Professional Documents
Culture Documents
Preschool Developmental Milestones
Preschool Developmental Milestones
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Red Flags for Gross Motor Development (1 – 5 years)
If you notice or are concerned about some of the following things
about your child, you may want to talk to your physician or another
health professional.
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PRESCHOOL DEVELOPMENTAL MILESTONES
If you notice some of the following things about your child by the
time he is 4 years old, you may want to talk to your doctor, or to
another health professional such as an occupational therapist.
His movements seem shaky or stiff
Her arms and hands seem very weak
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She is not able to cut across a piece of paper with scissors
He cannot copy a cross (+)
She is not able to draw a circle and straight lines by herself
She cannot string ½ inch beads onto a lace
He cannot use a fork and spoon well
She is not able to put on her own pants, loose socks and shoes
Between the ages of 4-5 years, your child will:
Start to use one hand consistently for fine motor tasks
Cut along a straight line with scissors
Start to cut along a curved line, like a circle
Draw a cross by herself (+)
Copy a square
Begin to draw diagonal lines, like in a triangle
Start to colour inside the lines of a picture
Start to draw pictures that are recognizable
Build things with smaller linking blocks, such as Duplo or Lego
Put on his own clothing, but may still need help with fasteners like
buttons/zippers
Start to spread butter or cut soft foods with a small table knife
(with supervision)
Start to learn to print some capital letters
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PRESCHOOL DEVELOPMENTAL MILESTONES
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Begins to recognize some letters and words (e.g. recognizes "stop"
sign, the "M" for MacDonalds, etc.)
Sorts (match) objects by: function (find something you play with,
wear, etc); size (big, little); familiar colors.
Names one color
Is develping number concepts – can give you 1, more, or all of
something
Counts objects, even if they don’t have all the numbers correct.
May repeat sounds, words, or phrases (may sound like stuttering)
Stays with one activity for 8-9 minutes
Red Flags:
If your 3-4 year old preschooler shows 2 or more of the
following, contact the centre or make a referral to a speech-language
therapist to ensure your child is not having difficulties with
developing communiction skills:
Little interest in talking to adults or children
Sentences are not growing in length or complexity
Poor sorting or matching skills
Difficulty answering questions: what, what-doing, where
Not asking who, what, or where questions
Not easily understood by family members or familiar people in
their life
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Understands prepositions (e.g. beside, behind, in front)
Stays with an activity for 11-12 minutes
Red Flags:
If your 4-5 year old preschooler shows 2 or more of the
following, contact the centre or make a referral to a speech-language
therapist to insure your child is not having difficulties with
developing communication skills:
Not easily understood by others
Difficulty putting sentences together
Lots of grammatical difficulties in their sentences
Difficulties with concepts such as prepositions (position words
such as behind, beside, etc.) colors, size, categories.
Doesn’t ask questions
Doesn’t follow verbal directions
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PRESCHOOL DEVELOPMENTAL MILESTONES
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Abnormal bowel movements that last longer than a few days
(diarrhea, constipation, loose stool)
Skin reactions to foods (dry patches, hives, rashes) Note: If your
child seems to be having a severe allergic reaction to a food
(difficulty breathing, turning red, developing hives or rash on the
face/chest), you should seek medical help immediately
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PRESCHOOL AGED DEVELOPMENTAL MILESTONES
If you are feeling overwhelmed with trying to get your child to sleep,
you can talk with your doctor, a public health nurse, an occupational
therapist, or another health professional in the community.
Toothbrushing
It is extremely important for children to have their teeth brushed twice
per day, using a small dab of fluoride toothpaste. If your child wants
to brush his own teeth, he should be encouraged to try. However,
children under 6 years of age should have an adult finish the job to
make sure his teeth are cleaned well. If you have specific questions
about how to brush your child’s teeth, please talk to your dentist or
another dental health professional.
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Try singing a fun song or making up a rhyme for toothbrushing
time
Encourage your child to try brushing her own teeth when she is
ready (as long as you finish the job for her)
If you are overwhelmed trying to get your child to brush her teeth,
you may want to talk to a dental health professional, to a public health
nurse, or to an occupational therapist.
Other Areas of Self-Care
For information about typical developmental milestones for toddlers
and preschoolers, please click on one of the links below. In each area,
you will also find information about when to ask for help.
Eating and Drinking are two of the most important things children do
for health and development. Mealtimes are also a time when children
can learn important skills, and develop relationships. When a child is
struggling with eating, it can be a huge challenge for the whole
family.
