Normal Growth and Developmental Milestones

Changes in feeding

Patterns of sleep

Patterns of Behavior

Neonatal

2 months

• Milestones: -smile at the sound of your voice
• Vaccination: Hep B, Rotavirus, DTaP, Hib, PCV13, IPV

3 months

• -grasps objects
  
• -raises head/chest when lying on stomach

4 months

• Milestones:
  • -babbles
    
  • -laughs
    
  • -tries to imitate sounds
• Vaccinations:
  • Rotavirus, DTAP, Hib, PCV13, IPV

6 months

• Milestones:
  • -rolls from back to stomach
    
  • -moves objects from hand to hand
• Vaccinations:
  • Hep B, Rotavirus, DTaP, Hib, PCV13, IPV, Influenza

7 months

• -responds to own name
  
• -finds partially hidden objects

9 months

• Milestones:
  • -sits without support
    
  • -crawls
• Vaccinations:
  • Hep B (if not given at 6 months), IPV (if not given at 6-month visit), Influenza

12 months

• Milestones:
  • -walks with or without support
    
  • -says at least one word
    
  • -enjoys imitating ppl
• Vaccinations:
  • Hep B (if not given at 6 or 9 months), Hib, PCV 13, IPV, Flu, MMR, Varicella, Hep A

15 months

• Milestones:
• Vaccinations:
  • Hep B (if not given at 6, 9, or 12 months), DTaP, Hib, PCV13, Flu, MMR dose 1, varicella dose 1, hep A

18 months

• Milestones:
  • -walks indepently
    
  • -drinks from cup
    
  • -at least 15 words (50-word mark)
• Vaccinations:
  • Hep B, DTaP, IPV, flu, Hep A

2 years old

• -runs
  
• -two-word sentences
  
• -follows simple instructions
  
• -make believe play
  
• -telegraphic speech

2.5 years old

3 years old

• -climbs well
  
• -speaks in multiword sentences
  
• -sorts objects by shape/color

4 years old

• Milestones:
  • -gets along with ppl outside family
    
  • -draws circles/squares
    
  • -rides a tricycle
• Vaccinations (4-6 Yo):
  • DTaP (5th dose), IPV (4th dose), flu, MMR (2nd dose), Varicella (2nd dose)

5 and 6 years old

7 and 8 years old

9 and 10 years old

11-14 years old

• Milestones:
• Vaccinations:
  • Meningococcal, Tdap, HPV, flu
     

15-17 years old

• Milestones:
• Vaccinations (16 Yo):
  • meningococcal booster

18-21 years old