Milestones

GROSS / FINE MOTOR

  • Moves mouth to source of stimulation (nipple/breast)

    Takes toy to mouth

    Hold rattle for extended periods of time

    Stands firmly when held

    Sits supported for short periods of time (3-5 months)

    Able to bear weight on forearms

    Reaches for and holds objects

    Able to bear weight through elbows while on tummy

  • Supports self in sitting

    Takes feet to mouth

    Takes hands to feet

    Able to rotate upper body independently of lower body

    May pull to stand at furniture

    Protective response when falling forward

    Picks up small objects with several fingers and thumb

    Transfers objects from hand to hand

    Drops one toy when given another

    Gets to sitting from lying down

  • Crawls well

    Has wide variety of sitting positions

    Stands holding on

    Cruises around furniture turning slightly in intended direction

    Can hold small object between thumb and index finger

    Points with index finger

    Walks with one hand held

  • Imitates scribble

    Builds two to five block tower

    Squeezes toys

    Enjoys walking activities and pulling toys

    Throws and picks up objects

    By 13 months, walks a few steps without support

    By 18 months, walks with no support

    Likes to climb

    Seats self in small chair

    Creeps up stairs on hands and knees

    Holds crayon in fist, thumb up

    Precise controlled release

  • Pushes a stroller or a cart

    Runs

    Squats to play

    Walks upstairs one at a time; not alternating feet

    Jumps off floor with both feet

    Snips paper with scissors

    Strings two or three beads

    Crawls backward down stairs

  • Runs with whole foot contact

    Jumps over objects

    Throws ball while standing, without falling

    Catches ball from straight arm position

    Pulls pants off and on

    Rides tricycle

    Walks up and down stairs with alternating feet

    Swings and climbs

    Hops on one foot

    Balances on one foot for 10 seconds

    Can build blocks horizontally and vertically

    Draws a circle and a cross

    Can cut through a sheet of paper and beginning to cut on a line, moving towards a grasp with thumb pointed down to paper

  • Gallops and skips

    Completes 3 sit ups

    Draws square

    Cuts out circle and square

    Grasps marker between thumb and pad of index finger

    Touches each finger to thumb

    Colors between vertical lines

    Can efficiently cut out a circle and begins to cut out more complex shapes, grasps crayons with fingertips

  • Maintains balance and rhythm using opposing arm and leg movements

    Skips 10 feet

    Hops on one foot 20 feet without losing balance

    Completes 5 sit ups

    Performs 8 push ups

    Bounces and catches small ball

    Can efficiency cut out squares, can draw a triangle, grasps pencil with tips of thumb, pointer, and middle finger

SELF HELP & ORAL MOTOR

  • Sucks well

    Makes sucking sounds

    Tongue moves up and down, in and out

    Mouth opens for food (3-5 months)

    Tongue thrusts when the spoon is withdrawn, food is spit out (3-5 months)

    Begins eating cereals, fruits, and juices (3-5 months)

  • Can drink slowly with cup but cannot control flow with tongue

    Jaws move up and down

    Upper lip comes down well on spoon

    Lifts cup with handle

    Eats dry cereal, meats, vegetables, fruits with fingers

    Holds, bites, chews food

  • Drinks well from a cup

    Enjoys some solid food

    Feeds self finger foods

    Takes off shoes and socks

    Cooperates in dressing

    Stops drooling

  • Full precise use of cup, no chokes, few drips

    Begins independent use of spoon

    Chews most foods well

    Brushes teeth with assistance

    Combs or brushes hair

    Puts socks on

    Shows wet or soiled pants

    Moves about house with adults

    Unzips zipper

    Gets into adult chair unaided

  • Pushes a stroller or a cart

    Runs

    Squats to play

    Walks upstairs one at a time; not alternating feet

    Jumps off floor with both feet

    Snips paper with scissors

    Strings two or three beads

    Crawls backward down stairs

  • Wipes hands and face

    Chooses toys selectively

    Recognizes family members names

    Asks for help with personal needs

    Acts out familiar routines

    Points to more difficult body parts (elbow, knee)

    Unbuttons large buttons

    Dries own hands

    Pours well from half-full pitcher

    Puts on shoes without tying

    Undresses completely without help by 36 months

    Unbuttons front buttons by 36 months

  • Independently fastens seatbelt

    Zippers efficiently

    Laces shoes

    Serves self at table (parent holding serving dish)

    Takes cares of own toileting needs

    Dresses and undresses independently; requires assistance with ties and back fastenings

    Combs or brushes hair

    Uses table knife for spreading butter, jelly, or peanut butter

  • Makes simple breakfast and lunch

    Sets and clears table without assistance

    Ties initial knot in shoelace

    Selects clothing appropriate for temperature and occasion

    Has complete independence in bathing

    Plans ahead to meet toileting needs before beginning an activity

COMMUNICATION

  • Reacts to loud sounds

    Turns head toward a sound source

    Watches your face when you speak

    Vocalizes pleasure and displeasure sounds (laughs, giggles, cries, or fusses)

    Makes noise when talked to

    Repeats the same sound

    Uses a different cry to indicate different needs

    Uses the phonemes: “b“, “p” and “m” in babbling

  • Understands “no-no”

    Babbles (says “ba-ba-ba” or “ma-ma-ma”)

