Featured Article| Volume 18, ISSUE 10, P1057-1061, November 2022

Updated Pediatric Developmental Milestones: Implications for Pediatric Providers

Published:October 02, 2022DOI:


      • Pediatric developmental checklists were updated in early 2022.
      • Evidence-informed developmental checklist discourages a wait-and-see approach and facilitates clinical judgment.
      • Open-ended questions are provided to prompt conversations with providers.
      • Checklists for 15- and 30-month children are added.
      • Percentage of children able to achieve a milestone changed from 50% to 75%.


      Pediatric developmental surveillance is a standard of care and is expected at routine health supervision visits. The Learn the Signs. Act Early checklists, developed by the Centers for Disease Control and Prevention, are widely used milestone checklists that aid providers in pediatric developmental surveillance. In early 2022, the Centers for Disease Control and Prevention and the American Academy of Pediatrics revised the checklists due to deficiencies uncovered during the previous 15 years of use. Goals of this revision include ensuring the milestone checklists are evidence-informed, clarify when most children can be expected to reach a milestone, and facilitate clinical judgment.


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      Both authors are at the College of Health Sciences, School of Nursing, Tennessee State University, Nashville. Kyli Whitehead, DNP, CPNP-PC, is an associate professor and can be contacted at [email protected]


      Courtney Nyange, DNP, RN, CNE, is a professor.