L10: Developmenyal Milestones

Question 1

Newborn (Gross motor )

Answer 1

flexed limbs, symmetrical posture, head lag

Question 2

6-8 weeks (Gross motor)

Answer 2

raises head to 45 in prone position

Question 3

6-8 months (Gross motor)

Answer 3

sit without support
6m with round back
8m straight back

Question 4

at 8-9 months (Gross motor)

Answer 4

Crawl

Question 5

10 months (Gross motor)

Answer 5

stands independently

moves around furniture

Question 6

12 months (Gross motor)

Answer 6

walks unsteadily wide gait

- hands apart

Question 7

15 months (Gross motor)

Answer 7

walks steadily

Question 8

6 weeks (vision and fine motor)

Answer 8

Follow moving object or face by turning the head

Question 9

4 months (vision and fine motor)

Answer 9

Reaches out for objects

Question 10

4-6months (vision and fine motor)

Answer 10

Palmar grasp

Question 11

7 months (vision and fine ,otor)

Answer 11

Transfer objects from one hand to the other

Question 12

10 month (vision and fine motor)

Answer 12

Pincer grip

Question 13

16 – 18 months (vision and fine motor)

Answer 13

Makes marks with a crayon

Question 14

18 months (visor and fine motor)

Answer 14

Makes a tower of 3 cubes

Question 15

2 years (vision and fine motor)

Answer 15

Makes a tower of 6 cubes

Question 16

3 years (vision and fine motor)

Answer 16

Makes a bridge

Question 17

4 years (vision and fine motor)

Answer 17

Makes steps (after demonstration)

Question 18

Age 2- (vision and fine motor)

Answer 18

draws line

Question 19

Age 3- (vision and fine motor)

Answer 19

draws circle

Question 20

Age 3.5-y (vision and fine motor)

Answer 20

draws a cross

Question 21

Age 4-y (vision and fine motor)

Answer 21

draws square

Question 22

Age 5-y (vision and fine motor)

Answer 22

draws triangle

Question 23

Newborn (hearing, speech, language)

Answer 23

Startle to loud noise

Question 24

3 – 4 months (hearing, speech, language)

Answer 24

Vocalize coos & laughs

Question 25

7 months (hearing, speech, language)

Answer 25

Turns to soft sounds | Use sounds indiscriminately

Question 26

10 months (hearing, speech, language)

Answer 26

Use sounds discriminately to parents

Question 27

12 months (hearing, speech, language)

Answer 27

2 – 3 words other than mama, dada,

Question 28

18 months (hearing, speech, language)

Answer 28

6 – 10 words, shows 2 parts of the body

Question 29

20 – 24 months (hearing, speech, language)

Answer 29

Makes simple phrases using 2 – 3 words

Question 30

2.5 – 3 Years (hearing, speech, language)

Answer 30

Talks constantly/ sentences of 2 – 3 words

Question 31

6 weeks (social, emotional, behavioral)

Answer 31

Smiles responsively

Question 32

6 – 8 months (social, emotional,behavioral)

Answer 32

Put food in mouth

Question 33

10 – 12 months (social, emotional, behavioral)

Answer 33

Waves bye-bye, plays pook-a-poo

Question 34

12 months(social, emotional, behavioral)

Answer 34

Drinks from a cup with 2 hands

Question 35

18 months (social, emotional, behavioral)

Answer 35

Holds spoon and get food to mouth safely

Question 36

18 – 24 months (social, emotional, behavioral)

Answer 36

Symbolic play

Question 37

2 years (social, emotional, behavioral)

Answer 37

Dry by day, pull off some clothes

Question 38

2.5 - 3 years (social, emotional, behavioral)

Answer 38

Interactive play

Question 39

Red Flags in infant development

Answer 39

* Unable to sit alone by age 9 months * Unable to transfer objects from hand to hand by age 1 year * Abnormal pincer grip or grasp by age 15 months * Unable to walk alone by 18 months * Failure to speak recognizable words by 2 years.

Question 40

Red flags: preschool

Answer 40

* Inability to perform self-care tasks, hand washing simple dressing, daytime toileting * Lack of socialization * Unable to play with other children * Unable to follow simple directions .

Question 41

Developmental Warning Signs - at any age

Answer 41

* FHx of note eg deafness or cataracts * Persistent primitive reflexes * Persistent squint * Regression of previously acquired skills.

Question 42

Delayed Motor Development

Answer 42

* Familial feature * Environmental – deprivation. * Mental sub normality * Hypotonia (Down’s Syn) * Hypertonic (Cerebral Palsy) * Neuromuscular problems (DMD)

Question 43

Delayed Speech

Answer 43

* Deafness * Social deprivation * Mental retardation * Autism

Question 44

Delayed Smiling

Answer 44

* Blind child * Mental handicap * Autism * Emotional deprivation

Question 45

Management | • Developmental intervention:

Answer 45

``` –Multidisciplinary –Pediatrics neurologist –Speech and Language specialist. –Occupational and Physical Therapy –Social Worker –Psychological evaluation if needed ```

Question 46

DD may need further medical evaluation

Answer 46

* Evaluation for iron deficiency anemia * Formal hearing testing * Vision testing (full ophthalmologic exam) * Thyroid function testing * Metabolic screening * Neuroimaging (MRI vs. CT) • Chromosomal –Down Syndrome • EEG if suspected seizure activity • CPK (Muscular dystrophy)

Question 47

Newborn (Gross motor& Vision and fine motor & Hearing, speech, and language & Social, emotional, and behavioural)

Answer 47

- Flexed posture - Follows face or light by 2 weeks - Stills to voice, Startles to loud noise - Smiles by 6 weeks

Question 48

7 months (Gross motor& Vision and fine motor & Hearing, speech, and language & Social, emotional, and behavioural)

Answer 48

- Sits without support - Transfers objects from hand to hand - Turns to voice & Finger feeds - Polysyllabic babble & Fears strangers

Question 49

1 year (Gross motor& Vision and fine motor & Hearing, speech, and language & Social, emotional, and behavioural)

Answer 49

- Stands independently - Pincer grip (10 mo) & Points - 2–3 words & Understands name - Drinks from cup & Waves

Question 50

15-18 months (Gross motor& Vision and fine motor & Hearing, speech, and language & Social, emotional, and behavioural)

Answer 50

- Walks independent ly and steadily - Immature grip of pencil & Random scribble - 6–10 words &Points to two body parts - Feeds self with spoon & Beginning to help with dressing

Question 51

2 1/2 years (Gross motor& Vision and fine motor & Hearing, speech, and language & Social, emotional, and behavioural)

Answer 51

- Runs and jumps - Draws - 3-word to 4-word sentences, Understands two joined commands - Parallel play & Clean and dry