There are several eating and drinking skills that can be a challenge for
a child:
Newborn
By 1 month of age, your child will:
Takes 2-4 ounces (60-120ml) of liquid per feed. 6-8 or more
feedings per day.
May lose some liquid from corners of mouth
Be able to do at least 2 sucks in a row before pausing to breathe
Have a rooting reflex where he will turn towards the breast or
bottle when the side of his mouth is stroked
Have a suck and swallow reflex where she will open her mouth
wide enough to latch onto the breast or bottle
Bring her hands to her mouth by 2 months
Infant
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By 7-8 months, your child will:
Start to eat thicker pureed foods at 7 months
Eat ground or junior baby foods, or mashed table foods by 8
months
Try to drink from a cup held for him, but may lose a lot of liquid.
May take large mouthfuls of liquid and cough/choke
Move his tongue up and down, and to the side when chewing food
Mouth and munch on the spoon, toys, and baby biscuits
Hold his own bottle
Between 9-12 months, your child will:
Take longer sequences of sucks with cup drinking, but may still
have trouble coordinating drinking and breathing
Move her jaw and tongue a lot when chewing and moving food
around in her mouth
Start to feed himself finger foods
Start to hold a spoon during meals, but may not feed herself with it
yet
Bite and chew foods by himself
Toddler/Preschooler
Between 12-18 months, your child will:
Eat ground, mashed, or chopped table foods (including soft pieces
of meat) by 15 months
Use her tongue well to move food from side to side in the mouth
Lose a bit of food or saliva out of the mouth while chewing
Bite foods well
Eat coarsely chopped table foods, including meats and raw
vegetables by 18 months
Sometimes chew with lips closed
Drink from a cup well without losing liquid out of her mouth by
18 months
Feed herself using a spoon, dropping some food off the spoon
Start to refuse some foods
By 24 months (2 years), your child will:
Swallow well from a cup with good lip closure around cup and no
loss of liquid
Swallow food well with good lip control and no loss of food
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Chew with jaw movements that go round and round, as well as
up/down and side to side
Know the difference between food and non-food items
Scoop foods with a spoon, with some spills
Start to stab food with a fork and get it to her mouth
Start to show clear likes and dislikes of some foods
Between 2 and 3 years of age, your child will:
Eat the same foods as the rest of the family
Feed himself well with a spoon and fork
Have definite food likes and dislikes
Refuse certain foods
Possibly start to become a “picky eater”
Wipe his own mouth and hands with a napkin or cloth
Start to serve herself at the table with some spills
Pour liquids into his cup from a small container
Red Flags for Eating and Drinking Problems
If your child is showing some of the following signs, it may be
helpful to talk to your doctor or another health professional, such as
a speech language pathologist, occupational therapist, dietician, or
public health nurse
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Avoidance behaviours to specific foods and textures (gagging,
vomiting, blocking the spoon with hands or closed lips, crying,
pushing food away, etc.)
Abnormal bowel movements that last longer than a few days
(diarrhea, constipation, loose stool)
Skin reactions to foods (dry patches, hives, rashes) Note: If your
child seems to be having a severe allergic reaction to a food
(difficulty breathing, turning red, developing hives or rash on the
face/chest), you should seek medical help immediately.
Your child has physical problems, making it hard for him to move
his body for dressing
Your child is not undressing herself by 4 years of age
Your child is not putting on simple clothes (pants, socks, shoes) by
4 ½ years
Your child refuses to take part in the dressing routine
Your child becomes extremely upset when you try to dress her
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Resist grooming activities, such as toothbrushing, face washing,
nail cutting
Between 3 and 4 years of age, your child may:
Wash herself in the tub with supervision (except washing hair)
Wash his hands and face at the sink by himself
Brush his teeth, but need help doing a good job
Help with brushing hair
Wipe her own nose
Resist grooming activities, such as nail cutting, face/hair washing,
toothbrushing
Between 5 and 6 years of age, your child may:
Need supervision only for washing and tooth brushing (with
reminders)
Bathe himself with help to fill the tub and wash hair, and for
safety
Between 7 and 9 years of age, your child may:
Be able to do all bathing and grooming by herself, with some
reminders
By 10 years of age, your child may:
Be more interested in how she looks, and take more care with
grooming activities
Begin to shower daily
Begin to use deodorant
Begin to show interest in makeup (girls) in the early teen years
When to Ask for Help
You may want to ask for help from an occupational therapist when:
Your child has physical problems, making it hard for him to move
his body for bathing or grooming
Your child refuses to take part in grooming routines, or becomes
extremely upset when you try to do grooming activities
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PRINTING AND HANDWRITING DEVELOPMENT
If you have concerns about your child at any age, please feel free
to contact us to speak to a professional. You can also make a
referral to our centre at anytime.
