Developmental Milestones Overview

2 weeks Regards Face 
Lifts Head from Prone 
Responds to sounds
2 months Vocalizes 
Smiles Responsively 
Follows to midline
4 months Holds head up to 90 degree angle 
Listens and then vocalizes ("can you have a conversation with your baby?) 
Regards own hands 
Follows past midline 
Grasps rattle 
No persistent fist clenching
 
6 months Imitates speech sounds heard in preceding minute 
Turns to voice 
Rolls over 
Reaches for objects with each hand 
Doesn't resist cuddling 
Sits alone 
No persistent fist clenching 
No avoidance of eye contact *
9 months Stands holding to solid object (not human) 
Thumb-finger grasp 
Says "mama/dada" nonspecifically 
Says "bababa" or "lalala"
12 months Stands alone 2 seconds 
Bangs two blocks in held hands 
Says "dada/mama" specifically 
Responds to "no" 
Plays pat-a-cake or waves "bye-bye" 
Doesn't use one hand in preference to other 
No avoidance of eye contact *
15 months Walks well 
Says 1 word besides "mama/dada" 
points to desired objects 
No concern that the child can't hear or "tunes out" 
No avoidance of eye contact *
18 months Imitates household chores like sweeping, dusting, etc., 
Says 4 words besides "mama/dada" 
Points to 1 body part ("show me your nose, eyes...") 
Drinks from cup 
Scribbles 
No avoidance of eye contact *
21 months Walks up stairs holding railing 
Says 6 words besides "mama/dada" 
Indicates at least 2 wants with single words ("milk!  more!  cookie!") 
Feeds self with spoon 
No toe walking *
2 years Kicks ball forward 
Combines 2 words 
Strangers understand at least half of child's speech 
Points to 6/8 named body parts (nose, eyes, ears, mouth, hands, tummy, hair) 
Names 1/5 animal pictures 
Follows 2 step command (no gesture) 
Takes off clothing (other than hat) 
No rocking, handflapping, or headbanging *
2 1/2 years Points to 4/5 animal pictures (eg, "show me the dog", child points) 
Repeats two digits ("say 2...now say 3, 4...") 
Puts on clothing 
Jumps in place
3 years Can hold a conversation (2-3 sentences) 
Names 4/5 pictures of animals 
Knows 2/5 actions of animals (which one flies, barks, etc.) 
Understands what to do when tired, cold, hungry (1/3) 
Imitates a vertical line 
Washes and dries hands 
No echolalia
4 years Knows first and last name 
Understands what to do when tired, cold, hungry 
Copies a circle 
Plays interactive games 
Walks up stairs not holding on 
Can report what ate that day 
Toilet trained
5 years Hops 2 or more times 
Names 4 colors 
Defines 5/8: "What is a ball, lake, desk, house, banana, curtain, fence, ceiling?" 
Dresses without supervision 
Copies a cross
6 years Copies a square 
Adds numbers 
Draws a person with 6 parts 
Satisfactory school performance and behavior
7 years Copies a diamond 
Ties shoelaces 
Knows days of the week 
Knows home address 
Appropriate age/grade
8-13 years Appropriate age/grade 
Good peer relationships 
No behavioral problems
* These behaviors, if persistent, abnormal at any age
 
Developmental Peds
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Last modification: November 11, 1998