Developme
ntal
Milestones
Year 4. Round 1. Pediatrics.
Types of Milestones
Language/
Social/
Communicati
Emotional
on
Cognitive Movement/
Learning, thinking,
problem-solving Physical
Watch out for
Red Flags!!
2 4 6 9 12 15
Months Months Months Months Months Months
18 4
15 2 2.5 3 5
Month Years
Months Years Years Years Years
s
2 Months
Emotio
• Calms
Comm. Cogn. Phys.
n to
down when
spoken
• Makes • Watches
• Holds head
sounds you as you
or picked up when on
other than move
up tummy
• crying • Looks at a
Looks at • Moves both
• Reacts to toy for
your face arms and
• loud sounds several
Seems to legs
be happy seconds
• Open hands
when you briefly
walk up to
them
• Smiles
when you
talk to or
smile at
them
RED FLAG!!
• Doesn’t respond to loud
sounds
• Doesn’t watch things as
they move
• Doesn’t smile at people
• Doesn’t bring hand to
mouth
• Can’t hold head up when
pushing up when on
tummy
4 Months
Emotio
• Smiles on
Comm. Cogn. Phys.
n
their own to
get your
• Makes
• If hungry,
opens
• Holds head steady
sounds like without support
attention mouth
“ooooh” when you are
• Chuckles when they
“aahh” holding them
when you see breast
(cooing) • Holds a toy when
try to make or bottle
• Makes you put it in their
them laugh • Looks at
sounds hand
(not yet a their hands
back when • Uses their arm to
full laugh) with
you talk to swing at toys
• Looks at interest
them • Brings hands to
you, moves, mouth
• Turns head
or makes • Pushes up onto
towards the
sounds to elbows/forearms
sound of
get or keep when on tummy
your voice
your
attention
RED FLAG!!
• Doesn’t watch things as
they move
• Doesn’t smile at people
• Can’t hold head steady
• Doesn’t coo or make
sounds
• Doesn’t bring things to
mouth
• Doesn’t push down with
legs when feet are placed
on hard surface
• Has trouble moving one
or both eyes in all
directions
6 Months
Emotio
Comm. Cogn. Fine Gross
• n
Recognizes/
• Starts • Explores
• Grasps • Uses their
babbling. E.g. large hand for
differentiate items with
ah, da, oh objects support
s family and mouth
(vowels) • • Transfers when
strangers Reaches to
• Responds to objects starting to
• Laughs grab
• noises • from sit
Looks at self Refusal to
• Recognizes hand to • Sits
in the mirror take
his name hand unsupport
unwanted
• Portrays ed
food
emotions of • Rolls over
joy/sadness on their
by making back
appropriate
noises
RED FLAG!!
• Doesn’t roll over
• Doesn’t grab nearby items
• Doesn’t laugh
• Doesn’t recognize family
members
• Doesn’t interact/respond to
noises
• Doesn’t recognize their
name and respond to it
• No babbling (no vowel
sounds)
• Their body seems very stiff
or very relaxed
9 Months
Emotio •
Comm.
Makes sounds
Cogn. • Fine • Gross
Switch
•
n
Scared and shy
when around
like “mamama,
bababa,
• Collides
Uses
fingers to
objects
two items from one
strangers dadada” but bring
together hand to
• More not specific food to
• Looks other
comfortable/clingy • Points at mouth
around for • Form
to familiar people objects using • Picks
object sitting
• Expresses finger to things
when out position
different facial communicate with
of sight alone
expressions. E.g. • Understands
•
index and
Responds • Sit
sadness, anger “no” thumb
and enjoys unsupport
• Looks over when • With repetition
the game ed
being called by can start to
peek-a-boo • Start to
name copy others in
crawl
• Waves actions and
• Stand
speech
supported
sometimes
RED FLAG!!
• If the child has lost any skill
that was previously able to
do
• Can’t sit alone
• No babbling
12 Months
Emotio
• Cries when mother or •
Comm.
