Milestones

Question 1

6 week milestones

Answer 1

Gross motor - holds head briefly in ventral suspension. Some head lag. Primitve reflexes. Symmetrical limb movement.
Fine motor - eyes - fix and follow through 90º, turn to light. Holds fists closed
Language/ hearing - Cries. Responds to mother’s voice and startles to noise.
Social - smiles

Question 2

3-4 months

Answer 2

Gross motor - No head lag. More vigorous limb movements. Raises chest when prone.
Fine motor - eyes fixes and follows through 180º. Holds an object that’s placed in hand. Reaches for objects
Language/ Hearing - cooing. Quietens to mother’s voice.
Social - laughs

Question 3

6 months

Answer 3

GM- Sits with supported or unsupported with curved back. Lifts chest with arms extended when prone. Rolls front to back, later back to front.
FM - Eyes - brings object to midline. Transfers between hands, consciously releases objects.
Language / Hearing - Babbles
Social - screams. No stranger anxiety

Question 4

9 months

Answer 4

GM - sits unsupported with straight back. May crawl / bum shuffle.
FM - pincer grip
Language/ hearing - developed babbling - mama/dada
Social - plays peekaboo. Stranger anxiety develops

Question 5

10 months

Answer 5

GM - pulls to stand. Cruising
FM - Developed pincer grip - pick a grain of rice off the floor
Language - understands no.
Social - understands bye-bye

Question 6

12 months

Answer 6

GM - early walks, unsteady, broad-based gait.
FM - Points at things, bangs objects together, object permanence.
Language - 1 word sentences. Imitates sounds and speaks with conversational intonation. Understands names and simple objects.
Social - finger feeds, can hold a spoon. Waves bye-bye / claps. Points for desire, then points for excitement

Question 7

15 months

Answer 7

GM - walking more confident
FM - 2-3 block tower. Turns thick pages.
Language - obeys simple commands. Can identify common objects.
Social - Uses spoon and cup

Question 8

18 months

Answer 8

GM - squats to pick up object. Runs
FM - 4 block tower, to and fro scribble. Points to pictures in books, Turns pages in book .
Language - 10-20 words. 2 word sentences. Points to body parts.
Social - removes socks / shoes. Imitative play / domestic mimicry

Question 9

2yrs

Answer 9

GM - Jumping. Kick ball. Climbs stairs 2 feet per step / holding on.
FM - circular scribble. Straight line at 2.5yrs. 6 Blok tower.
Language - 50+ words. 2 and 3 word sentences. Understands the function of objects e.g. eat with fork not pencil. Obeys 2 part commands. ( Pick up the ball and give it to me)
Social - fork and spoon. Starts toilet training. Temper tantrums. Plays alongside other kids - parallel play. Symbolic play.

Question 10

3 yrs

Answer 10

GM - upstairs 1 foot/step, down 2/step. Tricycle.
FM - Circle. 9 block tower. Copies a bridge and stairs with 6 bricks.
Language - complex 4-5 word sentences. First and last name. Knows nursery rhymes. Answers who and what questions. Understands prepositions and comparisons
Social - washes hands. Plays with children. Understands sharing. Pretend play.

Question 11

4yrs

Answer 11

GM - stairs like adult
FM - Draws cross. Copies stairs with 10 bricks.
Language - understands negatives ( which one is not blue?).Can tell descriptive account of events
Social - undresses but can’t dress independently. Understands taking turns.

Question 12

5 yrs

Answer 12

Skips, catches a ball
FM - triangle / square
Language - complex story with past and future tense
Social - dresses with buttons and zips. eats with knife and fork. Chooses and names best friends. Imaginative playing

Question 13

What are possible causes of Global delay?

Answer 13

Down syndrome
Fragile X
Fetal Alcohol syndrome
Metabolic disorders

Question 14

What are possible causes of gross motor delay?

Answer 14

Cerebral palsy 
ataxia
myopathy 
spina bifida
visual impairment

Question 15

What are possible causes of fine motor delay?

Answer 15

Visual impairment
Dyspraxia
Cerebral palsy
Muscular dystrophy

Question 16

What are possible causes of Language delay?

Answer 16

Hearing impairment
Multiple languages at home
Learning disability 
Neglect
Autism
Cerebral palsy

Question 17

What are red flags in development ?

Answer 17

Not sitting unsupported at 12 months.
Not standing independently at 18 months.
Not speaking at 18 months.
Not walking independently at 2yrs.
No interest in others by 18 months.
Any regression in any developmental area.