Developmental assessment Flashcards
What are the 4 parts of a developmental check?
Gross motor, fine motor/vision, speech/language and social
At 6 weeks, what level of each part of the developmental check is expected?
Gross motor: good head control, raises head to 45* when on tummy. Stabilises head when raised to sitting position.
Fine motor/vision: tracts object/face.
Speech/language: stills, startles at loud noise.
Social: social smile (visual problem if not)
At 6 months, what level of each part of the developmental check is expected?
Gross motor: sit without support, rounded back, rolls tummy (prone) to back (supine) - the other way around occurs a little later.
Fine motor/vision: Palmar grasp (5 month). Transfer hand to hand.
Speech/language: turns head to loud sounds, understands “bye bye”/no around 7 months. Babbles (monosyllabic).
Social: Puts object in mouth (stops at 1 year), shakes rattle, reaches for bottle/breast.
At 9 months, what level of each part of the developmental check is expected?
Gross motor: Stands holding on. Straight back sitting (7.5 months).
Fine motor/vision: inferior pincer grip. Object permanence.
Speech/language: responds to own name. Imitates adult sounds.
Social: stranger fear. Holds and bites food.
At 12 months, what level of each part of the developmental check is expected?
Gross motor: Walks alone (9-18 months).
Fine motor/vision: neat pincer grip (10 months). Casting bricks (should appear by 18 months - persistence beyond this is abnormal). 2 bricks.
Speech/language: shows understanding of nouns “where is mummy?”. 3 works (50% at 13 months). Points to own body parts (15 months), doll (18 months).
Social: waves bye bye. Hand clapping. Plays alone if familiar person nearby. Drinks from beaker with lid.
At 18 months, what level of each part of the developmental check is expected?
Gross motor: Runs (16 months). Jumps (18 months).
Fine motor/vision: draws to and fro (15 months).
Tower of 4 bricks.
Speech/language: Shows understanding of nouns. “Show me the xxx”.
1-6 different words.
Social: imitates every day activities.
What is the threshold for worrying about a child not walking?
18 months.
Why might a child not walk when is expected?
Duchenne’s muscular dystrophy, hip problems, cerebral palsy.
When on average does a child start running?
16 months old
When on average does a child start jumping?
18 months.
Off the ground = 2 years.
At 2 years, what level of each part of the developmental check is expected?
Gross motor:
Runs tiptoe.
Walks upstairs, both feet/each step.
Throws a ball at shoulder level.
Fine motor/vision:
Vertical line drawn.
Build 8 block tower.
(with puzzles, shape mismatching is >2yr skill, but random effort <2yr.
Speech: Shows understanding of verbs (what do you DRAW with? What do you EAT with?).
2 words joined together (50+ words).
Social: Eats skilfully with a spoon (2.5 years).
At 2.5 years, what level of each part of the developmental check is expected?
Gross motor: kicks ball
Fine motor/vision: horizontal line.
Speech: shows understanding of prepositions in/on (“put the cat on the bowl”)
3-4 words joined together.
Social: nothing new.
At 3 years, what level of each part of the developmental check is expected?
Gross motor: hops on one foot for 3 steps (each foot)
Walks upstairs, one foot per step; downstairs 2 feet per step.
Fine motor/vision: Circle, bridge of bricks, can cut single cuts, Griffiths beads. Can turn one page at a time in a book.
Speech: understand negatives (“which one of these is NOT an animal?”). Understands adjectives (“which one is red?”).
Social: begins to share toys with friends.
Plays alone without parents.
Eats with fork and spoon.
Bowel control.
What age can a child build a block of 4 blocks? What about 8?
18 months old = 4 blocks
2 years old = 8 blocks
At 4 years, what level of each part of the developmental check is expected?
Gross motor: walks upstairs/downstairs in adult manner.
Fine motor/vision:
Can drawer a cross.
Build 12 block tower and steps.
Can cut paper in half.
Speech: understands complex instructions e.g. “before you put x in y, give z to mummy”.
Uses complex narrative/sequences to describe events.
Social: Concern/sympathy for others if hurt Has best friend Bladder control (4.5 years) Engages in imaginative play, observing rules (4.5-5 years old) Eats skilfully with little help Dressing and undressing.
