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Core Pediatrics > Developmental Milestones > Flashcards

Developmental Milestones Flashcards

0
Q

Pulls to sit, with no head lag

Average age of attainment?
Developmental domain?

A

3 mos, gross motor

Muscle tone

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1
Q

Holds head steady while sitting

Average age of attainment?
Developmental domain?

A

2 mo, gross motor

  • Allows more visual interaction
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2
Q

Brings hands together in midline

Average age of attainment?
Developmental domain?

A

3 mos, gross motor

  • Self-discovery of hands
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3
Q

Asymmetric tonic neck reflex gone

A

4 mos, gross motor

  • Can inspect hands in midline
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4
Q

Sits without support

A

6 mos, gross motor

  • Increasing exploration
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5
Q

Rolls back to stomach

A
  1. 5 mos, gross motor

- Truncal flexion, risk of falls

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6
Q

Walks alone

A

12 mos, gross motor

  • Exploration, control of proximity to parents
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7
Q

Runs

A

16 mos, gross motor

  • Supervision more difficult
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8
Q

Grasps rattle

A
  1. 5 mos, fine motor

- Object use

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9
Q

Reaches for objects

A

4 mos, fine motor

  • Visuomotor coordination
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10
Q

Palmar grasp gone

A

4 mos, fine motor

  • Voluntary release
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11
Q

Transfers object hand to hand

A
  1. 5 mos, fine motor

- Comparison of objects

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12
Q

Thumb-finger grasp

A

8 mos, fine motor

  • Able to explore small objects
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13
Q

Turns pages of book

A

12 mos, fine motor

  • Increasing autonomy during book time
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14
Q

Scribbles

A

13 mos, fine motor

  • Visuomotor coordination
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15
Q

Builds tower of 2 cubes

A

15 mos, fine motor

  • Uses objects in combination
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16
Q

Builds tower of 6 cubes

A

22 mos, fine motor

  • Requires visual, gross, and fine motor coordination
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17
Q

Smiles in response to face, voice

A
  1. 5 mos, communication and language

- More active social participant

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18
Q

Monosyllabic babble

A

6 mos, communication and language

  • Experimentation with sound, tactile sense
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19
Q

Inhibits to “no”

A

7 mos, communication and language

Response to tone (nonverbal)

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20
Q

Follows one-step command with gesture

A

7 mos, communication and language

  • Nonverbal communication
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21
Q

Follows one-step command without gesture

A

10 mos, communication and language

  • Verbal receptive language (e.g., “Give it to me”)
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22
Q

Says “mama” or “dada”

A

10 mos, communication and language

  • Expressive language
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23
Q

Points to objects

A

10 mos, communication and language

  • Interactive communication
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24
Q

Speaks first real word

A

12 mos, communication and language

  • Beginning of labeling
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25
Q

Speaks 4-6 words

A

15 mos, communication and language

  • Acquisition of object and personal names
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26
Q

Speaks 10-15 words

A

18 mos, communication of language

  • Acquisition of object and personal names
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27
Q

Speaks 2-word sentences (e.g., “Mommy shoe”)

A

19 mos, communication and language

  • Beginning grammaticization, corresponds with 50 word vocabulary
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28
Q

Stares momentarily at spot where object disappeared

A

2 mos, cognitive

  • Lack of object permanence (out of sight, out of mind [e.g., yarn ball dropped])
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29
Q

Stares at own hand

A

4 mos, cognitive

  • Self-discovery, cause and effect
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30
Q

Bangs 2 cubes

A

8 mos, cognitive

  • Active comparison of objects
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31
Q

Uncovers toy (after seeing it hidden)

A

8 mos, cognitive

  • Object permanence
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32
Q

Egocentric symbolic play (e.g., pretends to drink from cup)

A

12 mos, cognitive

  • Beginning symbolic thought
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33
Q

Uses stick to reach toy

A

17 mos, cognitive

  • Able to link actions to solve problems
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34
Q

Pretend play with doll (e.g., gives doll bottle)

