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Developmental Milestones

Developmental Milestones

Birth - 3 Months
3 Months - 6 Months
6 Months - 9 Months
9 Months - 12 Months
12 Months - 24 Months
2 Years - 3 Years
3 Years - 5 Years
5 Years and up
  • Follows moving toys or faces with their eyes
  • Able to lift or raise head from surface when lying on tummy
  • Responds to loud noises
  • Makes sounds like cooing, gurgling, sighing, and grunting
  • Cries differently for different needs
  • Reaches or grasps toys, rattles, or hair
  • Follows moving toys or faces with their eyes
  • Able to lift or raise head from surface when lying on tummy
  • Responds to loud noises
  • Makes sounds like cooing, gurgling, sighing, and grunting
  • Cries differently for different needs
  • Reaches or grasps toys, rattles, or hair
  • Turns head and moves eyes to voices or sounds
  • Rolls over front-to-back and back-to-front
  • Babbles, squeals, and makes speech like sounds such as “p”, “b”, and “m”
  • Pays attention to music, notices toys that make sounds
  • Holds toys, puts toys in mouth, and can help hold the bottle during feedings
  • Moves toys from one hand to the other hand
  • Can sit unassisted for five minutes
  • Copies sounds or gestures
  • Responds to name
  • Likes to play peek-a-boo and pat-a-cake
  • Starts to crawl by pulling self up and kicking legs
  • Recognizes common words (cup, juice, shoe)
  • Can say one or two words (bye-bye, mama, dada)Grabs small objects with thumb and index finger
  • Removes socks and cooperates with dressing activities
  • Able to crawl, pull up on furniture, and take some steps without assistance
  • Responds to simple requests (come here)
  • Can drink from a cup with help
  • Uses some 2-word questions (Where kitty?, Go bye-bye?, What’s that?)
  • Can point to some body parts when asked, points to pictures in a book when named
  • Follows simple commands (roll the ball, kiss the baby, where’s your shoe?)
  • Walks alone without assistance, can keep balance when stepping off objects
  • Says “no” often
  • Likes to pretend play
  • Can throw a small ball, scribbles on paper, and uses spoon with some success
  • Walking, jumping with both feet, and better at running
  • Able to kick and throw a ball
  • Able to walk up and down steps with alternate feet while holding someone’s hand
  • Uses 2-3 word sentences to talk about or ask for things
  • Speech is understood by familiar listeners most of the time
  • Can follow 2 step direction (Get the book and put it on the table)
  • Answers simple questions
  • Repeats simple rhymes and songs
  • Puts their clothes on by themselves (3 yrs.)
  • Hears you when you call from another room
  • Understands simple questions (who, what, where, why)
  • Talks about activities at school or at friends’ homes
  • Uses sentences that have 4 or more words
  • Talks easily without repeating sounds and outside people understand
  • Able to cut paper into 2 pieces, traces lines, can unbutton buttons
  • Can pedal and steer tricycle
  • Bathes self (4-5 yrs.)
  • Can pay attention to short story and answer question about it
  • Hears and understands most of what is said at home and at school
  • Uses sentences that give more detail (I like to read my books)
  • Tells stories and sticks to topic
  • Communicates easily with other children and adults
  • Learning to ride a two-wheeled bicycle
  • Able to skip, run, gallop, and stop
  • Able to engage in tumbling, swimming, swinging, and ball games
  • Has friends and a social group at school, neighborhood, outside activities
  • Chooses own clothing, can make a sandwich, can assist with household chores

