Developmental Milestones
Fine and Visual Motor Skills
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1-2 months: Reflexive grasp: place a finger into the
palm of their hand, child will grasp finger.
3-5 months: Holds rattle from 15-30 seconds.
3-5 months: Brings hands to midline.
5-6 months: Holds bottle.
8 months: Transfers small objects from one hand to
the other hand.
11 months: Removes socks.
12 months: Removes 2-3 pegs from peg board.
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14 months: Opens books.
15-16 months: Places 1-3 pegs into peg board.
18-24 months: Imitates a vertical line.
20-24 months: Imitates a circular scribble.
20-23 months: Strings one one-inch bead.
21-24 months: Imitates a horizontal line.
23-25 months: Holds crayon with thumb and fingers.
23-25 months: Strings three one-inch beads.
23-25 months: Snips with scissor.
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29-31 months: Holds crayon with supinated grasp.
29-30 months: Transfers small object from palm to fingers.
29-30 months: Washes hands with assistance.
18-21 months: Unzips large zipper.
20-30 months: Holds small cup with one hand.
21-23 months: Open doors by turning knobs.
21-32 months: Puts on shoes with assistance.
24-30 months: Holds spoon with palm up grasp.
26-32 months: Undresses with assistance.
26-28 months: Pulls pants up with assistance.
30-36 months: Uses fork.
30-36 months: Buttons large buttons.
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Gross Motor Skills
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3-4 months: While lying on stomach, begins to elevate head and upper trunk.
3-4 months: While lying on back, brings both hands to midline.
5 months: Rolls from back to side.
6 months: Maintains balance for 3-8 seconds when placed
in sitting position.
7 months: Rolls from back to stomach.
9 months: Can reach to front and sides and may end
up moving into hands/knees position.
9-10 months: Pushes up onto hands and knees and rocks
back and forth.
9-10 months: May begin to "crawl" backwards before forwards.
10 months: Creeps on hands and feet.
11 months: Begins to pull to stand.
12 months: Begins to cruise around table to obtain
a toy.
12-15 months: Raises up to sitting position from
stomach/back.
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13 months: Maintains balance in standing position from 1-5 seconds.
14 months: Begins to walk unsupported 1-5 steps.
15 months: Walks 4-10 feet with narrow base of support.
15 months: Takes steps with arms held up near shoulders
and has difficulty stopping/starting without falling.
15 months: Begins to lower self to floor from standing
position safely and with control.
15-16 months: With supervision, creeps up one to
two steps on hands and knees.
17-18 months: Walks up 1-4 steps with support of
rail or hand.
21-22 months: Walks down 1-4 steps with support of
rail or finger.
23-24 months: Runs 5-10 feet.
25-30 months: Jumps.
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Cognitive Skills/Behaviors
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0-1 month: Quiets when picked up.
0-6 months: Shows pleasure when touched and handled.
2-3.5 months: Searches with eyes for sounds.
2.5-4 months: Begins play with rattles.
3-7 months: Turns eyes and head to sound of hidden
voice.
3-5 months: Plays with own hands, feet, fingers,
toes.
5-9 months: Touches toy or adult's hand to restart
an activity.
5-9 months: Works for desired, out of reach object.
5.5-8 months: Shows interest in sounds of objects.
6-10 months: Plays "Peek-a-boo."
6-9 months: Plays 2-3 minutes with a single toy.
6-8 months: Looks for family members or pets when
named.
6-7 months: Responds to facial expressions.
7-8 months: Imitates familiar gesture.
9-11 months: Imitates new gesture.
8-11 months: Overcomes obstacle to obtain object.
9-12 months: Uses locomotion to regain object; resumes
play.
9-11 months: Listens to speech without being distracted
by other sources.
9-12 months: Knows what "no" means and
reacts.
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10-14 months: Enjoys looking at picture books.
12-14 months: Understands pointing.
12-18 months: Makes detours to retrieve objects.
14-15 months: Helps turn pages.
15-19 months: Matches objects.
15-18 months: Brings objects from another room on request.
15-19 months: Identifies one body part.
16-19 months: Understands most noun objects.
18-20 months: Points to several clothing items on request.
18-22 months: Matches sounds to animals.
19-24 months: Sorts objects.
19-24 months: Recognizes self in photograph.
19-22 months: Identifies three body parts.
21-24 months: Turns pages one at a time.
22-24 months: Identifies six body parts.
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24-36 months: Plays with water and sand.
24-30 months: Understands concept of one.
24-28 months: Recognizes familiar adult in photo.
24-30 months: Engages in simple make-believe activities.
18-24 months: Obeys two part (related) commands.
24-29 months: Obeys two part (separate) commands.
26-30 months: Matches shapes-circles, triangle, square.
26-33 months: Knows own sex or sex of others.
27-30 months: Listens to stories.
29-33 months: Matches primary colors.
30-36 months: Sorts shapes – circle, triangle,
square (toys).
30-36 months: Points to larger or smaller of two
spoons.
30-36 months: Enjoys being read to and looks at books
independently.
30-36 months: Plays house.
33+ months: Sorts colors and points to several colors
when named.
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Language Skill/Behavior
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0-1 month: Cries when hungry or uncomfortable.
1-5 months: Cry varies in pitch, length and volume
to indicate needs e.g., hunger, pain.
1.5-4 months: Laughs.
2-7 months: Coos open vowels (aah), closed vowels (ee),
diphthongs (oy as in boy).
2.5-5.5 months: Squeals.
3.5-4.5 months: Laughs when head is covered with a
cloth.
4-6.5 months: Babbles consonant chains "baba-baba."
5-6 months: Vocalizes attitudes other than crying – joy,
anger.
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6-9 months: Waves or responds to bye-bye.
