Childhood Milestones Year Three
What should your child be able to do or say at 24 to 36 months? Take a look at this list of milestones and see if your child needs speech, occupational, or feeding therapy.
24 to 30 Months
Gross Motor Skills
- Standing on one foot with hands on hips
- Walking upstairs using two feet on each stair
- Jumping 2 feet both forward and down
Fine Motor Skills/Visual Motor Skills
- Begin to establish a hand preference
- Grasping a cup with one hand without spilling
- Grasping spoon and turning hand to bring to mouth
- Turning pages 1 at a time
- Building an 8 block tower
- Folding paper in half
- Cutting on line
- Turning door knobs and jar lids
Self- Care
- Beginning to brush teeth – adult needs to put toothpaste on and still do thorough brushing
- Undressing self – may still need help with fasteners and pullovers with narrow necks
Speech & Communication
- Vocabulary grows from 100 words 400+ words
- Using 2-3 word phrases
- Speech is 50-75% understandable
- Making the following sounds: “b”, “m”, “p”, “d”, “t”, “h”
- Using pronouns (my, me, mine, you) in phrases
Oral Motor Skills & Feeding
- Uses tongue to clean lips
- Can bite through a hard cookie with ease
- Does not spill liquid from an open cup when drinking
- Can easily move the tongue tip to place and collect food for chewing and swallowing
- Mature swallowing pattern is established (i.e., the tip of the tongue touches the area behind the top front teeth to initiate the swallow)
- Biting and chewing foods of various thickness
- Beginning to use a fork
- A highchair is no longer needed
Sensory & Sleeping
- Biting and chewing foods of various thickness
- Moving from drinking from a bottle to drinking from an open cup without spilling
- Beginning to use a fork
- A highchair is no longer needed
Understanding & Thinking Skills
- Can start following 2-step directions
- Understanding and answering “where” and “what” questions
- Organizing toys by size, shape, and color
Social/Play
- Pretend play and sharing toys with other children and adults
- Following adult-directed tasks
- Consistently greeting familiar and unfamiliar people
Many behaviors (both positive and negative) are learned by watching others
Best Toys at This Age
- Bubbles
- Balls
- Simple puzzles
- Blocks
- Play-Doh
- Sidewalk chalk
- Stickers
- Toy cars or trains
- Tricycle
Red Flags
30 to 36 Months
Gross Motor Skills
- Standing on one foot with hands on hips
- Walking upstairs shifts from using two feet on each stair to alternating feet
- Jumping will increase to 24 inches both forward and down
- Riding a tricycle
- Climbing up rock wall independently
Fine Motor Skills/Visual Motor Skills
- Completing simple 3-piece puzzle
- Matching identical pictures
- Copying drawing circles
- Pouring liquid from one container directly into another
- Holding a fork with a fist
- Building a 9-block tower
- Making continuous cuts with child-safe scissors
Self-Care
- Beginning to brush teeth – adult needs to put toothpaste on and still do thorough brushing
- Dressing self with minimal help
- Putting shoes on with little assistance
- Potty training is almost complete
Speech & Communication
- Vocabulary growing from 100 words to 1,000 words
- Producing full sentences during conversation
- Speech is 75% understandable
- Making the “k” and “g” sounds
- Asking what, where, when, whose questions
Oral Motor Skills & Feeding
- Chewing and swallowing “adult food” with lips closed (e.g. steak, raw vegetables, nuts, etc)
- Moving from drinking from an open cup without spilling
- Using a fork and spoon will become an independent task
- A highchair is no longer needed
Sensory & Sleeping
- 11-14 hours of sleep per day with one 2-hour nap during the day time
- Beginning to transition from crib to toddler bed
- Cuddling helps calm child down
- A weighted blanket may help calm child down
- Tolerating new clothing fabrics
- Tolerating a variety of smells and noises
Understanding & Thinking Skills
- Understanding and answering “where” and “what” questions will become consistent
- Consistently following 3-step directions
- Understanding time concepts like soon, later, wait
- Matching and sorting similar objects and pictures
Social/Play
- Pretend play and sharing toys with other children and adults
- Playing by rules of simple games
- Consistently greeting familiar and unfamiliar people
Best Toys at This Age
- Farm animals
- Potato Head
- Balls
- Puzzles
- Tricycle
- Play-Doh
- Play Kitchen
- Dolls
- Books
- 3-wheeled scooter
Red Flags
- Not jumping in place
- Walking on their toes or falling a lot
- Not walking up and down stairs with a handrail
- Shaky, stiff, or weak movements
- Difficulty holding a fork and cup
- Difficulty chewing threw meat and vegetables
- Difficulty tolerating different textures in clothing, foods, and toys
- Talking in phrases that are less than 3 words long
- Having a small vocabulary
- Not producing “m”, “b”, “p”, “d”, “h”, “k”, and/or “g”
- Limited eye contact with other people
Is My Child Ready for Preschool?
It is important for your child to develop the following skills prior to beginning preschool:
- Following multistep directions consistently
- Dealing with and managing emotions related to change
- Completely potty trained
- Following adult-directed tasks without much protest
- Completing independent tasks like eating lunch, washing hands, etc.
- Avoiding obstacles when walking
- Interacting with other children and adults well
