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| MILESTONES |
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Monthwise
Yearwise
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0-1 month
Cognitive Milestones |
- Responds to sound of bell or rattle.
- Becomes quiet when picked up.
- Shows pleasure when touched and handled.
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Motor Skills Milestones |
Gross Motor
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Suspended prone - head, hand completely down.
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Held standing-makes stepping movements.
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Pulled to sit, completely head lag.
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Prone -head to one side, hips raised, knees drawn up.
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Prone -lifts head and holds.
Fine Motor
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Fisted hands rest near face.
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Clench small objects on contact.
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Regards colorful object momentarily.
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Follows with eyes moving person while in supine.
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Social-Emotional Milestones |
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Regards face, smiles reflexively.
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Establishes eye contact.
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Stops crying when picked up.
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Eyes follow moving objects
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Adaptive Milestones |
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1-2 months
Cognitive Milestones |
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Motor Skills Milestones |
Gross Motor
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Prone-makes crawling movements, chin sometimes lifted off bed.
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Supine-turns head side to side, legs sometimes straightened.
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Held sitting - head forward, back rounded, head lifted briefly.
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Straightens leg when bottom of foot is pressed.
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Lifts head when held at shoulder.
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Thrusts arms and legs in play.
Fine Motor
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Holds hand together, holds rattle and drops with in 10 sec.
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Moves arms symmetrically.
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Stares and gazes.
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Activates arms on sight of toys.
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Social-Emotional Milestones |
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Vocalizes, smiles at others, besides mother.
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Responds differently to people.
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Molds and relaxes body when held; cuddled.
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Draws attention to self in distress.
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Adaptive Milestones |
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Back To Top 2-3 months
Cognitive Milestones |
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Inspects own hands.
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Watches eyes and mouth.
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Searches with eyes towards sound.
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Babbles, coos when talked to.
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Chuckles.
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Looks more at surrounding in a new place.
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Motor Skills Milestones |
Gross Motor
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Turns from side to back.
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Held sitting or standing- head position predominant sags.
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Prone- holds head up well off mat.
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Legs kick in sequence.
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Suspended prone- head held well above level of body.
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Held standing- lifts foot.
Fine Motor
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Reaches for objects, explores.
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Blinks at sudden visual stimulus.
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Follows things past midline, and downwards.
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Indwelling thumb no longer present.
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Looks from one object to another
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Keeps hands open 50%of time.
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Grasps toys actively.
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Social-Emotional Milestones |
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Looks at face and eyes of person talking to him/her.
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Crying decreases dramatically.
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Responds with smile when socially approached.
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Adaptive Milestones |
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3-6 months
Cognitive Milestones |
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Looks at and reaches for toys
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Anticipates food preparation.
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Recovers rattle dropped on chest.
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Laughs aloud when slightly tickled and talked to.
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Holds arms out to be picked up.
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Mouths toys.
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Looks at objects while handling them.
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Turns eyes, head to sound of hidden voice.
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Continues a familiar activity by initiating movements involved.
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Brings feet to mouth.
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Motor Skills Milestones |
Gross Motor
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Prone-rests on forearms, raising head and chest.
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Supine- head facing forward not turned.
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Sits- propped, head steady, back curved only slightly.
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Holds head and chest up on forearm for long period.
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No head wobble when body is swayed.
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Sits supported with back straight.
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Rolls from prone to supine and back to prone.
Fine Motor
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Watches movements of own hands.
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Puts hand in mouth.
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Retains dangling ring.
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Picks up cube, spoon, and holds first cube regards second cube.
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Rakes up raisins with fingers against palm.
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Lifts cup by handle.
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Social-Emotional Milestones |
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Stops unexplained crying.
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Vocalizes in response to adult talk and smile.
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Discriminates strangers.
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Socializes with strangers/anyone.
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Becomes aware of strange situations.
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Enjoys social play.
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Makes approach movements to mirror.
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Enjoys frolic play.
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Repeats enjoyable activities.
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Explores adult features.
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Adaptive Milestones |
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Swallows strained or pureed foods.
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Brings hand to mouth with toy or objects.
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Recognizes bottle visually.
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Pats bottle, places both hands on bottle.
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Holds own bottle.
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Speech and Language Milestones |
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Turns head toward voices
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Searches for speaker
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Cries at an angry voice
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Stops crying when spoken to
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Recognizes own name
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Responds to sounds other than voices
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Laughs
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Babbles
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Stops babbling when another person vocalizes
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Vocalizes in response to singing
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Attempts to interact with an adult
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Initiates 'talking'
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6-9 months
Cognitive Milestones |
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Plays peek-a-boo.
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Slides toy or object on surface.
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Responds to facial expressions.
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Projects on fast moving objects.
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Pats mirror image.
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Repeats action that produces a noise.
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Shakes head no-no.
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Imitates sounds.
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Motor Skills Milestones |
Gross Motor
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Sits supported in high chair.
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Bears almost all weight while standing supported.
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Prone- bears weight on one hand.
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Sits without support on floor.
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Bounces when held standing.
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Crawls on belly.
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Pulls self to stand.
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Stands holding onto furniture's for 5 minutes.
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Makes stepping movements.
Fine Motor
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Reaches for objects in each hand.
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Takes tiny objects.
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Uses inferior pincer grasp.
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Removes pegs from pegboard.
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Takes objects out of container.
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Holds bites and chews cracker or cookies.
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Grasps with thumb and fore finger.
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Plays with paper when it is offered.
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Social-Emotional Milestones |
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Distinguishes self as separate from mother.
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Shows anxiety over separation from mother.
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Responds playfully to mirror.
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Discriminates strangers.
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Smiles, pats, vocalize to mirror image.
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Responds to name with head turn, eye contact, smile.
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First separation anxiety begins.
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Adaptive Milestones |
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Feeds self a biscuit.
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Bites and chews toys.
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Chews food with munching pattern.
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Lifts cup with handle.
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Finger feeds dry cereal, bits of meat, vegetables.
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Speech and Language Milestones |
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Responds with gestures to 'come' or 'sit down'
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Recognizes family member's name
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Attends to music
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Maintains attention to a speaker
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Stops when name is called
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Attends to pictures
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Vocalizes two-syllable combinations e.g. /baba/, /mama/
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Vocalizes while playing
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Shouts or vocalizes to gain attention
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9-12 months
Cognitive Milestones |
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Responds to verbal request.
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Lines up cubes in one hand with one in other hand.
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Stirs, points, pokes, pries, touches with index finger.
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Looks at pictures in book.
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Repeats laughed at performance.
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Pulls string to obtain ring.
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Vocalizes to music.
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Pats whistle doll.
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Gives toy to adult on request.
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Removes lid of box to find hidden toys.
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Follow simple instructions.
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Motor Skills Milestones |
Gross Motor
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Stands with one hand held.
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Sits down from standing.
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Stands alone.
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Creeping rapidly on hands and knees.
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Walks along five steps without falling.
Fine Motor
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Uncovers toy seen hidden.
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Hits cup with spoon.
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Holds crayons, makes marks.
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Builds tower of 2-3 cubes after demonstration.
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Marks with pencil.
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Puts objects into container.
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Social-Emotional Milestones |
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Responds to a verbal request, usually in regard to nursery games.
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Begins to establish the meaning of 'NO'.
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Gives a toy to adult upon request.
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Increased resistance to bedtime.
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Tests parental reactions during feeding.
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Engages in simple imitative play.
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Explores environment enthusiastically.
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Adaptive Milestones |
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Attempts to remove obstacles on effort to find lost toy.
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Finger feeds self for part of meal.
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Takes off hats, shoes.
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Cooperates in dressing.
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Inhibits drooling.
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Cooperates with dressing by extending arm or legs.
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Sleeps night twelve fourteen hours.
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Speech and Language Milestones |
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Looks at the person calling out name
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Attends to new words
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Gives objects on verbal request
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Attends to objects mentioned in conversation
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Participates in speech routines games e.g. ring-a-ring-a-roses
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Says 'mama', 'tata', 'papa' meaningfully
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Imitates non-speech sounds e.g. 'bow-bow', 'kaka'
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Says one or two words spontaneously
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Vocalizes desire for change in activities
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Imitates the name of familiar objects
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Between birth and age one
Cognitive Milestones
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Follows moving object with eyes.
