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Developmental Milestones Summary - Pediatrics

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Summary of the Developmental Milestones in Pediatrics

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May 21, 2022
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2021/2022
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AGE GROSS FINE MOTOR SELF-HELP PROBLEM SOLVING SOCIAL EMOTIONAL RECEPTIVE EXPRESSIVE
MOS. MOTOR LANGUAGE LANGUAGE
1 Chin up in prone Hands fisted near face Fixes on ring Discriminates mother voice Alerts to voice/sound Throaty noises
Follows face Cries out of distress
2 Chest up in prone Hands unfisted 50% Visual threat present Reciprocal smiling – responds to adult Coos
Head bobs when held in Retains rattle if placed in Follows ring voice & smile Social smile (8 wks)
sitting hand Recognizes mother Vowel like noises
Holds hands together
3 Props on forearms in Hands unfisted 50% Reaches for face Expression of disgust (sour taste, loud Regards speaker Chuckles
prone Inspects fingers Follows ring in circle (in supine) sound) Vocalizes when talked to
Suspended in prone – Bats at objects Regards cube Understands relationship between speaker
head above body and voice
4 Sit w/ trunk support Clutches at clothes Mouths objects Smiles spontaneously at pleasurable Orients to voice Laughs out loud
No head lag – pull to sit Hands to mouth Aware of strange situation sight/sound Stops crying to soothing voice Vocalizes when alone
Props on wrists Reaches persistently Shakes rattle Stops crying at parent voice
Rolls front to back Plays with rattle Reaches for ring/rattle To & fro alternating vocalizations
5 Sits w/ pelvic support Palmar grasp/cube Gums/mouth pursed food Attains dangling ring Recognizes caregiver visually Orients to Bell 1 “Ah-goo”
Rolls back to front Transfers object: hand- Turns head – look for dropped spoon Forms attachment relationship to caregiver Begins to respond to name Razz, squeal
Anterior protection – mouth-hand Regards pellet Expresses anger other than crying
parachute Holds hands together
Attains dangling ring
6 Sits momentarily propped Transfers hand-hand Feeds self crackers Touches reflection and vocalizes Stranger anxiety (familiar vs. unfamiliar Stops momentarily to “no” Reduplicate babble w/ consonants
on hands Rakes pellet Places hands on bottle Removes cloth on face people) Listens then vocalizes when adult
Pivots in prone Takes second cube – holds Bangs & shakes toys stops
Prone – bears weight on 1 on to 1st Smiles/Vocalizes to mirror
hand
7 Bounces when held Radial-palmar grasp Inspects ring Orients to Bell 2
Sits w/o support – steady Observes cube in each hand Attends to music
Lateral protection Finds partially hidden object
8 Gets into sitting Bangs spoon w/ demo Holds own bottle Seeks object after it falls silently to Lets parents know when happy vs. upset Responds to “come here” “Dada” inappropriate
Commando crawls Scissor grasp of pellet Finger feeds Cheerios or the floor Engages in gaze monitoring: adult looks Looks for family members, Echolalia (8-30 mos)
Pulls to sitting/kneeling Takes cube out of cup string beans away and child follows adult glance with “Where’s mama?”… etc Shakes head for no
Pulls large peg out own eyes
9 Gets to 4-pt Scissor pincer grasp of Bites, chews cookie Inspects bell Uses sounds to get attention Enjoys gesture games “Mama” inappropriate
Begins creeping pellet Rings bell Separation anxiety Orients to name well Non-reduplicate babble
Pulls to stand Radial-digital grasp of cube Pulls string to obtain ring Follows a point, “Oh look at…” Orients to Bell 3 Imitates sounds
Bear walks Bangs 2 cubes together Recognizes familiar people visually
10 Creeps well Clumsy release of cube Drinks from cup held for Uncovers toy under cloth Experiences fear Enjoys Peek-A-Boo “Dada” appropriate
Cruises around furniture – Immature pincer grasp of him Pokes at pellet in bottle Looks preferentially when name is called Waves bye-bye back Waves bye-bye
2 hands pellet Tries to put cube in cup, but may not
Stands – 1 hand held Isolates index finger and be able to let go
Walks – 2 hands held pokes
11 Walks – 1 hand held Throws objects Finds toy under cup Gives objects to adult for action after Stops activity when told “no” 1st word
Pivots in sitting Stirs with spoon Looks at pictures in book demonstration (lets adult know he needs Bounces to music Vocalizes to songs
Cruises – 1 hand help)
Stands few seconds
12 Stands well Marks after demo Finger feeds part of meal Rattles spoon in cup Shows objects to parent to share interest 1-step command w/ gesture Proto-imperative pointing to get
Posterior protection Fine pincer grasp of pellet Takes hat off Lifts box lid to find toy Proto-imperative pointing to indicate wants Recognizes names of two objects desired object
Independent steps Holds crayon – looks when named
Attempts tower of 2
13 Throws ball – sitting Attempts to release pellet in Drinks from cup w/ Dangles ring by string Shows desire to please care giver Looks appropriately, “Where’s 3rd word
Walks w/ high guard bottle spilling Solves glass frustration test Solitary play ball?” Immature jargoning – inflection
Unwraps toy in cloth Functional play without real words
14 Stands w/o pulling up Imitates back-forth scribble Removes socks/shoes Dumps pellet out of bottle after demo Proto-declarative pointing to indicate 1-step command without gesture Names one object
Falls by collapse Attains 3rd cube by Chews well interest Proto-declarative pointing
Walks well combining 2 2-cube towers Spoon to mouth – turns Purposeful exploration of toys through trial
One round peg in & out over and error
15 Stoops to pick up toy 3-4 cube tower Uses spoon – some spill Turns pages in book Shows empathy (someone else cries, child Points to 1 body part 3-5 words
Creeps up stairs Place 10 cubes in cp Attempts to brush own Places circle in single shape puzzle looks sad) Points to 1 object of 3 Mature jargoning w/ real words
Runs stiff-legged Releases pellet into bottle hair Hugs adult in reciprocation Gets object from another room
Walks carrying toy Fusses to be changed Hands toy to adult if can’t operate (no demo upon demand
Climbs on furniture – see 11 month above)
16 Stands on 1 foot w/ slight All round pegs in with Picks up & drinks from Dumps pellet out w/o demo Kisses by touching lips to skin Understands simple commands, 5-10 words
support urging cup Places circle in form board Periodically visually relocates caregiver “Bring to mommy”
Walks backwards Scribbles spontaneously Fetches & carries objects Finds toy under layered covers Self-conscious, embarrassed when aware of Points to 1 picture
Walks up stairs – 1 hand (same room) people observing them
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