develop milestones Flashcards
definition of failure to thrive
drop of 2 or more major percentile lines on standard growth charts
- or below 3rd percentaile
6 months
Parental- learn babies temperment
Feeding: rice cereal intro 4-6 months. Pureed meats, veggies, fruits.
Oral Health: teething begins 6-9mo then introduce tooth brush
Adjustment: put baby to sleep when drowsy, tummy time, allow opp to explore
Safety: dont leave baby alone
9mo Physical
Crawling, sit from stand - pull to stand by 9mo - stand holding on pincer graps - pass objects between hands
Autism
persistant deficits in social commnication and social interaction
- often participate in repeative motion because it calms their nervous system
- can be identifiees 18-24 months
- m>f
Autism signs 18/24/30
12- no babbling pointing or gesture
16- no single words
24mo- no 2 word phrases
- any age any loss of langual social or other skills (sometimes they will lose a skill)
2mo physical
lift and turn head while laying on their back (momentarily)
- tracks past midline
- primitive reflexes present
2 mon language
turns head towards sound s
- use a range of nouses in commuication (crying/coos)
2 mo cognitive
-altert to voices
regard faces
- follow object with eyes
2 mo social and emotional
Begins to smile
- tries to look at parent
- they begin to breifly calm self
Anticipatory Guidance 2 mo
Parents- how are their well being? Feeding: bottle or breast? no extra fluids. 2oz every 2-3 hrs - burping Diapers: 5-8 wet diap 3-4 stools Infant: - consisitant schedules - sleeping on back Safety - rear facing care seat, choking hazard
Car seat safety
Rear facing from birth and remain rear facing as long as possible until they reach highest weight allowed by their seat
4 mo physical
Holds head steady roll stomach to back roll front to back - lift up on hands and elbows - vision improved - no head lag
4 mo language
Laughs and squeals
babbles
4 mo cognitive
let you know how they are feeling
- responds to affection
- following moving objects side to side
- recognize familiar people
4 mo social
likes to play with people and copies some moveent and facial expressions
6mo physical
Sit supported> unsupported 6-8mo - voluntary grasp > ulnar palmar grasp > reaches for object and brings to mouth rolls over both ways
6 mo language
Vowels and consonant sounds
responds to sounds
shows joy and pleasure
6mo cognitive
brings object to mouth
shows curiosity
tries to reach out and grasp
6mo social
knows farmiliar faces
likes to play with others
- responds to others emotions
9mo language
begins to say mama, dada, baba - usually without meaning
- they understand no
- copies gestures and soudns
9mo cognitive / social
Peek a boo- looks for objects they watch you hide
Social
- stanger danger develops
- has favorite toys
12 mo physical
Takes steps and stands alone for a couple seconds
- begins to walk alone
- put block in cup
- mature pincer grasp
12 mo language
simple gestures
say simple words with means ( mama dada and 2 other words)
- counds with changes in tone
12 mo cognitive
copies gestures
follows one step directions
can find hidden objects
12 mo social
cries when parens leave
- stranger danger contineus
- waves bye bye
has favorites
Toddler Behavior
Gaining independence
Consistency is key
caution with no
Tantrums - common but understand child is trying to communicate
Discipline
-pos reinforcement of desired behavior
Effective Strategies
- distraction and redirection, timeout , appropriate chouces
* AAP does not endorce spanking
15 mo physical
Gross motor
- walks well and stoops dowm
Fine
- tower of cubes and scribbles
15mo Language
45+ words
follows simplw 1 step comands
indicates wants
*** no single words by 16 moths red flag
15 mo social
hands things to other to initate play and affection to farmiliar people
15 cognitive
knows purpose of ordinary things ( phone, spoon)
copies others
18 months Physical
Gross: walk up steps and rrun kick ball and help with dressing Fine - uses cup well and eats wel with spoon and feeds self
18 mo langauge
Names some pics/ body parts
combines 2 words
shakes head no
>6 words sentences
18 mo social
looks for help when i trouble
explores alone with farmiliar people near
- temper tantrums
18 months cognitive
imrpoved function of ordinary items
- points to body parts
- understand 2 step commands
- scribble on own
Potty training
start at 18 mo
2-4 yrs daytime control achieved
Nightime control expected 5-7 yo
24 physical
Gross motor - throws overhead jumps - often stands on tip toes Fine motor - makes copies straight lines
24 language
expanding vocab >50 words
- short phrases ( bad if no 2 word phrases)
- know name of items and animals
- says his own name
- repeat overheard words
24 mo socail
helps undress and put items away > can include defiant behavior
- can tell about eperience
- parallel play
- empathy @24mo
24 mo cogntiive
begins to sort
completes farmiliar sentences and rhymes
may have dominantt hand
36mo physical
Gross
- tricycle and stand on one foot and can climbe
Fine
- copy a circle
36 mo language
100-200 word vocab -understandable >50% speaking in sentences - usually knows gender by 36 months - knows I me we you
36 mo social
pretend play and simple games
shows affection without prompting
- may get upset in changes in routine
- understand mine or his
36 months cognitive
works toys with buttons and moveing parts
- plays make believe
turns single pages in a book
3-6 yrs gross physical development
more skilled at running, jumping, early throwing and kicking
- stands on 1 foot 3 ys
-hops on one foot 4yo
skips 5-6yo
3-5 fine motor
3yo- draw circle, use blunt nose scissors, self dressing
4- draw square, use scissors and cut in straight line and neat eating
5yo- spreading with knife and draw triangle
3-5 language
3- 3 word sentences 4- follow 3 step command count to 4 and name 4 colors always says why 5. counts to 10 and responds o why
