Developmental
Milestones

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0 - 3 Month Developmental Milestones:

Cognitive Language Social Emotional Fine Motor Gross Motor
Watches an object Coos/Makes noises Begins to smile at Can grasp small toy When held upright,
that is moving slowly other than crying people will bear some
through her/ his line weight on legs
of sight
Pays attention to Turns head toward Looks at familiar Brings hands to Rolls side to back
faces sounds faces mouth
Mouths toys Startled by loud Recognizes familiar Lifts and turns head
noises faces and objects side to side

Inspects own hands Cries when hungry Stops crying when Keeps hands open
or uncomfortable comforted 50% of the time

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3 - 6 Month Developmental Milestones:

Cognitive Language Social Emotional Fine Motor Gross Motor
Intentionally drops Begins to say Comforts self by Brings hands to Rolls from back to
an object and consonant sounds sucking on thumb or mouth side
watches it fall (“m”s and “b”s) hand

Responds to Babbles with Smiles Grasps string, pulls it, Rolls from back to
affection expression and spontaneously, and obtains toy stomach
copies sounds heard especially at people
Uses hands and eyes Laughs out loud Copies some Transfers object Brings feet to mouth
together, such as movements and from one hand to or grabs feet while
seeing a toy and facial expressions the other playing on back
reaching for it like smiling or
frowning
Recognizes familiar Vocalizes pleasure Enjoys engaging Bangs two objects Holds head steady,
people and things at and displeasure with people together unsupported
a distance
Picks up small Pushes down on
objects like raisins legs when feet are
(using “raking” on a hard surface
motion with fingers)

Sits unsupported (6
months)

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6 - 9 Month Developmental Milestones:

Cognitive Language Social Emotional Fine Motor Gross Motor
Imitates familiar Strings vowels Smiles or pats own Begins to grasp Uses arms to move
actions (clapping together when image in the mirror small objects forward on belly
hands) babbling (“ah”, “eh”, (cheerios, raisins, etc)
“oh”) and likes to with thumb and pad
take turns with of index finger
parents while
making sounds

Finds object that is Responds with Interacts differently Crumples paper with Crawls forward
partially hidden appropriate gestures with caregivers and palms
to “up”, “bye- bye”, or strangers
other routines
Shows curiosity Uses word for parent May be afraid of Claps hands Stands, holding on
about things and or caregiver strangers
tries to get things discriminately
that are out of reach
Plays peek-a-boo Pitch and intonation May be clingy with Removes both socks Pulls to stand
vary familiar adults
Uses fingers to point Has favorite toys Pokes with index Sits without hand
at things finger support for 10
minutes

Initiates social Moves from back to

contact sitting without
assistance

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9 - 12 Month Developmental Milestones:

Cognitive Language Social Emotional Fine Motor Gross Motor
Looks at the right Follows simple Repeats activity that Scribbles Lowers to sitting
picture or thing spoken commands elicits positive spontaneously from standing
when it’s named (e.g., “Give Mommy response from (holding onto
the blanket”) others furniture)

Follows simple Spontaneously says Brings toys to share Releases objects Walks with both
directions like “pick familiar greeting and with caregiver voluntarily hands held
up the toy” farewells
Removes rings from Briefly stops activity Shows fear in some Puts objects in May stand alone
ring stack toy when told “no” situations container
Realizes objects Attempts to say Cries when mom or Uses pincer grasp May take a few steps
continue to exist words you say dad leaves without holding on
even when they
cannot be seen
Finds hidden things Says “mama” and Opens books Gets into a string
easily “dada” and position without
exclamations like help
“uh- oh!”

Uses both hands

freely: may show
preference for one

© 2019 Kids OT Help | All rights reserved

 About Nekole
I am a Pediatric Occupational Therapist that specializes in feeding and helping families enjoy mealtime together.

I work with children of all ages, including brand new babies. I work with typically developing children as well as
children who are developmentally delayed. It brings me so much joy to play a small part in helping families
discover creative solutions to their problems, so that families can let go of the worry and stress, and fully enjoy
their everyday activities together.

Do you have questions about your child's development? Are you looking
for recommendations to enhance your child's development?
Visit www.kidsothelp.com for more resources, or to book a private Occupational
Therapy consultation with me.

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© 2019 Kids OT Help | All rights reserved