Pediatric Movement Milestones – OT / NBCOT® Exam Study Guide

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Study Guide


  • Uncoordinated movements of arms and legs.
  • Heads need support when being carried or moved from surfaces.
  • Crying to communicate.

2 months

  • Use of their TWO arms to push up from the ground.
  • Hold head up more against gravity, but still requires some support.

4 months

  • Use of all FOUR extremities to roll onto backside.
  • Head no longer needs support.
  • Push down on legs to do some weight-bearing.
  • Fine motor: begin to hold toys.

6 months

Imagine the number 6 as a baby sitting up, with the rounded bottom part of the number 6 being their bottom.

  • Begin to sit without support.
  • Roll from belly to back and vice versa.
  • Begin to bounce while being held.

9 months

6 upside down – handstand? “pull to stand”

  • Pull to stand and can stand while holding on.
  • Crawl.
  • Get into sitting position and sit without support consistently.

1 year

Random fact, CRUISE ships average ONE thousand feet in length.

  • Cruising (walking while holding onto furniture).

1.5 years

  • Walk.
  • 0.5 for half, as in walking up the steps, but not down.

2 years

Terrible twos

  • Begins to run.
  • Walk up and down stairs while holding on.
  • Tiptoeing
  • Climbing
  • Kicking
  • Throwing.

3 years

Tricycles of 3 wheels, just like 3 years

  • Beginning to pedal a tricycle.
  • Running
  • Climbing
  • Going up and down stairs.

4 years

Think about school and what they do.

Number “4” also looks like a child standing on 1 foot.

  • Hop and stand on one foot for a few seconds.

5 years

Playing with their peers.

  • Stand on one foot much longer.
  • Hop
  • Somersault
  • Swing
  • Climb (such as on the playground).