Milestones and Immunizations Flashcards
Name the vaccination(s) received at birth
Hep B
Name the vaccination(s) received at 2 mo
Hep B DTap Rotavirus H influ IPV (polio) PCV13 (pneumo)
Name the vaccination(s) received at 4 mo
DTap Rotavirus H influ IPV (polio) PCV13 (pneumo)
Name the vaccination(s) received at 6 mo
Hep B DTap Rotavirus H influ IPV (polio) PCV13 (pneumo) Influenza
Name the vaccination(s) received at 1-1.5 YO
MMR Hep A DTap H influ PCV13 (pneumo) Varicella
Name the vaccination(s) received at 4-6 YO
Varicella
DTap
IPV (polio)
MMR
Name the vaccination(s) received at 11-12 YO
TdaP
HPV
Meningococcal
Name the vaccination(s) received at 16-18 YO
Meningococcal booster
Describe gross motor skill development at 1 mo
- Moro reflex
- Grasping
- Visual tracking
- Lift chin when prone
- Reacts to pain
Describe gross motor skill development at 2 mo
Lifts head to 45* when prone
Describe gross motor skill development at 4 mo
Starting to roll prone to supine
Can bear weight on wrists
Describe gross motor skill development at 6 mo
Can sit w/o support
Can roll both ways
Will try to stand when pulled upright
Describe gross motor skill development at 9 mo
Crawling
Will pull to stand
Cruises
Describe gross motor skill development at 1 year
Taking first steps
Describe gross motor skill development at 15 mo
Walks well
Walk backwards
Describe gross motor skill development at 18 mo
- Runs
Should be walking at this age maximum - red flag item!
Describe gross motor skill development at 2 YO
- Can go up/down steps with both feet
- Jumps
Describe gross motor skill development at 3 YO
- Steps up stairs alternating feet
- Can ride a tricycle
- Can jump on 1 foot
- Toilet trained
Describe gross motor skill development at 4 YO
- Can hop
- Can go down steps alternating feet
Describe gross motor skill development at 5 YO
- Can tandem walk
Describe fine motor skill development at 1 mo
- Follows to midline
- Tight grasp
Describe fine motor skill development at 2 mo
- Follows past midline
- Active grasp
Describe fine motor skill development at 4 mo
- No head lag
- Follows 180*
- Grasps items to midline
Describe fine motor skill development at 6 mo
- Transfers items from one hand to the other
Describe fine motor skill development at 9 mo
- Crude pincer grasp
- Holds bottle
- Finger feeds
Describe fine motor skill development at 12 mo
- Precise pincer grasp
- Throws objects
Describe fine motor skill development at 15 mo
- 2 block tower
Describe fine motor skill development at 18 mo
- 3 block tower
- Scribbles
- Uses spoon, cup
Describe fine motor skill development at 2 YO
- Brushes teeth
- Removes shoes, pants
- Imitates strokes
Describe fine motor skill development at 3 YO
- Partially dress/undresses
- Can copy circle
Describe fine motor skill development at 4 YO
- Buttons
- Catches ball
- Copies cross
Describe fine motor skill development at 5 YO
- Ties shoes
- Copies square
- Prints name
Describe language/hearing development at 1 mo
Responds to sounds
Describe language/hearing development at 2 mo
Responds to voice
Describe language/hearing development at 4 mo
- Orients to voice
- Coos
Describe language/hearing development at 6 mo
Babbles
Describe language/hearing development at 9 mo
- Responds to name
- Non-specific “mama”/”dada”
Describe language/hearing development at 1 YO
- 1-3 word vocabulary
- Can follow 1-step commands
- Uses “mama”/”dada” specifically
- Points to objects
**Should have at least 1 word!! (Red flag item)
Describe language/hearing development at 15 mo
- 3-6 word vocab
- Immature jargon
Describe language/hearing development at 18 mo
- 12-20 word jargon
- Points to body parts
- Mature jargon
Describe language/hearing development at 2 YO
- 20+ word vocab
- 2-word sentences
- Can follow 2-step commands
Should be at least 1/2 comprehensible! (red flag item)
Describe language/hearing development at 3 YO
- 3-word sentences
- Can count to 3
- Identifies name, age, gender
Should be 3/4 comprehensible! (red flag item)
Describe language/hearing development at 4 YO
- Knows colors
- Counts to 4
Should be 100% comprehensible
Describe language/hearing development at 5 YO
Counts to 10
Describe social development at 1 mo
Regards faces
Describe social development at 2 mo
Social smile
Describe social development at 4 mo
Laughs
Describe social development at 6 mo
Stranger anxiety
Describe social development at 9 mo
- Waves “bye”
- Plays peek-a-boo / pat-a-cake
Describe social development at 1 YO
- Comes when called
- Imitates movements
Describe social development at 15 mo
- Hugs
- Points
Describe social development at 18 mo
- Copies parent at task
- Shows affection
Describe social development at 2 YO
- Parallel play
Describe social development at 3 YO
- Group play
- Early imaginative play
Describe social development at 4 YO
- Imaginative play
- “Tall tales”
- Views parents as role models
Describe social development at 5 YO
Plays competitive games
Name three missed milestones that are suggestive of an autism diagnosis
- No babbling by 9 months
- Lack of orientation by 12 months
- No spontaneous, meaningful 2-word phrases by 2 YO
When does the Moro reflex appear and when does it resolve?
Appears at 34-36 weeks PCA
Resolves at 5-6 months
When does the tonic neck reflex appear and when does it resolve?
Appears at 38-40 weeks PCA
Resolves at 2-3 months
When does the palmar grasp reflex appear and when does it resolve?
Appears 38-40 weeks PCA
Resolves at 5-6 months
When does the plantar grasp reflex appear and when does it resolve?
Appears 38-40 weeks PCA
Resolves at 9-10 months
When does the rooting reflex appear and when does it resolve?
Appears at 38-40 weeks PCA
Resolves at 2-3 months
How long should a premature baby’s age be corrected?
Until ~2 years or
weeks in prematurity x 10 (12 week premie = correct for 120 weeks or 2Y 4 mo)