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Developmental Milestones

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Newborn
Gross motor
Symmetric motor movements, Primitive reflexes, Good toneNewborn
Fine motor
Eyes fixate briefly and track to 30 degreesNewborn
Language
CriesNewborn
Social
Alerts to soundNewborn
Red Flags
Asymmetric movementsNewborn
Anticipatory Guidance
New mommy talk Newborn Breastfeeding Back to sleep Temp check Feeding Car seat
1 mo
Gross motor
Head up when prone1 mo
Fine motor
Tight fists1 mo
Language
Cries1 mo
Social
Regards faces1 mo
Red Flags
Anticipatory Guidance
Colic (peaks at 6 wks)1 mo
2 mo
Gross motor
Head and chest up when prone2 mo
Fine motor
Unfisted ½ the time, eyes track past midline2 mo
Language
Coos, reciprocal vocalization2 mo
Social
Social smile<br>2 mo
Red Flags
Persistent fisting2 mo
Anticipatory Guidance
No bottle propping, no cereal in bottle2 mo
Immunizations
(DTaP, IPV, Hepatitis B), Prevnar, Hib, Rotateq2 mo
4 mo
Gross motor
Up on hands when prone, holds head up, rolls front to back4 mo
Fine motor
Grasps objects, hands together midline, grasp and moro reflexes gone4 mo
Language
Babbles4 mo
Social
Squeals, recognizes mother, initiates social contact4 mo
Red Flags
Absent smile4 mo
Anticipatory Guidance
No walkers, bedtime routine, intro to solids4 mo
Immunizations
(DTaP, IPV, Hepatitis B), Prevnar, Hib, Rotateq4 mo
6 mo
Gross motor
Sits with support, no head lag, rolls both ways6 mo
Fine motor
Transfers objects, rakes small object6 mo
Language
Babbles consonants (baba, dada)6 mo
Social
Reaches, plays with feet6 mo
Red Flags
Poor head control, absent babbling6 mo
Anticipatory Guidance
Avoid choking hazards, start cup for water6 mo
Immunizations
(DTaP, IPV, Hepatitis B), Prevnar, Hib, Rotateq, Influenza*6 mo
9 mo
Gross motor
Pulls to stand, sits without support9 mo
Fine motor
Bangs 2 objects together, inferior pincer grasp, feeds self9 mo
Language
Mama/ Dada non-specific9 mo
Social
Knows own name, waves “bye bye”, stranger anxiety, peekaboo9 mo
Red Flags
Persistent primitive reflexes9 mo
Anticipatory Guidance
Lower crib mattress, supervise eating, brushing teeth9 mo
12 mo
Gross motor
Cruises, takes few steps12 mo
Fine motor
Neat pincer grasp, points, drinks from cup12 mo
Language
Mama/ Dada specific, first word, jargons12 mo
Social
Helps dress self, feeds self12 mo
Red Flags
Absence of pointing12 mo
Anticipatory Guidance
Childproof home, stair safety, change to cow’s whole milk, wean from bottle12 mo
Immunizations
MMR, Varivax, Hepatitis A12 mo
15 mo
Gross motor
Walks, stoops and recovers15 mo
Fine motor
Tower of 2 cubes, puts cube in cup15 mo
Language
3-5 words, mature jargon, follows simple commands15 mo
Social
Offers ball, solitary play15 mo
Red Flags
Lack of consonants, lack of social relations15 mo
Anticipatory Guidance
Allow self feeding, limit sugar, discipline15 mo
Immunizations
DTaP, Prevnar, Hib15 mo
18 mo
Gross motor
Runs, climbs stairs holding on, throws ball18 mo
Fine motor
Tower of 3-4 cubes, dumps cubes out of cup, scribbles with crayon18 mo
Language
Points to 3 body parts, names picture, 4-6 words18 mo
Social
Uses spoon, turns pages, listens to story, expresses needs18 mo
Red Flags
Lack of imitated play18 mo
Anticipatory Guidance
Family meals, avoid choking hazards, oral hygiene, set limits18 mo
Immunizations
Hepatitis A18 mo
24 mo
Gross motor
Jumps in place, kicks ball, walk up and down steps one-at-a-time holding on24 mo
Fine motor
Tower of 4-6 cubes, aligns 3-4 cubes for train; scribbles vertical strokes24 mo
Language
Combines 2-3 words, refers to self by name, 50% intelligibility, 50+ words, uses pronouns24 mo
Social
Parallel play, tolerates separation, pretend play24 mo
Red Flags
Absent pretend play24 mo
Anticipatory Guidance
Toilet training readiness, don’t force eating, playground safety, helmets, refer to dentist24 mo
3 year
Gross motor
Jumps, kicks, rides tricycle, walks up stairs alternating feet3 year
Fine motor
Copies circle, Puts on tee-shirt3 year
Language
Names 1 color, names 4 pictures, 3-4 word sentences, 75% intelligibility, knows name, age, sex3 year
Social
Takes turns, dresses self with some help, imaginative behavior3 year
Red Flags
Does not interact with playmates3 year
Anticipatory Guidance
Stranger safety, provide choices, use “time out”, explain that certain body parts are private3 year
4 year
Gross motor
Walks up and down stairs alternating feet, hops4 year
Fine motor
Copies cross, draws person with 3 parts4 year
Language
Speech fully intelligible, complex sentences, asks questions4 year
Social
Dresses without help, tells a story, brushes own teeth4 year
Red Flags
Impulsivity4 year
Anticipatory Guidance
Booster seat when 40 pounds, limit junk food, oral health, read together4 year
Immunizations
DTaP, MMR, Varivax, IPV4 year
5 year
Gross motor
Walks up and down stairs without railing, skips5 year
Fine motor
Draws triangle, draws person with 6 parts5 year
Language
Counts 5-10 blocks, names 4 colors, knows opposites5 year
Social
Prepares bowl of cereal, plays board games, follows rules5 year
Red Flags
School behavior problems5 year
Anticipatory Guidance
Limit tv, teach swimming, conflict resolution, chores, school readiness5 year
11 year
Immunizations
Tdap, Menactra, Gardasil11 year