Milestones Flashcards
A 2 year-old girl, Violetta, comes to the Family Doctor becaus her mother is concerned about her development.
According to her mother, Violetta has been talking since a year, has around 60 words and is able to put two words together like “want biscuit” “Mummy come” etc. She is scribbling, and is able to kick a ball and walk up stairs on her own. She can follow a simple two-step command, like “Pick up the ball and put it in the box”. Her mother is not concerned about Violetta’s hearing. Despite this, she does not engage in interactive play, but tends to play by herself even when other children are playing beside her, and even though she notices them and may be interested in what they are playing with.
What is your assessment of her developmental status?
Question 1Select one:
a.
Age-appropriate development
b.
Autistic spectrum disorder
c.
Attention deficit hyperactivity
d.
Sensory-processing disorder
Age-appropriate
Sam is an 8-month old boy whose parents are worried that he is not picking up fine motor skills. When you assess his ability to pick up a raisin you notice that he rakes it with his fingers and thumb and grasps it with his whole hand. At what age range should he start to be able to grasp it with just his index finger and thumb?
Question 2Select one:
a.
3-5 months
b.
6-8 months
c.
9-11 months
d.
12-14 months
9-11 months
Luca cant do yet
Fred is a 9-month-old child born at term. What fine motor skill should he be starting to master in the next 2-3 months?
Question 3Select one:
a.
Transfer objects from hand to mouth
b.
Grasp small objects with pincer grip
c.
Transfer objects from hand to hand
d.
Use a pen to scribble randomly
Grasp small objects with pincer grip
The mother of a 9-month-old child is concerned that he is not sitting unsupported. At which age approximately should children achieve this?
Question 4Select one:
a.
8-9 months
b.
4-5 months
c.
10-11 months
d.
6-7 months
6-7 months
A mother brings Ella, her daughter of 7 months old, to you concerns she is not sitting as yet. Ella is an otherwise normal baby born at term.
You perform a neurological examination including testing for persistence of her newborn reflexes. What neonatal reflex do you expect to still be present normally at this age?
Question 5Select one:
a.
Stepping reflex
b.
Babinski reflex
c.
Rooting reflex
d.
Moro reflex
Babinski reflex
6-12 months of age
What age am I?
You are trying to assess Gabby’s speech development. She is a normal girl, born at full term. She can say 7 or 8 specific words. including specific use of “mummy’, “daddy” and “Barbar” (her sister) for the appropriate people. She can identify a dog as “do-“ and a duck as “du-“. She is not combining two words together. At what age do children typically attain Gabby’s current level of expressive language?
Question 6Select one:
a.
12 months
b.
15 months
c.
18 months
d.
24 months
18 months
(typically 6-20 recognisable worlds)
What age am I?
Jim, who is a well boy born at term, can crawl, pull himself to standing, stand without holding on, and cruise around the furniture holding on. He is not yet walking independently (i.e. without holding onto furniture or an adult hand). If you were to estimate his age based on his gross motor development, which of the following ages would he represent most typically?
Question 7Select one:
a.
16-20 months
b.
21-24 months
c.
12-15 months
d.
7-10 months
12-15
typically cruise at 12 months
Maria can run, jump, climb stairs and kick and catch a ball. She is able to speak in short sentences and can use plurals, and is interactive with her parents and with new people, leading them to play with her. She can sing the alphabet with a few mistakes and can count to 20. She knows and correctly identifies the colours blue and red, and can recognise her name when written. When asked to draw a picture of a person, she draws a simple circle, and then some random dots.
Question 8Select one:
a.
Around 2 years
b.
Around 2.5 years
c.
Around 4 years
d.
Around 3 years
Around 3 years
Draws simple person. At 4 should write letters, detailed person
