Developmental examination milestones

Question 1

Newborn gross motor milestone

Answer 1

Limbs flexed, symmetrical pattern

Marked head lag on pulling up

Question 2

6 - 8 weeks gross motor milestone

Answer 2

Raises head to 45 degrees in prone (tummy-time)
Stabilises head when raised to sitting
position

Question 3

6 - 8 months gross motor milestone

Answer 3

Sits without support (initially with a round back, then eventually with a straight back by 8 months)

Limit age: 9 months

Question 4

8 - 9 months gross motor milestone

Answer 4

crawling

Question 5

10 months gross motor milestone

Answer 5

Stands independently

Cruises around furniture (the stage between crawling or ‘bottom shuffling’ and walking independently)

Question 6

12 months gross motor milestone

Answer 6

Walks unsteadily – a broad gait, with hands apart

Limit age: 18 months

Question 7

15 months gross motor milestone

Answer 7

Walks steadily

Question 8

1.5 - 2.5 years gross motor milestone

Answer 8

Runs tiptoe and jumps
Kicks ball

Question 9

3 years gross motor milestone

Answer 9

Hops on one foot for 3 steps (each
foot)
Walks upstairs, one foot per step;
downstairs two feet per step.

Question 10

4 years gross motor milestone

Answer 10

Walks upstairs / downstairs in adult
manner

Question 11

6 weeks vision and fine motor development milestone

Answer 11

Follows/tracks moving object or face by turning the head (fixing and following)

Limit age: 3 months

Question 12

4 months vision and fine motor development milestone

Answer 12

Reaches out for toys

Question 13

4 - 6 months vision and fine motor development milestone

Answer 13

Palmar grasp

Question 14

7 months vision and fine motor development milestone

Answer 14

Transfers toys from one hand to another

Limit age: 9 months

Question 15

10 months vision and fine motor development milestone

Answer 15

mature pincer grip

Question 16

16 – 18 months (up to 1.5 years) vision and fine motor development milestone

Answer 16

Makes marks with crayons (To and fro
(15m))

Question 17

Brick building scale?

Answer 17

Tower of three – 18 months

Tower of six – 2 years

Tower of eight or a train with four bricks – 2.5 years

Bridge (from a model) – 3 years

Steps (after demonstration) – 4 years

Question 18

pencil skills?

Answer 18

Line – 2 years

Circle – 3 years

Cross – 3.5/4 years

Square – 4/4.5 years

Triangle – 5 years

Question 19

newborn hearing, speech and language development Milestone

Answer 19

Stills, startles at loud noise

Question 20

3 - 4 months hearing, speech and language development Milestone

Answer 20

Vocalises alone or when spoken to, coos and laughs “aa, aa”

Question 21

7 months hearing, speech and language development Milestone

Answer 21

Turns to soft sounds out of sight

Polysyllabic babble (“babababa, lalalalala”)

Question 22

7 - 10 months hearing, speech and language development Milestone

Answer 22

Sounds used indiscriminately at 7 months

responds to own name at 9 months

Sounds used discriminately to parents at 10 months “Dada, Mama”

Question 23

12 months hearing, speech and language development Milestone

Answer 23

Two to three words other than ‘Dada’ or ‘Mama’

Understands name “Drink”

Question 24

18 months hearing, speech and language development Milestone

Answer 24

6-10 words

Is able to show two parts of the body “Where is your nose?” – Baby will point

Question 25

20 - 24 months (2 years) hearing, speech and language development Milestone

Answer 25

Joins two or more words to make simple phrases “Give me teddy”

Question 26

2.5 - 3 years hearing, speech and language development Milestone

Answer 26

Talks constantly in 3 – 4-word sentences Understands 2 joined commands “Push me fast Daddy”

Question 27

understanding of word types between ages of 18 months and 4 years?

Answer 27

18 months: Shows understanding of nouns (“show me the xxxxx”) 2 years: Shows understanding of verbs (“what do you draw with, what do you eat with?”) 2.5 years: Shows understanding of prepositions in/on (“put the cat on the bowl”) 3 years: Understands comparatives (“which boy is bigger than this one?” while pointing to middle-sized boy! Or draw circles to illustrate point) 4 years:  Understands complex instructions (“Before you put x in y, give z to Mummy”) Uses complex narrative / sequences to describe events.

Question 28

6 weeks social, emotional and behavioural development milestones

Answer 28

Smiles responsively Limit age: 8 weeks (may be a visual problem if not)

Question 29

6 - 8 months social, emotional and behavioural development milestones

Answer 29

Puts objects to mouth (stops at 1yr) Shakes rattle Reaches for bottle / breast

Question 30

10 - 12 months social, emotional and behavioural development milestones

Answer 30

Holds and bites food Waves “bye bye” Plays peek a boo Hand clapping Plays alone if familiar person nearby Drinks from beaker with lid Stranger fear (6-9 mths – 2yrs)

Question 31

12 months social, emotional and behavioural development milestones

Answer 31

Drinks from a cup with two hands

Question 32

18 months social, emotional and behavioural development milestones

Answer 32

Holds spoon and gets food safely to mouth (eats skilfully with spoon by 2½ years) Imitates every day activities

Question 33

18 - 24 months social, emotional and behavioural development milestones

Answer 33

Symbolic play Limit age: 2 – 2.5 years

Question 34

2 years social, emotional and behavioural development milestones

Answer 34

Toilet training: dry by day Pulls off some clothing

Question 35

2.5 - 3 years social, emotional and behavioural development milestones

Answer 35

Parallel play Interactive play evolving Takes turns Plays alone without parents Eats with fork and spoon Bowel control

Question 36

4 years social, emotional and behavioural development milestones

Answer 36

Concern/sympathy for others if hurt Has best friend Bladder control (4½ years) Engages in imaginative play, observing rules (4½ to 5 years old) Eats skilfully with little help Handles knife (at 5 yrs) Dressing and undressing