Designated Medical Practitioner Handbook
Appendix X: Chart of Early Childhood Development
1–2 Months of Age
| Activities to be observed on exam |
Activities related by parents or caregiver |
|---|---|
| Holds head erect and lifts head | Recognizes parents |
| Regards faces and follows objects through visual field | Engages in vocalizations |
| Becomes alert in response to voice | Smiles spontaneously |
3–5 Months of Age
| Activities to be observed on exam |
Activities related by parents or caregiver |
|---|---|
| Grasps cube – first ulnar then later thumb opposition | Laughs |
| Reaches for and brings objects to mouth | Anticipates food on site |
| Plays at making sounds | Turns from back to side |
| Sits with support |
6–8 Months of Age
| Activities to be observed on exam |
Activities related by parents or caregiver |
|---|---|
| Sits alone for a short period | Rolls from back to stomach |
| Reaches with one hand | Is inhibited by the word No |
| First scoops up a small object then
grasps it using thumb opposition |
|
| Imitates “bye-bye” and babbles | |
| Passes object from hand to hand in midline |
9–11 Months of Age
| Activities to be observed on exam |
Activities related by parents or caregiver |
|---|---|
| Stands holding on | Walks by supporting self on furniture |
| Imitates pat-a-cake and peek-a-boo | Follows one-step commands eg., Come here or Give it to me. |
| Uses thumb and index finger to pick up small object |
1 Year of Age
| Activities to be observed on exam |
Activities related by parents or caregiver |
|---|---|
| Walks independently | Points to desired object |
| Says mama and dada with meaning | Says 1 or 2 words |
| Can use a neat pincer grasp to pick up a small object | |
| Releases cube into cup after demonstration | |
| Gives toy on request |
18 Months of Age
| Activities to be observed on exam |
Activities related by parents or caregiver |
|---|---|
| Builds tower of 3–4 cubes | Walks up and down stairs |
| Throws ball | Says 4–20 words |
| Scribbles spontaneously | Understands a two-step command |
| Seats self in chair | Carries and hugs doll |
| Dumps small objects from bottle | Feeds self |
24 Months of Age
| Activities to be observed on exam |
Activities related by parents or caregiver |
|---|---|
| Speaks short phrases, 2 words or more | Verbalizes toilet needs |
| Builds tower of 6–7 cubes | Turns pages of book singly |
| Points to named objects or pictures | Plays with domestic mimicry |
| Stands on either foot alone and Jumps off floor with both feet | Pulls on simple garment |
30 Months of Age
| Activities to be observed on exam |
Activities related by parents or caregiver |
|---|---|
| Walks backward and begins to hop on one foot | Helps put things away |
| Holds crayon in fist – Copies a crude circle | Puts on clothing |
| Points to objects described by use | Carries on a conversation |
| Refers to self as I |
3 Years of Age
| Activities to be observed on exam |
Activities related by parents or caregiver |
|---|---|
| Holds crayon with fingers, copies circle | Dresses with supervision |
| Builds tower of 8 cubes and imitates 3-cube bridge | |
| Gives first and last name |
3–4 Years of Age
| Activities to be observed on exam |
Activities related by parents or caregiver |
|---|---|
| Climbs stairs with alternating feet | Feeds self at mealtime |
| Begins to button and unbutton | Takes off shoes and jacket |
| Responds to command to place toy in, on, or under table | |
| Knows own sex | |
| Gives full name |
4–5 Years of Age
| Activities to be observed on exam |
Activities related by parents or caregiver |
|---|---|
| Runs and turns without losing balance | Self-care at toilet |
| May stand on one leg for at least 10 seconds | Dresses self except for tying shoes |
| Buttons clothes | |
| Knows the days of the week |
- Date Modified:
