Growth and Development: 0-60mo Flashcards

1
Q

0-60mo ROS

A
  • Subjective data that is based on parental observation of the child’s growth and development each body system category
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2
Q

0-60mo: Physical exam

A
  • Conduct with parent involvement and understanding
  • Always do “quiet” parts first allowing child to sit with parent if possible
  • Conduct age-appropriate well child exam with specific attention to achievement of developmental milestones of all ages and findings specific to the newborn period
  • Plot data on growth charts
  • Recognize common normal variants
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3
Q

Newborn: PE Findings

A
  • Communication: cries, quiet, tongue motions
  • Gross motor: head control with slight lag
  • Fine motor: hands to mouth, fingers closed
  • Problem solving: alerts to objects
  • Personal/Social: Quiets to a caregiver’s touch
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4
Q

2-4mo: PE Findings

A
  • Communications: Laughs, coos, turns head to voice, quiets in response to voice
  • Gross motor: starts to roll over half-way and then completely stomach to back first, head steady when placed in sitting
  • Fine motor: hand to midline, batting at objects, holds object in place with hand
  • Problem solving: Watches mobile, uses whole body to observe (does not watch dropped object)
  • Personal/Social: Begins to show preferences for caregiver
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5
Q

4mo: PE Findings

A
  • Communication: chuckles, high-pitched squeals
  • Gross motor: moves head from side-to-side; holds head up 3in for 15sec; begins to roll
  • Fine motor: holds hands open; grabs clothes; reaches
  • Problem solving: follows; bats at objects
  • Personal/Social: Plays with fingers; recognizes bottle; smiles at image in mirror; helps hold bottle
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6
Q

6mo: PE Findings

A
  • Communication: Grunts; says “da,” “ga,” “ba”; copies sounds
  • Gross motor: lifts legs high to face; rolls both ways; sits with leaning; starts crawling position
  • Fine motor: grabs toy and waves it; rakes objects; picks up small toy between hands; reaches with both hands
  • Problem solving: looks for things out of sight; transfers toys between hands; bangs toy on the floor
  • Personal/Social: Tries to get a toy out of reach; starts to act differently towards strangers
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7
Q

10mo: PE findings

A
  • Communication: repeats sounds; plays peek-a-boo; says da-da
  • Gross motor: pulls to standing; bends down while holding on; cruises
  • Fine motor: pincer grasp; sets down a small toy without dropping it
  • Problem solving: plays clap hands;pokes at object in a bottle; picks up two small toys in each hand
  • Personal/Social: puts feet in mouth; gives you toy when asked; pushes arm in a sleeve
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8
Q

12mo: PE findings

A
  • Communication: knows simple command like “come here” without gestures; points at objects; shakes head yes or no
  • Gross motor: starts to take steps or walks; sits on own well
  • Fine motor: throws a toy with forward arm motion; turns pages of a book
  • Problem solving: copies parents’ actions (give a kiss); drops toys in a box; Scribbles
  • Personal/Social: lifts foot for shoe; plays catch; hugs a doll
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9
Q

14mo: PE findings

A
  • Communication: says 1-4 more words beside “Da-da”; points to picture in book; follows simple command
  • Gross motor: walks on own or with assistance; climbs; squats
  • Fine motor: stacks blocks (~3); scribbles with tip of crayon
  • Problem solving: gets a toy out of reach by using another object; copies parental actions
  • Personal/Social: feeds self with spoon; helps undress; pulls parent by hand to show something
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10
Q

16mo: PE Findings

A
  • Communication: immitates 2-word sentence; says 8 more words other than dada; points to object desired
  • Gross motor: stands up on own without pulling, walks well; climbs on chair
  • Fine motor: turns book pages; stacks small objects
  • Problem solving: can pace very small objects in small container (cheerio in bottle); turns bottle upside down to dump cheerio
  • Personal/Social: offers a toy to image in mirror; goes to parent for help
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11
Q

18mo: PE findings

A
  • Communication: points correctly to pictures in a book when asked; can say 2-3 word sentences
  • Gross motor: walks well with seldom falling; walks down stairs; kicks ball
  • Fine motor: feeds self with spoon without spilling; turns pages in book by self
  • Problem solving: copies a line; scribbles back and forth
  • Personal/Social: copies sweeping, combing hair, cleaning up a spill
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12
Q