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Responds to voices
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Looks more at surroundings in a new place
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Looks longer at human faces than at objects
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Watches movements of own hands
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Recognizes differences among people; responds to strangers by crying or staring.
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Responds to and imitates facial expressions of others.
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Responds to very simple directions.
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Pats mirror image
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Shakes head "no-no"
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Stops activity when told "no-no"
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Uncovers hidden toys
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Imitates gestures and actions.
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Puts small objects in and out of container with intention.
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Builds tower of 2-3 blocks after demonstration
Motor Skills Milestones
| Gross motor |
Fine motor |
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Side steps around furniture.
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Twists body to pick up object while sitting.
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Sits without support.
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Crawls.
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Pulls self to standing position and stands unaided.
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Walks with aid.
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Rolls a ball in imitation of adult.
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Reaches, grasps, and puts object in mouth.
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Picks things up with pincer grasp (thumb and one finger)..
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Transfers object from one hand to the other.
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Drops and picks up toy.
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Tries to imitate scribbling
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Uses both hands freely
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Social-Emotional Milestones
- Establishes eye contact.
- Smiles spontaneously.
- Demands social attention
- Smiles at mirror image.
- Responds differently to strangers than to familiar people.
- Pays attention to own name.
- Responds to no.
- Cooperates in games.
- Extends toys to show others without parting.
- Copies simple actions of others.
Adaptive Milestones
- Finger feeds self.
- Some drooling present.
- Holds spoon.
- Holds own bottle.
- Drinks from cup held for him.
- Chews food with munching pattern.
- Holds cup with two hands; drinks with assistance.
- Holds out arms and legs while being dressed.
- Naps once or twice each day one-four hours.
- Sleeps twelve to fourteen hours at night.
Speech & Language Milestones
Between birth and age one
- Recognizes name.
- Uses vocalizations instead of crying to express want
- Attends to new words.
- Imitates familiar words.
- Performs a routine activity upon verbal request (no visual cues)
- Looks at appropriate place when asked "where is the ball?"
- Says 2-3 words besides "mama" and "dada".
- Laughs at humour
- Vocalizes to music
- Participates in speech routine activities.
- Understands simple instructions.
- Recognizes words as symbols for objects: Car - points to garage, cat - meows.
Activities to Encourage your Child's Language
- Respond to your child's coos, gurgles, and babbling.
- Talk to your child as you care for him or her throughout the day.
- Read colorful books to your child every day.
- Tell nursery rhymes and sing songs.
- Teach your child the names of everyday items and familiar people.
- Take your child with you to new places and situations.
- Play simple games with your child such as "peek-a-boo".
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Between one and two
Cognitive Milestones
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Imitates actions and words of adults.
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Unwraps toys
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Can hold 3 blocks in one hand
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Follows 2 directions
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Understands and follows simple, familiar directions.
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Overcomes simple obstacles
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Responds to words or commands with appropriate action.
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Is able to match two similar objects.
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Looks at storybook pictures with an adult
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Names or points to familiar objects on request.
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Recognizes difference between you and me.
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Has very limited attention span.
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Can complete 3-piece inset puzzles
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Builds tower of 6-7 blocks.
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Accomplishes primary learning through own exploration.
Motor Skills Milestones
| Gross motor |
Fine motor |
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Walks alone.
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Walks backwards.
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Picks up toys from floor without falling.
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Throws ball overhead without falling.
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Carries large teddy bear or doll while walking.
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Pulls toys, pushes toys.
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Seats self in child size chair.
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Walks up and down stairs with hand held.
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Jumps in one place
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Moves to music.
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Builds tower of three small blocks.
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Puts four rings on stick.
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Places five pegs in pegboard.
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Turns pages two or three at a time.
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Scribbles spontaneously.
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Turns knobs.
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Throws small ball.
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Paints with whole arm movement, shifts hands, and makes strokes.
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Attempts to fold paper
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Imitates circular stroke.
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Uses both hands in midline - one to hold and the other to manipulate.
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Social-Emotional Milestones
- Recognizes self in mirror or picture.
- Refers to self by name.
- Plays by self; initiates own play.
- Imitates adult behaviors in play e.g. doing housework.
- Helps put things away.
- Gives toys to familiar people upon request.
- Hugs and kisses parents.
