Developmental Milestones

Question 1

What are the developmental milestones for a 4 month old?

Answer 1

• Rolls front to back
• Sits with support
• Palmar grasp
• Laughs, squeals
• Explores parents faces

Question 2

What are the developmental milestones for a 6 month old?

Answer 2

• Sits tripod
• Rolls both ways
• Raking grasp
• Babbles
• Stranger anxiety
• Expresses emotions

Question 3

What are the developmental milestones for a 9 month old?

Answer 3

• Pulls to stand
• Cruises
• 3-finger pincer grasp
• Gestures “bye-bye” and plays “pattycake”
• Says “mama”, “dada”
• Object permanence
• Plays “peek-a-boo”

Question 4

What are the developmental milestones for a 12 month old?

Answer 4

• Walks a few steps
• Fine pincer grasp
• Can follow 1-step commands
• Says 1 word with meaning
• Points at wanted items

Question 5

What are the developmental milestones for an 18 month old?

Answer 5

• Runs
• Fisted pencil grasp
• 10-25 words
• Symbolic play
• Parallel play

Question 6

What are the developmental milestones for a 2 year old?

Answer 6

• 2-step stairs
• 2-step commands
• 2-word phrases
• Words are 50% intelligible
• Can tower 6 blocks
• Tantrums and negativism

Question 7

What are the developmental milestones for a 3 year old?

Answer 7

• Pedals tricycle
• Draws a circle
• 3-step commands
• 3 word phrases
• Toilet trained
• Words are 75% intelligible
• Role play

Question 8

What are the developmental milestones for a 4 year old?

Answer 8

• Hops on one foot
• Draws a cross
• Identifies 4 colours
• Plays with a preferred friends
• Words 100% intelligible

Question 9

What are the 6 neonatal relfexes?

Answer 9

1. Moro - loud noise causes baby’s arms to extend then come together
2. Rooting - baby turns head toward side and opens mouth when cheek is touched
3. Sucking - placing something in baby’s mouth causes it to suck
4. Withdrawal - moves hand/foot from painful stimuli
5. Plantar grasp - fingers curl around object when placed in hand
6. Aysmmetric tonic neck - when supine, baby’s arm and leg will extend in direction head is facing, and opposite limbs will flex

Question 10

What are the 5 developmental domains?

Answer 10

1. Gross motor
2. Fine motor
3. Language
4. Cognitive
5. Social-emotional/behavioural

Question 11

How should development be assessed in preterm infants?

Answer 11

Should use “corrected age”, or age from due date, rather than birth date, until age 2 or 3 (when most children have “caught up”)