PEDIATRIC DEVELOPMENTAL MILESTONES

Prepared by Rouena S. Villarama, RN. MAEd

GROSS MOTOR FINE MOTOR

LANGUAGE INTERPERSONAL
AGE PHYSICAL-NEURO (large muscle skills) (small muscle skills) PLAY FEEDING
SIMPLE to COMPLEX SOCIAL
CEPHALO-CAUDAL PROXIMO-DISTAL
Neonate Head lag Reflex grasp cry “UNANGYAKAP” Root, suck, swallows
One Dance reflex Solitary Games Strong extrusion
month disappears Follows mobiles Reflex
Two Closure of posterior Lifts head on prone
Social smile
months fontanels Begins to have head control
Three Hands held open/ palmar Differential crying Recognizes the Extrusion reflex fades,
Turns to sides Plays with rattle
months grasp gone Coos and gurgles mother drools
Lifts head and chest
Four Attempts to bring
on prone position/ full head Brings hands together Very talkative
months Laughs aloud lips to cup
control
Five Vocalizes
Rolls over 2 hand grasp
months Moro gone displeasure
Sits with support, Begins solids/ uses
Six Holds bottle with 2 hands Extends arms to
Doubles birth weight, Hitches (backward trainer or “sippy-cup”
months (palmar grasp) loved person
dentition locomotion in sitting position) to drink
Coughs to get Chews, bites, begins
Seven m-m-m when Transfers object from
Bounces, feet in mouth attention, Begins to to have food
months crying hand to hand
fear strangers preference
Eight Height of stranger
Sits without support
months anxiety
Uses thumb and fingers to
Nine Combines syllables
Crawls then creeps hold Cries when scolded
months mama, dada
(Pincer Grasp)
Ten Moves from prone to sitting, Understands “NO” “peek-a-boo” , “pat a cake” Drinks from cup, uses
months Stands with support Points at objects Responds to own name picks up small objects spoon but may spill
Eleven
Cruises, almost ready to walk preference for one hand
months
Enjoys several toys,
Puts objects in a container,
Twelve Triples birth weight Stands alone enjoys dropping objects to
Throws objects
Months Babinski disappears Walks with support Follows directions see where they will go
Attempts 2 tower blocks
13- 15
Plateau stage Walks alone Names familiar objects Vocalizes wants Grasps the spoon
months
Smears stool,
18 Anterior fontanel Sits self on a chair Uses phrases, 3 words
Attempts 3 tower block started on bowel Has a favorite toy
months closes TOILET TRAINING BEGINS plus mama & dada
training
Jumps crudely, goes up & Helps undress
2 Attempts 5 tower block, writes Parallel play, takes
Terrible twos down stairs with both feet on Uses short sentences himself, bladder
YEARS vertical lines favorite toy to bed
same step trained at daytime
2½
Tiptoes, stands on one foot Piles 7-8 blocks Rides tricycle, throws ball
YEARS 20 temporary teeth
Knows family
Cooperative/ Associative Feeds self well.
3 Uses scissors, copies circles, Speaks fluently using name, sings simple
Trusting three Walks backward Games Begins to have food
YEARS unbutton buttons longer sentences songs, knows own
Pedals well jags.
sex
4 Knows how old he
Furious four Jumps and climbs well Copies squares, laces shoes Exaggerates and boasts
YEARS is, names colors
Frustrating five Knows relatives,
5 Copies triangles, prints letters, Talks / asks constantly
I can and you can’t Runs skillfully aunts, uncles,
YEARS draws picture of a man 300-400 questions/day
stage cousins
Years of expansion of
6 physical and Clumsy movement because Recognizes and draws all Fixed speech, may use Beginning interest
YEARS psychological of fatigue shapes slang, may swear in God
changes
Enjoys teasing, has
7 Assimilative quieting
Wiggles loose teeth Copies a diamond high standard for Competitive Games
YEARS down period
family
Expansive age. Age of
8 Normal
Broadening Smoother movement Writes more than print Counts backwards
YEARS homosexual
Experience
9 Neither a child nor a Uses both hands Takes care of body needs
Tells time correctly “hero worship”
YEARS youth independently completely
10 Reasons using cause and Well mannered with
Age of special talents Writes legibly Involved in group activities
YEARS effect adults
Critical of adults,
11- 12 Full of energy, constantly Joins organizations like
Pre-adolescent “secret language” shares secrets with
YEARS active friends scouting