Developmental Milestones ☺️

Question 1

What are the 5 main primitive reflexes
When are they lost
Why is this important

Answer 1

Stepping (2months)
Moro (startle), rooting (3-4months)
Suck and swallow (4months)
Palmar grasp (4-5months)

Present from birth
Shows CNS development

Question 2

6wk developmental milestones

Answer 2

45 head prone
Stable head when sitting

Tracks objects

Startle

Social smile

Question 3

6month developmental milestones

Answer 3

sits, no support
rolls

palmar, hand to hand

monosyllabic babble
understands bye bye, no

reaches out, holds

Question 4

9month developmental milestones

Answer 4

stands with help
sits, no help

inf pincer
object permanence

name response

stranger fear
holds, bites

Question 5

1year developmental milestones

Answer 5

walks, no help

developed pincer
2 block tower
casting

nouns, 3words
bye bye, claps

drink from lidded cup
plays alone with carer nearby

Question 6

1 1/2 year developmental milestones

Answer 6

run => jump

zig zag, 4 block tower

nouns, 1-6 words

imitation

Question 7

2year developmental milestones

Answer 7

throw, tip toe

2feet, 1 step

vertical, 8 block tower
page turn, shape matching

verbs, 50+ words

spoon

Question 8

2 1/2year developmental milestones

Answer 8

kick

horizontal

prepositions
3-4 word sentences

Question 9

3year developmental milestones

Answer 9

hop

1 foot, 1 step upwards
2 feet, 1 step downwards
circle, bridge blocks
cuts

-ve adjectives

sharing, plays alone
fork spoon
bowel control

Question 10

3 1/2year developmental milestones

Answer 10

cuts

comparatives

Question 11

4year developmental milestones

Answer 11

1 foot, 1 step

cross, square, triangle, person
step blocks

complex instructions

sympathy
BFF
role play
knife
dressing
bladder control

Question 12

What are the signs and symptoms of neonatal hearing loss
What are the potential cases
How would you manage this

Answer 12

No startle response
No turning head to sounds
Hard to locate sounds, parent’s voice
Speech delay, can’t understand simple commands

Atresia, microtia
Birth asphyxia
Neonatal jaundice, ICU admission
Teratorgens, viral infections, ototoxins
Downs, Ushers, Alports

Hearing aids, BSL

Question 13

What are the signs and symptoms of DMD

How would you manage this

Answer 13

Regression of motor skills
-muscle fibres break down, replaced by fibrous/fat
Waddling gait, calf pseudohypertrophy
Gowers sign (weak hips, legs)
Scoliosis
Resp failure, dilated cardiomyopathy, arrythmia

OT, physio
Psych support