Pays increasing
Cogn. Fine Gross
n
father leaves attention to • Explores
• Uses pincer
• Enjoys imitating speech objects in
grasp
• Pulls self up
different ways
people in play • Responds to
(Shaking, • Bangs two to stand
• Shows preferences simple verbal cubes • Walks
throwing)
for certain people requests • Finds hidden together holding onto
and toys • Responds to “No” objects easily • Puts object
• May be fearful in • Uses simple into furniture
• Looks at
some situations gestures (shaking correct container • Stands
• Prefers mother • Takes momentarily
head for no) picture when
objects out
and/or regular • Babbles sound image is
of container
without
caregiver over all more like speech named support
• Imitates • Lets objects
others • Says “dada” and go • May walk two
• Repeats sounds or “mama” gestures
• Begins to use voluntarily or three
gestures for attention • Uses exclamations • Pokes with
objects steps without
• Finger feeds such as “oh-oh!” index finger
correctly
themselves • Tries to imitate (Drinking • Tries to support
• Extends arm or leg to words from cup, imitate
help with being brushing hair) scribbling
dressed
RED FLAG!!
• Does not crawl
• Drags one side of the body
while crawling
• Cannot stand when
supported
• Does not search for objects
that are hidden while he
watches
• Says no single words
• Does not learn to use
gestures, such as waving or
shaking head
• Does not point to objects or
pictures
15 Months
Emotio
Comm. Cogn. Phys.
• n
Shows • Try to say one • Tries to use • Take a few
affection or two words things the steps on
with hugs, other than right way their own
kisses and baba and like phone, • Uses
cuddles mama cup or book fingers to
• Copy other • Follow • Stacks at feed
children directions least two themselves
when with words or small
playing gestures like objects like
• Claps hand “give me the blocks
to show toy”
excitement • Points to ask
for something
or to get help
18 Months
Emotio •
Comm.
Says more than
• Cogn.
Recognize daily Phys.
n
• Make sure you are
3 single words • Can walk alone
around while objects
other than without support
exploring • Imitate their
surrounding “mama” or • Help in dressing and
parents while
environment undressing themselves
“dada” doing everyday
•
• To show interest in Begin scratching on a
something, they
• Follow 1 step tasks
paper
commands • Play with toys in a
point to it • Use a soon and fork
simple way, such
• Show affection to without with their fingers to
familiar people, as pushing a toy
gestures eat
although being car
• Point using • Drink from cups
afraid of unfamiliar • Can point to any
without lids,
people their fingers to of their body parts
sometimes may spill
• Look at a few pages indicate what • Pretend feeding
• Can climb on and off a
that parent reads their favorite
they want chair or couch without
from stuffed toys
• Like handing out • To show their help
things and pretend refusal, they • Start walking up stairs
playing with them shake their • Can pull toys while
walking
heads
RED FLAG!!
• Do not respond to their
names
• Do not follow 1-step
commands
• Do not point to things in a
meaningful way
• Do not know the familiar
words
• Losing any skill the child
once had
2 Years
Emotio
Comm. • Cogn.
Finds Fine Gross
n
• Imitates behavior of • Scribbles
others especially adults • Recognizes names objects • Walks alone
spontaneousl
and older children of familiar people, • Pulls toys
even when y
• Increasingly aware of objects and body • Turns over behind while
themselves as
hidden walking
parts container to
separate from others • Says several under two pour out • Begins to run
• Increasingly single words or three contents • Stands on
enthusiastic about • covers • Builds tower tiptoe
Uses simple
company of other of four • Kicks a ball
children
phrases • Begins to
• blocks or • Climbs onto
• Demonstrates Uses two to four- sort by more and down from
increasing word sentences
shapes • Might use furniture
independence • Follows simple one hand
• Begins to show defiant instructions and colors unassisted
more
behavior • Repeats words • Begins frequently
• Walks up and
• Increasing episodes of overheard in make- than the down stairs
separation anxiety conversation believe other holding on to
toward midyear, then support
they fade play
RED FLAG!!
