Bpi Pediatric Milestones, By Age

Front 1

First week (vision, communication, fine motor, gross motor)

Back 1

3-5 days, regards surroundings
Nbn alerts to sound
Holds objects placed in the palm
3-5 days: lifts head up briefly while prone

Front 2

1 month (vision, fine motor, gross motor)

Back 2

Fixes/follows to midline
Hands tightly fisted
While prone, lifts head up

Front 3

2 mos:
1) vision
2) language/communication
3) smiling laughing
4) fine motor
5) gross motor

Back 3

1)Follows past midline
2)Coos; Different types of crying
3) @1.5 mos: reciprocal social smile
4) Hands fisted 50%. Swipe at dangling objects with their hands
5) When prone, lifts head 45 degrees; moves head side to side.

Front 4

3 mos:
1)Vision
2) Fine Motor
3) gross motor

Back 4

1) follows 180 degrees
2) Hands held open at rest.
Ulnar grasp, Bats at objects, grabbing 3-4 mos
3) when prone, lifts head up 90 degrees. Partial head lag, head bobs a little while sitting
.

Front 5

4 mos:
1) language/communication
2) smiling/laughing
3) fine motor
4) gross motor

Back 5

1) squeals; orients to voice; enjoys looking around
2) spont. social smile in response to familiar face.
3) hands to midline, grabbing 3-4 mos; hand to mouth
4) rolls front to back, good head control when upright, no head lag when pulled to sit. When prone, pushes up on elbows. Tripod sitting.

Front 6

6 mos:
1) language/communication
2) fine motor
3) Gross motor
4) social

Back 6

1) babbles
2) transfers objects hand to hand, passes cubes
3) rolls back to front,
sits without support, when prone, moves into crawling position. Standing and bouncing. Placing her feet to her mouth while supine
4) Looks at mirror image and pats mirror. 6-9 mos stranger anxiety, hugging 5 months. Object permanence/peekaboo 6-8 mos.

Front 7

7 mos
1) fine motor
2) gross motor
3) social

Back 7

1) raking action to get objects
2) commando crawls; feet to mouth; lateral protection (if tilted sideways, will extend arm)
3) 6-9 mos stranger anxiety, Object permanence/peekaboo 6-8 mos

Front 8

9 mos:
1) Language/communication
2) Fine motor
3) gross motor
4) social
5) eating

Back 8

1) recognizes name, mama/papa/baba nonspecific, pointing; waves bye bye; claps
2) radial pincer grasp (collects objects in angle between thumb and 1st finger); holds bottle
3) crawling; gets into seated position
4) imitate nursery games in response to a mother's demonstrations. may give a toy in response to a request. 6-9 mos object permanence/peekaboo, stranger anxiety, 9-12 mos separation anxiety, 9 mos starts to point out objects
5) feeds self with fingers

Front 9

10 mos
1) language and communication
2) gross motor
3) social

Back 9

1) understands "no" and name
2) cruising
3) 9-12 mos separation anxiety

Front 10

12 mos:
1) language and communication
2) fine motor
3) gross motor
4) eating
5) social
6&7) 90% should do this:
7) and screen for autism if missing:
8) red flag

Back 10

1) mama/dada specific; knows one word; follows 1 step command with gesture; jargons (has speech inflection)
2) fine finger-thumb pincer grasp; bangs blocks together; puts block in a cup; lets go of objects deliberately
3) walking (10-18 mos); posterior protection (when sitting, will extend arms back if tilted backward)
4) drinks from a cup held by another person
5) responds when called; points to objects and watches parent reaction, imitates, waves bye-bye. may throw a toy in play or refusal. helps with dressing. may hug a stuffed animal, and may offer a toy to an image in a mirror. 9-12 mos separation anxiety; 12-15 mos empathy/sharing
6) pull to stand, bang 2 cubes held in hands, play pat-a-cake
7)imitate vocalizations and sounds, babbling, prodeclarative pointing
8) no babbling, pointing or gesturing

Front 11

15 mos:
1) language and communication
2) fine motor
3) gross motor
4) social
5) eating
6)&7) 90% should do this:
7) and screen for autism if missing
8) red flag

Back 11

1) uses 3-6 words w/ meaning; follows 1 step verbal command (no gesture necessary), points to one body part
2) copies scribbles, stacks 2 blocks
3) runs stiff-legged; stoop and recover; walks backward; crawls up stairs
4) brings objects to show you; listens to a story, 12-15 mos empathy/sharing; 15-18 mos shy stage, leg huggers
5) uses spoon, holds cup and drinks (spills, though)
6) stoop and recover, walk well, put block in cup, waves bye bye
7) knows one word only
8) no single words by 16 mos

Front 12

18 mos:
1) language and communication
2) fine motor
3) gross motor
4) social
5) eating
6) dressing
7) 90% do this:
8) Red flag

