Development

Developmental Milestones

Developmental assessments are an integral part of every Well-Child visit with your Pediatrician. At each visit, in addition to the physical exam, your Doctor will look at the signs of your child's development, and insure that they are consistent with your child's age. Please keep in mind that the milestones are just guidelines, and each child will develop at their own pace. Your child is being evaluated closely at each visit, and your Doctor is trained to assess if there is any significant cause for concern about the level of developmental milestones which have been achieved. Please feel free to discuss any of your concerns with your Pediatrician at any Well-Child visit.

The following outline will just give you a simple breakdown of the developmental milestones for each age group we see for routine check-ups.

Age
Gross Motor
Fine Motor
Language
Social
2
Months

Raises chest off bedFollows 180 degreesCoosSmiles
4
Months

Pick head and chest up
&
Rolls one way
Reaches for objectsOrients to voiceInitiates social interaction
6
Months

Sits with support
&
Rolls both ways
Transfers objectsBabblesRecognizes unfamiliar persons
12 Months
Stands alone
&
Walks holding on
Releases an objectSingle wordsImitates
&
Cooperates with dressing
15 Months
Walks wellBuilds 2-block towers10 wordsBegins to use cup
18 Months
Runs, stoops and recoversBuilds 3-block towers
&
Uses spoon
10-25 words
&
Points to body parts
Words to communicate
24 Months
Walks up stairs
&
Kicks ball
4-6 block towers
&
Uses fork and spoon
2 word phrases
&
50 words
Removes clothes
36 Months
Rides tricycle
&
Jumps from step
Copies circle5-8 word sentencesGroup play
&
Shares
48 Months
Balance on one foot
&
Walks up and down stairs
Copies cross
&
Catches ball
Intelligible speechDresses self
&
Wash and dry hands
60 Months
Skips alternating feet
&
Hops 10 times
Draws person with 6 body partsAsk word meaningNames 4 colors
&
Plays by the "rules"

This information has been compiled from multiple sources:
  1. Nelson's Textbook of Pediatrics
  2. Pediatrics Board Recertification Review by K.S. Fine
  3. Cleveland Clinic Intensive Review of Pediatrics
  4. CDC Developmental Milestone Guidelines
  5. AAP Healthy Children Guidelines