Between the ages of 12-18 months, your child will:
Imitate you by scribbling with a crayon or pencil
Start to make marks with a crayon rather than banging it
Do his own scribbling on paper or other surfaces
Hold the crayon in her fist
Between the ages of 18months to 2 years, your child will:
Paint or colour without going beyond a large piece of paper (e.g.
18x22 inches)
Scribble without going off the paper
Start to hold the crayon with her fingers and thumb, but still use
her whole arm to colour
Red Flags for Printing and Handwriting Development (2 years of
age)
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If you notice some of the following things about your child by the
time she is 2 years old, you may want to talk to an occupational
therapist, or another health professional in the community.
Cannot pick up a crayon and scribble on paper
Still prefers to eat or bang crayons instead of scribble with them
Between the ages of 2-3 years, your child will:
Imitate you drawing a vertical line ( I ) – at about 2 years
Draw different strokes, dots, and circular shapes
Use paints and a brush
Imitate you drawing a horizontal line (---) – at about 2 ½ years
Imitate you drawing a circle - after 2 ½ years
Hold the crayon with his fingers, but the crayon might be on the
top of his hand or under his hand when colouring
Red Flags for Printing and Handwriting Development (3 years of
age)
If you notice some of the following things about your child by the
time she is 3 years old, you may want to talk to an occupational
therapist, or another health professional in the community.
Does not scribble or make marks on paper when given a crayon
Cannot imitate you drawing a straight line
Still holds the crayon in a full fist
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Does not use a variety of strokes when colouring (i.e. just
scribbles)
Between the ages of 4-5 years, your child will:
Draw a person with 3 different body parts
Colour mostly within the lines in a colouring book
Copy a model of a cross (+)
Draw very simple pictures from a model, such as a boat or flower
Copy a square from a model – at about 4 ½ years
Draw inside the path of a very simple maze (i.e. with straight
lines)
Trace around her own hand with a crayon (after 4 ½ years)
Connect dots spaced about ½ inch apart to make simple drawings
Hold the crayon like an adult does, with her thumb and fingers
near the tip of the crayon
Red Flags for Printing and Handwriting Development (5 years of
age)
If you notice some of the following things about your child by the
time she is 5 years old, you may want to talk to an occupational
therapist, or another health professional in the community.
Cannot copy a square and a cross (+)
Still holds the crayon in a full fist, or with her hand on top of the
crayon
Is not able to make any recognizable drawings
Colours way outside the lines in a colouring book
Printing and Handwriting Development for School-Aged
Children
Between the ages of 5-6 years, your child will:
Draw a face with eyes, nose and mouth
Print a few capital letters without copying (around age 5)
Copy his own first name from a model, but some letters may be
large or awkward
Copy a triangle from a model
Draw a person with 6 or more parts
Print her name clearly without a model (by 5 ½ years)
Hold her pencil like an adult does, with thumb and fingers near the
tip
Use one hand consistently as his dominant hand
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Draw a smooth line inside a curved maze track
Copy numbers 1-5 from a model (just before age 6)
By the age of 6 years, your child will:
Print all letters and numbers without copying
Still holds the crayon in a full fist, or with her hand on top of the
crayon
Is not able to make any recognizable drawings
Colours way outside the lines in a colouring book
Is not able to draw most of the letters and numbers
Has not chosen a dominant hand for drawing and colouring tasks
Red Flags for Printing and Handwriting Development (over 6
years of age)
Once your child is in school, the expectations for writing tasks get
higher very quickly. If your child is showing any of the following
problems, you should discuss it with his teacher. You can also contact
our centre to speak to an occupational therapist, or to make a referral.
Your child seems to hold the crayon or pencil very awkwardly for
his age
Your child refuses to participate in drawing or writing tasks that
are appropriate for her age
Your child’s drawings or printing look very immature for his age
Your child is getting very frustrated by written tasks
Your child is still making a lot of mistakes in how she forms
letters by Grade 2 (e.g. reversals, incorrect formations)
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