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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
LANGUAGE at 4 months
* laughs out loud shows mood * makes b, g, k, n, and p sounds
26
SENSORY at 4 months
* focuses on objects 1/2 inch from face * begins eye-hand control
27
SOCIALIZATION at 4 months
* enjoys interactions * fusses to demand attention * anticipates feedings (beginnings of memory) * prefers certain toys
28
SLEEP at 4 months
* develops regular sleep/wake pattern * briefly self-soothes * may sleep through the night w/o feeding * sleeps 12-15 h/day
29
GROSS MOTOR at 5 months
* rolls supine to prone * inserts toes in mouth * keeps back straight w/o head lag * holds erect when sitting * sits well w/ support
30
FINE MOTOR at 5 months
* palmar grasp to pull objects to mouth * plays with toes
31
LANGUAGE at 5 months
* squeals with delight * begins cooing * vocalizes displeasure when objects taken away
32
SENSORY at 5 months
* follows dropped objects * localizes sounds made below ear
33
SOCIALIZATION at 5 months
* recognizes family members * smiles at mirror image * pats bottle/breast with hands * plays enthusiastically * discovers body parts
34
SLEEP at 5 months
* 3 naps per day * 10-11 hours straight at night
35
PHYSICAL at 6 months
* double birth weight * height increases by 0.5 inch per month * chewing/biting begins
36
GROSS MOTOR at 6 months
* 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
FINE MOTOR at 6 months
* grasps * bangs small objects * releases one object when offered another * grasps feet; pulls to mouth * holds bottle
38
LANGUAGE at 6 months
* begins to imitate sounds * one-syllable utterances * vocalizes to toys * face brightens to own sounds
39
SENSORY at 6 months
* adjusts posture to see an object * localizes sound made above ear
40
SOCIALIZATION at 6 months
* recognizes parents; fears strangers * extends arms to be picked up * imitates sticking out tongue, coughing * definitive likes/dislikes * searches briefly for dropped objects
41
SLEEP at 6 months
* 13-14h/day * 2-3 naps * uninterrupted night sleep
42
GROSS MOTOR at 7 months
* 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
FINE MOTOR at 7 months
* grasps with 1 hand * holds 2 objects * bangs objects on table * transfers objects b/w hands * rakes objects
44
LANGUAGE at 7 months
* vocalizes 4 distinct vowels c * ombines vowels and consonants (e.g. baba, dada) -- no meaning to "words"
45
SENSORY at 7 months
* responds to own name * turns head to localize sound * definite taste preferences * fixates on small objects
46
PHYSICAL at 8 months
* regular bowel/bladder patterns * + PARACHUTE REFLEX
47
GROSS MOTOR at 8 months
* sits steadily unsupported * bears weight when standing * may stand holding onto furniture * adjusts position to reach object
48
FINE MOTOR at 8 months
* pincer grasp * releases objects at will * shakes rattle or bell * holds 2 cubes while eyeing a 3rd * reaches for out-of-reach objects
49
LANGUAGE at 8 months
* listens selectively to familiar words * consonant sounds include T and W * begins to vocalize with emphasis on emotion
50
SOCIALIZATION at 8 months
* increased anxiety when parent unseen * increased stranger anxiety * understands "no" * dislikes dressing/diaper changes
51
SLEEP at 8 months
* 11-12h/night (w/o feeding) * 2-3 naps daily
52
GROSS MOTOR at 9 months
* 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
FINE MOTOR at 9 months
* hand dominance emerges * refines pincer grasp * compares objects by bringing them together
54
LANGUAGE at 9 months
* comprehends "no" * responds to simple verbal commands
55
SENSORY at 9 months
localizes sound by turning head
56
SOCIALIZATION at 9 months
* shows increased interest to please parent * fights having face washed * beginning of fears of bedtime and being left alone
57
SLEEP at 9 months
* 11-12h/night * 2 naps daily
58
GROSS MOTOR at 10 months
* 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
FINE MOTOR at 10 months
begins to grasp objets by handle
60
LANGUAGE at 10 months
* says "mama"/"dada" w/ meaning * comprehends "bye-bye" * may say one-syllable words like "hi" or "bye"
61
SOCIALIZATION at 10 months
* 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
SLEEP at 10 months
* 11-12h/night w/o feeding * 2 naps
63
PHYSICIAL at 11 months
eruption of lower lateral incisor may begin
64
GROSS MOTOR at 11 months
* pivots while sitting to reach backward to pick up object * walks while holding onto furniture or with both hands held
65
FINE MOTOR at 11 months
* 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
LANGUAGE at 11 months
continues to imitate speech sounds
67
SOCIALIZATION at 11 months
* 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
SLEEP at 11 months
* 11-12h/night w/o feeding * 2 naps for total of 2-2.5h/day
69
PHYSICIAL at 12 months
* TRIPLES birth weight * 1.5x birth length * equal head and chest circumference * anterior fontanel starts to close * lordosis when walking
70
GROSS MOTOR at 12 months
* walks holding 1 hand * attempts to stand w/o holding furniture * may take first steps * sits from standing
71
FINE MOTOR at 12 months
* easily releases cubes into cup * builds 2-cube towers * begins using spoon and cup * easily turns book pages
72
LANGUAGE at 12 months
* 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
SENSORY at 12 months
* follows rapidly-moving objects * listens for sounds to return
74
SOCIALIZATION at 12 months
* 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
SLEEP at 12 months
* 8-11h/night * 1-2 naps

NURS 875: Pediatrics (12 decks)

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