Normal Developmental Milestones

AgeGross MotorFine Motor & VisionSpeech and Language & HearingPersonal/Social
6 weeksHead lag and rounded back on pulling to sit Ventral suspension: Head momentarily in same plane as body  Fixes and follows to 90º  Vocalising by 8 weeks (coos) Startles to sound  Smiles responsively  
3 monthsOnly slight head lag (Head occasionally bobs forward) Ventral suspension: Head above plane of body Prone: Pelvis flat. Lifts head up 45-90º  Hand regard Fixes and follows to 180º Plays with own hands Grasps object (rattle) placed in hand Not reaching out  Squeals with delight Turns head to sound Quiets to mothers voice  Laughs  
6 monthsPull to Sit: Lifts head off couch in anticipation Sits with support Bears full weight on legs Prone: commando posture Rolls front to back (back to front at 7 months)  Palmar grasp of cube Shakes rattle Transfers objects Moves head and eyes in all directions Rakes at pea  Single syllable babble  Mouthing Not shy  
9 monthsLeans forward but cannot pivot Stands holding on Pulls self to stand Forwards parachute  Inferior pincer grasp (Scissors grasp) Points with index finger Releases toy  Mama Dada Distraction test (hearing)  Looks for fallen toy Understands “No!” Stranger anxiety Plays peek-a-boo  
12 monthsCrawling Cruising Stands alone Walks with one hand held Walks well (13 mo)  Neat pincer grip Bang two objects in imitation Picks up 100s and 1000s Casting (13 months)  Knows name, Understands simple commands 2-3 words with meaning  Waves bye bye Drinks from cup Uses spoon Finger feeds  
15 monthsCreeps upstairs Pushes wheeled toy  Circular scribble Tower of 2 cubes  Points to objects he wants More words Continual jabber and jargon  Feeds self with cup and spoon (able to pick up and put down but messily) Mouthing stops  
18 monthsRunning, Throwing a ball Sits in chair Creeping downstairs  Tower of 3 cubes Circular scribble Handedness    Points to 2 – 3 body parts Identifies a picture Mainly nouns  Domestic Mimicry Uses spoon well Takes of shoes and socks Plays alone (symbolic)
2 yearsThrow and kick a ball Pick up object without falling Walks backwards  Copies a straight line Tower of 6 cubes  2-3 word sentences Occasional pronouns (telegraphic speech – “Daddy bag”, “juice gone”) Just over half of speech is intelligible Follow 2-step commands Occasional Questions  Feeds with fork and spoon Dry by Day Parallel Play (play near children but not with them)  
2 ½ yearsJumps Walks on tip toes  Holds pencil well Tower of 8 cubes  Knows full name and sex Names one colour    Associative Play  
3 yearsRide tricycle Stand on one leg for seconds Jump Go up stairs like adult, down like child  Copies circle Imitates bridge (3 cubes) and choo-choo train    Answer questions and relates experiences Speaks in full sentences Intelligible to strangers Can Count to 10 Knows colours Nursery rhymes Tenses, plurals, verbs Good with prepositions (in, on, under) Good with pronouns (he, she, me, you) Obeys 3-step commands  Dry by night, Washes hands, Brushes teeth, Cooperative Play (takes turns) Make-believe Play, Unbuttons clothes  
4 yearsHops Climbs up and down stairs like adult Skips  Copies cross Copies square Uses scissors well Builds steps of 6 cubes  Fluent conversation Repeats 4 syllable words Animals’ names Prepositions: In front of, behind Size adjectives: Bigger, smaller  Toilets by self Buttons clothing  
5 yearsRun on tip toes skips (both feet)  Copies a Triangle  Asks “how” and “when” questions Uses future tense Knows opposites Knows adjectives (bright, fast etc.) Knows adverbs (slowly, quickly, brightly etc.)    Ties shoelaces Dresses/undresses self fully  
6 yearsHeel-toe walk Throwing, kicking, climbing  Imitates or copies steps with 10 cubes  Be able to tell a complex story about a picture 

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