Developmental Milestones


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Each child will develop skills at their own pace. However, there are some skills that seem to occur within specific time frames. This chart is an overview of some of the skills that little ones typically gain between the ages of Birth-5 Years. It also includes some fun, developmentally appropriate activities for each age. Of course, contact your child's pediatrician if you have any concerns regarding their specific development.


1-6 months
Fine Motor
  • Babies are born with a grasping reflex and will close fingers when the palm is touched (newborn to 2 months)
  • Baby will open hands and attempt to grasp an object (approx. 8 weeks)
  • Reach toward an object but does not grasp it (approx. 1-4 months)
  • Throw toys (birth-6mos.)
Visual Motor
  • Uses vision to reach for and grasp objects accurately (approx. 5-6 months)
  • Bats at toys and mobiles (birth-6mos.)
What Can Caregivers Do
  • Offer the infant the opportunity to bat at objects; such as dangling toys on activity mats, bouncy chairs, or placed on the handle of an infant car seat/carrier.
  • “Tummy Time!” At least 30 minutes (throughout the day) of awake, supervised, play time where the infant is placed on their tummy. This can be done on an activity mat or on a bed or sofa. Offer toys that your child enjoys at this time.
  • Your child may cry initially when placed on their tummy but this could possibly be the most important thing you can do to promote core strength for your child. She will learn to love being on their tummy.
  • Offer the infant 2 objects (one in each hand). Encourage reaching and banging the objects together. Use objects with different sensory components such as color, texture, sound, weight.
  • Vibrating pull toys. Help the child to pull the cord to help the toy vibrate. This develops cause and effect (the concept that if they do something it causes a response).

6-12 months
Fine Motor
  • Crude raking of small object (7 months)
  • Radial palmer grasp (thumb is opposed) which allows a firm grip around an object (approx. 7 months)
  • An inferior pincer grasp develops -allowing the child to grasp a small object between the side of the finger and the thumb pad (9 months)
  • Child is able to isolate index finger (approx.10 months)
  • Pincer grasp is developed-child is able to hold a small object between its index finger and thumb (approx. 12 months)
Visual Motor
  • Grasp and throw objects with greater accuracy (approx. 9-12 mos.)
  • Accurately releases objects into a container (approx. 9-12 mos.)
Self Care

  • Picks up a spoon by the handle (approx. 1 year)
  • May hold own bottle (approx. 6-10 mos.), but please do not let them do this exclusively. Children this age still need to be held to promote bonding and a sense of security.

What Can Caregivers Do

  • Give your child cheerios to eat with their fingers
  • Tummy time is still important! Ideas include turning pages in a cardboard book, stacking rings on a cone, pushing buttons on an activity mat, looking at self in a mirror.
  • Playing with blocks
  • Introduce toys which encourage pointing or pushing buttons to cause a noise or movement
  • Releasing activities- Dropping blocks or toys into a container to help clean up, tossing a ball to a close target (child can throw ball into the hoop made by your arms)
  • Give your child a spoon to explore with during meal times. Help your child bring the spoon to their mouth.

12-18 months
Fine Motor
  • Turns pages of cardboard book (approx. 12-15mos.)
  • Builds 2 cube tower (appox.12-15 mos.)
  • Stacks 3 blocks (approx.16 months)
  • Bilateral hand use to navigate their environment (Child uses two hands together)
Visual Motor
  • Scribbling with a crayon (approx. 12-24 months)
  • Place rings on a cone (approx.12-24 mos.)
  • Imitate simple strokes (approx.12-24 mos.)
  • Grab block and throw it into a container (approx.13 mos.)
Self Care
  • Can hold crackers and similar shaped foods (approx.12-15mos.)
  • May be able to use a spoon –but not consistently (approx. 13mos.)
  • Child may want to try brushing own teeth-but please make sure that you get in there as well! (approx. 16 mos.)
  • May use a fork (approx. 17-18 mos.)
  • Hold a cup (approx. 18 mos.)
What Can Caregivers Do
  • Nesting toys
  • Play games that require your child to roll balls back and forth
  • Read board books to your child and encourage them to turn the pages.
  • Large, interlocking building blocks.
  • Stacking rings
  • A toddler golf set
  • Baseball bat and ball with tee set
  • Toddler safe musical instrument such as drums, maracas or keyboard
  • Crayons and paper for scribbling and drawing basic lines. Place the paper on a vertical surface, such as taped to the refrigerator or on an easel; which helps the child use correct posture.
  • Play with pots, pans,spoons. Allow child to bang these items together to encourage use of both hands together
  • Playing with stuffed toys helps to develop hand strength.

