Developmental Milestones

Question 1

All primitive reflexes are present at birth expect which? When does it appear

Answer 1

Parachute reflex
7-9 months

Question 2

2 month milestones

Answer 2

Head up to 45 deg prone, head steady when held
Hands open half the time, bats at objects
Turns to voice, coos
Prefers to usual caregiver
Follows past midline
Social smile

Question 3

4 month milestones

Answer 3

Sits with support, lifts head and chest, rolls front to back
Palmar grasp, reaches, brings items to midline
Laughs, squeals
Purposeful sensory exploration of objects
Turn taking conversations

Question 4

6 month milestones

Answer 4

Sits tripod, rolls both ways
Raking grasp, transfers between hands
Babbles
Looks for dropped object, stranger anxiety starts
Expresses emotion

Question 5

9 month milestones

Answer 5

Pulls to stand, sits well
Inferior pincer grasp, gestures, mama and dada
Object permanence, peek a boo
Separation anxiety starts

Question 6

12 month milestones

Answer 6

Walks few steps, wide based gait
Fine pincer, throws objects, finger feeds
1 word with meaning, responds to name, 1 step command with gesture
Imitates gesture and sounds, uses objects functionally
Points at wanted items, explores

Question 7

15 month milestones

Answer 7

Walks well
Uses spoon, open cup, tower of 2 blocks
Points to 1 body part, 1 step command no gesture, 5 words
Looks for hidden object
Shared attention!

Question 8

18 month milestones

Answer 8

Stoops and recovers, runs
Tower of 4 blocks, scribbles, removes clothing
Points to object, 3 body parts, 10-25 words
Imitates housework, symbolic play
Parallel play

Question 9

2 year old milestones

Answer 9

Jumps, up and down stairs
Handedness established, tower of 6 blocks, vertical line
2 step commands, 50+ words, 50% intelligible, 2 word phrases
Searches for hidden objects
Tantrums, possessive, no!

Question 10

3 year old milestones

Answer 10

Pedals tricycle, up stairs alternating feet
Undresses, draws circle, cross, turns pages
3 step commands, 200 words, 75% intelligible, 3-4 word phrases, “why”, knows name, age, gender
Simple time concepts, identifies shapes, counts to 3
Cooperative play, role play, separates easily

Question 11

4 year old milestones

Answer 11

Hops on one foot, down stairs alternating feet
Draws x, square, diagonals, cuts with scissors, buttons
Sentences, 100% intelligible
Counts to 4, identifies 4 colours
Preferred friends, fantasy play

Question 12

5 year old milestones

Answer 12

Balance on one foot, skips, bicycle
Draws person, prints letters/name
5000 words, phonemic awareness
Counts to 10, ABCs
Group of friends, games with rules

Question 13

Ages for creating a tower of
1. 2
2. 4
3. 6
blocks

Answer 13

1. 15 months
2. 18 months
3. 2 years

Question 14

What should you be able to draw at
1. 18 months
2. 2 years
3. 3 years
4. 4 years
5. 5 years

Answer 14

1. Scribbles
2. Vertical stroke
3. Circle, cross
4. X, square, diagonals
5. Person with 10 body parts

Question 15

Red flag ages for:
1. Not sitting supported
2. Not sitting unsupported
3. Not standing
4. Not walking
5. Not running

Answer 15

1. 9 months
2. 12 months
3. 15 months
4. 18 months
5. 2.5 years

Question 16

Red flags for
1. Not holding items
2. Not reaching
3. Hand preference
4. Remaining fisted

Answer 16

1. 5 months
2. 6 months
3. < 2 years
4. 4 months

Question 17

Red flags for
1. No words
2. No 2 words together
3. Not understood by familiar adults

Answer 17

1. 18 months
2. 2 years
3. 3 years

Question 18

Red flags for
1. No smile or vocalizations
2. No pointing
3. No pointing for shared attention

Answer 18

1. 2 months
2. 14 months
3. 2 years

Question 19

How old is the child who: stands on one foot briefly, rides tricycle, draws circle, copies cross, counts to 3, knows 3 numbers, paralel plays

Answer 19

36 months (3)

Question 20

Early signs of autism at 6-12 months

Answer 20

Reduced or limited smiles
Limited or no eye contact
Limited reciprocal sharing of sounds, smiles, facial expressions
Little/weird/no babbling or gestures
Limited response to name when called

Question 21

Early signs of autism at 9-12 months

Answer 21

Repetitive behaviours
Unusual play (intense visual or tactile exploration of toys)

Question 22

Early signs of autism at 12-18 months

Answer 22

No single words
Absence of compensatory gestures (ex: pointing)
Lack of pretend play
Limited joint attention

Question 23

Early sign of autism at 15-24 months

Answer 23

Diminished, atypical, or no spontaneous or meaningful 2 word phrases

Question 24

Diagnosis for 20 month old with 3 words, points to pictures when asked, mimics mother, stacks 2 blocks

Answer 24

Global dev delay
Speech and fine motor

Question 25

Red flags for dyslexia by
1. End of K
2. End of grade 1

Answer 25

1. Can’t rhyme
2. Can’t decode words into phonemes

Question 26

Height for children to sit in adult car seat

Answer 26

145 cm

Question 27

Girl follows simple prepositional commands, points to objects described by their use, has a 200 word vocabulary, communicates in 3-4 word sentences, asks “what” questions and demonstrates immediate echolalia. Age?

Answer 27

3 years

Question 28

Young boy is able to pull to stand, takes a few independent steps, and uses his thumb and forefinger to grasp pieces of cereal. Age?

Answer 28

12 months

Question 29

Infant puts everything in his mouth. She is tolerating solid food. When placed on her back to be examined she brings her feet to her mouth. Her mother gives her a rattle and she reaches for it, grasps and passes it to the other hand. Age?

Answer 29

6 months

Question 30

Boy can build a tower of 10 blocks and draw a square. He can tell you a short story which is grammatically correct most of the time. He asks lots of questions and will follow instructions. He plays cooperatively and is toilet trained.
Age?

Answer 30

4 years