|
Northeast Indiana Pediatric Specialists, PC |
|
Dr. Michael Dick & Dr. Todd Dillon nips@med-web.com |
Childhood development
2 - 4 Weeks
|
Raises head slightly
from prone |
Blinks in
Reaction to bright light |
Focuses and
follows with eyes |
Responds to
sound by turning or quieting |
2 months
|
Motor |
Sensory |
Communication |
Social |
|
Holds head
temporarily, briefly holds a rattle |
Tracks/follows
objects visually, looks @ faces in line of vision, responds to sound by
quieting/becoming alert |
Coos, differing
cries for differing needs |
Smiles
socially, coos to a voice, relates differentially to mom, dad, sibs |
4 months
|
Gross motor |
Fine
motor |
Sensory |
Communication |
Social |
|
Holds head
erect, raises body from prone with arms, may support weight with legs, may
roll prone to supine or converse |
Reaches and grabs
objects, puts hands together, plays with hands, grabs a rattle, releases
objects voluntarily |
Tracks /
follows objects 1800, responds to sound @ least by becoming quiet
/ alert |
Coos
reciprocally, differentiated crying, blows bubbles, makes raspberries |
Smiles
readily in social settings, may laugh / squeal, differentiates individuals |
6 months
|
Motor |
Fine
motor |
Communication |
Social |
|
Holds head high
when prone, raises body up on hands, no head lag, rolls over, sits with
support |
Plays with
hands, holds rattle, Rakes small objects, transfers objects |
Follows 1800,
turns head toward sounds / noises, babbles / laughs / squeals, initiates /
imitates/ plays with sounds |
Initiates
contact, looks @ / recognizes and studies caregivers, shows pleasure
excitement and displeasure |
9 months
|
Gross motor |
Fine
motor |
Cognitive |
Communication |
Social |
|
Sits well,
crawls, creeps on hands, may cruise |
Thumb / finger
grasp, brings hand to mouth, feeds self, bangs object together |
Interested in
falling objects, searches for hidden objects |
Knows name,
understands words, imitates vocalizations, polysyllabic babbling |
Stranger
anxiety, participates interactive games |
12 months
|
Motor |
Cognitive |
Communication |
|
Pincher grasp,
sits w/o support, crawls, pulls self up, walks with support, uses spoon |
Plays with
adult – like objects (broom, comb, telephone, cooking equipment) |
Interactive games,
Picture books, points to animals or names body parts, follows simple
commands, points when asked “where’s mommy?” |
15 months
|
Fine motor |
Cognitive |
Communication |
Social |
|
Feeds with fingers
/ spoon, scribbles with crayons, stacks 2 blocks, usually walks |
Better
functional understanding of objects |
5–15 single
words, jargon, gestures, follows simple commands, points to pictures / body
parts, likes to have stories read to me |
Gives and takes
toys, plays games, communicates pleasure / displeasure, interested in
novelty, tests limits |
18 months
|
Gross
motor |
Fine
motor |
Cognitive |
Communication |
Social |
|
Runs, walks up stairs
with hand held, walks backward, climbs onto adult chair |
Eats with a
spoon and fork, stacks blocks, scribbles with crayons |
Finds hidden
objects, pretends |
Understands
commands, points to body parts, two-word sentences |
Likes other
children |
24 months
|
Gross motor |
Fine
motor |
Cognitive |
Communication |
Social Adaptive |
|
Runs, Jumps in
place, walks up and down stairs (2 feet each stair), overhead throw |
Uses spoon /
fork, opens door, draws a vertical line |
Finds hidden
objects, pretends, Creates “means to an end” (pulls chair to cabinet) |
50 words,
two-word sentences, two step commands, listens to short stories, pronouns |
Imitates
adults, parallel play Brushes teeth with help, dresses with help, feeds self |
3 years
|
Gross motor |
Fine
motor |
Cognitive |
Communication |
Social |
Adaptive |
|
Jumps in place,
kicks ball, pedals tricycle, alternating feet up steps |
Scribbles,
copies a circle, utensils, puts on clothing, stacks 8 blocks |
Pretend play,
knows name / age / sex |
75%
intelligible, short sentences, confuses plurals / articles / tense, asks
questions |
Interactive
play, oppositional / destructive, listens to short stories |
Undresses, some
dressing, interest in toilet training, self – feeding |
4 Years
|
Gross motor |
Fine
motor |
Cognitive |
Communication |
Social |
Adaptive |
|
Pedals tricycle, hops and balances on one foot, alternating gait on stairs |
Copies a circle
and a cross, draws a person with 3–6 parts, scissors |
Complex pretend
play (imaginary friends), Difficult to differentiate reality from imaginary,
alphabet recognition |
Fully
intelligible, full sentences, asks complex questions, extensive vocabulary |
Interactive
pretend play, waits, takes turns, shares, plays board / card games |
Puts on clothes
except shoes, able to button / zip, toilet trained, brushes teeth, utensils |
5 years
|
Gross motor |
Dexterity |
Language |
Social |
|
Balances on 1
foot, hops and skips, climbs up on exam tables |
Ties knots,
mature pencil grasp, draws a person with 6 parts, prints some letter /
numbers, copies square / triangles |
Tells simple
stories using tenses and pronouns, good articulation, 4 colors – counts to
10 |
Follows simple directions,
listens, undresses and dresses with minimal assistance |
6 years
|
Ride a bicycle,
sports, ataxia, ties shoes |
Draws and
writes, knows left / right |
Understands
long commands and complex sentences |
Math,
Reading readiness |