Dr. Madhavarapu PGY-3 Dept of Pediatrics St. Barnabas Hospital.

Dr. MadhavarapuPGY-3

Dept of PediatricsSt. Barnabas Hospital

1 MonthTurns head in supineRasies head from prone positionHas tight grasp Hands fisted near faceSucks wellGazes at black-white objectsLooks at face and follows to midlineDiscriminates mother's voiceStartles to loud noiseMakes sounds other than crying

2 monthsHolds head in midlineLifts chest off tablein prone position.No longer clenches fists tightlyFollows object past midline Smiles socially (after being stroked or talked

to) Recognizes parent

3 MonthsProps on forearms in prone, Holds head up steadily Inspects fingersHolds hands open at restBrings hands to mouthReaches for parent's face/familiar objectsFollows objects moved in circle (when in supine)Visually follows person who is moving across a room Coos (produces long vowel sounds in musical fashion)Vocalizes when talked to

3 MonthsSupports on forearms in prone position, holds

head up steadily Holds hands open at rest, follows in circular

fashion, responds to visual threat Coos (produces long vowel sounds in musical

fashion) Reaches for familiar people or objects,

anticipates feeding

4 monthsRolls from prone to supine supports on wrists, and shifts weight Reaches with arms in unison, brings hands to

midline Laughs, orients to voice Enjoys looking around Imitates social interaction

http://www.youtube.com/watch?v=tt1aE654A4I

6 MonthsSits unsupported,puts feet in mouth in supine

position Reaches for objects, uses raking graspTransfers objects from one hand to otherTurns directly to sound and voiceBabbles, ah-goo, razz, lateral orientation to

bell Recognizes that someone is a stranger

http://www.youtube.com/watch?v=Vc1IBdt0dLM

9 MonthsPivots when sitting, crawls well, pulls to

stand, cruises Uses immature pincer grasp, probes with

forefinger, holds bottle, throws objects Says “mama, dada” indiscriminately,

gestures, waves bye-bye, understands “no”

Starts exploring environment, plays gesture games (e.g., pat-a-cake

Bangs two blocks togetherTurns when name is called

http://www.youtube.com/watch?v=vY2s8rABzTE&feature=related

12 MonthsTakes few steps.Uses mature pincer grasp, can make a

crayon mark, releases voluntarily Uses two words other than mama/dada or

proper nounsone-step command with gesture Imitates actions, comes when called,

cooperates with dressing Mama –Dada Specific

http://www.youtube.com/watch?v=cTrwv6ffwww&feature=related

15 MonthsCreeps up stairs, walks back-wards

independently Scribbles with crayon, builds tower of two

blocks in imitation Uses 4–6 words, follows one-step command

without gesture 15–18 mo: Uses spoon and cup Gives and takes a ballPuts cube into cupStoops to floor and recovers to standing

positionPoints to 1 body part

18 MonthsRuns, throws objects from standing without

falling Walks upsatirs without holding hand.Scribbles spontaneously, builds tower of 3

blocks, turns 2–3 pages at a time 7–10 word vocabulary, knows 5 body parts

Copies parent in tasks (sweeping, dusting), plays in company of other children

24 MonthsWalks up and down steps without help Imitates stroke with pencil Builds tower of 7 blocks, turns pages one at a timeRemoves shoes, pants, etc. Uses pronouns (I, you, me) inappropriately,

follows two-step commands, has a 50– word vocabulary, uses two-word sentences

Parallel play Washes and dries handsKicks a ballJumps with 2 feetSpeech is 50% intelligible to a stranger

3 YearsCan alternate feet when going up steps, pedals

tricycle Stands on one foot for 1-2 secCopies a circle, undresses completely, dresses

partially, dries hands if reminded, unbuttons Tower of 8 blocks.Uses minimum of 250 words, 3–word sentences, uses

plurals, knows all pronouns, repeats two digits Understands basic adjectives, tired, hungry etcGroup play, shares toys, takes turns, plays well with

others, knows full name, age, gender 75% of speech understandable

4 YearsHops, skips, alternates feet going down

steps Balances on 1 foot for 4 secCopies a square, buttons clothing, dresses

self completely, catches ball Names 4 colors, says song or poem from

memory, asks questions Tells “tall tales,” plays cooperatively with

a group of children, Pretends playAsks “where?, Why? , How?”100% intelligible speech

5 YearsSkips alternating feet, jumps over low

obstacles Copies triangle, ties shoe laces, spreads with

knife Prints first name, asks what a word means Defines wordsPlays competitive games/board games,

abides by rules, likes to help in household tasks

Draws a person with 6 body partsCounts 5 blocksNames all the primary colors