• Cannot walk by 18 months
• Fails to develop a mature heel-toe walking
pattern after several months of walking or
walks exclusively on their toes
• Does not speak at least 15 words by 18
months
• Does not use two word sentences by age
2
• Does not seem to know the function of
common objects (cup, brush) by 15
months
• Does not imitate actions or words by the
end of this period
• Does not follow simple instructions by age
two
• Cannot push a wheeled toy by age two
2.5 Years
Emotio
Comm. Cogn. Phys.
• n to
Play next • Say around 50
• Use things to
pretend, like
• Take clothes off
by themselves
other children words feeding a block to a
and sometimes • Say 2 or more doll as if it were • Jump with both
food
play with them words together • Show simple feet
• Show you what with 1 action problem-solving, • Use hands to
they can do by word like like using a stool to
reach something
twist things, like
saying “Look at “doggie run” • Follow 2-step turning a
me!” • Say words like instructions (“pick doorknob or
• Follow simple “I”, “me”, “we” up the toy and put
routines when • Name things in it on the shelf”) unscrewing a lid
told, like picking a book when
• Know at least 1 • Turns pages in a
color, like pointing
up toys when you point and to a red crayon book one at a
you say “it’s ask “What is when asked “which time
one is red?”
clean-up time” this?”
•
RED FLAG!!
Frequent falling and difficulty with stairs
• Persistent drooling or very unclear speech
• Inability to build a tower of more than 4 blocks
• Difficulty manipulating small objects
• Inability to copy a circle by 3 years old
• Inability to communicate in short phrases
• No involvement in pretend play
• Failure to understand simple instructions
• Can’t work simple toys as peg boards, simple
puzzles or turning a handle
• Doesn’t understand simple instructions
• Doesn’t speak in sentences
• Doesn’t make eye contact
• Doesn’t want to play with children or with toys
• Loses skills he once had
3 Years
Sphinct
er Comm. Cogn. Fine Gross
• Can build
• Can make a • Jumps with
• Control
Bladder control sentence of
• Avoid a tower of
9 to 10 both feet,
at night more than 3 touching blocks and may
words hot • Should be hop on one
• Can say his objects able to foot
first name when draw and • Rides a
when asked copy tricycle
warned vertical
• Can say his • • Go up stairs
Group and
age horizontal with
•
playing
Asks who, lines and alternating
where and circles feet
why questions
4 Years
Emotio
• More Comm. Cogn. • Fine Gross
n
independent • Mastered
basic
• Begins toDraws
have clearer circles and
• Hop on one
foot
• Plays with other concept of squares • Walk up and
children grammar time • Copies
• Can name a down the
• Negotiates rules few colors
squares
stairs
• • Draws stick
solutions to Speaks correctly unaided
• May be able figures
conflict sentences of to count a few with 3-4 • Kick and
• Interested in 5-6 words numbers parts throw balls
• • Engages in • Use •
new Speak clearly Moves
fantasy play scissors
enough for forward and
experiences • Understands • Copy some
strangers to the concept of letters backwards
• Views self as a “same” and with agility
whole person understand “different”
involving mind, • Tells stories • Can follow 3-
part
body and commands
feelings
RED FLAG!!
• Cannot stack 4 blocks
• Cannot throw a ball overhand
• Cannot jump in place
• Cannot ride a tricycle
• Lashes out without any self-control when angry
or upset
• Cannot copy a circle
• Doesn’t use sentences of more than three
words
• Doesn’t use “me” and “you” appropriately
• Shows no interest in interactive games
• Ignores other children
• Doesn’t engage in fantasy play
• Resists dressing, sleeping, using the toilet
5 Years
Emotio
• Wants to please
friendsn
Comm. •
Cogn. Fine
Begins to
Gross
•
• Says name and have clearer • Copies
Wants to be like •
address concept of Can stand on
friends time
triangles
1 foot for 10
• Able to distinguish • Uses future • Can name a • Uses fork
fantasy from reality seconds or
tense few colors and
• Sometimes correctly longer
• Tell longer spoon
demanding, • May be able • Can swing
• Can
sometimes eagerly stories to count a few and/ or climb
cooperative numbers dress and
•
• Can speak in • Engages in undress
• Can hop
More likely to agree
sentences of fantasy play • May be able
to rules unaided
• Liks to sing, dance more than 5
• Understands to skip
the concept of • Can write
and act
• Shows more
words “same” and a few
“different” letters
independence and • Can recall a • Can follow 3-
may even visit a part of a story part
next-door neighbor commands
by themselves
1)
RED FLAG!!