    Tries to communicate by actions or gestures

    Uses speech sounds rather than only crying to get attention

    Responds to simple requests

    Responds to own name

    Recognizes words for common items

    Uses a large variety of sounds when babbling

    Uses sound approximations

    Imitates some adult speech and intonation patterns

    Uses nouns almost exclusively

    Has an expressive vocabulary of 3-5 words

    Understands simple commands

  • Attends to a book or toy for about two minutes

    Follows simple directions accompanied by gestures

    Answers simple directions accompanied by gestures

    Answers simple questions nonverbally

    Points to objects, pictures, and family members

    Makes request for more of desired item

    Omits some initial consonants and almost all final consonants

    Produces mostly unintelligible speech

    Receptively identifies 1-3 body parts

    Follows simple commands

    Has an expressive vocabulary of 5-20 words or more (mostly nouns)

    Combines gesture and vocalization

  • Follows simple commands without gestures

    Points to simple body parts such as “nose”

    Understands simple verbs such as “eat”, “sleep”

    Correctly pronounces most vowels and “n, m, p, h“, especially in the beginning of syllables and short words. Also begins to use other speech sounds.

    Asks for common foods by name

    Makes animal sounds such as “moo”.

    Starting to combine words such as “more milk”.

    Has an expressive vocabulary of 50-100 or more words

    Has a receptive vocabulary of 300 or more words

    Starts to combine nouns and verbs

    Begins to use pronouns

    Maintains unstable voice control

    Answers “What’s that?” questions

    Enjoys listening to stories

    Is approximately 25-50% intelligible to strangers

  • Knows about 50 words at 24 months

    Knows some spatial concepts such as “in” and “on”

    Knows pronouns such as “you”, “me”, and “her”

    Knows descriptive words such as “big” and “happy”

    Speech is 80% intelligible by 3 years

    Understands one and all

    Verbalizes toilet needs

    Requests items by name

    Identifies several body parts

    Asks 1 to 2 word questions

    Uses 4 to 5 word phrases

    Has an expressive vocabulary of 500 or more words

    Has a receptive vocabulary of 500-900 or more words

    Uses approximately 27 phonemes

    Mastered the following sounds: p, b, t, d, k, g, f, m, ng, n, w, h

    Answers simple questions

    Begins to use more pronouns such as “you” and “I”

    Speaks in two to three word phrases

    Uses question inflection to ask for something (e.g., “My ball?”)

    Begins to use plurals such as “shoes” or “socks” and regular past tense verbs such as “jumped”

  • Groups objects such as foods, clothes, etc.

    Identifies colors

    Uses most speech sounds but may distort some of the more difficult sounds such as I, r, s, sh, ch, y, v, z, th. These sounds may not be mastered until age 7 or 8.

    Uses consonants in the beginning, middle, and end of words. Some of the more difficult consonants may be distorted, but attempts to say them.

    Able to describe the use of objects such as “fork”, “car”, etc.

    Has fun with language. Enjoys poems and recognizes language absurdities such as, “Is that an elephant on your head?”

    Expresses ideas and feelings rather than just talking about the world around him or her

    Uses verbs that end in “ing”, such as “walking”, “talking”

    Answers simple questions such as “What do you do when you are hungry?”

    Repeats sentences

    Follows 2 and 3 step commands

    Asks and answers simple questions

    Uses 5-7 words in sentences

    Has 1800-2000 word receptive vocabulary

    Uses 1200-1500 or more spoken words by 4 years

    Speech is 90% intelligible

    Masters 50% of consonants and blends

    Appropriately uses “is”, “are”, and “am” in sentences

    Tells 2 events in chronological order

    Uses some contractions irregular plurals, future tense verbs and, conjunctions

  • Understands spatial concepts such as “behind” and “next to”

    Understands complex questions

    Speech is understandable but makes mistakes pronouncing long, difficult, or complex words such as “hippopotamus”

    Describes how to do things such as painting a picture

    Defines words

    Lists items that belong in a category such as animals, vehicles, etc.

    Answers “why” questions

    Understands concept of numbers up to 3

    Recognizes 3-4 colors

    Counts to 10 by rote

    Has receptive vocabulary of 2500-3500 words

    Listens to short, simple stories

    Uses sentences of 6-8 words

    Has an expressive vocabulary of 2000 or more words

    Enjoys rhymes

  • Understands time sequences (what happened first, second, third, etc…)

    Carries out a series of three directions

    Understands rhyming

    Engages in conversation

    Sentences can be 8 or more words in length

    Uses compound and complex sentences

    Describes objects

    Uses imagination to create stories

    Uses past tense and future tense appropriately

    Names opposites

    Has a receptive vocabulary of 13,000 words

    Counts to 30 by rote

    Uses conjunctions

    Sequentially names days of the weeks

VISUAL PERCEPTION PRE-WRITING AND WRITING MILESTONES

  • Scribbling

  • Imitating vertical and horizontal lines

  • Drawing a circle and cross shape with intersecting lines

  • Can draw a square with 4 corners, starting to imitate diagonal lines and triangles

  • Drawing people with bodies and correctly oriented arms, imitating triangles

  • Can learn to write numbers, starting to recognize letters of name, and able to recognize letters learned from curriculum

  • Can copy a simple sentence on 1 inch lines with enough space between words to read the sentence

  • No longer writes with letter reversals and can write a sentence with space between words and letters on the line

  • By third grade, can typically copy at a rate of 7-10 words per minute