A

17 mos, cognitive

  • Symbolic thought
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35
Q

Prone: Lies in flexed attitude; turns head from side to side; head sags on ventral suspension

A

Neonatal period (<1 mo)

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36
Q

Supine: Generally flexed and a little stiff

A

<1 mo

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37
Q

Visual: May fixate face on light in line of vision; “doll’s-eye” movement of eyes on turning of the body

A

<1 mo

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38
Q

Reflex: Moro response active; stepping and placing reflexes; grasp reflex active

A

< 1 mo

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39
Q

Social: Visual preference for human face

A

< 1 mo

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40
Q

Prone: Legs more extended; holds chin up; turns head; head lifted momentarily to plane of body on ventral suspension

A

1 mo

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41
Q

Supine: Tonic neck posture predominates; supple and relaxed; head lags when pulled to sitting position

A

1 mo

42
Q

Visual: Watches person; follows moving object

A

1 mo

43
Q

Social: Body movements in cadence with voice of other in social contact; beginning to smile

A

1 mo

44
Q

Prone: Raises head slightly farther; head sustained in plane of body on ventral suspension

A

2 mo

45
Q

Supine: Tonic neck posture predominates; head lags when pulled to sitting position

A

2 mos

46
Q

Visual: Follows moving object 180 degrees

A

2 mos

47
Q

Social: Smiles on social contact; listens to voice and coos

A

2 mos

48
Q

Prone: Lifts head and chest with arms extended; head above plane of body on ventral suspension

A

3 mos

49
Q

Supine: Tonic neck posture predominates; reaches toward and misses objects; waves at toy

A

3 mos

50
Q

Sitting: Head lag partially compensated when pulled to sitting position; early head control with bobbing motion; back rounded

A

3 mos

51
Q

Reflex: Typical Moro response has not persisted; makes defensive movements or selective withdrawal reactions

A

3 mos

52
Q

Social: Sustained social contact; listens to music; says “aah, ngah”

A

3 mos

53
Q

Prone: Lifts head and chest, with head in approximately vertical axis; legs extended

A

4 mos

54
Q

Supine: Symmetric posture predominates, hands in midline; reaches and grasps objects and brings them to mouth

A

4 mos

55
Q

Sitting: No head lag when pulled to sitting position; head steady, tipped forward; enjoys sitting with full truncal support

A

4 mos

56
Q

Standing: When held erect, pushes with feet

A

4 mos

57
Q

Adaptive: Sees pellet, but makes no move to reach for it

A

4 mos

58
Q

Social: Laughs out loud; may show displeasure if social contact is broken; excited at sight of food

A

4 mos

59
Q

Prone: Rolls over; pivots; crawls or creep-crawls (Knobloch)

A

7 mos

60
Q

Supine: Lifts head; rolls over; squirms

A

7 mos

61
Q

Sitting: Sits briefly, with support of pelvis; leans forward on hands; back rounded

A

7 mos

62
Q

Standing: May support most of weight; bounces actively

A

7 mos

63
Q

Adaptive: Reaches out for and grasps large object; transfers objects from hand to hand; grasp uses radial palm; rakes at pellet

A

7 mos

64
Q

Language: Forms polysyllabic vowel sounds

A

7 mos

65
Q

Social: Prefers mother; babbles; enjoys mirror; responds to changes in emotional content of social contact

A

7 mos

66
Q

Sitting: Sits up alone and indefinitely without support, with back straight

A

10 mos

67
Q

Standing: Pulls to standing position; “cruises” or walks holding on to furniture

A

10 mos

68
Q

Motor: Creeps or crawls

A

10 mos

69
Q

Adaptive: Grasps objects with thumb and forefinger; pokes at things with forefinger; picks up pellet with assisted pincer movement; uncovers hidden toy; attempts to retrieve dropped object; releases object grasped by other person

A

10 mos

70
Q

Language: Repetitive consonant sounds (“mama,” “dada”)

A

10 mos

71
Q

Social: Responds to sound of name; plays peek-a-boo or pat-a-cake; waves bye-bye

A

10 mos

72
Q

Motor: Walks with one hand held (48 wk); rises independently, takes several steps (Knobloch)