Back 12

1) points to self; uses 6-20 words; to indicates wants will gesture/vocalize; points to four body parts.
2) spontaneously scribbles, stacks 2-4 blocks; turns pages, several at a time
3) crawls up AND down stairs, walks up steps, holding wall; stiff runner, sits in chair, throws ball without falling over
4) imitates tasks;laughs in response to others, 15-18 mos shy stage, leg huggers
5) feeds self with spoon; drinks from cup, only rarely spills
6) removes a garment
7) If not walking backward, scribbling, knows 3 or fewer words, or doesn't 'help' in the house
8) No single words by 16 mos

Front 13

2 years old
1) language and communication
2) fine motor
3) gross motor
4) social
5) eating
6) dressing
7) 90% do this:
8) red flag

Back 13

1) at least a 50 work vocabulary; uses 2 word phrases; echolalia; follows 2-step commands; refers to self (I/me); names one picture (ie cat, horse, bird, dog, man). Point to seven body parts and name at least one part.
2) draws lines/circular strokes (2.5 y/o copies a vertical line); stacks 6 blocks (mnemonic: 24 mos::2+4=6 blocks); turns pages one at a time
3) goes up and down stairs, but uses 2 feet per step and hold on to wall/rail/hand; jumps off step/jumps up; throws ball overhand; runs well; kicks ball;
4) parallel play, imitates others, imitates food preparation; will point to object in book when you ask, "Where is...?"
5) feeds self w/ spoon and fork (spoons purees)
6) washes/dries hands, removes clothes, puts on hat
7) kick ball fwd, walk up steps, tower of 4 cubes, point to 2 pictures, remove garment
8) no two word combinations

Front 14

2.5 y/o
1) language and communication
2) fine motor
3) social
4) dressing
5) 90% do this:

Back 14

1) uses 4-8 word phrases, understandable 50% of time (less per AAP prep); points to picture of cat, horse, bird,dog, man and knows 2 actions (meows, gallops, flies, barks, talks); names 7 body parts or more; relate events that occurred 2 to 3 days ago.
2) copies a vertical line; stacks 8 blocks
3) has friends, play starts to include others, more imaginary play; fearful of changes in environment
4) dresses with help; washes/dries hands
5) jump up, tower of 6 cubes, point to 6 body parts, name 1 picture, put on clothing.

Front 15

3 yo
1) language and communication
2) fine motor
3) gross motor
4) social
5) eating
6) dressing
7) 90% do this:

Back 15

1) too many words to count; puts 2-3 short sentences together using present tense; knows plurals/ pronouns (sometimes incorrectly) /adjectives; knows 3 answers: name/ age/ sex; names 1 color; should understand 75%-100% (per AAP Prep 50%); knows name and use of: cup, ball, spoon, crayon1) draws circle (mnemonic: three circles::'therefore' symbol)
2) thumb wiggle; stacks 8 cubes; builds 'bridge' of three blocks; brushes teeth with help; washes/dries hands
3) balances 1 foot 1 second, broad jumps forward, hops in place, walks up stairs alternating feet, pedals tricycle
4) names a friend; group play; begins to share & take turns; toilet trained during daytime for bowel/bladder
5) uses spoon well, overall feeds self well
6) Tries to dress self - puts on T-shirt/shorts; unbuttons; undresses alone
7) throws ball overhand, tower of 6 cubes, name 4 pictures, brush teeth with help

Front 16

4 y/o
1) language and communication
2) fine motor
3) gross motor
4) social
5) eating
6) dressing
7) 90% do this:

Back 16

1) should understand 100% of words (per AAP PREP 75%); knows past and present tense; tells stories; names 4 colors; knows 4 prepositions. Uses when? why? how?
2) stacks 8 blocks, builds gate (mnemonic: gate 4 letters); draw a person w/ 3 parts; copies cross
3) uses stairs normally; balance one foot 2 seconds; hops on one foot, tiptoes, tandem walks fwd, hops forward 4x.
4) tells stories
5) pours, cuts, mashes food
6) dresses alone, does buttons. Will do shoelaces at 5 y/o.
7) balance on each foot 2 seconds; tower of 8 cubes; 100% understandable; copy a circle.

Front 17

5 y/o
1) language
2) fine motor
3) gross motor
4) social
5) eating
6) dressing

Back 17

1) Full complete sentences; 100% understandable; now using future tense. Counts to 10, names at least 4 colors.
2) draws diamond; makes steps from blocks(mnem: 5 letters); prints some letters/numbers; mature pencil grasp
3) balances on 1 foot, hops forward 10x, tandem walks backward; skips; jumps rope (rides bicycle at 6 y/o)
4) 5-6 y/o plays cards/board games
5) prepares bowl of cereal; spreads with knife (may not yet cut with knife well)
6) no assistance with dressing/undressing, ties knot/shoelaces

Front 18

6 y/o
1) fine motor
2) gross motor
3) social
4) eating
5) dressing


7 y/o. Eating...

Back 18

1) draws diamond; 5-6 y/o mature pencil grasp; prints some letters/numbers
2) rides bicycle
3) 5-6 y/o plays cards/board games; knows right from left
4) spreads w/ knife; prepares bowl of cereal
5) 5-6 y/o ties knot/shoelaces

7 y/o. Can use knife to cut