This document outlines typical developmental milestones from birth to 18 months. It discusses evaluating developmental progress through parental interviews about achievements. A child's developmental quotient can be calculated from these interviews, with a score less than 70% indicating a developmental delay requiring further assessment. The document then lists expected gross motor, visual-motor, language, and social/adaptive skills by month.

1. Developmental Milestones
Ivy S. Gementiza, RN

2. • A method of evaluation has been developed using an
interview technique
– Parents are asked questions regarding milestones
in achievements that most will remember
• The child's developmental quotient (DQ) can be
determined according to the parents' answers
• A DQ less than 70% signifies a delay requiring
further evaluation

3. MONTH

4. • Raises head slightly from prone
Gross Motor • Makes crawling movements
Visual-Motor/ • Birth: visually fixes
Problem-Solving • 1 mo: has tight grasp, follows to midline
Language • Alerts to sound
Social/Adoptive • Regards to face

5. MONTHS

6. • Holds head in midline
Gross Motor • Lifts chest off table
Visual-Motor/ • No longer clenches fist tightly
Problem-Solving • Follows object past midline
• Smiles socially (after being stroked or
Language talked to)
Social/Adoptive • Recognizes parent

7. MONTHS

8. • Supports on forearms in prone
Gross Motor • Holds head up steadily
Visual-Motor/ • Holds hands open at rest
• Follows in circular fashion
Problem-Solving • Responds to visual threat
Language • Coos (produces long vowel sounds in musical fashion)
• Reaches for familiar people or objects
Social/Adoptive • Anticipates feeding

9. MONTHS

10. • Rolls front to back
Gross Motor • Supports on wrists
• Shifts weight
Visual-Motor/ • Laughs, orients to voice
Problem-Solving
Language • Enjoys looking around environment

11. MONTHS

12. • Rolls back to front
Gross Motor • Sits supported
Visual-Motor/ • Transfers objects
Problem-Solving
• Says “ah-goo,”
Language • Blows raspberries
• Orients to bell (localizes laterally)

13. MONTHS

14. • Sits unsupported
Gross Motor • Puts feet in mouth in supine position
Visual-Motor/ • Unilateral reach
Problem-Solving • Uses raking grasp
Language • Babbles
Social/Adoptive • Recognizes strangers

15. MONTHS

16. Gross • Creeps
Motor
• Orients to bell
Language (localized indirectly)

17. MONTHS

18. • Comes to sit
Gross Motor • Crawls
Visual-Motor/ • Inspects objects
Problem-Solving
Language • “Dada” indiscriminately
Social/Adoptive • Fingerfeeds

19. MONTHS

20. • Pivots when sitting
Gross Motor • Pulls to stand
• Cruises
Visual-Motor/ • Uses pincer grasp
• Probes with forefinger
Problem-Solving • Holds bottle, throws objects
• “Mama” indiscriminately
Language • Gestures, waves bye-bye
• Inhibits to “no”
• Starts to explore environment
Social/Adoptive • Plays gesture games (eg, pat-a-cake)

21. MONTHS

22. Gross • Walks when led with both
Motor hands held
• “Dada/mama”
Language discriminately; orients to
bell (directly)

23. MONTHS

24. Gross • Walks when led with one hand held
Motor
• One word other than “dada/mama”
Language • Follows 1-step command with
gesture

25. MONTHS

26. Gross Motor • Walks alone
Visual-Motor/ • Uses mature pincer grasp
• Releases voluntarily
Problem-Solving • Marks paper with pencil
• Uses two words other than “dada/mama”
Language • Immature jargoning (runs several unintelligible syllables
together)
• Imitates actions
Social/Adoptive • Comes when called
• Cooperates with dressing

27. Thank You!