Paediatrics - Developmental milestones

Question 1

Gross motor

What gross motor milestones should a child achieve by 3 months old?

Answer 1

Little/no head lag when being pulled to sitting
Lying on abdomen, good head control
Held sitting, lumbar curve

Question 2

Gross motor

What gross motor milestones should a child achieve by 6 months old?

Answer 2

Lying on abdomen, arms extended
Lying on back, lifts and grasps feet
Pulls self to sitting
Held sitting, back straight
Rolls front to back

Question 3

Gross motor

What gross motor milestones should a child achieve by 7-8 months old?

Answer 3

Sits without support - refer if not achieved by 12 months

Question 4

Gross motor

What gross motor milestones should a child achieve by 9 months old?

Answer 4

Pulls to standing
Crawls

Question 5

Gross motor

What gross motor milestones should a child achieve by 12 months old?

Answer 5

Cruises
Walks with one hand held

Question 6

Gross motor

What gross motor milestones should a child achieve by 13-15 months old?

Answer 6

Walks unsupported (refer if not achieved by 18 months)

Question 7

Gross motor

What gross motor milestones should a child achieve by 18 months old?

Answer 7

Squats to pick up a toy

Question 8

Gross motor

What gross motor milestones should a child achieve by 2 years old?

Answer 8

Runs
Walks upstairs and downstairs while holding onto a rail

Question 9

Gross motor

What gross motor milestones should a child achieve by 3 years old?

Answer 9

Rides a tricycle using pedals
Walks upstairs without holding onto a rail

Question 10

Gross motor

What gross motor milestones should a child achieve by 4 years old?

Answer 10

Hops on one leg

Question 11

Fine motor and vision

What fine motor and vision milestones should a child achieve by 3 months old?

Answer 11

Reaches for objects
Holds rattle briefly if given to hand
Visually alert, particularly to human faces
Fixes and follows to 180 degrees

Question 12

Fine motor and vision

What fine motor and vision milestones should a child achieve by 6 months old?

Answer 12

Holds in palmar grasp
Pass objects from one hand to another
Visually insatiable, looking around in every direction

Question 13

Fine motor and vision

What fine motor and vision milestones should a child achieve by 9 months old?

Answer 13

Points with finger
Early pincer grip

Question 14

Fine motor and vision

What fine motor and vision milestones should a child achieve by 12 months old?

Answer 14

Good pincer grip
Bangs toys together
Hand preference before this age is suggestive of cerebral palsy

Question 15

Fine motor and vision

What fine motor and vision milestones should a child achieve by 15 months old?

Answer 15

Tower of 2 bricks
Looks at book, pats page

Question 16

Fine motor and vision

What fine motor and vision milestones should a child achieve by 18 months old?

Answer 16

Tower of 3 bricks
Draws circular scribble
Turns pages in a book, several at a time

Question 17

Fine motor and vision

What fine motor and vision milestones should a child achieve by 2 years old?

Answer 17

Tower of 6 bricks
Copies vertical line
Turns pages in a book, one at a time

Question 18

Fine motor and vision

What fine motor and vision milestones should a child achieve by 3 years old?

Answer 18

Tower of 9 bricks
Copies a circle

Question 19

Fine motor and vision

What fine motor and vision milestones should a child achieve by 4 years old?

Answer 19

Copies a cross

Question 20

Fine motor and vision

What fine motor and vision milestones should a child achieve by 5 years old?

Answer 20

Copies a square and triangle

Question 21

Speech and hearing

What speech and hearing milestones should a child achieve by 3 months old?

Answer 21

Quietens to parents’ voice
Turns towards sounds
Squeals

Question 22

Speech and hearing

What speech and hearing milestones should a child achieve by 6 months old?

Answer 22

Double syllables

e.g., “adah”, “erleh”

Question 23

Speech and hearing

What speech and hearing milestones should a child achieve by 9 months old?

Answer 23

Says “mama” and “dada”
Understands “no”

Question 24

Speech and hearing

What speech and hearing milestones should a child achieve by 12 months old?

Answer 24

Knows and responds to own name

Question 25

# Speech and hearing What **speech and hearing** milestones should a child achieve by **12-15 months old**?

Answer 25

Knows 2-6 words (refer if not achieved by 18 months) Understands simple commands e.g., "give it to mommy"

Question 26

# Speech and hearing What **speech and hearing** milestones should a child achieve by **2 years old**?

Answer 26

Combines two words Points to parts of the body

Question 27

# Speech and hearing What **speech and hearing** milestones should a child achieve by **2.5 years old**?

Answer 27

Vocabulary of 200 words

Question 28

# Speech and hearing What **speech and hearing** milestones should a child achieve by **3 years old**?

Answer 28

Talks in short sentences Asks "what" and "who" questions Identifies colours Counts to 10

Question 29

# Speech and hearing What **speech and hearing** milestones should a child achieve by **4 years old**?

Answer 29

Asks "why", "when" and "how" questions

Question 30

# Social behaviour and play What **social behaviour and play** milestones should a child achieve by **6 weeks old**?

Answer 30

Smiles :)

Question 31

# Social behaviour and play What **social behaviour and play** milestones should a child achieve by **3 months old**?

Answer 31

Laughs Enjoys friendly handling

Question 32

# Social behaviour and play What **social behaviour and play** milestones should a child achieve by **6 months old**?

Answer 32

Not shy May put hand on bottle when being fed

Question 33

# Social behaviour and play What **social behaviour and play** milestones should a child achieve by **9 months old**?

Answer 33

Shy Takes everything to mouth Plays peek-a-boo

Question 34

# Social behaviour and play What **social behaviour and play** milestones should a child achieve by **12 months old**?

Answer 34

Waves bye-bye Plays pat-a-cake

Question 35

# Social behaviour and play What **social behaviour and play** milestones should a child achieve by **12-15 months old**?

Answer 35

Drinks from cup and uses spoon (develops over 3 months) Helps getting dressed and undressed

Question 36

# Social behaviour and play What **social behaviour and play** milestones should a child achieve by **18 months old**?

Answer 36

Take off shoes and hat but unable to replace Plays contentedly alone

Question 37

# Social behaviour and play What **social behaviour and play** milestones should a child achieve by **2 years old**?

Answer 37

Competent with spoon, doesn't spill with cup Puts on hat and shoes Plays near others, not with them

Question 38

# Social behaviour and play What **social behaviour and play** milestones should a child achieve by **3 years old**?

Answer 38

Uses spoon and fork

Question 39

# Social behaviour and play What **social behaviour and play** milestones should a child achieve by **4 years old**?

Answer 39

Can dress and undress independently except for laces and buttons Plays with other children

Question 40

# Social behaviour and play What **social behaviour and play** milestones should a child achieve by **5 years old**?

Answer 40

Uses knife and fork