Speech & Language Milestones

Birth - 3 Months
3 Months - 6 Months
6 Months - 9 Months
9 Months - 12 Months
12 Months - 24 Months
2 Years - 3 Years
3 Years - 5 Years
5 Years and up
  • Follows moving toys or faces with their eyes
  • Able to lift or raise head from surface when lying on tummy
  • Responds to loud noises
  • Makes sounds like cooing, gurgling, sighing, and grunting
  • Cries differently for different needs
  • Reaches or grasps toys, rattles, or hair
  • Follows moving toys or faces with their eyes
  • Able to lift or raise head from surface when lying on tummy
  • Responds to loud noises
  • Makes sounds like cooing, gurgling, sighing, and grunting
  • Cries differently for different needs
  • Reaches or grasps toys, rattles, or hair
  • Turns head and moves eyes to voices or sounds
  • Rolls over front-to-back and back-to-front
  • Babbles, squeals, and makes speech like sounds such as “p”, “b”, and “m”
  • Pays attention to music, notices toys that make sounds
  • Holds toys, puts toys in mouth, and can help hold the bottle during feedings
  • Moves toys from one hand to the other hand
  • Can sit unassisted for five minutes
  • Copies sounds or gestures
  • Responds to name
  • Likes to play peek-a-boo and pat-a-cake
  • Starts to crawl by pulling self up and kicking legs
  • Recognizes common words (cup, juice, shoe)
  • Can say one or two words (bye-bye, mama, dada)Grabs small objects with thumb and index finger
  • Removes socks and cooperates with dressing activities
  • Able to crawl, pull up on furniture, and take some steps without assistance
  • Responds to simple requests (come here)
  • Can drink from a cup with help
  • Uses some 2-word questions (Where kitty?, Go bye-bye?, What’s that?)
  • Can point to some body parts when asked, points to pictures in a book when named
  • Follows simple commands (roll the ball, kiss the baby, where’s your shoe?)
  • Walks alone without assistance, can keep balance when stepping off objects
  • Says “no” often
  • Likes to pretend play
  • Can throw a small ball, scribbles on paper, and uses spoon with some success
  • Walking, jumping with both feet, and better at running
  • Able to kick and throw a ball
  • Able to walk up and down steps with alternate feet while holding someone’s hand
  • Uses 2-3 word sentences to talk about or ask for things
  • Speech is understood by familiar listeners most of the time
  • Can follow 2 step direction (Get the book and put it on the table)
  • Answers simple questions
  • Repeats simple rhymes and songs
  • Puts their clothes on by themselves (3 yrs.)
  • Hears you when you call from another room
  • Understands simple questions (who, what, where, why)
  • Talks about activities at school or at friends’ homes
  • Uses sentences that have 4 or more words
  • Talks easily without repeating sounds and outside people understand
  • Able to cut paper into 2 pieces, traces lines, can unbutton buttons
  • Can pedal and steer tricycle
  • Bathes self (4-5 yrs.)
  • Can pay attention to short story and answer question about it
  • Hears and understands most of what is said at home and at school
  • Uses sentences that give more detail (I like to read my books)
  • Tells stories and sticks to topic
  • Communicates easily with other children and adults
  • Learning to ride a two-wheeled bicycle
  • Able to skip, run, gallop, and stop
  • Able to engage in tumbling, swimming, swinging, and ball games
  • Has friends and a social group at school, neighborhood, outside activities
  • Chooses own clothing, can make a sandwich, can assist with household chores

Fine Motor Milestones

0-6 Months
6-12 Months
1-2 Years
2-4 Years
4-6 Years
  • Looks at things for a moment
  • Grasps objects for a brief time
  • Reaches objects with both hands
  • Shakes objects while holding
  • Hands reach mouth
  • Holds objects
  • Starts to bang objects on surfaces
  • Can strike two objects together
  • Uses both hands while playing
  • Begins to prod objects
  • Holds objects with ease
  • Doodles and draws
  • Starts to take off socks
  • Starts to use a spoon
  • Begins to write and create shapes on paper
  • Can cut using scissors
  • Can color with colored pencils
  • Can solve puzzles, 2 years appropriate
  • Can unwrap things
  • Can hold pen in hand
  • Can trace some shapes
  • Can put finger on nose tip
  • Grasp is stable and purposeful
  • Brushes teeth by self
  • Can wash and dry face
  • Can copy shapes
  • Colors inside lines of shape

