Developmental Milestones presented by TEAM Approach in Houston

Birth to Five Years
Age	Gross Motor	Fine Motor	Speech / Language / Swallowing	Cognition
0-1 Months	Momentary head elevation when on tummy Holds rattle placed in hand Turns head side to side Reciprocal and symmetrical kicking	Looks at objects briefly Hands primarily closed especially with touch	Draws attention when upset Cries become different for pain and hunger Coordinates suckling, swallowing, and breathing Opens and closes mouth in response to food	Reacts to sound, light, and motion Turns head to hear familiar voice Highly attuned to faces
2-3 Months	Holds head up to look at toys Holds self on arms when on tummy	Hands open often Brings hands to mouth Holds toys purposefully	Enjoys social play Makes comfort sounds Begins smiling Coos open mouth vowels (aah) and closed vowels (ee)	Squeals and laughs when pleased Awareness of new situations
4-5 Months	Head no longer drops when pulled to sit Sits with support Stands holding weight when supported Rolls from tummy to back Rolls from back to side	Looks at toys while holding them Reaches for, holds and lifts toys with both arms Hands are in midline Holds and shakes rattle	Repeats enjoyable activities Uses tongue to move food in mouth Responds to sound stimulation or speech by making noises Begins babbling (reduplicated)(baba, dada)	Reaches for familiar persons Watches bottle prep with excitement Reacts to sight of toy Mouths, bangs, and shakes toys
6-7 Months	Rolls from back to tummy Sits without support Bounces when held standing Rocks and pushes up on hands and knees	Holds bottle Holds cookie Moves toys from hand to hand	Voices attitudes other than crying-joy, anger, etc. Cooperates in games Reacts to music by cooing Looks and vocalizes to own name Babbles to people Drinks from a cup and straw Swallows pureed foods	Stares at strangers Looks back and forth between two objects Holds arms out to be picked up Smiles and vocalizes to mirror image Cries if toy removed
8-9 Months	Pulls to stand Crawls Moves from sitting to tummy & tummy to sitting Cruises sideways	Picks up small toys Bangs toys together Uses both hands during play	Lets only parent meet needs Says “dada” and “mama” Shouts for attention and adds excitement to vocalizations Chews food with coordinated movements Babbles a variety of sounds: b,m,p,d,t,n,g,k,w,h,f,v,th,s,z,l,r	Uncovers toys New forms of awareness emerge-plays peek-a-boo and other hiding games Begins to understand cause and effect
10-11 Months	Sits from standing Stands alone with one hand held Cruises around furniture Can stand alone	Holds crayon Pushes car Drops toys on purpose Uses more than one object in play (hits cup with spoon)	Babbles using syllables like “badaga” with different sounds Babbles in response to human voice Understands some words by demonstrating appropriate behavior	Starts to link meaning to gestures Shakes head “no”
12 Months	Crawls rapidly on hands and knees Walks unassisted Up on knees without help Throws ball	Scribbles Uses index finger to point Builds 2 block tower Holds cup without handles	Babbles to him/herself when left alone Responds well to introduction of new tasks Appetite may decrease	Wants to be independent Displays temper tantrums
13-24 Months	Beginning to jump Climbs into adult chair Begins to run Walks backwards Squats during play Throws small balls	Takes off socks Unzips zippers Uses a spoon by self Sorts a few shapes Begins writing and making marks	Says “oh no” or “uh oh” Vocabulary increases (50-250) words Begins to put 2 words together	Recognizes name Understands what objects do Knows when book is upside down Starts pretend play
2 Years	Bounces ball Kicks big ball Runs well Stands on tip toes Stands on one foot Jumps forward	Turns doorknobs Strings beads Unwraps small objects Takes off shoes Holds pencil properly instead of in fist	Vocabulary improves quickly (250-500 words) Understands categories Imitates 4 word sentences	Sings parts of songs Simple problem solving Puts objects together with several parts
3 Years	Rides a tricycle Jumps with feet together Catches a large ball with arms/hands Kicks a large rolled ball	Cuts with scissors Colors with crayon Unbuttons large button Builds 9 block tower Imitates drawing a cross and circle	Understands similar and different Remembers and tells stories Asks many “why” questions Answers questions Repeats 5 word sentences	Sorts toys by size and color Begins to understand safety awareness Gives full name Higher level problem solving Imaginative play
4 Years	Stands on one foot for up to 8 seconds Skips Hops on 1 foot Walks on balance beam Throws overhand	Buttons large buttons Touches finger to nose with eyes closed Traces and copies Brushes teeth Washes and dries face Cuts out shapes	Answers a variety of “wh” questions Understood at least 80% of the time Vocabulary of several thousand words Gives age and birthday	Understands most rules Abstract thinking emerges Understands past and present Gives address
5 Years	Stands still on toes Hops on 1 foot 10 times Catches small ball bounced by self Jumps forward 18-24”	Copies triangles Cuts on a straight line Draws a 6-8 part man Buttons small buttons Tries to color in lines	Speaks fluently except for confusions with /s,f,th/ Asks meaning of abstract words	Can compare objects Counts Knows morning from afternoon Learns left from right

13150 FM 529, Suite 114Houston, TX 77041

13150 FM 529, Suite 114
Houston, TX 77041