Main Line Pediatrics

Growth and Development


As your child grows physically, he will also change and gain developmental milestones. All children are different and gain these milestones at different rates. It is exciting to watch your child develop and watch for new milestones. To help guide you, we have listed some of the common milestones for different ages. Remember though, what we have listed here is an average date of achievement. Your child may achieve these milestones earlier or later than the dates on this list. Use the list as a guide to observe and enjoy your child's development.

2 Months

  • Smiles responsively
  • Makes cooing noises
  • Follows 15 degrees
  • Prefers to look at faces

4 months

  • Starting to giggle
  • Laughs when tickled
  • Follows 180 degrees
  • Will look up and around when you enter the room or call his name
  • Pushes head up well
  • Starting to roll stomach to back
  • Babbles

6 months

  • Watches toys held in front of him and moved slowly
  • Puts everything in his mouth
  • Helps hold the bottle while drinking
  • Makes sounds for specific reasons (hunger, wet)
  • Pats mirror image
  • Looks for noise made near him
  • Reaches for toy
  • Rolls from stomach to back
  • Plays with toes
  • Transfers toy from one hand to the other
  • Sits without support

1 year

  • Pulls himself to stand
  • Crawls on all fours
  • Understands the meaning of "No" and "Bye-bye"
  • Feeds himself cookies or crackers (may not be neat)
  • Repeats sounds made by others
  • Waves bye-bye
  • Plays "pat-a cake" or "peek-a-boo"
  • Picks up small objects with thumb and index finger
  • Feeds self with spoon (may spill some)
  • Turns pages of a book or magazine

2 years

  • Speaks several words that are understandable and meaningful
  • Plays with an adult (rolls a ball)
  • Walks well
  • Drinks from a cup
  • Builds a tower of four blocks
  • Walks up steps, two feet on a step
  • Occupies himself in play
  • Points to body parts when asked
  • Puts two words together, for example, "More juice."
  • Uses words to make needs known
  • Undresses himself

3 years

  • Recognizes himself in mirror
  • Runs easily
  • Is toilet trained
  • Turns pages of a book one at a time
  • Imitates adults doing simple tasks
  • Speaks in three word sentences, such as "Mommy go home."
  • Refers to himself by name
  • Walks on tiptoes
  • Recites nursery rhymes, such as "Mary Had A Little Lamb"
  • Unbuttons buttons
  • Unwraps candy
  • Walks up steps, one foot for each step
  • Copies a circle

4 years

  • Follows two directions, such as "Bring the ball and put it on the chair."
  • Points to shapes (circle, square, rectangle)
  • Shares and takes turns
  • Builds a tower of 10 blocks
  • Feeds himself with fork
  • Washes face and hands
  • Matches some objects with colors
  • Gets along with other children
  • Tells stories
  • Dresses himself with help

5 years

  • Balances on one foot
  • Brushes his teeth
  • Speaks clearly and can be understood by non-family members
  • Hops on one foot
  • Cares for all toilet needs
  • Names five colors
  • Copies a square, circle and cross
  • Counts to four
  • Marches in time to music
  • Catches a ball with his hands
  • Uses scissors to cut lines and simple shapes
  • Recognizes his name, printed
  • Sings songs and recites nursery rhymes
  • Builds complex structures with blocks