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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

Arches back and stiffens legs when pulling to a sit

Cannot take weight on legs

Can’t crawl to climb stairs

Difficulty bringing arms forward to reach out

Difficulty crawling

Difficulty getting to stand because of stiff legs and pointed toes

Difficulty lifting head

Does not transfer toys from one hand to the other

Doesn’t pull to stand

Doesn’t use pincer grasp (thumb and forefinger) to hold small objects

Holds arms back and has stiff legs in a supported stand

Keeps hands fisted and lacks arm movement

Needs to use hands to maintain sitting position

Only uses arms to pull up to standing

Poor head control and unable to lift head

Poor head control in upright position

Poor standing balance, falls frequently

Poor use of arms in sitting

Pushes back with head while lying on back

Rounded back when sitting, inability to straighten back

Sits with a rounded back

Sits with weight to one side

Stiff legs with little or no movement

Strongly flexed or stiffly extended arms

Unable to take steps independently

Uses one hand predominantly

Uses only one side of the body to move

Walks on toes

Communication

Avoids eye contact

Does not babble

Does not cry when hungry or uncomfortable

Does not maintain eye contact during playful interaction

Does not make any vowel sounds

Does not make eye contact or smile at caregiver

Does not notice or respond to loud sounds

Does not respond to own name

Does not respond to sounds or voices

Does not smile or laugh

Does not turn when someone calls their name

Doesn’t babble

Doesn’t hold eye contact

Doesn’t make any attempts to communicate

Doesn’t respond when name is called

Is not interested in interacting with others

Shows no recognition of familiar words, such as “mama” “dada” “doggy”

Unresponsive to sounds or voices

Feeding

Baby rejects solid foods, preferring only milk

Does not hold own bottle during feeding

Does not use fingertips to pick up small objects of food

Loses a lot of breast milk or formula out of side of mouth while feeding

Unable to latch on while nursing or bottle feeding (0 at 3 months)

Unable to latch on while nursing or bottle feeding (at 4-6 months)

Unable to latch on while nursing or bottle feeding (at 7-9 months)

Sensory

Becomes fussy in response to movement

Becomes upset when dealing with certain textures

Does not bring hands or objects to mouth

Does not enjoy different types of movement

Does not enjoy different types of movement, such as being swung

Does not enjoy playing with musical toys

Does not enjoy playing with toys of varied textures

Does not follow an object with their eyes

Does not move to explore environment when placed on the floor

Does not try to grasp or reach for toys

Does not visually track moving objects

Doesn’t enjoy being cuddled or touched by parents

Extreme reactions to touch or when exposed to new textures

Fists remain closed most of the time

Frequently irritable for no apparent reason

Frequently resists being held

Is not interested in playing with colorful objects

Overly sensitive or completely unaware of stimuli like loud noises and different textures

Seems fearful of everyday sounds

Shows unusual level of fear whenever feet are lifted off of the ground