Bright Futures Milestone Category

Cognitive

Milestone Name	Expected Age
Looks at parents when awake	0
Is able to fix briefly on faces or objects	0
Follows face to midline	0
Has started to smile	1
Indicates boredom (crying/fussiness) when no changes in activity occur	2
Responds to affection, changes in environment	4
Indicates pleasure and displeasure	4
Continues to use visual exploration to learn about the environment but is also beginning to use oral exploration for learning	6
Develops object permanence	9
Learns interactive games, such as “peek-a-boo” and “so big”	9
Looks at books and explores environment, physically and visually	9
Identifies persons upon request (eg, “Where is ___?”)	12
Scribbles	15
Points to 1 body part	18
Follows simple instructions without gestured cues (”sit down”)	18
Shows interest in a doll or stuffed animal by hugging it or pretend feeding	18
Knows the names of his favorite books	18
Follows 2-step commands	24
Names one picture, such as a cat, horse, bird, dog, or man	24
Completes sentences and rhymes in familiar books	24
Corrects you if you change a word in a book he knows	24
In response to, “Where is _____?”, points to object or animal in a book	24
Knows the correct action for a selected animal or person (eg, cat meows, horse gallops, bird flies, dog barks, man talks)	30
Has friends	30
Points to 6 body parts	30
Knows the name of and the use of a cup, ball, spoon, and crayon	36
Identifies self as a girl or a boy	36
Names 4 colors	48
Is aware of gender (of self and others)	48
Plays board/card games	48
Draws a person with 3 parts	48
Tells you what he thinks is going to happen next in a book	48
Follows simple directions	12
Understands and follows simple commands	15