Developmental Assessment in the Primary Care Setting

Question 1

Typical motor development proceeds:

Answer 1

cranial to caudal

• lift head from prone
• sit with trunk support
• sit unsupported

Proximal to distal

• batting at toys
• up on elbows in prone
• reach/grasp objects
• raking grasp
• pincer grasp

Question 2

• lifts shoulder while prone
• can hold head up and begins to push up when lying on tummy

Answer 2

2 month motor milestones

Question 3

• pushes up onto elbows/forearmas when on tummy
• holds head steady without support when held

Answer 3

4 month motor milestones

Question 4

• leans on hands to support herself when sitting
• pushes up with straight arms when on tummy

Answer 4

6 month motor milestones

Question 5

gets to sitting independently

Answer 5

9 month motor milestones

Question 6

walks holding on to furniture

Answer 6

12 month motor milestones

Question 7

Takes a few steps on his/her own

Answer 7

15 month motor milestones

Question 8

walks without holding on to anything

Answer 8

18month motor milestones

Question 9

kicks a ball, walks or climbs up a few stairs with or without stairs, runs

Answer 9

24 month motor milestones

30months- jumps off of the ground with both feet

Question 10

skills that involve smaller, more precise movements in the wrists, hands, fingers, feet, toes, lips and tongue

Answer 10

fine motor skills

Question 11

opens hands briefly

Answer 11

2 months

Question 12

holds a toy in hand
uses arm to swing at toys
brings hands to mouth

Answer 12

4 months

Question 13

• moves things from one hand to other hand
• uses fingers to “rake” food towards himself

Answer 13

9 months

Question 14

picks things up between thumb and finger

Answer 14

12 months

Question 15

uses fingers to feed themselves food

Answer 15

15 months

Question 16

• scribbles
• drinks from a cup without a lid and may spill sometimes
• tries to use a spoon

Answer 16

18 months

Question 17

eats with a spoon

Answer 17

24 months

Question 18

• turns book pages, one at a time, when you read
• takes some clothes off by themselvs,
• uses hands to twist things, like turning door knobs

Answer 18

30 months

Question 19

• uses a fork
• strings items together, like beads or macaroni
• puts on some clothes

Answer 19

36 months

Question 20

communication skills- includes both verbal and non-verbal communication (gestures, sign)

Answer 20

Expressive language

Question 21

understanding of language

Answer 21

receptive language

Question 22

• makes sounds other than crying
• reacts to loud sounds

Answer 22

2 months

Question 23

• makes cooing sounds
• turns head to the sound of your voice
• makes sounds back as you talk to them

Answer 23

4 months

Question 24

• Takes turns making sounds
• make squealing noises
• blow rasberries

Answer 24

6 months

Question 25

• makes lots of different sounds (mamaa or baba)
• lifts arms to be picked up

Answer 25

9 months

Question 26

• calls parent “mama” or dada or another special name
• waves “bye-bye”

Answer 26

12 months

Question 27

• tires to say one or two words
• like ba for ball or da for dog
• point to ask for something or to get help

Answer 27

15 months

Question 28

says several single words

Answer 28

18 months

Question 29

says sentences with 2-4 words

Answer 29

24 months

Question 30

respnods to his/her name

Answer 30

6 months

Question 31

understands “no”

Answer 31

9 months

Question 32

follow single step verbal command without gesture

Answer 32

18 months

Question 33

social smile

Answer 33

2 months

Question 34

aware of strangers/may be fearful

Answer 34

9 months

Question 35

plays a games like “peek a-boo” and pat-a-cake

Answer 35

12 months

Question 36

Plays mainly beside other children, but beginning to inlude other children

Answer 36

24 months

Question 37

• the process of recognizing children who may be at risk of developmental delays
• flexible, continuous process

Answer 37

surveillance

Question 38

five components of surveillance

Answer 38

• eliciting and attending to the parent’s concerns about their child’s development
• documenting and maintaining a developmental history
• making accurate observations of the child
• identifying risk and protective factors
• maintaining an accurate record of the process and findings

Question 39

testing population of children at set ages, using standardized tools, to detect those at high risk for unsuspected developmental problems

Answer 39

developmental screening

Question 40

when should screening be done?

Answer 40

• standardized developmental screening tool at 9,18,24 or 30 months
• any time concerns identified through developmental surveillance
• additional screening for motor concerns recommended at 48 months
• screen for autism at 18 and 24 months