Paediatrics: Development

Question 1

What is the approximate age for development of controlling head when pulled to sitting?

gross motor

Answer 1

3 months.

Excessive head lag is a red flag.

Question 2

What is the approximate age for development of rolling over?

gross motor

Answer 2

6 months

Question 3

What is the approximate age for development of sitting with support?

gross motor

Answer 3

4-6 months

Question 4

When should the Moro reflex be absent by?

gross motor

Answer 4

6 months

Asymmetricla neonatal reflexes is a red flag.

Question 5

What is the approximate age for development of sitting alone (without support)? At what age would a referral be triggered?

Gross motor

Answer 5

7-8 months

Refer at 12 months.

Question 6

What is the approximate age for development of crawling?

gross motor

Answer 6

9 months

Some children bottom-shuffle instead of crawling - normal variant which runs in families.

Question 7

What is the approximate age for development of pulling self up to stand?

gross motor

Answer 7

9 months

Question 8

What is the approximate age for development of walking holding furniture?

gross motor

Answer 8

12 months

Question 9

What is the approximate age for development of walking alone? When should they be referred if not achieved?

gross motor

Answer 9

11–15 months

Refer at 18 months.

Question 10

What is the approximate age for development of running?

gross motor

Answer 10

15 months - 2 years

Question 11

What is the approximate age for development of kicking a ball?

gross motor

Answer 11

15 months - 2 years

Question 12

What is the approximate age for development of jumping with both feet off the ground?

gross motor

Answer 12

2-3 years.

Question 13

What is the approximate age for development of pedalling a tricycle?

gross motor

Answer 13

3 years

Question 14

What is the approximate age for development of hopping on one leg?

gross motor

Answer 14

4 years

Question 15

What is the approximate age for development of skipping on both feet?

gross motor

Answer 15

6 years

Question 16

At what age can a child follow horizontally to 90 degrees?

fine motor and vision

Answer 16

0-6 weeks

No visual fixation or following is a red flag.

Question 17

At what age can a child reach out to grasp an object?

fine motor and vision

Answer 17

3 months (reach)
6 months (grasp)

Question 18

At what age can a child transfer objects from one hand to another?

fine motor and vision

Answer 18

6 months

Question 19

At what age can a child point with their index finger?

fine motor and vision

Answer 19

9 months

Question 20

At what age does a child develop a pincer grip?

fine motor and vision

Answer 20

12 months

Start at 3 months and add 3 months :Retrograde Pyelogram (RGPG)
R-Reaching
G- Grasping
P- Pointing
G- Gripping

Question 21

At what age does a child bang 2 objects together?

Answer 21

12 months.

Question 22

At what ages does a child build a tower of 2, 3, 6 and 9 bricks?

Answer 22

• 15 months
• 18 months
• 2 years
• 3 years

Question 23

What can a child draw/copy at 1(8) months, 2 years, 3, 4, 5 years?

Answer 23

SVC X ST

• Scribble
• Vertical line
• Circle
• X - cross
• Square and Triangle

Question 24

Up until what age is hand preference abnormal?

Answer 24

hand preference before 12 months is abnormal and may indicate cerebral palsy

Question 25

At what age does a child first smile? When should you refer if still not smiling? | social behaviour and play

Answer 25

6 weeks Failure to smile is a red flag - refer at 10 weeks.

Question 26

When should a child be competent with a spoon and doesn't spill with a cup? | social behaviour and play

Answer 26

2 years

Question 27

At what age should a child be able to use a spoon and fork? | social behaviour and play

Answer 27

3 years

Question 28

At what age should a child be able to use a knife and fork? | social behaviour and play

Answer 28

5 years.

Question 29

At what age can a child play peek-a-boo? | social behaviour and play

Answer 29

9 months

Question 30

At what age can a child play near others but not with them? | social behaviour and play

Answer 30

2 years

Question 31

At what age can a child play with other children? | social behaviour and play

Answer 31

4 years.

Question 32

What age should a child be dry in the day?

Answer 32

2-4 years

Question 33

When should a child be dry at night?

Answer 33

By age 5

Question 34

When should a child respond to a rattle or bell? | speech and hearing

Answer 34

from birth startle response is present from birth failure to respond to sound is a red fag

Question 35

At what age should a child vocalise?

Answer 35

4 months

Question 36

At what age should a child say double syllables babbling?

Answer 36

6 months

Question 37

At what age should a child say 'mama' and 'dada'?

Answer 37

12 months - 18 months

Question 38

At what age should a child know and respond to own name?

Answer 38

12 months

Question 39

At what age should a child understand simple commands? And know 2-6 words? when should they be referred?

Answer 39

by 18 months

Question 40

When should a child be able to combine 2 words?

Answer 40

2 years

Question 41

At what age should a child talk in short sentences (join 3-5 words)?

Answer 41

Age 3 red flag if unable to speak in simple sentences

Question 42

When should a child count to 10 , and ask why, when, how Qs?

Answer 42

4 years