Pediatric Developmental Milestones

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Pediatric Assessment Age

Developmental Milestones

1 month

Cries to communicate, reflex activity, eye contact

2 months

Coos, smiles, frowns, tracks objects, lifts head

3 months

Turns from back to side, sits with support

4 months

Turns from back to abdomen, lifts head and bears weight on forearms, can hold head erect, places everything in mouth, grasps with both hands, laughs, makes consonant sounds

5 months

Turns from abdomen to back, uses hands independently, plays with toes, puts feet into mouth

6 months

Sits alone leaning forward on hands, holds bottle, extends arms to be picked up, starts to show a fear of strangers, begins to make wordlike sounds, looks for dropped objects, plays "peek-a-boo"

7 months

Begins to crawl, bears weight on feet when supported

8 months

Pulls to a standing position, sits alone without any support, increased fear of strangers

9 months

Walks along side furniture, well-developed crawl, bangs objects together, drinks from cup, attempts to feed self, looks for hidden objects

10 months May begin to walk and climb, one-handed dominance apparent, may say one or two meaningful words 11 months Understands meaning of word "No," shakes head to indicate "No," can follow simple directions, cooperates with dressing activities, uses spoon 12 months Walks alone or with one hand held, falls frequently while walking, points with one finger, drinks well with cup, pulls off socks 15 months Walks independently, throws overhanded, pulls or pushes toys, builds with blocks, scribbles with crayon 18 months Runs clumsily, jumps in place with both feet, can say about 10 words, may be able to control anal and urinary sphincters 2 years

Runs well, climbs stairs by placing both feet on each step, attains bladder and bowel control between 2 and 3 years of age, names familiar objects, combines two to three words into meaningful phrase

2 1/2 years

Jumps from chair or step, stands on one foot briefly

3 years

Rides tricycle, turns doorknobs, climbs stairs by alternating feet on steps, dresses self, uses short sentences

4 years

Hops on one foot, catches ball, names colors

5 years

Skips well, jumps rope, maintains balance with eyes closed, uses complete sentences, vocabulary of about 2100 words

6-12 years Swims, skates, rides bicycle, ties shoes, uses crayon or pencil well, has strong sense of fairness, awareness of rule-governed behavior, uses complex sentences, reads, counts, forms clubs or groups Adolescent Learns to care for self independently while learning to effectively interact with society

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