- Desires control of others - orders, fights, resists
- Shows wide variety of emotions: fear, anger, sympathy, guilt, anxiety, joy.
- Interacts with peers using gestures.
- Likes rough-and-tumble play.
- Attempts to comfort others in distress.
Adaptive Milestones
- Uses spoon, spilling little.
- Drinks form cup with one hand, unassisted.
- Holds cup handle.
- Gives empty dish to adult.
- Chews food with rotary jaw movements.
- Distinguishes edible and inedible items.
- Unzips large zipper.
- Indicates toilet needs.
- Washes and dries hands partially.
- Removes shoes, socks, pants, and sweater.
- Replaces familiar objects where they belong.
- Sleeps ten-twelve hours at night.
- Naps once in the afternoon one-three hours.
Speech & Language Milestones
- Understands "no".
- Uses 20 to 40 words, including names.
- Uses new words regularly.
- Refers to self by name.
- Combines two words such as "daddy bye-bye".
- Waves good-bye and plays pat-a-cake.
- Makes the "sounds" of familiar animals.
- Uses words such as "more" to make wants known.
- Brings object from another room when asked.
Activities to Encourage your Child's Language
- Reward and encourage early efforts at saying new words.
- Talk to your baby about everything you're doing while you're with him.
- Talk simply, clearly, and slowly to your child.
- Talk about new situations before you go, while you're there, and again when you are home.
- Look at your child when he or she talks to you.
- Describe what your child is doing, feeling, hearing.
- Let your child listen to children's records and tapes.
- Praise your child's efforts to communicate.
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Between two and three
Cognitive Milestones
- Responds to simple directions.
- Points to 3-4 body parts.
- Plays with water and sand
- Identifies rooms in own house
- Identifies clothing items for different occasions
- Selects and looks at picture books, names pictured objects
- Identifies several objects within one picture.
- Matches and uses associated objects meaningfully.
- Stacks rings on peg in order of size.
- Recognized self in mirror, saying baby, or own name.
- Can talk briefly about what he/she is doing; imitates adult actions.
- Has limited attention span; learning is through exploration and adult direction.
- Is beginning to understand functional concepts of familiar objects and part/whole concepts.
- Matches 3-4 colors, knows big and little.
Motor Skills Milestones
| Gross motor |
Fine motor |
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Runs forward well.
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Makes sharp turns around corners when running.
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Walks downstairs alternating feet.
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Stands on one foot (with aid).
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Uses pedals on tricycle alternately.
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Jumps in place with two feet together.
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Walks and even runs on tiptoe.
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Kicks a ball forward.
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Catches eight inch ball.
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Climbs ladders.
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Strings four large beads.
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Turns single pages.
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Snips with scissors.
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Holds crayon with thumb and fingers.
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Uses one hand consistently in most activities.
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Imitates circular, vertical, horizontal strokes.
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Paints with some wrist action; makes dots, lines, circular strokes.
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Rolls, pounds, squeezes, and pulls clay.
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Social-Emotional Milestones
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Holds parents hands outdoors.
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Strongly possessive of loved ones.
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Displays shyness with strangers.
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Plays near other children, watches them.
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Throws frustration tantrums.
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Takes pride in clothing.
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Defends own possessions.
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Begins to play house or with cars, dolls.
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Symbolically uses objects, self in play.
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Participates in simple group activity.
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Knows gender identity.
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Begins to obey rules.
Adaptive Milestones
- Uses spoon, little spilling.
- Gets drink form fountain or faucet independently.
- Helps carry and put away things.
- Opens door by turning handle.
- Puts on shirt or dress unassisted.
- Takes off clothes with help on buttons.
- Puts on shoes.
- Squats, holds self and verbalizes toilet needs.
- Washes and dries hands.
Speech & Language Milestones
- Identifies body parts.
- Gives full name.
- Holds up fingers to tell age.
- Carries on 'conversation' with self and dolls.
- Asks "what's that?" And "where's my?"
- Uses 2-word negative phrases such as "no want".
- Forms some plurals by adding "s"; book, books.
- Has a 450 word vocabulary.
- Combines nouns and verbs "mummy come".
- Understands simple time concepts: "last night", "tomorrow".
- Refers to self as "me" rather than by name.
- Tries to get adult attention: "watch me".
- Likes to hear same story repeated.