18-24 months
Fine Motor/Visual Motor
  • Holds a crayon or marker without help (approx. 21 mos.)
  • May start to use one hand over the other (approx. 21mos.)
  • Tower of 6 cubes (approx. 22mos.)
  • Attempts to fold paper (approx.20-23 mos.)
Self-Care
  • More involvement of using “helping hand” during feeding (approx. 23 months)
  • Washing hands (approx. 24 mos.)
  • Pull off shoes (approx. 24 mos.)
  • Take off clothes (approx.13-24 mos.)
  • One handed grip on cup
What Can Caregivers Do
  • Puzzles with large pieces and knobs
  • Blocks
  • Use an easel for drawing, painting
  • Stack cans or plastic containers from kitchen
  • Offer toys or utensils at the center of the child’s body, instead of the right or left side
  • Make cards for family members and friends, have your child attempt to fold the paper in half. They will probably need help, but the experience will be beneficial!

2-3 years
Fine Motor
  • Turns pages of a book one at a time
  • Snip with scissors
Visual Motor
  • Completes pegboard designs
  • Child can complete a 3 shape puzzle
  • Imitates horizontal, vertical lines and circles (approx. 3 years)
  • Begins to color on paper
Self-Care
  • Eat with fork and spoon
  • Zips/unzip zipper
  • Turns door knobs to open doors
  • Manipulates buttons on clothing
  • Start to put away toys after play
What Can Caregivers Do
  • Play with 1 inch beads
  • Read books and have your child turn the pages
  • Have your child attempt to use the zippers and buttons on their clothes
  • Toss and catch a large soft ball
  • Roll large balls to knock down bowling pins (use toilet paper rolls)
  • Play wonder ball
  • Play with wind-up toys
  • Snip construction paper/sandpaper with beginner scissors
  • Use playdough or wiki stix to make shapes
  • Draw shapes on a cookie sheet covered in sand or shaving cream
  • Play tiddly winks

3-4 years
Fine Motor
  • Accurately string ½ inch beads
  • Towers cubes
  • Cut on a line scissors, but not perfectly. (approx.3.5 years)
  • Consistent use of the same hand for a task begins to emerge (approx. 3 years)
Visual Motor
  • Is able to draw and name a circle and cross
  • Color simple picture
  • Copy vertical and horizontal lines
  • Copy a 3 block pyramid
Self-Care
  • Continue to complete fasteners such as buttons and zippers.
  • Brush teeth with some skill (Please make sure you have a turn to brush their teeth as well!)
  • Dress self, possibly with a little help
  • Put away toys after play
  • More skill with utensils
What Can Caregivers Do
  • Craft projects using glue, stickers, and fun items such as pom poms.
  • Games that use small pieces; such as Cootie and Don’t Spill the Beans.
  • Games that require the eyes and hands to work together, such as Elefun or trying to keep a balloon up in the air.
  • Popping bubbles
  • Games that require tongs
  • Using building blocks
  • Lacing cards
  • Puzzles
  • Memory games

4-5 years
Fine Motor
  • Demonstrates good use of both hands together (Bilateral Coordination)
  • Holds crayon or marker with tripod grasp (approx. 5 years)
  • Preference of one hand (hand dominance) is established (approx. 5 years)
Visual Motor
  • Draws and Names Pictures
  • Cuts and pastes simple pictures
  • Copies simple forms and some letters
  • Cuts on line with scissors-although not perfectly (approx. 5 years)
  • May be able to color within the lines (approx. 5 years.)
  • Reproduces many shapes and letters (approx. 5 years)
Self-Care
  • May start to learn shoe tying
  • Complete previously mentioned tasks with more skill, such as fasteners and dressing.
What Can Caregivers Do
  • Crafts: peel and stick gems
  • Magnetic picture games
  • Connect Four
  • Trouble
  • Dominos
  • Help you wrap presents
  • Rolling dough for cookies
  • Use glue sticks and hold like a pencil
  • Trace stencils
  • Encourage consistent use of preferred hand
  • Form letters with a variety of mediums (draw in air, build on pegboard, magna doodle)
  • Dot to dot worksheets
  • Maze worksheets
  • Cutting worksheets