • Says “dada,” “mama”
• Waves “bye”
• Plays “pat-a- cake”
 12
• Stands well
• Walks first steps independently
• Throws ball
• 2-finger pincer
grasp
·       Says first words other
than “dada,” “mama”
·       Separation anxiety
·       Comes when called
Developmental milestones during toddlerhood
Age 
Gross Motor
Fine Motor
Language
Social/cognitive
 10 months
• Stands well
• Walks first steps
independently
• Throws a ball
• 2-finger pincer grasp
• Says first words (other
than “mama” & “dada”)
Separation anxiety
• Follows I-step
commands with gestures
 18 months
• Runs
• Kicks a ball
• Builds a tower of 2-4
cubes
• Removes clothing
• 10- to 25-word vocabulary
• Identifies 1 body parts
• Understands “mine”
• Begins pretend play
 2 years
• Walks up/down stairs with
both feet on each step
• Jumps
·       Builds a tower of 6 cubes
·       Copies a line
·       Vocabulary 250 words
·       2-word phrases
• Follows 2-step
commands
• Parallel play
Begins toilet training
 3 years
• Walks up/down stairs with alternating feet
• Rides tricycle
·       Copies a circle
·       Uses utensils
·       3-word sentences
·       Speech 75% intelligible
• Knows age/gender
• Imaginative play
 4 years
• Balances & hops on 1 foot
·       Copies a cross
• Identifies colors
• Speech 100% intelligible
• Cooperative play
5 years
• Skips
• Catches ball with 2 hands
·       Copies a square
·       Ties shoelaces
·       Dresses/bathes independently
·       Prints letters
·       Counts to 10
·       5-word sentences
• Has friends
• Completes toilet training
Age 
Gross Motor
Fine Motor
Language
Social/cognitive
3 mo
Roll
Laugh
Smile
6 mo
Sit
Switches
Shmooze
Stranger
9 mo
Pull
Pincer
Papa
Play
12 mo
Two-legs
Track
Two-words
Two-of-us
Source: DirtyUSMLE
Sexual behavior in Preadolescents (<12 ys)
🆎
Toddler
• Exploring others’ genitals
• Masturbatory movements
• Undressing self or others
·       Insertion of objects into
vagina or anus
·       Sex play involving genital-genital, oral- genital, or anal-genital contact
·       Use of force, threats, or bribes in sex play
·       Age-inappropriate
sexual knowledge
School-age
interest in sex words &
play
Asking questions about sex
• Masturbatory movements
(may become more
sophisticated)

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