2. • Normal development progresses in orderly
step-by-step sequences.
• All areas of development are interrelated.
• The skills acquired earlier determine how well
later skills will be learned.
• Each child develops at his or her own pace.
3. Gross motor skills involve
movements of the large
muscles of the arms, legs
and torso.
4. ACTIVITY APPROX
AGE ACTIVITY APPROX
AGE
Raises chin while lying on stomach 1 mos. Walks alone unsupported 18 mos.
Raises chest while lying on stomach 2 mos. Sits well in small chair 18 mos.
Reaches for object but misses 3 mos. Walks carrying large objects 20 mos.
Head set forward, steady lumbar
curvature
4 mos. Raises self from sitting position with
hips first
22 mos.
Turns over from lying to supine position 4-6 mos. Runs well without falling 2 yrs.
Sits on lap, grasps objects 5 mos. Kicks ball without overbalancing 2 yrs.
Sits alone with great posture 10 mos. Jumps with both feet on place 2.5 yrs.
Creeps and credits, pulls to standing
position
11 mos. Picks up objects from floor without help 2.5 yrs.
Walks with help, walks alone 12 mos. Pedals tricycle 3 yrs.
Climbs stair steps 13 mos.
6. ACTIVITY APPROX
AGE ACTIVITY APPROX
AGE
Understand few words 11 mos. Points to 5 body parts on self or doll 1 yr. 10 mos.
Points to 1 names body part on request 1 yr Follows 3-step command given once 2 yrs.
Stops activity to name objects 1 yr. Understands 200-400 words 2 yrs.
Stops activity to respond to “no” 1 yr. Understands 800 words 3 yrs.
Points to familiar persons, objects on
request
1 yr. 3 mos. Verbalizes past experiences 3 yrs.
Follows one-step simple command 1 yr. 3 mos. Points to big, little, soft, loud 3 yrs.
Follows one-step simple command 1 yr. 5 mos Follows command with 2-3 actions 4 yrs.
Follows two-step command 1 yr. 8 mos. Understands app. 1,500 words 4 yrs.
Points to 5-6 pictures common objects on
request
1 yr. 9 mos.
8. ACTIVITY APPROX AGE
ACTIVITY APPROX
AGE
Says first word 10 mos. Uses plurals 2 yrs
Shakes head and says “no-no” 11 mos. Asks questions 2 yrs
Initiates sounds of others (“mama”) 1 yr. Uses negatives in speech 2.5 yrs
Uses 3 words in speaking vocabulary 13 mos. Enunciates word vowels 2.5 yrs
Use of verbs appear 14 mos. Enunciates consonant sounds 3 yrs.
Uses at least six words 17 mos. Speech is about 75 to 85% intelligible 3 yrs.
Refers to self by name 21 mos. Uses 3 to 4 syllable words 3 yrs.
Uses me and you 2 yrs. Says 6 to 8 word sentences 4 yrs.
Says 50 to 200 words 2 yrs. Speech is about 95% intelligible 4 yrs.
Knows full name 2 yrs.
10. ACTIVITY APPROX
AGE ACTIVITY APPROX
AGE
Sucks and swallow liquids birth Holds cup with two hands 1 yr.
Gagging reflex birth Chews table food 1.3 yrs.
Sucks and swallow liquids from spoon 2 mos. Grasps spoon & and places mouth with some
spilling
1.3 yrs.
Eats strained baby foods from spoon 3 mos. Can manage spoon w/out help with little
spilling
1.5 yrs.
Brings hands against bottle when eating 3 mos. Request for food when hungry 1.11 yrs.
Sips from a cup that is held 4 mos. Request for food when thirsty 1.11 yrs.
Gets excited at sound of food preparation 4 mos. Can hold small glas with 1 hand w/out help 2 yrs.
Hold spoon with assistance 5 mos. Can use fork to get food 3 yrs.
Can feed self soft food 6 mos. Can spread butter on bread 3 yrs.
Begins to bite and chew food 6 mos. Can help set table 4 yrs.
Holds own bottle 7 mos. Can use a fork to separate food 4 yrs.
Can chew small lumpy food 8 mos. Can pour water from pitcher to glass 4 yrs.
Can take bottle out of mouth & put it back 9 mos. Can use a knife to cut food 5 yrs.
Can use fingers to feed self 10 mos. Can set the table without assistance 6 yrs.
12. ACTIVITY APPROX
AGE ACTIVITY APPROX
AGE
Can pull and tug at clothing 3-4 mos Attempts to place feet in shoes 30 mos.
Holds out limbs when dressing 1 yr Can choose own outfit 3 yrs.
Can remove shoes by self 1.2 yrs Can unbotton clothes 3 yrs.
Can place socks on feet by self 1.2 yrs Places clothing on in correct direction 3.8 yrs
Can pull up pants 1.6 yrs Can dress and undress with supervision 4 yrs
Can unzip 1.7 yrs Can button front buttons on clothing 4.8 yrs
Attempts to put own shoes 2 yrs Can zip up and down/snap simple snaps 5 ys.
Pulls up pants 2 yrs Can tie shoes with bows 5.6 yrs.
Undresses self 30 mos Can unlace bows on shoes 5.6 yrs.
Can put on shirt and coat 30 mos Dresses sell completely 5.6 yrs.
13. ACTIVITY APPROX AGE
ACTIVITY APPROX AGE
Cries when removed from
bathroom
5 mos. Can brush teeh with assistance 3.6 yrs
Splashes water with hands and
feet
6 mos. Can wash and dry face with towel
alone
4 yrs.
Grimaces when face is wash with
cloth
6 mos. Can brush teeth alone 4 yrs.
Exhibits resistace to washing face 8 mos. Can put away toys with
supervision
4 yrs.
Can Open and pull out drawers 1.6 yrs. Can hang up clothes and Hook 4 yrs.
Can wash hands and face but not
well
2 yrs. Brushes hair alone 5 yrs.
Can wash front of body while in
bath
2 yrs. Hangs up own clothes alone 5 yrs.
Can run brush through hair 2.5 yrs. Washes self alone 6 yrs.
15. ACTIVITY APPROX AGE
ACTIVITY APPROX AGE
About 4 bowel movements a day associated
with waking up
1 mo. Climbs on toilet by self 2.6 yrs
2 bowel movement a day either at waking up
or afte being fed
2 mos. Can control bladder for up to 5 hours 2.6 yrs
Some deay shown between feeding and
elimination
4 mos. Beginns to develop a routine for elemition 3 yrs
Stay dry for 1 to 2 hours interval 7 mos. Attempts to wipe self but fails .3.6 yrs
My awaken at night and cry to be changed 1.5 yrs. Stays dry at night 4 yrs
May indicate wet pants 1.5 yrs Can toiet self withouut assistance 5 yrs
Has only occasional accidents 1.10 yrs washes & dries own hands after toileting 5 yrs
Uses same word for both functions and
eliination
1.10 yrs One bowel movement day 5 yrs
Begins to differentian between elimination
and functions
2 yrs
16. 4-6 months is enough ground to suspect that
there might be a disability.
