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Developmental Milestones

Developmental Milestones in Normal Children

Gross Motor

  • Crawls on hands and knees, shuffles on buttocks or 'bear walks' rapidly about the floor.
  • Cruises, holding onto furniture.
  • Stands alone for a few moments.
  • Walks with one hand held.

Fine Motor

  • Neat pincer grasp.
  • Points with index finger at objects of interest.
  • Bangs 2 cubes together to make noise.

Speech / Language

  • Knows and responds to name.
  • Babbles loudly and incessantly.
  • Vocalisation contains most vowels and many consonants.
  • 2 or 3 words with meaning.
  • Imitates adult playful vocalisations e.g. 'uh-oh' and may use a few words.
  • Understands simple instructions.
  • Will follow the gaze of an adult (joint visual attention).
  • Points to objects and then looks back to the adult for a reaction, for the purposes of requesting or eliciting a comment from the adult.

Self-care, Social & Play

  • Drinks from cup with assistance. Helps with dressing.
  • Plays 'pat-a-cake' and waves 'good-bye'.
  • Enjoys joint play with adults, actively switching attention between objects and adult (co-ordinated joint attention).
  • Quickly finds toys hidden from view.

For reference only — verify against the source CPG and confirm with a senior before clinical use. Source: Paediatric Protocols for Malaysian Hospitals, 5th Edition. Ministry of Health Malaysia. Chapter 3.. Last reviewed: 2026-07-17.