Gross Motor Milestones

0-6 Months
6-12 Months
1-2 Years
2-4 Years
4-6 Years
  • Lifts head while on stomach
  • Tilts head from side to side
  • Holds head up to look at things
  • Rolls from stomach to backside
  • Begins to sit by self
  • Rolls from backside to stomach
  • Starts attempt at crawling
  • Briefly holds body up
  • Starts to crawl
  • Stands at furniture
  • Lets go of furniture and can stand on two feet
  • Can walk along edge of furniture
  • Can walk holding a person’s hand
  • Begins to throw objects
  • Starts to walk alone
  • Begins to jump
  • Throws balls
  • Squats
  • Can walk backwards
  • Bounces and kicks large ball
  • Jumps
  • Runs easily
  • Can remain on one foot
  • Can ride a tricycle
  • Can catch a ball with both hands
  • Stands on one foot for prolonged time
  • Can skip
  • Can jump on one foot
  • Can throw ball over own head
  • Can catch ball
  • Can jump a greater distance

Feeding Milestones

0-3 Months
4-6 Months
7-12 Months
1-2 Years
2-3 Years
3-4 Years
  • Suck-swallow reflex
  • Beginning to bring hand to mouth
  • Takes in a spoonful of pureed food without choking
  • Opens mouth when food is approaching
  • Begins to feed self with fingers
  • Begins to eat ground or finely chopped foods
  • Tries to start feeding with a spoon, but turns it over
  • Consumes all textures
  • Can drink using straw
  • Primarily feeds self
  • Uses fork independently
  • Holds cup with one hand
  • Drinks without spillage
  • Becomes the helper in the kitchen

Social-Emotional Milestones

1-2 Years
2-3 Years Old
  • Recognize himself/herself in the mirror or photograph and smile or make faces at himself/herself
  • Begin to say ‘no’ to bedtime and other requests
  • Imitate adults’ actions and words (e.g. chores)
  • Understand words and commands, and respond to them
  • Hug and kiss parents, familiar people and pets
  • Bring things to “show” other people
  • Begin to be helpful around the house
  • Begin to feel jealousy when she is not the center of attention
  • Show frustration easily
  • May play next to another child, but will not really share until 3 or 4 years of age
  • Be able to play alone for a few minutes
  • React to changes in daily routines
  • Share a piece of food
  • Develop a range of emotions (may have tantrums, show aggression by biting, etc)
  • Start to assert independence by preferring to try do things “by myself”, without help

Red Flags for Social-Emotional Development (2 years)

If you notice some of the following things by the time your child is 18-24 months old (2 years), you may want to talk to your doctor, or to another health professional such as a mental health clinician, a speech-language pathologist, an occupational therapist, or a psychologist.

  • Doesn’t imitate other people
  • Constantly moves from one activity to another and is not able to stay at an activity for brief periods
  • Requires constant attention to stay at an activity 
  • Doesn’t show any interest in other children
  • Doesn’t “show” things to other people
  • Extremely “rigid” about routines, becoming extremely upset when they are changed
  • Too passive, and doesn’t want to try things other children her age are doing
  • Has extreme difficulty waiting for items he wants
  • Be assertive about what he wants, and say no to adult requests
  • Start to show awareness of her own feelings and others’ feelings
  • Have rapid mood shifts
  • Show more fear in certain situations (e.g the dark)
  • Become shy, and may start to whine
  • Possibly become aggressive and frustrated easily
  • Not like change
  • Want independence, but still need security of parents
  • Need an ordered, predictable routine (ie: when saying good-bye to parents)
  • Watch other children in play, and join them briefly
  • Defend his possessions
  • Begin to play “house”
  • Begin to separate more easily from parents
  • Begin to show empathy to other children (respond to their feelings)

Red Flags for Social-Emotional Development (3 years)

If you notice some of the following things by the time your child is 3 years old, you may want to talk to your doctor, or to another health professional such as a mental health clinician, a speech-language pathologist, an occupational therapist, or a psychologist.

  • She is not interested in pretend play
  • She has extreme difficulty separating from you
  • He is not starting or responding to simple interactions with other children
  • She is showing abnormal aggression
  • He shows extreme fears that interfere with daily activities
  • She is extremely “rigid” about routines

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