dr. madhavarapu pgy-3 dept of pediatrics st. barnabas hospital
TRANSCRIPT
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
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
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
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
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