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NURS 875: Pediatrics > Developmental Milestones > Flashcards

Developmental Milestones Flashcards

1
Q

Head lag at 1 month: normal or abnormal?

A

NORMAL

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2
Q

FINE MOTOR at 1 month

A

grabs rattle on contact (GRASP REFLEX)

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3
Q

LANGUAGE at 1 month

A
  • makes sounds while eating
  • shows emotions: anger, sadness and joy
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4
Q

SENSORY at 1 month

A
  • fixates eyes on object 8-10 inches away
  • quiets to voices
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5
Q

SLEEP at 1 month

A

16-17 hours per day

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6
Q

GROSS MOTOR at 1 month

A
  • turns head from side to side
  • briefly lifts head when prone
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7
Q

GROSS MOTOR at 2 months

A
  • decreasing head lag
  • lifts head and chest while prone
  • holds head upright but forward when sitting
  • symmetric tonic neck position
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8
Q

FINE MOTOR at 2 months

A
  • hands open
  • fading GRASP REFLEX
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9
Q

LANGUAGE at 2 months

A
  • vocalizes more than crying
  • coos
  • vocalizes to familiar voice
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10
Q

SENSORY at 2 months

A
  • follows toy side to side
  • searches for sounds
  • turns head to sounds
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11
Q

SOCIALIZATION at 2 months

A

social smile more awake during daytime

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12
Q

SLEEP at 2 months

A
  • sleeps more at night (8-10h)
  • 3-4 daytime naps (6-7h)
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13
Q

At what age do primitive reflexes start to fade?

A

3 months

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14
Q

GROSS MOTOR at 3 months

A
  • holds head erect when sitting
  • minimal head lag
  • raises head/shoulders to 45-90 degrees when prone
  • inspects hands
  • +LANDAU REFLEX
  • begins to bear weight when standing
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15
Q

FINE MOTOR at 3 months

A
  • holds rattle; does not reach for it
  • absent GRASP REFLEX
  • pulls at blanket and clothes
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16
Q

LANGUAGE at 3 months

A
  • squeals to show pleasure
  • coos
  • babbles
  • vocalizes when smiling and spoken to
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17
Q

SENSORY at 3 months

A
  • looks at mirror, pictures of faces
  • turns head to locate sound
  • follows object 180 degrees
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18
Q

SOCIALIZATION at 3 months

A
  • shows interest in surroundings
  • stops crying when parents enter the room
  • recognizes familiar objects
  • begins to be aware of strange things
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19
Q

SLEEP at 3 months

A

15-16 hours/day

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20
Q

When do babies begin to drool?

A

4 months

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21
Q

When do the MORO and TONIC REFLEXES disappear?

A

4 months

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22
Q

At what age can a child sit upright when propped?

A

4 months

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23
Q

GROSS MOTOR at 4 months

A
  • begins to roll prone to supine
  • raises head and chest 90 degrees off surface when supine
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24
Q

FINE MOTOR at 4 months

A
  • plays with own hands
  • pulls objects reaches for items
  • grasps rattle when placed in hands but can’t pick it up
  • mouths most objects
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25
Q

LANGUAGE at 4 months

A
  • laughs out loud shows mood
  • makes b, g, k, n, and p sounds
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26
Q

SENSORY at 4 months

A
  • focuses on objects 1/2 inch from face
  • begins eye-hand control
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27
Q

SOCIALIZATION at 4 months

A
  • enjoys interactions
  • fusses to demand attention
  • anticipates feedings (beginnings of memory)
  • prefers certain toys
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28
Q

SLEEP at 4 months

A
  • develops regular sleep/wake pattern
  • briefly self-soothes
  • may sleep through the night w/o feeding
  • sleeps 12-15 h/day
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29
Q

GROSS MOTOR at 5 months

A
  • rolls supine to prone
  • inserts toes in mouth
  • keeps back straight w/o head lag
  • holds erect when sitting
  • sits well w/ support
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30
Q

FINE MOTOR at 5 months

A
  • palmar grasp to pull objects to mouth
  • plays with toes
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31
Q

LANGUAGE at 5 months

A
  • squeals with delight
  • begins cooing
  • vocalizes displeasure when objects taken away
32
Q

SENSORY at 5 months

A
  • follows dropped objects
  • localizes sounds made below ear
33
Q

SOCIALIZATION at 5 months

A
  • recognizes family members
  • smiles at mirror image
  • pats bottle/breast with hands
  • plays enthusiastically
  • discovers body parts
34
Q

SLEEP at 5 months

A
  • 3 naps per day
  • 10-11 hours straight at night
35
Q

PHYSICAL at 6 months

A
  • double birth weight
  • height increases by 0.5 inch per month
  • chewing/biting begins
36
Q

GROSS MOTOR at 6 months

A
  • rolls from supine to prone
  • lifts chest and upper abdomen
  • bears weight on hand when prone
  • sits in high chair with back straight
  • bears weight on legs when supported
37
Q

FINE MOTOR at 6 months

A
  • grasps
  • bangs small objects
  • releases one object when offered another
  • grasps feet; pulls to mouth
  • holds bottle
38
Q

LANGUAGE at 6 months

A
  • begins to imitate sounds
  • one-syllable utterances
  • vocalizes to toys
  • face brightens to own sounds
39
Q

SENSORY at 6 months

A
  • adjusts posture to see an object
  • localizes sound made above ear
40
Q

SOCIALIZATION at 6 months

A
  • recognizes parents; fears strangers
  • extends arms to be picked up
  • imitates sticking out tongue, coughing
  • definitive likes/dislikes
  • searches briefly for dropped objects
41
Q

