Development Milestone: Infant and Child BY Nurses note

 Development Milestone

Development milestones are physical or behavioural changes seen in infant and children. Rolling over, walking and talking are considered development milestones. The milestones are various for each age group and provide essential data about your child early development 

AGE: 1 MONTH

• GROSS MOTOR
• Raises head slightly from prone
• Makes crawling movements
• MOTOR/VISUAL
• Has tight grasp
• LANGUAGE
• Alert to sound
• SOCIAL/ADAPTIVE/PERSONAL
• Regards face

AGE: 2 MONTH

• GROSS MOTOR
• Holds head in midline 
• Lifts shoulder while prone
• MOTOR/VISUAL
• No longer clenches fist tightly
• Tracks past midline
• LANGUAGE 
• Smiles socially
• Searches for sound with eyes
• SOCIAL/PERSONAL/ADAPTIVE
• Recognizes parent
• Smiles responsively

AGE:3 MONTH

• GROSS MOTOR
• Support on forearm in prone
• Holds head up steadily
• MOTOR/VISUAL
• Holds hands open at rest 
• Follows in circular fashion
• Respond in visual threat
• LANGUAGE
• Coos ( long vowel sounds in musical fashion)
• PERSONAL/SOCIAL/ADAPTIVE
• Reaches for familiar people or objects, anticipates feeding

AGE: 4 MONTH

• GROSS MOTOR
• Rolls front to back
• Support on wrist
• No head lag
• If pulled to sit from supine
• MOTOR/VISUAL
• Reaches for object
• Raking grasp
• Brings hands to midline
• LANGUAGE
• Laughs
• Orients to voice 
• PERSONAL/SOCIAL/ADAPTIVE
• Enjoys looking around environment 

AGE: 5 MONTH

• GROSS MOTOR
• Rolls back to front 
• Sits supported
• MOTOR/VISUAL
• Transfers objects
• LANGUAGE
• Says"ah-goo"
• Blows raspberries
• Orient to bell (localizes laterally)

AGE: 6 MONTH

• GROSS MOTOR
• Sits alone
• Puts feet in mouth in supine position
• MOTOR/VISUAL
• Transfer object  hand to hand
• Uses raking grasp
• LANGUAGE
• Babbles
• PERSONAL/SOCIAL/ADAPTIVE
• Feeds self holds bottle
• Recognize strangers

AGE: 7 MONTH

• GROSS MOTOR
• Creeps
• LANGUAGE
•   Orient to bell ( localized indirectly)

AGE: 8 MONTH

• GROSS MOTOR
• Comes to sit 
• Crawls
• MOTOR/VISUAL
• Inspects objects
• LANGUAGE
• "Dada" indiscriminately
• PERSONAL/SOCIAL/ADAPTIVE
• Fingerfeeds

AGE: 9 MONTH

• GROSS MOTOR
• Pulls to stand
• pivots when sitting position
• Cruises
• MOTOR/VISUAL
• Uses pincer grasp
• Probes with forefinger
• Holds bottle
• Throws objects
• LANGUAGE
• "Mama" indiscriminately
• Gestures
• Wave bye-bye
• inhibits to "no"
• PERSONAL/SOCIAL/ADAPTIVE
• Start to explore environment 

AGE: 10 MONTH

• GROSS MOTOR
• Walks when led with both hands held
• LANGUAGE
• "Dada/mama" discriminately
•  Orient to bell (directly)

AGE: 11 MONTH

• GROSS MOTOR
• Walks when led with one handheld
• LANGUAGE
• One word other than "dada/mama"
• Follows 1-step command with gesture

AGE: 12 MONTH

• GROSS MOTOR
• Walks alone
• MOTOR/VISUAL
• Uses mature pincer grasp
• Releases voluntarily 
• Marks paper with pencil
• LANGUAGE
• Says "Mama/dada"   specific 
• Says one too two other words
• PERSONAL/SOCIAL/ADAPTIVE
• Imitates actions
• Comes when called 
• Drinks from a cup

AGE: 15 MONTH

• GROSS MOTOR
• Walks backwards
• Creeps upstairs
• MOTOR/VISUAL
• Scribbles in imitation 
• builds lower of 2 blocks in imitation
• LANGUAGE
• Uses 4 to 6 words
• PERSONAL/SOCIAL/ADAPTIVE
• Uses spoon
• Uses cup independently

AGE: 18 MONTHS

• GROSS MOTOR
• Runs
• Throws objects from standing without falling
• MOTOR/VISUAL
• Scribbles spontaneously
• Builds tower of 3 blocks
• Kicks a ball     
• Turns 2 to 3 pages at a time
• LANGUAGE
• Uses 2 words combinations
• PERSONAL/SOCIAL/ADAPTIVE
• Imitate parents tasks
• Plays in company of other children

AGE: 21 MONTH

• GROSS MOTOR
• Squats in play
• Goes up steps
• MOTOR/VISUAL
• Builds tower of 5 blocks
• LANGUAGE
• Uses 40 words 
• 2-words sentences 
• PERSONAL/SOCIAL/ADAPTIVE
• Asks to have food and to go to toilet

AGE; 24 MONTH

• GROSS MOTORS
• Walks up and down steps without help
• MOTOR/VISUAL
• Imitates stroke with pencil
• Builds tower of 7 blocks
• Turn pages one at a time 
• Remove shoes and pants
• LANGUAGE
• Uses pronouns ( I, You, me ) inappropriately
• Follows 2-step commands 
• PERSONAL/SOCIAL/ADAPTIVE
• Parallel play

AGE: 3 YEAR

• GROSS MOTORS
• Walks steps alternating feet
• Pedals tricycle
• Broad jump
• MOTOR/VISUAL
• Undresses completely
• Dresses partially
• Wiggles thumb
• LANGUAGE
• Names pictures
• Say 3-words sentence 
• Uses plurals, past tense, knows all pronouns
• PERSONAL/SOCIAL/ADAPTIVE
• Groups play and share toys
• Plays well with others
• Knows full name, age, sex

AGE: 4 YEAR

• GROSS MOTOR
• Hops, skips alternates feet going down steps
• MOTOR/VISUAL
• Copies a square 
• Buttons clothing
• Dresses self completely 
• Catches ball
• LANGUAGE
• Knows colours
• Says song or poem from memory
• Asks questions
• PERSONAL/SOCIAL/ADAPTIVE
• Names colours
• Understand adjectives
• Play cooperatively with group of children 

AGE: 5 YEAR

• GROSS MOTOR
• Skips alternate feet
• Jumps over low obstacles
• MOTOR/VISUAL
• Copies triangle
• Ties shoes
• LANGUAGE
• Counts
• Understands opposites
• Asks what a word means
• PERSONAL/SOCIAL/ADAPTIVE
• Play competitive games
• Abides by rules
• Likes to help a household tasks