AGE Neonate PHYSIAL-NEURO GROSS MOTOR DEVELOPMENTAL MILESTONES FINE MOTOR LANGUAGE INTERPERSONAL SOCIAL Prefers human face Five months Moro Reflex gone Four months Six months Doubles birth weight, dentition PLAY FEEDING Enjoys bathtub toys, rubber ring for teething Transfer object from hand to hand. Likes objects that are good size for transferring Enjoys manipulation, rattles, toys of different textures Fruits Chews, bites, begins to have good preference Give vegetables Attempts to bring lips to cup Anticipates food, begins solid Give iron fortified cereal mixed with breast milk, orange juice or formula begins finger food, self feeding Wt gain 4oz/wk Extrusion reflex fades, drools Strong extrusion reflex Root, suck, swallow Follows and enjoys bright colored mobiles Cry Social smile; smile in mother’s presence Reflex grasp Differential crying, coos Recognizes the mother Spends time looking at hands or uses them as toy (hand regard) Plays with rattle Needs space to turn Enjoys watching face of primary care giver (mother), listening to soothing sounds Differential crying Coos and gurgles Laugh audibly Very talkative Head lag Largely reflex Early crawling movements Follow moving objects Laughs aloud One month Hands held open Follows object past midline Binocular vision Brings hand together Vocalizes displeasure Two months Holds head up when prone; Able to turn from side to side 2 hand grasp May say vowel sounds (oh-oh) Three months Appearance of thump apposition; Hold bottle with 2 hands (palmar grasp) m-m-m- when crying Dance reflex disappears Closure of posterior fontanels; diminish tonic neck and moro reflex Grasp reflex disappears Absent tonic neck Sits with support, Hitches, can turn from back to stomach Transfer objects hand to hand Handles rattles well Bounces feet in mouth Sits for short periods Lift head and chest on prone position Rolls over Seven months Sits without support Extends arms to loved person; early ability to distinguish strangers Cough to get attention, begins fear to strangers Eight months Height of stranger anxiety FINE MOTOR PHYSIAL-NEURO GROSS MOTOR AGE Nine months Crawls then creeps; pulls self to standing position with support Preference for one hand Pincer grasp- uses thumb and fingers to hold Points to objects; Brings hand together Triples birth weight Babinski disappears Put small bottles. Scribbles voluntarily with a pencil or crayon. Holds cups and spoon to bring to mouth Attempts 3 tower block No longer rotates a spoon to bring it to mouth Puts objects in a container Attempts 2 tower Blocks. Holds cups and spoon well; helps to dress (pushes arms into sleeves) Ten months Eleven months Twelve months Plateau Stage Anterior fontanel closes Walks alone well; can seat self in chair; can creep upstairs Moves from prone to sitting, pulls self to standing position; crawls well Cruises, almost ready to walk Walks with support; sits from standing position without assistance 15 months 18 months Sits self on a chair; Can run and jump in place, can walk up and down stairs holding onto a person’s hand and railing. Typically places both feet on one step before advancing PLAY FEEDING Uses thumb and fingers to hold smaller toys Need space for creeping Drinks from cup, uses spoon but may spill (Egg yolk) LANGUAGE Combines syllables mama, dada “Peek-a-boo”, “pat a cake” picks up small objects INTERPERSONAL SOCIAL Cries when scolded Understands “NO” Responds to own name; vocalize one or two words Follows directions Grasp the spoon Eats with fingers Says two words plus mama and papa Vocalizes wants Smears stool, started on bowel training Name familiar objects 4-6 words Enjoys several toys, enjoys dropping objects to see where they will go; Likes toys that fit inside each other (pots, pans); nursery rhymes; pull-toys as soon as walking Can stack 2 blocks; enjoys being read to; drops toys for adult to recover (exploring a sense of permanence) Uses phrases 7-20 words; uses jargoning names body parts Has a favorite toy Imitates household chores; dusting etc. Begins parallel play (playing beside not with another child) AGE Terrible twos PHYSIAL-NEURO Trusting three 20 temporary teeth 2 Years 2 ½Years 3 Years Furious Four GROSS MOTOR FINE MOTOR Uses scissors, copies circles, unbutton buttons Undress well, stacks tower of blocks; draws cross Copies squares, laces shoes Can do simple buttons Copies triangles, prints letters, draws picture of a 6 part man; ties shoes; dress without help Recognizes and draws all shapes Jumps crudely, goes Attempts 5 tower up and down with block, writes vertical both feet on same lines steps Walks up stairs alone Can open doors by still using both feet on turning door knobs, same step at same unscrew lids time Tiptoes, stands on one Piles 7-8 blocks foot Makes simple lines or Can jump down from strokes for crosses chairs with a pencil Runs skillfully Throws overhand; Skips alternate feet; jumps rope 4 Years 5 Years Frustrating Five I can and you can’t stage Clumsy movement because of fatigue Jumps, tumbles, skip and hop Walks backward Runs; alternates feet on stairs; rides tricycle; stands on one foot; undress without help Jumps and climbs wall Constantly in motion; 6 Years Years of expansion of physical and psychological changes; begins losing temporary teeth; first appearance of first permanent teeth LANGUAGE Uses short sentences 50 words, 2 words sentences (nounpronoun and verb) e.g. Daddy go Verbal language increasing steadily. Knows full name; can name 1 color and holds up fingers to show age Speak fluently using longer sentences Vocabulary of 900 words Exaggerates and boast; names colors; vocabulary of 1500 words Talk constantly Vocabulary 2, 100 words Fixed speech, may use slang, may swear Full sentence; define objects by their use PLAY Parallel play, takes favorite toy to bed Knows family name, sings simple songs, knows own sex; with “imaginary” friends Pretending is major activity Pedal well Able to take turns; Very imaginative INTERPERSONAL SOCIAL Helps undress himself, bladder trained at daytime Knows how old he is, gender specific behavior Likes games with numbers or letters; beginning of cooperative play Rides tricycle, throws ball Spends time playing house, imitating parents’ actions Knows relatives, aunts, uncles cousins; tolerates increasing periods of separation from parents Beginning interest in God; self-centered; show-off, rude; sensitive to criticism FEEDING Feeds self well 8 Years 7 Years AGE Neither a child nor a youth Expansive age. Age of Broadening experience Assimilative quieting down period PHYSIAL-NEURO Uses both hands independently Smoother movement Wiggles loose teeth; able to ride twowheel bike; accurate in jumping GROSS MOTOR Master script writing. Takes care of body needs completely Read and write script rather than prints Copies diamond FINE MOTOR Tell time correctly Tell “dirty jokes”; “bathroom jokes” Counts backwards Tells time in hours; have trouble with concepts of half past and quarter to. LANGUAGE Normal homosexual INTERPERSONAL SOCIAL Enjoy teasing, has high standard for family; increasing self-reliance for basic activities; 9 Years Writes legibly Full of energy, constantly active Age of special talents 10 Years Pre-adolescent Reasons using cause and effect 11-12 Years “select language” Can have adult conversation “hero worship; conflicts between adult authorities and peer group; better behaved; conflict between needs for independence and dependence Well mannered with adults; starts to be more selective when choosing friends Critical of adults, shares secrets with friends; develops beginning of interest in opposite sex; loves conversations; raises pets PLAY Enjoys playing alone Like to use props when playing; plays skip rope “girl and boy games”; likes to collect items; baseball cards, dolls, rocks and marbles Likes table games but hate to lose; rides bicycle well; joins sports like: gymnastic, soccer; hockey, table tennis; Reads comic books; play cards; baseball; basketball; and volleyball; Involved in group activities; uses telephone Joins organizations like scouting; loves watching tv and play video games; FEEDING