SLEEP at 6 months

A
  • 13-14h/day
  • 2-3 naps
  • uninterrupted night sleep
42
Q

GROSS MOTOR at 7 months

A
  • lifts head off surface when supine
  • bears weight on hands when prone
  • sits erect, then leans forward to tripod position
  • bounces when held standing
43
Q

FINE MOTOR at 7 months

A
  • grasps with 1 hand
  • holds 2 objects
  • bangs objects on table
  • transfers objects b/w hands
  • rakes objects
44
Q

LANGUAGE at 7 months

A
  • vocalizes 4 distinct vowels c
  • ombines vowels and consonants (e.g. baba, dada) – no meaning to “words”
45
Q

SENSORY at 7 months

A
  • responds to own name
  • turns head to localize sound
  • definite taste preferences
  • fixates on small objects
46
Q

PHYSICAL at 8 months

A
  • regular bowel/bladder patterns
    • PARACHUTE REFLEX
47
Q

GROSS MOTOR at 8 months

A
  • sits steadily unsupported
  • bears weight when standing
  • may stand holding onto furniture
  • adjusts position to reach object
48
Q

FINE MOTOR at 8 months

A
  • pincer grasp
  • releases objects at will
  • shakes rattle or bell
  • holds 2 cubes while eyeing a 3rd
  • reaches for out-of-reach objects
49
Q

LANGUAGE at 8 months

A
  • listens selectively to familiar words
  • consonant sounds include T and W
  • begins to vocalize with emphasis on emotion
50
Q

SOCIALIZATION at 8 months

A
  • increased anxiety when parent unseen
  • increased stranger anxiety
  • understands “no”
  • dislikes dressing/diaper changes
51
Q

SLEEP at 8 months

A
  • 11-12h/night (w/o feeding)
  • 2-3 naps daily
52
Q

GROSS MOTOR at 9 months

A
  • sits up to 10 minutes on the floor
  • recovers if leans forward; may fall if leans sideways
  • pulls to stand when holds onto furniture
  • crawls
53
Q

FINE MOTOR at 9 months

A
  • hand dominance emerges
  • refines pincer grasp
  • compares objects by bringing them together
54
Q

LANGUAGE at 9 months

A
  • comprehends “no”
  • responds to simple verbal commands
55
Q

SENSORY at 9 months

A

localizes sound by turning head

56
Q

SOCIALIZATION at 9 months

A
  • shows increased interest to please parent
  • fights having face washed
  • beginning of fears of bedtime and being left alone
57
Q

SLEEP at 9 months

A
  • 11-12h/night
  • 2 naps daily
58
Q

GROSS MOTOR at 10 months

A
  • walks and begins to stand and walk holding onto furniture
  • changes from standing to sitting by falling down
  • begins to lift 1 foot as if taking a step
  • changes from prone to sitting position
59
Q

FINE MOTOR at 10 months

A

begins to grasp objets by handle

60
Q

LANGUAGE at 10 months

A
  • says “mama”/”dada” w/ meaning
  • comprehends “bye-bye”
  • may say one-syllable words like “hi” or “bye”
61
Q

SOCIALIZATION at 10 months

A
  • develops object permanence
  • repeats actions that attract attention and cause laughter
  • plays interactively
  • stops behavior when told “no”
  • reacts to scolding or anger with crying
  • looks at and follows along w/ picture books
  • attempts to feed self
  • helps to dress by extending a leg or arm
62
Q

SLEEP at 10 months

A
  • 11-12h/night w/o feeding
  • 2 naps
63
Q

PHYSICIAL at 11 months

A

eruption of lower lateral incisor may begin

64
Q

GROSS MOTOR at 11 months

A
  • pivots while sitting to reach backward to pick up object
  • walks while holding onto furniture or with both hands held
65
Q

FINE MOTOR at 11 months

A
  • has well-developed pincer grasp
  • offers objects to others and then intentionally drops object for them to pick it up
  • places one object into container (SEQUENTIAL PLAY)
  • manipulates object to remove it from container
66
Q

LANGUAGE at 11 months

A

continues to imitate speech sounds

67
Q

SOCIALIZATION at 11 months

A
  • experiences joy/delight when task completed
  • rolls ball forward when requested
  • anticipates body gestures in games and songs
  • plays games like “peek-a-boo”
  • shakes head sideways for “no”
68
Q

SLEEP at 11 months

A
  • 11-12h/night w/o feeding
  • 2 naps for total of 2-2.5h/day
69
Q

PHYSICIAL at 12 months

A
  • TRIPLES birth weight
  • 1.5x birth length
  • equal head and chest circumference
  • anterior fontanel starts to close
  • lordosis when walking
70
Q

GROSS MOTOR at 12 months

A
  • walks holding 1 hand
  • attempts to stand w/o holding furniture
  • may take first steps
  • sits from standing
71
Q

FINE MOTOR at 12 months

A
  • easily releases cubes into cup
  • builds 2-cube towers
  • begins using spoon and cup
  • easily turns book pages
72
Q

LANGUAGE at 12 months

A
  • says “mama” and “dada” and 3-5 other words
  • receptive language > expressive language
  • knows object names (e.g. ball, blanket)
  • imitates animal noises
  • understands one-step commands
73
Q

SENSORY at 12 months

A
  • follows rapidly-moving objects
  • listens for sounds to return
74
Q

SOCIALIZATION at 12 months

A
  • enjoys familiar settings of home and day care
  • begins to explore being away from parent
  • shows joy and delight
  • gives affection by hugging or kissing when asked
  • gets angry when jealous
  • may cling to parent when unsure
  • may have a favorite object
  • searches for unseen object (OBJECT PERMANENCE)
75
Q

SLEEP at 12 months

A
  • 8-11h/night
  • 1-2 naps

NURS 875: Pediatrics (12 decks)

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