DEVELOPMENTAL MILESTONES:

AGE GROSS MOTOR FINE MOTOR AND HEARING AND SOCIAL

VISION SPEECH BEHAVIOUR

NEONATE ●PRONE: head ● Pupillary reflex ● Cries. ● Moro reflex

turned to one side present. ● Responsive to present.
with hip, knee, ● Doll’s eye reflex voice and often ● Sucking reflex
elbow flexion and present. corner reflexly in present.
hands fisted. ●Optical closure direction of sound. ● Swallowing
●SUPINE: Tonic from sudden ● Startle reflex. reflex present.
neck Reflex bright light ● Engages in ● Recognizes
present ( fencing vocalization parents.
posture). ● Cannot hold
●Placing reflex toys.
present.
●Walking reflex
present.
4-6 Weeks ● Social smile

3 MONTHS ● Neck holding ● Follow light upto ● Quiets to sound ● Laughs

achieved. 180 degrees. of rattle (spoon in ● Active grasp.
● Back is straight. ● Defensive blink cup). ● Anticipates food
● On ventral present. ● Delighted when on sight.
suspension, head ● Grasps cube – spoken to.
above line of body first ulnar then ● Turns to nearby
with hips and later thumb voice.
shoulders opposition.
extended.

5 MONTHS ● Can roll over

from prone to
supine (5 months)
6 MONTHS ● Lifts head. ● Reaches from ● Vocalizes in ● Takes everything
● Can roll over one hand. single or double to mouth.
from supine to ● Follows dangling syllables eg goo-, ● Play with feet
prone. ball in all dah-, ah-ah. and hands.
● Backward directions. ● Shouts to get ● Imitates “bye
Parachute reflex ● Conjugate eye attention. bye.”
present. movements ● Responds to ● Inhibited by
● Sits with present. hearing tests at 1 word ” NO.”
support. ● Palmar grasp foot distance.
present.
● Transfer objects
from one hand to
another.

7 MONTHS ● Forward
parachute reflex. ● Stranger anxiety
develops.

8 MONTHS ● Sit without

support (8
months).

9 MONTHS ● Crawls. ● Alert to ● Localizes sounds ● Holds, bites,

peripheral vision. above or below chews a biscuit.
● Grasp string ear level at 3-6 ● Imitates hand
between index feet. clapping.
finger and thumb ● Babbles in long ● Grasps bell by
(scissor fashion). string syllables handle and rings
● Drops an object ( baba, dad-dad, in imitation.
and looks at it. agaga). ● Follows one step
verbal commands;
eg “come here”,
“give it to me”.

10 MONTHS ● Stands with ● Pincer grip

support. develops.

11 MONTHS ● Walks with

support.
12 MONTHS (1 ● Walks with one ● Holds two cubes ● Responds to his/ ● Drinks from cup
year) hand held . and tries to build a her name, with assistance.
tower of two ● Knows 5-6 ● Waves bye bye.
cubes. words ● Finds toys
● Turn pages of ● Spokes 2-3 real hidden before his
book. words (baba, eyes.
● can scribble. amma). ● Gives toy on
request.
15 MONTHS ● Walks alone
with uneven steps
and feet wide
apart.

18 MONTHS (1 ½ ● Climb upstairs ● Hold pencils ● Names pictures. ● Self feeding with
YEARS) with support and with tripod grasp. ● Uses 6-20 spoon.
two feet per step. ● Builds tower of recognizable ●Plays
● Throws ball. 3 blocks. words . contentedly alone
● Sits on small ● Obeys simple with toys.
chair. instructions like ● Still wets pants.
“close the door” ● May complain
when wet or
soiled.

2 YEARS ● Runs well. ● Picks up pins, ● Make sentences ● Verbalizes toilet

● Climb on threads. of 2-3 words. need.
furniture and ● Builds tower of ● Uses 50 ● Points to named
stairs up and six cubes. recognizable objects or
down with ● Draw vertical words. pictures.
support and two lines. ● Constantly ● Pulls down
feet per step. inquires about pants but unable
● Open doors. names of objects to replace.
● Kicks ball. and people. ● Handles spoon
well.
● Imitates
domestic activities
of mother.

2.5 YEARS ● Can jump from ● Enjoy pictures

low steps. and stories.
3 YEARS ● Can walk on ● Build tower of 9- ● Can give name, ● Toilet trained.
Tiptoe. 10 cubes. age, sex. ● Washes and
● rides on tricycle ● Copies a circle. ● Knows several dries hand under
using pedals. nursery rhymes. supervision.
● Climb upstairs ● Counts upto 10 ● Dresses with
with alternating or more. supervision but un
with feet and able to button.
downstairs 2 feet
per step.

4 YEARS ● Climb stairs well ● Can draw a cross ● Tell full name ● Washes and
with alternating and plus (+), a and address. dries hands
feet. man with head, ● Speech is without
● Runs and turns legs and trunk. intelligible and supervision.
without losing ● Can cut paper grammatically ● Can dress and
balance. using scissors. correct undress, brush
● Runs on tip toes. ● Builds three ● Counts upto 20 teeth, tell story.
● Stand on one steps with three or more. ● Can go to toilet
foot for 3-5 secs. cubes. alone but need
assistance with
wiping.
● Companionship
and quarrels with
other children.
● Knows the days
of the week.

5 YEARS ● Runs up and ● Can draw square ● Tell name, age ● Washes face
downstairs. and triangle. and birthday. alone and need
● Hops and skips ● Thread large ● Loves listening help for rest.
on one foot. needle and can to stories. ●Affectionate and
● Can catch a ball. sew stitches. ● Defines noun. helpful for
● Walks on a ●Names 4 colours. younger siblings.
straight line. ●Knows right and
left hand.
● Goes to school
unattended.
● Little awareness
of dangers and
good motor
ability.