Developmental Milestones

Question 0

Primitive Reflexes

Answer 0

• Root/Suck
• Moro/Startle
• Palmar/Plantar Grasp
• Asymmetric Tonic Neck (Fencer)

Question 1

0-1 Month

Answer 1

• Flexor tone
• No head/neck control
• Fisted hands
• Recognize mom’s voice
• Fixes gaze at 8-12”
• Prefers black/white contrast edges

Question 2

2 mo

Answer 2

• Lifts head and chest 45 degrees when prone
• Open/close fists, grasps
• Coos for attention, imitates sounds
• Smiles responsively, visually follows across midline

Question 3

4 mo

Answer 3

• Rolls, sits with support
• Grabs intentionally
• Babbles, laughs
• Flirts and recognizes familiar people

Question 4

6mo

Answer 4

• Sits, crawls
• Transfers objects from one hand to the other
• Feeds self
• Strings consonants and laughs
• Prefers primary caregiver

Question 5

9mo

Answer 5

• Pulls to stand and cruises
• Pincer grasp, bangs obj together
• Jargons (mama/dada)
• Stranger anxiety

Question 6

12-15mo

Answer 6

• Walk/climb stairs
• Drinks from a cup, dumps things out
• Single words
• Points, waves, shakes head no
• Scribbles with a 5 finger grasp

Question 7

18-21mo

Answer 7

• Climbs, runs dances
• Stacks blocks, plays with dolls/cars, uses spoon/cup
• Washes hands
• More words, some phrases
• Plays alone or in parallel

Question 8

2 years

Answer 8

• Plays, climbs, kicks, jumps, climbs up and down stairs-stops with both feet on each step
• Scribbles, can copy a line
• 2 word phrases, strangers can understand 50%
• Plays alone, short attention span, shows a little defiance, follows simple instructions

Question 9

3 years

Answer 9

• Rides tricycle, runs well, marches, alternates feet climbing stairs
• Turns pages well, feeds self, colors
• 4-5 word sentences, 75% understood by strangers
• Imagination blurred with reality
• Begins to transition from parallel to interactive play

Question 10

4 years

Answer 10

• Bike (training wheels), throws, hops
• Cuts with scissors, draws stick people
• More elaborate speech with stories and many questions (100% understandable)
• Follows simple ruled games
• Cooperates and plays with friends

Question 11

5 years

Answer 11

• Dresses self, somersaults, skips
• Displays handedness
• Prints, uses fork and spoon
• Recognizes numbers, letters, colors
• Lies!
• Follows basic rules, takes turns, self-control begins to develop