Development

Question 1

Age at which child should turn to voice / make consonant sounds and imitate speech?

Answer 1

6 months

Question 2

Age for social smile?

Answer 2

6 - 8 weeks

Question 3

Age for stranger anxiety?

Answer 3

6 months

Question 4

Age at where baby shows interest in self-image in mirror?

Answer 4

4 months

Question 5

Says ‘mama’ / ‘dada’ purposefully and one other word. Age?

Answer 5

12 months

Question 6

Imitates speech sounds / non-purposeful ‘mama’ / follows pointed finger / recognizes familiar people. Age?

Answer 6

9 months

Question 7

3 to 5 words / mature margining / greets people / shows empathy. Age?

Answer 7

15 months

Question 8

10 to 25 words / names picture on demand / pretend play. Age?

Answer 8

18 months

Question 9

> 50 words / 2 word sentences / parallel play. Age?

Answer 9

24 months

Question 10

Cause of gyneocmastia in pubertal boys?

Answer 10

Inc ratio of estrogens to androgens initially. Regresses as he matures. Often asymmetric and can be temporarily tender

Question 11

Combines words into 2-3 word phrases. Age?

Answer 11

24 months

Question 12

Says ‘mama’ or ‘dada’ with meaning and at least one additional specific word. Age?

Answer 12

12 months

Question 13

Vocabulary of 7-10 words. Age?

Answer 13

18 months

Question 14

Vocabulary of ~250 words. Age?

Answer 14

36 months

Question 15

Able to use pronouns appropriately. Age?

Answer 15

30 months

Question 16

Uses ‘I’ ‘me’ and ‘mine’ in speech. Age?

Answer 16

24 months

Question 17

First sign of pubertal progression in girls and by what age should you see it?

Answer 17

Breast development by 14 years

Question 18

Can copy a cross, draw a simple figure, draw square, hop on one foot 2-3X. Age?

Answer 18

48 months

Question 19

Can walk down stairs holding rail, throw ball overhand, imitate drawing horizontal line. Age?

Answer 19

24 months

Question 20

Alternate feet while walking up stairs, jump in place, 8 cube tower. Age?

Answer 20

30 months

Question 21

Copy a circle, pedal a tricycle. Age?

Answer 21

36 months

Question 22

Walk down stairs alternating feet + holding rail, hop on 1 foot 15X, skip, copy a triangle, write his name. Age?

Answer 22

60 months

Question 23

Age when able to lift head

Answer 23

6 months

Question 24

Age for pincer grasp

Answer 24

9 months

Question 25

Age for scissor grasp

Answer 25

8 months

Question 26

A child can walk with 2 hands held. She cannot throw a toy or stand alone. How old is she?

Answer 26

10 months
She can also:
Pincer grasp a pellet
Isolate her index finger to poke an object
Put a cube into a cup
Wave bye bye

Question 27

When should a child be referred for delay because she is unable to sit?

Answer 27

9 months

On average, most children can sit without support by 7 months

Question 28

When should a child be referred for delay because she is unable to walk?

Answer 28

18 months

On average most children can take a few steps by 12 months

Question 29

When can an infant typically let go of a cube?

Answer 29

At about 5mo as the infant grasp reflexes extinguishes and infants develop the ability to volitionally let go of objects or transfer them from hand-hand or hand-mouth.

Question 30

A 5mo infant can transfer a cube from hand to hand or hand to mouth, reach for a cube, and sit with pelvic support. He cannot roll from front to back. What is the most likely cause of his gross motor delay?

Answer 30

Back to Sleep!
Remember to encourage supervised “tummy time” to allow your patients to develop upper body and trunk strength. Babies with less tummy time will be slower to roll front to back, get on their hands, and crawl.

Question 31

When is it usually possible to start toilet training a child?

Answer 31

A child must be able to verbalize his need to toilet prior to starting toilet training (typically at 28mo)

On average children are successfully toilet trained by 33 months.

Question 32

You are trying to convince a patient’s mother to switch to regular cups.

What do you tell her about when a baby will be able to use a regular cup?

Answer 32

10mo - drinks from a cup that is held for him
13mo - drinks from a cup with some spilling
22mo - drinks from a cup well

Question 33

When will a child learn to use a:

Spoon?
Fork?
Knife?

Answer 33

Spoon:
11mo stirs with a spoon
14mo puts spoon in mouth
15mo uses spoon w/ some spilling
20mo uses spoon for entire meal

Fork: Uses well at 4yo
Knife: Spreads with knife at 5yo

Question 34

At what age will a baby recognize his mother’s face?

Answer 34

On average at 2 months

At this age he can also react to a visual threat, follow large contrasting objects, and open this mouth at the sight of a bottle

Question 35

How old is a child who can turn pages in a book?

Answer 35

15 months

Starting at 11mo children will show interest if shown pictures in a book.

Early reading to children is a proven intervention to increase early childhood vocabulary and later childhood literacy.

Question 36

At what age should you be concerned if a child is not visually tracking objects?

Answer 36

4 months

The AAP considers this a major “red flag” which requires referral for ophthalmology evaluation and developmental assessment.

Question 37

Age for scribbling

Answer 37

~12mo with prompting when children are first able to hold a crayon.

Back and forth scribble imitated at 14mo
Children are scribbling spontaneously by 16mo

By 22mo a child will imitate a vertical line and attempt a circular scribble

Question 38

Baby is looking for object dropped through hole. He is demonstrating what important problem solving milestone?

Answer 38

Object permanence
First evident at 9-10mo with parents who are out of sight. At this age the infant will also uncover a toy that was covered by a cloth.

As motor skills advance the baby will be able to search for his mother (15-18mo).

This skill allows babies to learn patterns for interacting with an environment.