Birth – 6 Months

Coos
Vocalizes pleasure/displeasure sounds
Makes noise when talked to
Smiles

6 Months – 12 Months

Understands “no-no”
Babbles (“ba-ba-ba)
Says “ma-ma” or “da-da”
Says first word
Understands own name

12 Months – 18 Months

Understands simple commands (“come here”)
Vocabulary of 4-20 words
Uses words to label objects (only about 2-3 objects)
Tries to imitate simple words

18 Months – 24 Months

Expressive vocabulary of 50 words
Approximately 25-50% intelligible to strangers
Receptive vocabulary of 200-300 words
Makes animal sounds (“moo”)
Starts using 2 words together (“more bubble”)
Identifies simple body parts (nose, ears, etc.)

2 Years – 3 Years

Expressive vocabulary of 50-250 words
Is approximately 50-75% intelligible
Understands some spatial concepts (“in” & “on”)
Knows pronouns (“her”, “he”, “she)
Uses 2-4 word phrases
Uses plurals
Understands most things said to him/her

3 Years – 4 Years

Speech is approximately 80% intelligible
Identifies colors
Understands object functions
Answers simples questions
4-5 word sentences

4 Years – 5 Years

Answers “why” questions
List items in categories
Uses sentences of 4-8 words
Answers questions about short stories

5 Years – 6 Years

Understands rhyming
Understands sequences (first, last)
Names days of week
Follow instructions

6 Years – 7 Years

Understands left & right
Engages in conversations
Understands most concepts of time
Sentences length approximately 6 words

Feeding Milestones

Birth – 1 Month

Suckle on nipple (breast or bottle)
Presences of rooting reflex
Nose breathing

2 Months – 4 Months

Mouth opens to anticipate feeding
Continues suckling nipple
Voluntary control of mouth
Improved lip closure

5 Months

Liquids and purees administered
Gagging on new textures
Sucking pattern used with spoon

6 Months

Rooting reflex disappears
Gag reflex reduced

7 Months

Lower lip stabilized for cup drinking
Drooling with teething occurs

10 Months – 12 Months

Independent finger feeding
Increased cup drinking & weaning from nipple
Removes food from spoon using lip

12 Months – 18 Months

Consumes all textures
Can use straw for drinking

18 Months – 24 Months

Primarily self-feeding
Swallows with lip closure
Rotary chewing predominate

2 Years – 3 Years

Completely self feeding
Uses fork independently
Holds cup with one hand

Literacy Milestones

3 Years – 4 Years

5 Years

6 Years – 7 Years

7 Years – 8 Years

9 Years – 13 Years

Speech & Language Milestones