-
Birth
Motor Skills
Uncontrolled, jerky Movements
Wobbly Head Communication Skills
Cry to express needs Emotional/Social Skills
Attention
Love
Empathy & Understanding
Routine Immunizations
Hepatitis B: 1st dose Provider Assessments
Weight: Regain or exceed birth weight by 2 weeks old
Head Circumference: Half the total body length
Length
Heart & lung sounds
Palpate Fontanels for depression or bulging
Babinski Reflex
Moro Reflex
Tonic Neck Reflex
Rooting & Sucking
Grasp Reflex
Stepping Reflex -
1-3 Months
Motor Skills:
Holds head up while on tummy
Moves both Arms & Legs
Opens hands briefly & grasp an object for a few moments Communication Skills:
Babbles & Coos Emotional/Social Skills:
Looks at faces
Calms down when spoken to/picked up
Smiles when you talk to them Immunizations:
Hepatitis B: 2nd dose
Rotavirus
DTAP
Poliovirus
Pneumococcal
H. Influeznae B Provider Assessments:
Head Circumference
Length
Weight: weekly weight gain of 8oz.
Asymmetric Tonic Neck Reflex
Sleep: 15-16 hours/day -
4-6 Months
Motor Skills
Control of head & purposeful movement of arms & legs
Rolling Over
Push themselves up Communication Skills
Babbling with chains of consonants Emotional/Social Skills
Enjoys cuddling
Stranger danger
Recognizes familiar persons Immunizations
Hepatitis B: 2nd dose
Rotavirus: 2nd dose
DTAP: 2nd dose
H. Influenzae B: 2nd dose
Pneumococcal: 2nd dose
Poliovirus: 2nd dose
Flu Vaccine: 6 months Provider Assessments
Weight: birth weight doubles
Length
Head Circumference
Babinski Reflex -
7-9 Months
Motor Skills
Sits unassisted
Crawls
Control of trunk & hands Communication Skills
Laughing & squealing
"Ba-ba-ba" with occasional Mama or Dada Emotional/Social Skills
Stranger danger
Fussy to others, if not parents Immunizations
Hepatitis B: 3rd dose
Poliovirus: 3rd dose
Flu Vaccine: 2nd dose (optional) Provider Assessment
Weight: gaining 3-4 oz./week
Length
Head Circumference
Babinski Reflex
Screen for early indications of developmental delays -
10-12 Months
Motor Skills
Pull to stand
Cruise while holding furniture
Take 2-3 steps unassisted/walking Communication Skills
Makes sounds with caregiver
Attentive to their name
Combines sounds together Emotional/Social Skills
Shows variety of emotions
Seeks comfort
Helps with getting dressed Immunizations
H. Influenzae: 3rd or 4th dose
Pneumococcal: 4th dose
MMR: 1st dose
Varicella: 1st dose
Hepatitis A: 2 dose series Provider Assessment
Weight
Length
Head Circumference
Assess for developmental delays -
18 Months
Motor Skills
Makes lines on paper with crayons
Walking 10-20 min.
Creeps up stairs Communication Skills
Repeats some words
At least 12 words Emotional/Social Skills
Feeds themself
Points to show something
Looks at pages in a book Immunizations
DTAP: 4th dose
Flu Vaccine: annually Provider Assessments
Weight: 2-3kg/year
Height: 12cm/yearly
Head Circumference: 3cm/yearly
CBC, CMP, & Lead testing
Hearing test
Assess for Developmental Delays that could be Autism -
2 Years
Motor Skills
Stacks tower of 6 blocks
Runs & kicks a ball
Throw ball overhand Communication Skills
More than 200 words
2-word sentences
More understandable language Emotional/Social Skills
Temper tantrums
Looks at face for emotion
Notices when others upset Immunizations
Annual Flu vaccine Provider Assessments
Weight: 2-3kg/yearly, calculate BMI
Length: 12cm/yearly, height 1/2 of adult height
Head Circumference: 3cm/yearly
Heart & lung sounds
Assess for any developmental delays -
3 Years
Motor Skills
Strings items together, beads
Dresses themselves
Uses a Fork Communication Skills
Talks with another in conversation
Says first name when asked
Says what actions are happening in a picture Emotional/Social Skills
Notices & plays with other children
Calms down within 10 minutes Immunizations
Annual Flu vaccine Provider Assessments
Weight: gains 2kg/year, calculate BMI
Length: 3-7cm/year
Head Circumference: 1cm/yearly
VS including a Blood pressure check
Developmental monitoring -
4 Years
Motor Skills
Stands on 1 leg
Draw a circle & a cross
Self-sufficient in many everyday routines Communication Skills
Sentences of 4 or more words
Answers simple questions
Recaps 1 event from the day Emotional/Social Skills
Likes to be a "helper"
Avoids danger
Engages in "pretend" play Immunizations
DTAP: 5th dose
Poliovirus: 4th dose
MMR: 2nd dose
Varicella: 2nd dose
Annual Flu vaccine Provider Assessments
Weight: 2kg/year, BMI
Length: 3-7cm/year
Head Circumference: 1cm/year
CBC, CMP, & UA -
5 Years
Motor Skills
Hops on 1 foot
Buttons some buttons
Copies a square & triangle Communication Skills
Uses or recognizes simple rhymes
Answers simple questions about a story
Tells a story with 2 events, real or pretend Emotional/Social Skills
Sings, dances or acts for others
Does simple chores at home
Follows rules or takes turns Immunizations
DTAP: 5th dose
Poliovirus: 4th dose
MMR: 2nd dose
Varicella: 2nd dose
Annual Flu vaccine Provider Assessments
Weight: 2kg/year, BMI
CBC, CMP & UA -
References
Centers for Disease Control and Prevention . (2022). Important Milestones: Your Child. Centers for Disease Control and Prevention. Retrieved September 9, 2022, from https://www.cdc.gov/ncbddd/actearly/milestones/milestones.html. The Whole Child . (2022). Norma Development Stages Ages 0-5. Retrieved September 9, 2022, from https://www.thewholechild.org/parent-resources/age-0-5/normal-development-stages-ages-0-5/. -
References
Best Start . (2022). On Track: Child Development 0-14 Months . Retrieved September 9, 2022, from https://www.beststart.org/OnTrack_English/3-infant.html. Centers for Disease Control and Prevention . (2022a). Child and Adolescent Immunization Schedule. Retrieved September 9, 2022, from https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html.