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Our milestones are from Center for Disease Control (CDC) and American Academy of Pediatrics (AAP) materials.

Our resources are developed with and approved by expert pediatric physical and occupational therapists and speech-language pathologists.

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These materials are for informational purposes only: they are NOT a substitute for professional medical advice and do not constitute therapy, diagnosis or treatment. Using the materials or performing any activities is done at your own risk.

Copyright © 2025 Pathways

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Our milestones are from Center for Disease Control (CDC) and American Academy of Pediatrics (AAP) materials.

Our resources are developed with and approved by expert pediatric physical and occupational therapists and speech-language pathologists.

These materials are for informational purposes only: they are NOT a substitute for professional medical advice and do not constitute therapy, diagnosis or treatment. Using the materials or performing any activities is done at your own risk.

Copyright © 2025 Pathways

PrivacyTerms of UseSitemap

motor

Able to bring hands to mouth

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Able to move fists from closed to open

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Able to string large beads onto a string

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Able to turn pages in a book one at a time

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Able to twist things with their hands like doorknobs

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Catches large balls

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Claps hands

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Climbs on low furniture

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Enjoys being active and playing games like tag, hide and seek, etc.

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Goes up and down stairs with support

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In simple play imitates others

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Keeps head upright when in supported positions, e.g. sitting, standing, being held

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Kicks large ball

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Moves from tummy or back into sitting

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Moves in and out of various positions to explore environment and get desired toys

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Moves legs and arms off of surface when excited

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Picks up small objects with thumbs and fingers

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Pulls to stand and cruises along furniture

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Reaches for toys while on tummy

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Regularly moves with alternate leg and arm movement, e.g. creeping, crawling

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Releases objects into a container with a large opening

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Rolls from back to tummy and tummy to back

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Runs

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Sits and reaches for toys without falling

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Sits without support

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Squats to pick up a toy

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Stands alone and takes several independent steps

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Stands on tiptoes

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Starts to jump with both feet leaving the ground

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Starts to move with alternate leg and arm movement, e.g. creeping, crawling

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Uses hands to support self while sitting

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Uses thumb and pointer finger to pick up tiny objects

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Walks independently and seldom falls

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When walking, able to pull toys behind them

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While lying on back, reaches both hands to play with feet

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While lying on back, transfers toy from one hand to the other

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While lying on tummy, lifts and holds head up

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While lying on tummy, pushes up on straight arms

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While lying on tummy, supports self on arms

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While standing with support, accepts entire weight with legs

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sensory

Able to calm with rocking, touching, and gentle sounds

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Able to scribble and draw simple shapes

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Able to take off articles of clothing

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Brings hands and objects to mouth

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Develops depth perception

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Enjoys a variety of movements

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Enjoys new toys or objects

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Experiments with the amount of force needed to pick up different objects

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Explores and examines an object using both hands and mouth

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Explores toys with hands, fingers and mouth

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Eyes track together by 3 months

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Focuses on objects near and far

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Helps wash hands

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Helps with getting dressed/undressed

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Investigates shapes, sizes, and textures of toys and surroundings

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Knows at least one color

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Looks at people and objects

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Observes environment from a variety of positions – while lying on back or tummy, sitting, crawling, and standing with assistance

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Pours liquid from large pitcher to cup

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Sorts shapes and colors

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Stacks 5 or more small blocks or toys on top of each other

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Stacks two objects or blocks

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Takes toys apart and puts them back together

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Turns several pages of a chunky board book

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Uses both hands to explore toys

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Uses crayons, pens, or markers to make marks on paper

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While lying on back, attempts to reach for a toy held above their chest

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While lying on back, keeps head centered to watch faces or toys

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While lying on back, visually tracks a moving toy from side to side

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feeding

Able to eat soft finger/table foods, e.g. yogurt, bananas, ground beef

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Begins to eat baby safe foods, other than milk - such as pureed or soft solid foods

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Begins to use an open cup

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Consistently gets a utensil to their mouth

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Consumes about 1,000 calories a day

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Drinks 2 oz. to 4 oz. of breast milk/formula per feeding

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Drinks from a cup with one hand

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Eating an increasing variety of food

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Eats 4 oz. to 6 oz. of breast milk/formula per feeding

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Eats between 750-900 calories per day, including 24 oz. of breast milk/formula

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Experiments with food using utensils and hands

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Explores food and attempts to finger feed self

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Finger feeds self

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Holds and drinks from a cup

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Latches on to nipple or bottle

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Moves food from front of mouth to back

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Moves tongue forward and back to suck

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Stays full longer after eating

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Sucks and swallows well during feeding

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Uses a fork

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Uses a spoon

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When hungry will open mouth for breast or bottle

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communication

Ask “what” and “where” questions

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At least 50% of speech is understood by caregiver

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Babbling has sounds and rhythms of speech

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Begins to giggle or laugh

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Begins to use 2 word phrases

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Begins using hand movements to communicate wants and needs, e.g. reaches out hand to give/take objects

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Can identify 1-2 body parts when named

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Can say their own name

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Combines consonants and vowels in different ways e.g. ahhh-b, mmm-uuuh, eee-p

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Consistently imitates new words

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Coos and smiles

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Copies others

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Cries differently for different needs, e.g. hungry vs. tired

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Follows 2-step related directions, e.g. “Pick up your coat and bring it to me.”

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Follows simple directions, e.g. "Come here"

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Follows some directions when paired with a gesture

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Imitates simple words and actions

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Imitates speech sounds

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Listens and responds when spoken to

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Looks at familiar objects and people when named

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Makes different kinds of sounds to express feelings

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Makes different vowel sounds, e.g. eee, ooo, ahh, uh

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Makes eye contact

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Meaningfully uses “mama” or “dada”

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Names objects and pictures

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Notices toys that make sounds

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Participates in two-way communication

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Pays attention to where you are looking and pointing

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Points at familiar objects and people in pictures when named

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Points to objects they want

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Quiets or smiles in response to sound or voice

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Reacts to sudden noises or sounds

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Recognizes sound of their name

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Repeats words overheard in conversation

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Responds to “no”

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Says 3 or more words

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Shows interest in faces

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Shows interest in pictures

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Shows recognition of commonly used words

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Turns head towards sound or voice

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Understands action words

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Understands “in” and “out”

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Understands most simple sentences

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Understands new words quickly

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Understands “why” questions

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Uses 1 or 2 words other than "mama" or "dada"

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Uses at least 50 words

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Uses babbling to get attention

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Uses gestures and words during pretend play

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Uses simple gestures, e.g. raises hands to be picked up

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Uses simple pronouns (me, you, my)

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Uses smiles, sounds, or movement to get attention

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Uses some plurals, e.g. “dogs”

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