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THE MERCK MANUAL MEDICAL LIBRARY: The Merck Manual of Medical Information--Home Edition
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Introduction
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Introduction

Between the ages of 1 and 13, children's physical, intellectual, and emotional capabilities expand tremendously. Children progress from barely tottering to running, jumping, and playing organized sports. At age 1, most children can utter only a few recognizable words. By age 10, most children can write book reports and use computers. Physical, intellectual, and social development, however, proceed at an individual pace.

Milestones From Ages 18 Months to 6 Years

Age

Gross Motor Skills

Fine Motor Skills

18 months
  • Walks well
  • Walks upstairs holding on
  • Draws vertical stroke
  • Makes a tower of 4 cubes
2 years
  • Runs with coordination
  • Climbs on furniture
  • Handles a spoon well
  • Turns single book pages
  • Makes a tower of 7 cubes
2½ years
  • Jumps
  • Walks upstairs and downstairs unaided
  • Scribbles in a circular pattern
  • Opens doors
3 years
  • Mature gait in walking
  • Rides tricycle
  • Favors using one hand over the other
  • Copies a circle
4 years
  • Walks downstairs, alternating feet
  • Hops on 1 foot
  • Throws ball overhand
  • Copies a cross
  • Dresses self
5 years
  • Skips
  • Catches a bounced ball
  • Copies a square
  • Draws a person in 6 parts
6 years Walks along a straight line from heel to toe Writes name

Last full review/revision May 2006 by Eve R. Colson, MD

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