- May say "no" when means "yes".
- Talks to other children as well as adults.
- Solves problems by talking instead of hitting or crying.
- Answers "where" questions.
- Names common pictures and things.
- Uses short sentences like "me want more" or "me want biscuit".
Activities to Encourage your Child's Language
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Repeat new words over and over.
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Help your child listen and follow instructions by playing games: "pick up the ball," "Touch Daddy's s nose".
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Take your child on trips and talk about what you see before, during and after the trip.
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Let your child tell you answers to simple questions.
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Read books every day, perhaps as part of the bedtime routine.
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Listen attentively as your child talks to you.
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Describe what you are doing, planning, thinking.
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Have the child deliver simple messages for you (Mommy needs you, Daddy).
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Carry on conversations with the child, preferably when the two of you have some quiet time together.
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Ask questions to get your child to think and talk.
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Show the child you understand what he or she says by answering, smiling, and nodding your head.
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Expand what the; child says. If he or she says, "more juice", You say, "Priya wants more juice.".
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Between three and four
Cognitive Milestones
- Recognizes and matches six colors.
- Copies circle.
- Understands common prepositions
- Intentionally stacks blocks or rings in order of size.
- Builds tower of more than 10 blocks
- Draws somewhat recognizable picture that is meaningful to child if not to adult; names and briefly explains picture.
- Asks questions for information: why and how questions requiring simple answers.
- Knows own age.
- Knows own name.
- Has short attention span; learns through observing and imitating adults and by adult instruction and explanation; is very easily distracted.
- Has increased understanding of concepts of the functions and grouping of objects and part/whole.
- Begins to be aware of past and present.
Motor Skills Milestones
| Gross motor |
Fine motor |
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Runs around obstacles.
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Walks on a line.
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Balances on one foot for five to ten seconds.
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Hops on one foot in one place.
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Pushes, pulls, steers wheeled toys.
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Rides tricycle.
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Uses slide independently.
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Jumps over six inch high object and lands on both feet together.
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Throws ball overhead.
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Catches a bouncing ball.
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Builds tower of nine small blocks.
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Drives nails and pegs.
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Copies circle.
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Imitates cross.
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Manipulates clay material (rolls balls, snakes, cookies).
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Social-Emotional Milestones
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Takes pride in own achievements; resists help.
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Likes to be independent; runs ahead of parents while outdoors.
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Separates easily from mother in familiar setting.
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Tends to be demanding and dictatorial.
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Talks with a loud urgent voice.
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Enjoys meeting more people.
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Verbally scolds when annoyed or angry.
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Joins in play with other children; begins to interact.
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Sings along and makes sequential moves to music.
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Shares toys; takes turns with assistance.
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Begins dramatic play, acting out whole scenes.
Adaptive Milestones
- Pours well form small pitcher.
- Spreads soft butter with knife.
- Undresses completely without help.
- Buttons and unbuttons large buttons.
- Washes hands independently.
- Blows nose when reminded.
- Uses toilet independently.
Speech & Language Milestones
- Uses verb forms.
- Uses 'I', 'you'.
- Consistent use of 's' to express plural.
- Uses 'this', 'that'.
- Names at least one color.
- Counts to five.
- Verbalizes recent experiences.
- Can tell a story.
- Understands 'what', 'where'
- Uses 'what', 'where' and occasionally 'when', 'who'.
- Has a sentence length of 4-5 words.
- Has a vocabulary of nearly 1000 words.
- Understands "yesterday," "summer", "lunchtime", "tonight", "little-big".
- Begins to obey requests like "put the block under the chair".
- Knows his or her last name, name of street on which he/she lives and several nursery rhymes.
Activities to Encourage your Child's Language
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Talk about how objects are the same or different.
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Help your child to tell stories using books and pictures.
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Let your child play with other children.
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Read longer stories to your child.
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Pay attention to your child when he's talking.
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Talk about places you've been or will be going.
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Between four and five
Cognitive Milestones
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Plays with words: creates own rhyming words, says or makes up words having similar sounds.
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Points and names four to six colors.
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Matches pictures of familiar objects.
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Draws a person with two to six recognizable parts, such as head, arms, and legs; can name or match drawn parts to own body.
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Draws, names, and describes recognizable pictures.
