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Table 8-1. Developmental Milestones Age 2 wk 2 mo
4 mo
Gross Motor
Fine MotorAdaptive
Moves head side to side Lifts shoulder while Tracks past prone midline
Lifts up on hands Rolls front to back
Reaches for object Raking grasp
Personal-Social Regards face
Alerts to bell
Smiles responsively
Cooing
Looks at hand
Searches for sound with eyes Laughs and squeals
5 yr 6 yr
Balances well on each foot Hops on one foot Skips Heal-to-toe walks Balances on each foot 6 sec
Copies O, maybe Brushes teeth without + help Draws person Dresses without help with 3 parts Copies □ Copies Δ Draws person with 6 parts
Other Cognitive
Begins to work toward toy
If pulled to sit from supine, no head lag 6 mo Sits alone Transfers object Feeds self hand to hand Holds bottle 9 mo Pulls to stand Starting to pincer Waves bye-bye grasp Gets into sitting Bangs 2 blocks Plays pat-a-cake position together 12 mo Walks Puts block in Drinks from a cup cup Stoops and stands Imitates others 15 mo Walks backward Scribbles Uses spoon and fork Stacks 2 blocks Helps in housework 18 mo Runs Stacks four Removes garment blocks Kicks a ball "Feeds" doll 2 yr Walks up and down Stacks 6 blocks Washes and dries stairs hands Throws overhand Copies line Brushes teeth Puts on clothes 3 yr Walks steps Stacks 8 blocks Uses spoon well, alternating feet spilling little Broad jump Wiggles thumb Puts on t-shirt
4 yr
Language
Babbles
Says Dada and Mama, but nonspecific 2-syllable sounds Says Mama and Dada, specific Says 1-2 other words Says 3-6 words Follows commands Says at least 6 words
Puts 2 words together Points to pictures Knows body parts Names pictures
Understands concept of "today"
Understands concepts of "tomorrow" and "yesterday"
Speech understandable to stranger 75% Says 3-word sentences Names colors Understands adjectives Counts Understands opposites Defines words