20mo: PE Findings

A
  • Communication: names a picture in book; can carry out directions
  • Gross motor: walks down stairs with hand holding; walks up stairs on own; runs
  • Fine motor: unscrews lids off of jars; opens doorknobs
  • problem solving: will copy gestures like opening mouth, lines up objects in a row
  • Personal/Social: pretends to take care of a baby doll; uses a fork; peak of temper tantrums
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13
Q

22mo: PE Findings

A
  • Communication: carries out commands, points at body parts; uses “I”, “mine”
  • Gross motor: jumps with both feet off of the ground; kicks ball well with only 1 leg motion
  • Fine motor: flips light switches on and off; puts shoelace in eyelet of shoe
  • Problem solving: pretends objects are for something else; places utensils in correct direction
  • Personal/Social: pushes a shopping cart; steers wagon around objects, out of corners
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14
Q

24mo: PE Findings

A
  • Communication: Continues to add to vocabulary in 2-3 word sentences; correctly identifies objects by pointing
  • Gross Motor: continues to run well; walk up and down stairs; kick a ball; jumps
  • Fine motor: Stacks seven small objects
  • Problem solving: Continues drawing lines; pretends objects are something else
  • Social: calls self by “I”
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15
Q

27mo: PE Findings

A
  • Communication: without help, child can respond to simple commands; 4-word sentences
  • Gross motor: jumps forward 3in with both feet; runs; kicks; climbs; etc.
  • Fine motor: draws a line; twists tops; flips lights
  • Problem solving: puts things where they belong; knows self in mirror; identifies figures with missing parts
  • Social: Puts on coat, jacket, shirt; pretends to take care of a baby
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16
Q

30mo: PE Findings

A
  • Communication: Can describe action in a book; adds to vocabulary with sentences
  • Gross motor: can stand on 1 foot for 1 sec
  • Fine motor: draws a single circle
  • Problem solving: repeats numbers in order (series of 2); talks about a drawing
  • Social: Pulls up own pants when they are falling; identifies self in mirror by saying “me”
17
Q

36mo: PE Findings

A
  • Communication: Points to 7 correct body parts; knows first and last name; understands up and down
  • Gross motor: walks up and down stairs as an adult; throws ball overhand; jumps six inches; stands on one foot
  • Fine motor: uses scissors; holds pencil like an adult
  • Problem solving: draws simple pictures (lines, circles) and tells you what it is
  • Social: knows own gender; takes turns
18
Q

42mo: PE Findings

A
  • Communication: Follows three unrelated directions; Uses “a”, “the”, “is”, and “are”
  • Gross motor: catches a ball with both hands from 5ft away; climbs ladder rungs
  • Fine motor: puts together 6 puzzle pieces; copies a cross shape
  • Problem solving: repeats 3 numbers in order; identifies biggest and smallest; pretends to be someone or has an imaginary friend
  • Social: Serves self food; washes hands and face using soap and towel without help
19
Q

48mo: PE Findings

A
  • Communication: can answer questions correctly; tells at least 3 things about an object; complete sentences with correct grammar including “s”, “ed”, and “ing”
  • Gross motor: throws ball 6ft; hops on both feet; jumps 20in; stands on 1 foot steadily for 5sec
  • Fine motor: copies “L”, cross shape, line, circle; buttons and unbuttons; draw people (no trunk); colors in lines
  • Problem solving: understands “under” and “between”; colors; counts 1-5
  • Social: Knows age, phone #, friends’ names, brushes teeth, asks questions
20
Q

54mo: PE Findings

A
  • Communication: multiple complete, grammatically correct sentences
  • Gross motor: walks on tiptoes for 15ft
  • Fine motor: draws a perfectly straight line; draw person (with trunk)
  • Problem solving: counts 1-15; identifies 3 numbers (1,2,3)
  • Social: discusses siblings, playmates in detail without help; knows address, phone #
21
Q

60mo: PE Findings

A
  • Communication: knows opposites; repeats multi-word sentences back without error
  • Gross motor: hops repeatedly; skips
  • Fine motor: draws cross shape, square, triangle, writes letters, prints name
  • Problem solving: identifies letters when asked; can finish a sentence with opposite meaning
  • Social: correct independent toileting habits; plays games by taking turns; sharing with others