Milestones

Age

Gross Motor

Fine (Visual) Motor

Language

Social/Adaptive

1 month

Raises head slightly in prone position

Follows with eyes to midline only

Alerts/startles to sound

Fixes on faces

2 months

Raises chest and head off bed in prone position

Regards object and follows 180 arc; briefly holds rattle

Coos and vocalizes reciprocally

Social smile, recognizes parent

4 months

Lifts onto extended elbows in prone position; steady head control with no head lag, rolls over front to back

Reaches for object 1 with both hands together, bats at objects, grabs and retains objects

Orients to voice, laughs, and squeals

Initiates social interaction

6 months 2

Sits but may need support, rolls in both directions

Reaches with one hand, transfers object between hands

Babbles

Recognizes object or person as unfamiliar

9 months

Uses pincer grasp, finger feeds

Imitates speech sounds (nonspecific mama, dada), understands meaning of "no"

Plays gesture games (pat-a-cake), understands own name, object permanence, stranger anxiety

12 months

Crusies furniture, stands alone, takes a few independent steps

Can voluntarily release items

Discriminative use of mama, dada; one to four other words, follows command with gesture

Imitates, comes when called, cooperates with dressing

15 months

Walks well independently

Builds two block tower, throws ball underhand

Four to six more words; uses jargon; one-step verbal responds to command

Begins to use cup; indicates wants or needs

18 months

Runs; walks upstairs with hand held; stoops and recovers

Builds three block tower; uses spoon; spontaneous scribbling

Uses up to 25 words; points to body parts when asked; uses words to communicate wants and needs

Uses words to communicate wants and needs; plays near but not with other children

2 years

Walks unassisted up and down stairs; kicks ball; throws ball overhand; jumps with two feet off floor

Builds 4-6 brick tower; uses fork and spoon; copies a straight line

Uses 50+ words, two- and three-word phrases; uses I and me; 50% of speech intelligible to stranger

Removes simple clothing; parallel play 3

3 years

Pedals tricycle; broad jumps

Copies a circle

Uses 5-8 word sentences; 75% of speech intelligible to stranger

Knows age and gender, engages in group play, shares

4 years

Balances on one foot

Copies a cross; catches ball

Tells a story; 100% of speech intelligible to stranger

Dresses self, puts 4 on shows, washes and dries hands, imaginative play

5 years

Skips with alternating feet

Draws person with six body parts

Asks what words mean

Names four colors; plays cooperative games; understands rules and abides by them 5

6 years

Rides a bicycle

Writes name

Identifies written letters and numbers

Knows right from left; knows all color names