Pediatric Assessment

Age	Developmental Milestones
1 month	Cries to communicate, reflex activity, eye contact
2 months	Coos, smiles, frowns, tracks objects, lifts head
3 months	Turns from back to side, sits with support
4 months	Turns from back to abdomen, lifts head and bears weight on forearms, can hold head erect, places everything in mouth, grasps with both hands, laughs, makes consonant sounds
5 months	Turns from abdomen to back, uses hands independently, plays with toes, puts feet into mouth
6 months	Sits alone leaning forward on hands, holds bottle, extends arms to be picked up, starts to show a fear of strangers, begins to make wordlike sounds, looks for dropped objects, plays “peek-a-boo”
7 months	Begins to crawl, bears weight on feet when supported
8 months	Pulls to a standing position, sits alone without any support, increased fear of strangers
9 months	Walks along side furniture, well-developed crawl, bangs objects together, drinks from cup, attempts to feed self, looks for hidden objects
10 months	May begin to walk and climb, one-handed dominance apparent, may say one or two meaningful words
11 months	Understands meaning of word “No,” shakes head to indicate “No,” can follow simple directions, cooperates with dressing activities, uses spoon
12 months	Walks alone or with one hand held, falls frequently while walking, points with one finger, drinks well with cup, pulls off socks
15 months	Walks independently, throws overhanded, pulls or pushes toys, builds with blocks, scribbles with crayon
18 months	Runs clumsily, jumps in place with both feet, can say about 10 words, may be able to control anal and urinary sphincters
2 years	Runs well, climbs stairs by placing both feet on each step, attains bladder and bowel control between 2 and 3 years of age, names familiar objects, combines two to three words into meaningful phrase
2 1/2 years	Jumps from chair or step, stands on one foot briefly
3 years	Rides tricycle, turns doorknobs, climbs stairs by alternating feet on steps, dresses self, uses short sentences
4 years	Hops on one foot, catches ball, names colors
5 years	Skips well, jumps rope, maintains balance with eyes closed, uses complete sentences, vocabulary of about 2100 words
6–12 years	Swims, skates, rides bicycle, ties shoes, uses crayon or pencil well, has strong sense of fairness, awareness of rule-governed behavior, uses complex sentences, reads, counts, forms clubs or groups
Adolescent	Learns to care for self independently while learning to effectively interact with society