A

1 yr

73
Q

Adaptive: Picks up pellet with unassisted pincer movement of forefinger and thumb; releases object to other person on request or gesture

A

1 yr

74
Q

Language: Says a few words besides “mama,” “dada”

A

1 yr

75
Q

Social: Plays simple ball game; makes postural adjustment to dressing

A

1 yr

76
Q

Motor: Walks alone; crawls up stairs

A

15 mos

77
Q

Adaptive: Makes tower of 3 cubes; makes a line with crayon; inserts raisin in bottle

A

15 mos

78
Q

Language: Jargon; follows simple commands; may name a familiar object (e.g., ball); responds to his/her name

A

15 mos

79
Q

Social: Indicates some desires or needs by pointing; hugs parents

A

15 mos

80
Q

Motor: Runs stiffly; sits on small chair; walks up stairs with one hand held; explores drawers and wastebaskets

A

18 mos

81
Q

Adaptive: Makes tower of 4 cubes; imitates scribbling; imitates vertical stroke; dumps raisin from bottle

A

18 mos

82
Q

Language: 10 words (average); names pictures; identifies one or more parts of body

A

18 mos

83
Q

Social: Feeds self; seeks help when in trouble; may complain when wet or soiled; kisses parent with pucker

A

18 mos

84
Q

Motor: Runs well, walks up and down stairs, one step at a time; opens doors; climbs on furniture; jumps

A

24 mos

85
Q

Adaptive: Makes tower of 7 cubes (6 at 21 mo); scribbles in circular pattern; imitates horizontal stroke; folds paper once imitatively

A

24 mos

86
Q

Language: Puts 3 words together (subject, verb, object)

A

24 mos

87
Q

Social: Handles spoon well; often tells about immediate experiences; helps to undress; listens to stories when shown pictures

A

24 mos

88
Q

Motor: Goes up stairs alternating feet

A

30 mos (2.5 yo)

89
Q

Adaptive: Makes tower of 9 cubes; makes vertical and horizontal strokes, but generally will not join them to make cross; imitates circular stroke, forming closed figure

A

30 mos (2.5 yo)

90
Q

Language: Refers to self by pronoun “I”; knows full name

A

30 mos (2.5 yo)

91
Q

Social: Helps put things away; pretends in play

A

30 mos (2.5 yo)

92
Q

Motor: Rides tricycle; stands momentarily on one foot

A

36 mos (3 yo)

93
Q

Adaptive: Makes tower of 10 cubes; imitates construction of “bridge” of 3 cubes; copies circle; imitates cross

A

36 mos (3yo)

94
Q

Language: Knows age and sex; counts 3 objects correctly; repeats 3 numbers or a sentence of 6 syllables; most of speech intelligible to strangers

A

36 mos (3 yo)

95
Q

Social: Plays simple games (in “parallel” with other children); helps in dressing (unbuttons clothing and puts on shoes); washes hands

A

36 mos (3 yo)

96
Q

Motor: Hops on one foot; throws ball overhand; uses scissors to cut out pictures; climbs well

A

48 mos (4 yo)

97
Q

Adaptive: Copies bridge from model; imitates construction of “gate” of 5 cubes; copies cross and square; draws man with 2 to 4 parts besides head; identifies longer of 2 lines

A

48 mos (4yo)

98
Q

Language: Counts 4 pennies accurately; tells story

A

48 mos (4 yo)

99
Q

Social: Plays with several children, with beginning of social interaction and role-playing; goes to toilet alone

A

48 mos (4 yo)

100
Q

Motor: Skips

A

60 mos (5 yo)

101
Q

Adaptive: Draws triangle from copy; names heavier of 2 weights

A

60 mos (5 yo)

102
Q

Language: Names 4 colors; repeats sentence of 10 syllables; counts 10 pennies correctly

A

60 mos (5 yo)

103
Q

Social: Dresses and undresses; asks questions about meaning of words; engages in domestic role-playing

A

60 mos (5 yo)

Core Pediatrics (20 decks)

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