9 - 12 Month Development

Question 1

9 month milestones

Answer 1

Gross Motor: Pulls to stand, creeping.
Fine Motor: radial-digital grasp, bangs cubes
Personal/Social: Uses sound to get attention, follows a point, recognizes familiar voices. May have stranger anxiety.
Cognitive:
Language: Imitates sounds, babbles, may say words like “mama” but no specific meaning
Problem Solving: rings a bell

Question 2

When do you administer the ASQ?

Answer 2

at 9 mo visit

Question 3

What do you do if there is a significant delay (33% or more) in one or more areas of the ASQ?

Answer 3

refer to regional center

Question 4

If there are signs of a deficit that is less severe on ASQ you can advise what?

Answer 4

advise on exercises and re-screen at a shorter interval.

Question 5

12 month milestones

Answer 5

Gross Motor: Stands well, independent steps

Fine Motor: Scribbles, Two cube tower, Fine Pincer grasp

Personal/Social: Shows objects to parents to share interest

Cognitive:
Language: Says first word, points to get objects
Problem Solving: Lifts lid to find a toy

Question 6

When are babies able to transition to a more solid diet?

Answer 6

12 mo

*also transitions from breast milk to 20-24 oz of whole milk per day. 2% milk if has a high risk for obesity

Question 7

When do infants usually get their first tooth?

Answer 7

at 6 months, usually a bottom central incisor

Question 8

When should tooth brushing start?

Answer 8

Once teeth have erupted, use fluoridated tooth paste.

*fluoride varnish can be applied every 3-6 months

Question 9

Why should bottle usage and bottle propping be avoided when teeth are erupting?

Answer 9

to prevent damage to teeth

Question 10

What labs do you order at 12 month wcc visit?

Answer 10

check for anemia and lead

Question 11

Tx for anemic child

Answer 11

Start ferrous sulfate 4-6 mg/kg/day. Can be taken with orange juice. Dairy products can inhibit absorption.