Milestones and Child health

Question 1

Startled by loud noises

Answer 1

1-4 weeks

Question 2

Face contact awareness

Answer 2

2-4 weeks

Question 3

Smiling and facial responses

Answer 3

4-6 weeks

Question 4

Able to lift head while lying on stomach

Answer 4

5-12 weeks

Question 5

Reaches for objects

Answer 5

3-5 months

Question 6

Sits without support

Answer 6

6 months

Question 7

Able to hold an object in both hands

Answer 7

6-8 months

Question 8

Crawling

Answer 8

6-9 months

Question 9

Walking alone

Answer 9

10-18 months

Question 10

Advantages of milestones

Answer 10

Cut-off points for referral
Able to reassure re normality
Structure for assessment
Aids parental interaction
Enables research

Question 11

Disadvantages of milestones

Answer 11

Parental anxiety
Different interpretations
Medicalisation of normality
May place the doctor in a difficult situation
Might be difficult balancing confounding factors such as prematurity against guidelines

Question 12

Define perinatal mortality

Answer 12

The number of stillbirths and deaths within the first week of life

Question 13

Define the perinatal period

Answer 13

24 weeks of pregnancy to 7 days after delivery

Question 14

Define neonatal death

Answer 14

Death which occurs within the first 28 days of birth

Question 15

How is the neonatal stage further divided?

Answer 15

Early = up to 7 days
Late = 7-28 days

Question 16

Define infant mortality

Answer 16

The number of children dying within the first 12 months of life

Question 17

Define stillbirth

Answer 17

Baby born dead after the 24th week of pregnancy