peds milestones

• GROSS MOTOR


  • Lifts head
  • Raises trunk when prone (4 – 6 months)
  • Rolls (4 – 6 months)
  • Lifts head AND trunk
  • Moves side to side on forearms
  • Brings feet to mouth when in supine
• FINE MOTOR


  • Reaching accuracy increases (5 months)
  • Palmer grasp integrates (4 – 6 months)
  • Rakes objects (4 – 6 months)
  • Goal-directed reaching with 1 & 2 hands (6 months)
• EMOTIONAL REGULATION


  • Quiets when picked up
  • Pleasure in being touched/handled
  • Cuddles
  • Smiles/vocalizes
• COGNITIVE


  • Learning through senses
  • Bangs objects
  • Repeats actions
  • Coos
  • Squeals
  • Smiles
  • Laughs
• SOCIAL


  • Sense of trust/mistrust
  • Bonding with caregiver
• PLAY


  • Exploratory/Sensorimotor à mouthing, learning through movements & sensations
  • Bonding & attachment with caregiver
• GROSS MOTOR


  • Sits unsupported for several minutes
  • Crawls on belly (~ 7 months)
  • Creeping (reciprocal crawling on hands/knees)
  • Sits independently (~ 7 months)
  • Rolls place to place
  • Independently gets in sitting position; transition from sitting to kneeling
  • Pivots in sitting position
  • Stands (holds on for support)
  • Crawls on belly initially then on all 4s à creeping (~ 9 – 10 months)
• FINE MOTOR


  • Uses fingertips to grasp small objects
  • Voluntary release of objects (7 – 8 months)
• EMOTIONAL REGULATION


  • Behavior depends on social or environment
  • Self-soothes
• COGNITIVE


  • Responds to own name
  • Recognizes family member's names
  • Recognizes words
  • Looks at picture book
  • Imitate simple gestures
• SOCIAL


  • Stranger anxiety
  • Shows dependence on mother
• ADLS


  • Starting solids
  • Learning to feed themselves finger foods
  • Cooperates with dressing
• PLAY


  • Exploratory/Sensorimotor à mouthing, learning through movements & sensations
  • Bonding with caregiver
  • Exploratory à Functional: uses toys according to purpose
  • Social play with family
• FEEDING


  1. Wants to help with feeding

  2. Starts holding & mouthing large crackers/cookies

  3. Plays with spoon; grabs/bangs spoon; puts both ends in mouth

  4. Finger feeds soft foods & foods that melt quickly

  5. Enjoys finger feeding
• MOBILITY

  1. Bear weight through both LE

  2. Transition from sitting to kneeling

  3. Stand while holding onto a surface/furniture

  4. Begins to crawl

  5. Creeping
• GROSS MOTOR

  • Practices rising & lowering standing (~ 10 months)
  • Sits in small chairs; Climbs into adult chair
  • Plays in standing; picks up toys from floor
  • Walks
  • Squats
  • Walks upstairs with one handheld
  • Pushes & pulls large toys
• FINE MOTOR

  • Pincer grasp develops (~ 10 – 11 months)
  • Purposeful release of objects in containers
• EMOTIONAL REGULATION

  • Self-soothes
  • Learns to modulate reactivity
  • Enjoys being held up in the air & moving rapidly through the air
  • Listens to speech without being distracted
• COGNITIVE

  • Imitates model
  • Understands function of objects
  • Looks at picture books
• SOCIAL

  • Responds to facial expressions of others
  • Moves away from parent
  • Shares toys with parent
• ADLs

  • Holds cup with both hands
  • Dips spoon in foods
  • Moves spoon to mouth but is messy and spills
  • May show emotional distress when soiled
  • Removes socks
  • Puts on & takes off loose fitting hat
  • Helps with dressing by pushing arms through sleeves & legs through pants
• PREWRITING

  • Scribbles on paper
• TOILETING

  • Child shows emotional distress when soiled
• DRESSING

  • Removes socks
  • Puts on and takes off loose-fitting hat
  • Helps w dressing by pushing arms through sleeves & legs through pant openings
• FEEDING

  • Dips spoon in foods
  • Moves spoon to mouth but is messy and spills
  • Scoops food w a spoon & feeds self
• MOBILITY

  • Begins walking independently (12 – 15 months)
• PLAY

  • Functional
  • Relational
  • Simple, pretend play
  • Demos imitative play from model
• GROSS MOTOR

  • Prefers walking to other forms of mobility
  • Runs
  • Squats
  • Climbs on furniture and slides
  • Moves on ride-on toy without pedals
  • Kicks ball and throws ball
  • Jumps in place w both feet
  • Walks up and down stairs
• FINE MOTOR

  • Stacks 2 cubes
  • Bilateral coordination in play developing (1 – 2 years)
• PLAY

  • Relational
  • Functional
  • Imitates a model
  • Symbolic play w/ real props
  • Functional
  • Multi schema combos
• EMOTIONAL REGULATION

  • Reacts to extreme sensations
  • Regulates attention
  • Plays w/play-doh
  • Enjoys rough & tumble play
• COGNITIVE

  • Recognizes names of body parts
  • Shares toys w parents
  • Moves away from parents
  • Object permanence developed by 24 months
• SOCIAL

  • Expresses affection
  • Laughs when someone does something silly
• FEEDING

  • Wants to feed self
• ADLS

  • Same as 1 year
• GROSS MOTOR

  • Rides tricycle
  • Catches large ball against chest
  • Jumps
  • Kicks a ball
  • Throws a ball
  • Climbs
  • Slides
  • Jumps from step or small height
  • Stands on one foot
  • Begins to hop on one foot
• FINE MOTOR

  • Uses variety of grasps
  • Holds objects distally in fingers
  • May demonstrate a tripod on utensils by end of 2nd year
  • Draws straight stroke
  • Turns pages of books
  • Builds towers
  • Colors in large forms
• PREWRITING

  • Imitates horizontal mark, vertical mark, & circular mark
• TOILETING

  • Child begins to initiate interest in potty-training
  • Child lets parent/caregiver know if they need to use the toilet
  • Indicates if they need to urinate or have a bowel movement
  • Requires parent/caregiver assistance with managing clothing and wiping
• SCISSOR SKILLS

  • Snips with scissors
  • Cuts across a 6-inch paper