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Department of Pediatrics > Home > For Travelers > On Development

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On Development

Below is a general guidleline by age on what to look for developmentally when visiting your prospective child.  Because development and milestones in relation to age can vary and overlap--and all internationally adopted children have different degrees of delay from which they can recover--these points should be used as a general reference tool for observation and not an absolute checklist on development.

Age of the Child

3-6 mo.
9-12 mo.
18 mo.-2 yrs
3-4 yrs
5 yrs


3-6 Months

  • Turning his/her head to follow movement
  • Looking at you and watching or curious about your face
  • Smiling
  • Cooing or gurgling
  • Startling at loud noises
  • Moving arms and legs easily
  • Raising his/her head when lying on his/her tummy
  • Teething
  • Crying or being uncomfortable when hungry
  • Rolling over
  • Holding his/her head up without support
  • Reaching for and holding objects
  • Mouthing objects or trying to put objects into his/her mouth
  • Turning head toward or reacting to sounds
  • Babbling or squealing
  • Laughing out loud

9-12 Months

  • Crawling
  • Responding to his/her own name
  • Identifying caregivers from strangers
  • Saying things like "mama" or "dada"
  • Imitating sounds
  • Looking without squinting
  • Standing with support
  • Hitting two objects together
  • Playing "peek-a-boo"
  • Waving "bye-bye"
  • Showing affection
  • Reaching for toys
  • Walking with one hand held
  • Finger feeding him/herself

18 Months - 2 Years

  • Attempting to put on shoes
  • Feeding him/herself with a spoon
  • Liking to help
  • Letting his/her needs be known
  • Pointing to objects when named
  • Walking without help
  • Picking up small objects (such as Cheerios)
  • Building a tower with blocks
  • Listening to short stories
  • Turning pages of a book
  • Copying another child's play
  • Jumping, running, walking up and down stairs with help
  • Using two-word sentences
  • Often doing the opposite of what is asked

3-4 Years

  • Toilet training during the day--usually dry through the night
  • Talking and being understood
  • Using three-word sentences
  • Differentiating between boys and girls
  • Pedaling a trike and/or kicking a ball
  • Imitating drawing a straight line
  • Stringing large objects
  • Naming several body parts
  • Asking questions
  • Playing make-believe
  • Dressing him/herself (except for fasteners)
  • Putting together a 7- to 12-piece puzzle and identifying colors
  • Drawing a face
  • Balancing on one foot

5 Years

  • Playing organized games
  • Following three-step directions
  • Cutting with scissors (or using a comparable tool)
  • Copying familiar shapes
  • Drawing a person with several body parts
  • Catching a bounced ball
  • Counting to 10
  • Understanding the meaning of many words

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