Med-Peds Resources
Menu

Pediatric Milestones

Pediatric Milestones

AgeGross MotorVisual–Motor/Problem-SolvingLanguageSocial/Adaptive
1 monthRaises head from prone positionVisually fixes, follows to midline, has tight graspAlerts to soundRegards face
2 monthsHolds head in midline, lifts chest off tableNo longer clenches fists tightly, follows object past midlineSmiles socially (after being stroked or talked to)Recognizes parent
3 monthsSupports on forearms in prone position, holds head up steadilyHolds hands open at rest, follows in circular fashion, responds to visual threatCoos (produces long vowel sounds in musical fashion)Reaches for familiar people or objects, anticipates feeding
4 monthsRolls over, supports on wrists, shifts weightReaches with arms in unison, brings hands to midlineLaughs, orients to voiceEnjoys looking around
6 monthsSits unsupported, puts feet in mouth in supine positionUnilateral reach, uses raking grasp, transfers objectsBabbles, ah-goo, razz, lateral orientation to bellRecognizes that someone is a stranger
9 monthsPivots when sitting, crawls well, pulls to stand, cruisesUses immature pincer grasp, probes with forefinger, holds bottle, throws objectsSays “mama, dada” indiscriminately, gestures, waves bye-bye, understands “no”Starts exploring environment, plays gesture games (e.g., pat-a-cake)
12 monthsWalks aloneUses mature pincer grasp, can make a crayon mark, releases voluntarilyUses two words other than “mama, dada” or proper nouns, jargoning (runs several unintelligible words together with tone or inflection), one-step command with gestureImitates actions, comes when called, cooperates with dressing
15 monthsCreeps up stairs, walks backward independentlyScribbles in imitation, builds tower of two blocks in imitationUses 4–6 words, follows one-step command without gesture15–18 months: uses spoon and cup
18 monthsRuns, throws objects from standing without fallingScribbles spontaneously, builds tower of three blocks, turns two or three pages at a timeMature jargoning (includes intelligible words), 7–10-word vocabulary, knows five body partsCopies parent in tasks (sweeping, dusting), plays in company of other children
24 monthsWalks up and down steps without helpImitates stroke with pencil, builds tower of seven blocks, turns pages one at a time, removes shoes, pants, etc.Uses pronouns (I, you, me) inappropriately, follows two-step commands, 50-word vocabulary, uses two-word sentencesParallel play
3 yearsCan alternate feet going up steps, pedals tricycleCopies a circle, undresses completely, dresses partially, dries hands if reminded, unbuttonsUses minimum of 250 words, three-word sentences, uses plurals, knows all pronouns, repeats two digitsGroup play, shares toys, takes turns, plays well with others, knows full name, age, gender
4 yearsHops, skips, alternates feet going down stepsCopies a square, buttons clothing, dresses self completely, catches ballKnows colors, says song or poem from memory, asks questionsTells “tall tales,” plays cooperatively with a group of children
5 yearsSkips alternating feet, jumps over low obstaclesCopies triangle, ties shoes, spreads with knifePrints first name, asks what a word meansPlays competitive games, abides by rules, likes to help in household tasks