Pediatrics Developmental Milestones – Flashcards

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Gross Motor: flexed posture; low tone
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newborn
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Gross Motor: Head up when prone
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2 months
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Gross Motor: Rolling over
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4 months
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Gross Motor: Sitting up
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6 months
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Gross Motor: Pulling to stand
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9 months
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Gross Motor: Walking
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12 months
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Gross Motor: Stoop and recover
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18 months
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Gross Motor: Jump on two feet
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24 months
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Fine Motor: Whole hand reach
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4 months
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Fine motor: Whole hand grasp; transfer objects
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6 months
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Fine motor: Pincer grasp
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9 months
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Fine motor: Place blocks in cup
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12 months
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Fine motor: Hold utensils
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18 months
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Fine motor: Scribble
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24 months
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Expressive Language: cooing (vowel sounds)
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2-3 months
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Expressive Language: babbling (consonant sounds)
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6 months
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Expressive Language: Mama, dada non-specifically
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9 months
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Expressive Language: Mama, dada specifically
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10 months
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Expressive Language: First real word
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12 months
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Expressive Language: 7-10 words
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18 months
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Expressive Language: speech 50% understandable to strangers
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24 months
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Receptive Language: turns to name
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6 months
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Receptive Language: Joint attention
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9 months (impaired in autism)
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Receptive Language: Follows a 1 step direction with gesture
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11 months
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Receptive Language: Follows a 1 step direction without a gesture
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15 months
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Receptive Language: Identifies body parts
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18 months
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Receptive Language: Understands prepositions, more complex sentences
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30 months
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Social: Fixes on face
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2 months
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Social: Monitors gaze
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4 months
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Social: Stranger anxiety, peek-a-boo
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9 months
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Social: Points for requests
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12 months
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Social: Points to show interest
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18 months
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Social: Early pretend play
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24 months
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Gross Motor Red Flags (Infant, Toddler)
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Head lag >3 months (low muscle tone), Rolling <2-3 months (may be increased muscle tone instead of strength), not walking by 15-18 months
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Fine Motor Red Flags (Infant, Toddler)
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Fisting > 3 months; hand preference < 18 months (may indicate poor hand function rather than preference)
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Language Red Flags (Infant, Toddler)
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<50 words or on 2 word phrases by 2 years
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Social-Emotional Red Flags (Infant, Toddler)
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No pointing, gaze monitoring or pretend play by 2 years
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Gross Motor: Pedal Tricycle
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3 years
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Fine Motor: Copy a circle, cut with scissors
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3 years
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Gross Motor: Hop on one foot
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4 years
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Fine Motor: Copy a cross; button and snap
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4 years
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Gross Motor: Gallop, skip
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5 years
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Fine Motor: Print some letters; write name
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5 years
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Expressive Language: speech 75% understandable
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3 years
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Receptive language: Identify 2 colors, knows age
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3 years
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Expressive Language: speech 100% understandable
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4 years
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Receptive Language: Knows gender of self and others
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4 years
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Expressive Language: Uses future tense
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5 years
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Receptive Language: Knows phone number and address
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5 years
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Social: imaginary play
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3 years
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Social: Understands perspective of others
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4 years
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Social: Can cooperate with chores
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5 years
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Gross Motor Red Flags (Preschooler)
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Trouble with stairs, pedaling, jumping or hopping
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Fine Motor Red Flags (Preschooler)
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Trouble with fasteners, drawing shapes
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Language Red Flags (Preschooler)
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Trouble understanding directions; speech difficult to understand
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Social-Emotional Red Flags (Preschooler)
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Lack of complex play; disinterest in peers; persistent difficulty regulating emotions
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Gross Motor: bike riding, sports
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School aged
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Fine Motor: handwriting
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School aged
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Speech and Language: reciprocal conversations
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School aged
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Social-Emotional: Peer groups; best friends
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School aged
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Cognitive: Academics; complex reasoning
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School aged
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Red Flags for School Aged Children
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Academic challenges, difficulties with peer interactions, mood problems, disruptive behavior, inattention
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Ages for general developmental screen
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9, 18, and 24-30 months (PEDS and Ages and Stages)
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Autism-specific screen ages
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18 and 24-30 months (M-CHAT)
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Social: concepts of good and bad predominate
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3 years
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Social: complex roles and stories in play
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5 years
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Receptive Language: recognizes most letters
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5 years
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Expressive Language: can give definition of words
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5 years
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Receptive Language: knows first and last name
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4 years
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Receptive Language: can count to 4
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4 years
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Expressive Language: 4-5 word sentences
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4 years
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Expressive Language: uses past tense
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4 years
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Expressive Language: 3-4 word sentences
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3 years
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Expressive Language: several hundred word vocabulary
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3 years
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Expressive Language: 3-4 word sentences
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24 months
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Expressive Language: 50 words
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24 months
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Newborn Reflexes
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Grasp, sucking, Babinski, gaze at face, Moro, atonic neck reflex (archer, fencer)
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Smiles
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2 months
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Tracking past midline
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2 months
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Lifts head when on belly and rotates it
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2 months
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Anticipatory Guidance: Sleeping
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sleep on back with no stuffed animals, only small blankets
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Anticipatory Guidance: Smoking
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NO SMOKING
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Anticipatory Guidance: Water Heater
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Set <120 F
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Lifts head when prone and rotates it
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2 months
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Sits up unassisted
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4 months
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Raises head 90 degrees while on stomach
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4 months
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Plays with a rattle
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4 months
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When lifted there is no head lag
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4 months
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Laughs
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4 months
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Anticipates feeding
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4 months
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Fusses for attention
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4 months
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Can begin cereal
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4-6 months
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Has doubled birth weight
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6 months
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Lifts chest and head while bearing weight on stomach
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6 months
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Rolls from back to belly and belly to back
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6 months
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Can sit in a high chair and hold a bottle
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6 months
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Likes sound of own voice
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6 months
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Recognizes parents
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6 months
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Likes mirrors and toys
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6 months
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Reaches for objects
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6 months
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Ready for stage 1 baby food
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6 months
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Picks up objects with hand via raking
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9 months
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Begins crawling
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9 months
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Sits unassisted for a long time
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9 months
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Pulls to a stand
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9 months
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Can shuffle holding on and standing
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9 months
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Depth perception
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9 months
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Understands no
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9 months
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May be afraid of being left alone
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9 months
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Feeds self
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9 months
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Wiggles all over the floor
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9 months
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Recognizes wet or soiled diaper
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12 months
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2 block tower
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12 months
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Triple birth weight
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12 months
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Eats anything (may be picky)
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12 months
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Can begin disciplining by saying "NO"
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12 months
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Let them be more independent - let them cry without attention some
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12 months
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Walk alone
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18 months
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Runs uncoordinated with numerous falls
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18 months
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Can get into a chair without assistance
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18 months
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Can stack 3-4 blocks
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18 months
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Can throw a ball
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18 months
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Can hold utensils
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18 months
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Learns to start sharing
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18 months
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Can begin potty training
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18 months
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Can kick a ball
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24 months
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Can stack 6-7 blocks
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24 months
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Stands on one foot
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24 months
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Dresses self
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24 months
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Verbalizes toilet needs
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24 months
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Be firm about reprimanding and time outs
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24 months
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Asks a lot of questions
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3 years
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Goes to the bathroom on their own but may need help wiping
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4 years
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Moro Reflex Disappears
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4 months (Moro reflex is symmetric abduction and extension of the arms followed by adduction of the arms, sometimes with a cry)
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Palmar Grasp Reflex Disappears
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2-3 months (must disappear before voluntary grasping)
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Plantar Grasp Reflex Disappears
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8 months (must disappear before taking steps)
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Asymmetric Tonic Neck Reflex Disappears
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6 months (allows the infant to see the hand along the arm and is one of the first steps in visual/reaching coordination)
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Babinksi Reflex Disappears
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1-2 years (reflex is dorsiflexion of the big toe, accompanied by fanning of the other toes, in response to the stroking of the lateral aspect of the foot's plantar surface)
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