6.5-11.5 months: Says "dada" or "mama," nonspecifically.
7-15 months: Produces these sounds frequently in
babbling: b, m, p, d, t, n, g, k, w, h, f, v, th, s, z, l, r.
7.5-12 months: Babbles with inflection similar to adult.
9-14 months: Shows understanding of words by appropriate
behavior or gesture.
11-14 months: Says "dada" or "mama," specifically.
11-12.5 months: Repeats sounds or gestures if laughed
at.
12-18 months: Babbles intricate inflection.
12-14 months: Uses single-word sentences.
12-19 months: Gestures spontaneously to indicate needs.
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13-15 months: Says "no" meaningfully.
13-18 months: Names one or two familiar objects.
15-17.5 months: Vocalizes wishes and needs at the table;
names desired items.
15.5-21 months: Makes sounds in babbling, but often
substitutes those sounds in words.
18-22 months: Uses jargon with good inflection and
rate.
18-23 months: Attempts to sing songs with words.
19-21.5 months: Names two pictures.
21-24 months: Tells experience using jargon and words.
23-27 months: Sings phrases of songs.
24-27.5 months: Produces the following sounds clearly:
p, b, m, k, g, w, h,
n, t, d.
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24-30.5 months: Uses expressive vocabulary of 50+
words.
24-29 months: Names five pictures.
24-28.5 months: Experiments with communication- frustrated
when not understood.
24-36 months: Answers questions.
27-40 months: Refers to self using pronoun.
27.5-32 months: Produces sounds correctly at beginning
of words.
29-31 months: Replaces jargon with sentences.
30-31.5 months: Vocalizes for all needs.
30-36 months: Participates in storytelling.
30.5-35 months: Uses expressive vocabulary of 200+.
34+ months: Relates experiences more frequently using
short sentences.
34.5+ months: Asks questions beginning with "what," "where," "when."
35+ months: Uses intelligible words about 80 percent
of the time.
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Social Skill/Behavior
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0-3 months: Enjoys and needs a great deal of physical
contact and tactile stimulation.
0-1.5 months: Smiles reflexively.
0-3 months: Molds and relaxes body when held; cuddles.
3-5 months: Vocalizes in response to adult talk and
smile.
3-5 months: Socializes with strangers/anyone.
3-6 months: Enjoys social play.
4-8 months: Recognizes parent visually.
5-8 months: Displays stranger anxiety.
5-9 months: Lifts arms to parent.
5.5-8.5 months: Smiles at mirror image.
6-10 months: Cooperates in games.
7-12 months: Shows like/dislike for certain people,
objects, places.
9-12 months: Extends toy to show others, not for release.
9-12 months: Engages in simple relational play.
9-12 months: Explores environment enthusiastically – safety
precautions
important.
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12-15 months: Gives toy to familiar adult spontaneously
and upon request.
12-15 months: Acts impulsively, unable to recognize
rules.
12-18 months: Begins to show a sense of humor – laughs
at incongruities.
12-15 months: Plays ball cooperatively.
14-15.5 months: Hugs and kisses parents.
15-18 months: Imitates doing housework and other
real-life activities – symbolic
play with realistic props.
18-24 months: Expresses affection.
18-24 months: Show a wide variety of emotions, e.g.,
fear, anger, sympathy, modesty, guilt, joy.
18-24 months: Interacts with peers using gestures.
18-24 months: Engages in parallel play.
18-24 months: Enjoys solitary play for a few minutes.
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24-30 months: Displays shyness with strangers and
in outside situations.
24-36 months: Enjoys a wide range of relationship;
meets more people.
24-30 months: Enjoys experimenting with adult activities.
24-36 months: Engages best in peer interaction with
just one older child, not a sibling.
24-30 months: Values own property; uses word "mine."
30-36 months: Shows independence.
30+ months: Begins to obey and respect simple rules.
30+ months: Participates in circle games; plays interactive
games.
30-36 months: Takes pride in achievements; resists
help.
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Self Help
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0-1 month: Opens and closes mouth in response to
food stimulus.
1-5 months: Coordinates sucking, swallowing, and
breathing.
1-3 months: Stays awake for longer periods without crying - usually in p.m.
2-4 months: Brings hand to mouth.
3.5-4.5 months: Recognizes bottle visually.
4-8 months: Sleeps nights ten-twelve hours with night
awakening.
4.5-5.5 months: Places both hands on bottle.
6.5-8.5 months: Feeds self a cracker.
7-12 months: Drools less except when teething.
9-12 months: Finger feeds self.
9-12 months: Holds spoon.
10.5-12 months: Cooperates with dressing by extending
arm or leg.
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12-18 months: Holds and drinks from cup with some
spilling.
15-24 months: Scoops food, feeds self with spoon with
some spilling.
18-23 months: Distinguishes between edible and inedible
objects.
18-24 months: Sits on potty chair or on adaptive seat
on toilet with assistance.
21-23 months: Opens doors by turning knob.
21-23 months: Helps with simple household tasks.
24-30 months: Understands and stays away from common
dangers – stairs,
glass, strange animals.
24-30 months: Holds spoon in fingers - palm up.
24+ months: Brushes teeth with assistance.
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24-36 months: Uses toilet with assistance – has
daytime control.
28-32 months: Dresses self with assistance.
30+ months: Insists on doing things independently.
30-36 months: Pours liquid from small container.
30-36 months: Uses fork.
30+ months: Helps with bathing self.
30-36 months: Distinguishes between urination and
bowel movements.
31+ months: Verbalizes need to use toilet – has
occasional accidents.
32+ months: Dresses with supervision, requires assistance
with fastenings.
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Therapy Center for Children - Providing early
intervention services and preschool services
Suffolk County, Long
Island, New York.
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