Exhibits extremely fearful or timid 12) Can’t differentiate between fantasy and
behavior reality
2) Exhibits extremely aggressive behavior 13) Seems unusually passive
3) Is unable to separate from parents 14) Cannot understand two-part commands
without major protest using prepositions (“Put the cup on the
4) Is easily distracted and unable to table”; “Get the ball under the couch.”)
concentrate on any single activity for 15) Can’t correctly give their first and last
more than five minutes name
5) Shows little interest in playing with other 16) Doesn’t use plurals or past tense
children properly when speaking
6) Refuses to respond to people in general, 17) Cannot build a tower of six to eight
or responds only superficially blocks
7) Rarely uses fantasy or imitation in play 18) Seems uncomfortable holding a crayon
8) Seems unhappy or sad much of the time 19) Has trouble taking off their clothing
9) Doesn’t engage in a variety of activities 20) Cannot brush their teeth efficiently
10) Doesn’t express a wide range of 21) Cannot wash and dry their hands
emotions 22) Doesn’t talk about their daily activities
11) Has trouble eating, sleeping, or using the and experiences
toilet
References
• Your toddler's developmental milestones at 18 months | UNICEF Parenting
• Important Milestones: Your Baby By Eighteen Months | CDC
• 18 month communication red flags - Don't worry, but don’t wait! - Duncan Lake Speech Therapy
• https://www.cdc.gov/ncbddd/actearly/pdf/checklists/Eng.-9-months-Milestone-Moments-Checklist-2021-P.pdf
• 2. https://www.unicef.org/parenting/child-development/your-babys-developmental-milestones-9-months
• 3. https://www.thebump.com/baby-month-by-month/9-month-old-baby#1
• https://www.cdc.gov/ncbddd/actearly/milestones/milestones-6mo.html
• - https://www.cdc.gov/ncbddd/actearly/pdf/checklists/Checklists-With-Parent-Tips-6mo.pdf
• -
https://www.unicef.org/parenting/child-development/your-babys-developmental-milestones-6-months#X507077-867386fC-
L1L7Z4B
• https://kidshealth.org/en/parents/checkup-15mos.html
• https://www.cdc.gov/ncbddd/actearly/milestones/milestones-15mo.html
• https://childmind.org/guide/parents-guide-to-developmental-milestones/#block_0c140e37-32f3-4215-9c92-5e184d854a0e
• https://childmind.org/guide/parents-guide-to-developmental-milestones/#block_882b131b-4ed8-40cf-ac11-4831e17ef7a4
• https://www.cdc.gov/ncbddd/actearly/milestones/milestones-30mo.html
• https://www.tclny.org/developmental-red-flags
• https://helpmegrowmn.org/HMG/GetHelpChild/WhenRefer/RedFlags/index.html
• https://kidshealth.org/en/parents/development-3yrs.html
• https://www.verywellfamily.com/3-year-old-developmental-milestones-2764712#toc-3-year-old-movement-hand-and-
finger-milestones
Thanks!
Sara Ehab Refea. 191403
Yomna Ahmed Mohamed. 191508
Basel Alaa Nasr. 191373
Mariam Khaled Nada. 190647
Alia Khaled
CREDITS: ThisMohammed.
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Mariam Abdeldayem. 190635
PleaseAmna Ahmed.
keep this slide 190600
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Mariam Wael Elmezayen 191371
