Paediatrics - Child Development Flashcards
Referral Points of Developmental Disorders:
Doesn’t smile at:
Can’t sit unsupported at:
Can’t walk by:
- Doesn’t smile at 10 weeks
- Can’t sit unsupported at 12 months
- Can’t walk by 18 months
Fine motor skill problems
hand preference before 12 months is abnormal and may indicate cerebral palsy
Gross motor problems
most common causes of problems: variant of normal, cerebral palsy and neuromuscular disorders (e.g. Duchenne muscular dystrophy)
Speech and language problems
- always check hearing
- other causes include environmental deprivation and general development delay
Gross Motor Skills- 3 months
Little or no head lag on being pulled to sit
Lying on abdomen, good head control
Held sitting, lumbar curve
Gross Motor Skills- 6 months
Lying on abdomen, arms extended
Lying on back, lifts and grasps feet
Pulls self to sitting
Held sitting, back straight
Rolls front to back
Gross Motor Skills- 7-8 months
Sits without support (Refer at 12 months)
Gross Motor Skills- 9 months
Pulls to standing
Crawls
Gross Motor Skills- 12 months
Cruises
Walks with one hand held
Gross Motor Skills- 13-15 months
Walks unsupported (Refer at 18 months)
Gross Motor Skills- 18 months
Squats to pick up a toy
Gross Motor Skills- 2 years
Runs
Walks upstairs and downstairs holding on to rail
Gross Motor Skills- 3 years
Rides a tricycle using pedals
Walks up stairs without holding on to rail
Gross Motor Skills- 4 years
Hops on one leg
Fine Motor and Vision - 3 months
Reaches for object
Holds rattle briefly if given to hand
Visually alert, particularly human faces
Fixes and follows to 180 degrees
Fine Motor and Vision - 6 months
Holds in palmar grasp
Pass objects from one hand to another
Visually insatiable, looking around in every direction
Fine Motor and Vision - 9 months
Points with finger
Early pincer
Fine Motor and Vision - 12 months
Good pincer grip
Bangs toys together
Fine Motor and Vision Bricks : 15 months
Tower of 2
Fine Motor and Vision Bricks - 18 months
Tower of 3
Fine Motor and Vision Bricks - 2 years
Tower of 6
Fine Motor and Vision Bricks - 3 years
Tower of 9
Fine Motor and Vision Drawing - 18 months
Circular scribble