Age Neonate One month Two months Three months
Physical Neuro
Gross Motor head lag
CHILDHOOD DEVELOPMENTAL MILESTONES
Fine Motor Reflexes grasp
Language Cry
Interpersonal Social Prefers human face
Play
Feeding Root, suck, swallow Strong extrusion reflexes Extrusion reflex, fades, drools Attempts to bring lips to cup Anticipates food, begins solid Begin finger food, self feeding
Dance reflex (stepping) Closure of posterior fontanels Grasp reflex disappears Lifts head on prone position Spends time looking at the hand or uses them as toy (hand regard) Brings hands together Two hands grasp Holds bottle with two hands (palmar grasp) Differential crying, coos, gurgles Social smile Recognize the mother
Follows mobiles
Plays with rattle
Four months Five months Six months Moro reflex gone Doubles birth weight, dentition (first teeth central incisors erupt)
Lifts head & chest on prone position Rolls over Sits with support, hitches Bounces, feet in mouth Sits without support Crawls then creeps Moves from prone to sitting, pulls self to standing positioN
Laughs aloud Vocalizes displeasure May say vowel sounds (oh-oh) m-m-m when crying
Very talkative
Extends arms to loved person Coughs to get attention, begins to fear strangers Height of stranger anxiety Cries when scolded Transfers object from hand to hand Uses thumb and fingers to hold peek-a-boo, pat a cake picks up small objects
Seven months Eights months Nine months Ten months
Chews, bites, begins to have food preference
Preference for one hand (pincer grasp) Points for one hand
Says first word (dada) Understands No , responds to own name
Drinks from cup, uses spoon but may spill
Eleven months Twelve months Triples birth weight, Babinski reflex disappears
Cruises, almost ready to walk Stands alone, walks with support
Puts objects in a container Attempts to lower blocks Says two words plus ma-ma and da-da Follows directions Enjoys several toys, enjoys dropping objects to see where they will go Grasps the POWERHOUSE spoon Has a favorite
15 months Plateau Walks alone Notes in Pediatric Nursing by JUNDELL A. CASTARDO, USRN 18 months Anterior fontanels Sits self on a chair Attempts three
Names familiar objects, 4-6 words Uses phrases; 7-20
Vocalizes Smears tool, started