Developmental milestones

Question 1

What are the developmental red flags?

Answer 1

1. Persistent toe walking + not smiling by 10 weeks
2. Any loss of skills at any age, not fixing or following an object, hearing loss, floppy or increased muscle tone
3. No speech by 18 months, cant sit unsupported by 12 months, cant walk by 18 months (male) or 2 years (female)
4. Cannot hold object placed in hand by 5 months, point at object to share interest with others by 2 years

Question 2

What are the 4 areas considered in developmental milestones? (4)

Answer 2

1. Gross motor
2. Fine motor & vision
3. Language & hearing
4. Social skills and self care

Question 3

What are the milestones for a 6wks old? (4)

Answer 3

1. Head control begin
2. Fixes and follows
3. Stills to sound
4. Smiles

Question 4

What are the milestones for a 6 mths old? (4)

Answer 4

1. No head lag, sit with support, rolls over, lying on abdo
2. Full hand grip (palmar grasp), hand to hand transfer
3. Turn to sound, babbles (ba, da)
4. Laughs and squeals

Question 5

What are the milestones for a 10mths old? (4)

Answer 5

1. Cruising around furniture
2. Developing pincer
3. Mama, dada (8 mths)
4. Separation anxiety, waves bye

Question 6

What are the milestones for a 1 year old (12 mths)? (4)

Answer 6

1. Pulls to standing, cruises, walking
2. Mature pincer, object permanence, pointing
3. First word, respond to name
4. Waves, peek-a-boo, drinks from cup

Question 7

What are the milestones for a 18mths old? (4)

Answer 7

1. Walks well, runs, squats to pick up toys
2. Build tower (3), hand preference, scribbles
3. 6-12 words, follow simple instructions
4. Spoon feeding, symbolic play

Question 8

What are the milestones for a 2 years old (24mths)? (4)

Answer 8

1. Climbs stairs using 2 feet per step, kicks ball, rides tricycle
2. Build tower (7), circular scribbles
3. 2 word sentence
4. Start toilet training, remove clothes

Question 9

What are the milestones for a 3 years old (36mths)? (4)

Answer 9

1. Standing on one leg, climbs stairs in adult fashion
2. Draws circle, imitates bridge
3. Speaks in sentence. Knows age, name, several colours
4. Parallel play, interacting, sharing

Question 10

How do you assess fine motor control and vision? (2)

Answer 10

1. Pencil skills

2. Building blocks

Question 11

What are the pencils and building blocks level of a 2.5years old? (2)

Answer 11

1. Copies a circle (2 years old - draw a straight line)

2. Builds 8 brick tower or train with 4 carriages

Question 12

What are the pencils and building blocks level of a 3 years old? (2)

Answer 12

1. Draws a circle

2. Copies/make bridge

Question 13

What are the pencils and building blocks level of a 4 years old? (2)

Answer 13

1. Draws cross

2. Copies/make steps

Question 14

What are the pencils and building blocks level of a 4.5 years old? (2)

Answer 14

1. Draw a square

2. Make steps

Question 15

What are the pencils and building blocks level of a 5 years old? (2)

Answer 15

1. Draw triangle

2. Make steps

Question 16

When does children vision reach adult level? (1)

Answer 16

2 yo

Question 17

When do you test for red flex? (1)

Answer 17

At birth

Question 18

What should vision testing show at 6 weeks? (1)

Answer 18

Fix and follow to 90 degrees, red ball 90 cm away

Question 19

What should vision testing show at 3 months? (2)

Answer 19

1. Fix and follow to 180 degrees

2. no squint

Question 20

What should vision testing show at 12 months? (1)

Answer 20

1. Identify and pick up 1mm objects with pincer grip