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Rote counts to five, imitating adult.
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Knows own street and town.
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Has more extended attention span; learns through observing and listening to adults, as well as through exploration; is easily distracted.
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Has increased understanding of concepts of function, time, part/whole relationships; function or use of objects may be stated in addition to names of objects.
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Time concepts are expanding; can talk about yesterday or last week, about today, and about what will happen tomorrow.
Motor Skills Milestones
| Gross motor |
Fine motor |
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Hops on one foot (4-6 steps).
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Runs more controlled with feet closed.
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Walks backward toe-heel.
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Jumps forward 10 times without falling.
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Walks up and down stair independently, alternating feet.
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Turns somersault.
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Shows hand preference.
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Cuts on line continuously.
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Solves 12-16 piece puzzle.
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Copies cross.
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Copies square.
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Prints some capital letters.
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Threads 1/4inch beads.
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Social-Emotional Milestones
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Plays and interacts with other children.
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Dramatic play is closer to reality, with attention paid to detail, time, and space.
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Plays dress-up.
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Shows interest in exploring sex differences.
Adaptive Milestones
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Cuts easy foods with a knife.
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Laces shoes.
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Unbuckles or buckles belt or shoes.
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Recognizes right shoe from left.
Speech & Language Milestones
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Has sentence length of 4-5 words.
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Uses past tense correctly.
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Comprehends the concept of 'better than'.
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Consistent use of 'a', 'the'.
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Uses size and colour adjectives in sentence form.
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Has a vocabulary of nearly 1500 words.
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Points to colors red, blue, yellow and green.
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Identifies triangles, circles and squares.
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Understands "In the morning", "next", "noontime".
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Can speak of imaginary conditions such as "I hope".
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Asks many questions, asks "who?" and "why?"
Activities to Encourage your Child's Language
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Help your child sort objects and things (ex. things you eat, animals. . ).
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Teach your child how to use the telephone.
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Let your child help you plan activities such as what you will make for Thanksgiving dinner.
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Continue talking with him about his interests.
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Read longer stories to him.
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Let her tell and make up stories for you.
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Show your pleasure when she comes to talk with you.
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Between five and six Cognitive Milestones
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Retells story from picture book with reasonable accuracy.
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Names some letters and numerals.
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Rote counts to ten.
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Sorts objects by single characteristics.
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Is beginning to use accurately time concepts of tomorrow and yesterday.
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Uses classroom tools meaningfully and purposefully.
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Begins to relate clock time to daily schedule.
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Attention span increases noticeably; learns through adult instruction; when interested, can ignore distractions.
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Concepts of function increase as well as understanding of why things happen; time concepts are expanding into an understanding of the future in terms of major events.
Motor Skills Milestones
| Gross motor |
Fine motor |
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Cuts out simple shapes.
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Copies triangle.
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Traces diamond.
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Copies first name.
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Prints numerals 1 to 5.
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Colors within lines.
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Has adult grasp of pencil.
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Had handedness well established.
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Pastes and glues appropriately.
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Social-Emotional Milestones
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Chooses own friends.
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Plays simple table games.
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Plays competitive games.
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Engages in cooperative play with other children involving group decisions, role assignments, and fair play.
Adaptive Milestones
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Dresses self completely.
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Ties bow on shoe lace.
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Brushes teeth independently.
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Bathes self with some supervision.
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Crosses streets safely.
Speech & Language Milestones
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Has a sentence length of 5-6 words.
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Has a vocabulary of around 2000 words.
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Defines objects by their use (you eat with a fork) and can tell what objects are made of.
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Knows spatial relations like "on top", "behind", "far" and "near".
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Knows her address.
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Identifies a penny, nickel and dime.
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Knows common opposites like "big/little".
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Understands "same" and "different".
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Counts ten objects.
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Asks questions for information.
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Distinguished left and right hand in herself.
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Uses all types of sentences, for example "let's go to the store after we eat".
Activities to Encourage your Child's Language
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Praise your child when she talks about her feelings, thoughts, hopes and fears.
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Comment on what you did or how you think your child feels.
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Sing songs, rhymes with your child.
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Continue to read longer stories.
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Talk with him as you would an adult.
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Look at family photos and talk to him about your family history.
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Listen to her when she talks to you.
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