p a e d s

Question 1

what are the four domains of developmental milestones

Answer 1

Gross motor
Fine motor
Language
Personal and social

Question 2

gross motor refers to

Answer 2

child’s development of large movements, such as sitting, standing, walking and posture. Development in this area happens from the head downwards:

Question 3

gross motor 4months to 15months

Answer 3

4 months: This starts with being able to support their head and keep it in line with the body

6 months: They can keep their trunk supported on their pelvis (i.e. maintain a sitting position) by 6 months, however they often don’t have the balance to sit unsupported at this stage.

9 months: They should sit unsupported by 9 months. They can start crawling at this stage. They can also keep their trunk and pelvis supported on their legs (i.e. maintain a standing position) and bounce on their legs when supported.

12 months: They should stand and begin cruising (walking whilst holding onto furniture).

15 months: Walk unaided.

Question 4

fine motor skills assess

Answer 4

the child’s development of precise and skilled movements, and also encompasses their visual development and hand-eye coordination.

Question 5

fine motor milestones

Answer 5

8 weeks: Fixes their eyes on an object 30 centimetres in front of them and makes an attempt to follow it. They show a preference for a face rather than an inanimate object.

6 months: Palmar grasp of objects (wraps thumb and fingers around the object).

9 months: Scissor grasp of objects (squashes it between thumb and forefinger).

12 months: Pincer grasp (with the tip of the thumb and forefinger).

14-18 months: They can clumsily use a spoon to bring food from a bowl to their mouth.

Question 6

language two components

Answer 6

expressive

receptive

Question 7

expressive language milestones

Answer 7

3 months: Cooing noises
6 months: Makes noises with consonants (starting with g, b and p)
9 months: Babbles, sounding more like talking but not saying any recognisable words
12 months: Says single words in context, e.g. “Dad-da” or “Hi”
18 months: Has around 5 – 10 words

Question 8

receptive language milestones

Answer 8

3 months: Recognises parents and familiar voices and gets comfort from these
6 months: Responds to tone of voice
9 months: Listens to speech
12 months: Follows very simple instructions
18 months: Understands nouns, for example “show me the spoon”

Question 9

personal and social refers to

Answer 9

Personal and social refers to the child’s development of skills in interacting, communicating, playing and building relationships:

Question 10

person and social milestones

Answer 10

6 weeks: Smiles
3 months: Communicates pleasure
6 months: Curious and engaged with people
9 months: They become cautious and apprehensive with strangers
12 months: Engages with others by pointing and handing objects. Waves bye bye. Claps hands.

Question 11

red flags in development of children

Answer 11

Lost developmental milestones
Not able to hold an object at 5 months
Not sitting unsupported at 12 months
Not standing independently at 18 months
Not walking independently at 2 years
Not running at 2.5 years
No words at 18 months
No interest in others at 18 months

Question 12

childhood vaccines

Answer 12

6 in 1 vaccine
pneumococcal
MenB
rotavirus

Question 13

red book used to record

Answer 13

childs weight, height and vaccinations

Question 14

checks done by health visitor within the first week

Answer 14

72 hours of birth = newborn physical examination (check for testicles, eyes, heart, hips)

heel prick test 8 days (CF and sickle cell)

newborn hearing test