Developmental Milestones

DEVELOPMENTAL MILESTONES IN INFANTS AND CHILDREN
‫ حجي إبراهيم الزويد‬.‫د‬

‫مستشفى الوالدة واألطفال ابألحساء‬
Age Gross Motor Visual- Fine Language Social/Adaptive

Motor/Problem-Solving
1 Raises head from Visually fixes, follows to Alerts to sound Body movements in
mo prone position midline, has tight grasp cadence with voice of
other in social contact;
beginning to smile
2 Holds head in No longer clenches fists listens to voice and coos Smiles socially (after
mo midline, lifts chest tightly, Follows moving being stroked or talked
off table object 180 degrees to)
3 Supports on Holds hands open at rest, Coos (produces long vowel Sustained social
mo forearms in prone turns head toward object, sounds in musical fashion) contact; listens to
position, partial fixes and follows fully in music; says “aah,
head lag all directions with eyes, ngah”, anticipates
watches own hands feeding, stares at faces
4 Rolls over, Reaches for an object, Laughs, turns head in Enjoys looking
mo supports on wrists, grasps it, brings it to direction of sound around, may show
shifts weight, No mouth, brings hands to displeasure if social
head lag; head midline contact is broken;
steady, tipped excited at sight of food
forward
6 Sits with minimal Unilateral reach, uses Babbles, ah-goo, razz, lateral Recognizes that
mo support, lifts head raking grasp, Transfers orientation to bell someone is a stranger
while supine, rolls object from hand to hand
from prone to
supine
10 Sits up without Grasps objects with thumb Says “mama, dada” Plays gesture games
mo support, with back and forefinger, probes with indiscriminately,” (e.g., pat-a-cake),
straight, pulls to forefinger, holds bottle, waves bye-bye
standing position; throws objects, picks up
“cruises” or walks pellet with assisted pincer
holding on to movement, uncovers
furniture, crawls hidden toy, releases object
well grasped by other person
12 Walks alone Uses mature pincer grasp, Uses few words other than Imitates actions,
mo can make a crayon mark, “mama, dada” or proper comes when called,
releases voluntarily nouns, jargoning (runs cooperates with
several unintelligible words dressing, : Plays
together with tone or simple ball game.
inflection), one-step
command with gesture
15 Creeps up stairs, Scribbles in imitation, Uses 4–6 words, follows 15–18 mo: uses spoon
mo walks alone makes tower of 3 cubes; one-step command without and cup; indicates
makes a line with crayon; gesture. some desires or needs
inserts raisin in bottle by pointing; hugs
parents
18 Runs stiffly, sits on Scribbles spontaneously, Mature jargoning (includes Feeds self; seeks help
mo small chair; walks builds tower of 4 blocks, intelligible words) , 10 words when in trouble; may
up stairs with 1 turns two or three pages at (average) vocabulary; names complain when wet or
hand held; explores a time, pictures; identifies 1 or more soiled; kisses parent
drawers and parts of body with pucker, plays in
wastebaskets company of other
throws objects children
from standing
without falling
24 Runs well, Walks Imitates stroke with pencil, Uses pronouns (I, you, me) Parallel play, handles
mo up and down steps builds tower of 7 cubes, inappropriately, follows two- spoon well; often tells
without help, 1 turns pages one at a time, step commands, 50-word about immediate
step at a time; removes shoes, pants, etc. vocabulary, puts 3 words experiences; helps to
opens doors; together (subject, verb, undress; listens to
climbs on object) stories when
furniture; jumps shown pictures
3 yr Can alternate feet Copies a circle, undresses Uses minimum of 250 words, Shares toys, takes
going up steps, completely, dresses 3-word sentences, uses turns, plays well with
stands partially, dries hands if plurals, knows all pronouns, others, knows full
momentarily on 1 reminded, unbuttons Knows age and sex; counts 3 name, age, gender ,
foot, rides tricycle objects correctly; repeats 3 helps in dressing
numbers or a sentence of 6 (unbuttons clothing
syllables; most of speech and puts on
intelligible to strangers shoes); washes hands
4 yr Hops, skips, Copies a square, and Knows colors, says song or Tells “tall tales,” plays
alternates feet square; draws man with 2- poem from memory, asks cooperatively with a
going down steps, 4 parts besides head; questions group of children, goes
uses scissors to cut identifies longer of 2 lines, to toilet alone
out pictures; buttons clothing, dresses
climbs well self completely, catches
ball
5 yr Skips alternating Copies triangle, ties shoes, Names 4 colors; repeats Plays competitive
feet, jumps over spreads with knife sentence of 10 syllables; games, abides by
low obstacles counts 10 pennies correctly rules, likes to help in
household tasks,
dresses and undresses;
asks questions about
meaning
of words
‫مع خالص دعائي لكم بالتوفيق و النجاح – د حجي إبراهيم الزويد‬
References : Nelson Textbook Of Pediatrics 20 th Edition, 2016, The Harriet Lane Handbook 20th Edition 2015, Swaiman's Pediatric
Neurology 2012

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DEVELOPMENTAL MILESTONES IN INFANTS AND CHILDREN

‫ حجي إبراهيم الزويد‬.‫د‬

Age Gross Motor Visual- Fine Language Social/Adaptive

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