Paeds developmental milestones Flashcards

1
Q

6 weeks gross motor skills

A
  • Good head control- raises head to 45° when on tummy

- Stabilises head when raised to sitting position

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2
Q

6 weeks fine motor/vision skills

A

Tracks objects/face

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3
Q

6 weeks speech/language

A

Stills, startles to loud noises

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4
Q

6 weeks social

A

Social smile (visual problem if not)

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5
Q

6 months gross motor skills

A
  • Sit without support, rounded back

- Rolls tummy (prone) to back (supine) (vice versa slightlv later)

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6
Q

6 months fine motor/vision

A
  • Palmar grasp (5 months)

- Transfer hand to hand

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7
Q

6 months speech/language

A
  • Turns head to loud sounds
  • Understands “bye bye” / “no” (7m)
  • Babbles (monosyllabic)
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8
Q

6 months social

A
  • Puts objects to mouth (stops at 1 year)
  • Shakes rattle
  • Reaches for bottle / breast
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9
Q

9 months gross motor

A
  • Stands holding on
  • Straight back sitting (7 ½ m)
  • Crawls
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10
Q

9 months fine motor/vision

A
  • Interior pincer grip

- Object permanence

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11
Q

9 months speech/language

A
  • Responses to own name
  • Imitates adult sounds
  • Says mama and dada
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12
Q

9 months social

A
  • Stranger fear (6-9 mtns - 2 yrs)

- Holds and bites food (usually weaned after 6 mnths)

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13
Q

12 months gross motor

A
Walks alone (9-18m)
18m is threshold for worry (i.e. Duchenne’s MD, hip problems, cerebral palsy etc)
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14
Q

12 month fine motor/visual

A
  • Neat pincer grip (10m)
  • Casting bricks (should disappear by 18m – persistence
    beyond this = abnormal)
  • Tower of 2 bricks
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15
Q

12 months speech/language

A
  • Shows understanding of nouns (“where’s Mummy?”)
  • 3 words (50% at 13m)
  • Points to own body parts (15m), doll (18m)
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16
Q

12 months social

A
  • Waves “bye bye”
  • Hand clapping
  • Plays alone if familiar person nearby
  • Drinks from beaker with lid
17
Q

18 months gross motor

A
  • Runs (16m)

- Jumps (18m)

18
Q

18 months fine motor/visual

A
  • Tower of 4 bricks

- Drawing to and fro (15 m)

19
Q

18 months speech/language

A
  • Shows understanding of nouns (“show me the x”)

- 1 to 6 different words

20
Q

18 months social

A

Imitates every day activities

21
Q

2 years gross motor

A
  • Runs tiptoe
  • Walks upstairs, both feet on each step
  • Throws ball at shoulder level
22
Q

2 years fine motor/visual

A
  • Draws a vertical line
  • Tower of 8 blocks
  • Puzzles: shape matching is >2 yr skill. Random effort <2 yr
  • Turns several pages of book at a time
23
Q

2 years speech/language

A
  • Shows understanding of verbs (“what do you draw with, what do you eat with?”)
  • 2 words joined together (50+ words)
24
Q

2 years social

A
  • Eats skilfully with spoon (21⁄2 years)

- Plays near others but with them

25
2.5 years gross motor
- Kicks ball
26
2.5 years fine motor/visual
Draws a horizontal line
27
2.5 years speech/language
- Shows understanding of prepositions in/on (“put the cat on the bowl”) - 3 – 4 words joined together
28
3 years gross motor
- Hops on one foot for 3 steps (each foot) | - Walks upstairs, one foot per step; downstairs two feet per step
29
3 years fine motor/visual
- Draws a circle - Builds bridge/train with bricks - Single cut with scissors - Puts Grittiths beads on a string
30
3 years speech/language
- Understands negatives (“which of these is NOT an animal?”) | - Understands adjectives (“which one is red?”)
31
3 years social
- Begins to share toys with friends  Plays alone without parents - Eats with fork and spoon - Bowel control
32
3.5 years fine motor/visual
- Cuts pieces with scissors
33
3.5 years language
Understands comparatives (“which boy is bigger than this one?” while pointing to middle-sized boy! Or draw circles to illustrate point
34
4 years gross motor
Walks upstairs / downstairs in adult manner
35
4 years fine motor/visual
- Draws Cross, Square (4.5 yrs), Triangle / person (5 yrs) - Builds bricks: 12 blocks tower, step, big step (5 years) - Cuts paper in half with scissors - Put small beads on a string
36
4 years speech/language
- Understands complex instructions (“Before you put x in y, give z to Mummy”) - Uses complex narrative / sequences to describe events
37
4 years social
- Concern/sympathy for others if hurt - Has best friend - Bladder control (41⁄2 years)- referral if >5 years - Engages in imaginative play, observing rules (41⁄2 to 5 years old) - Eats skilfully with little help - Handles knife (at 5 yrs) - Dressing and undressing
38
Referral points
- doesn't smile at 10 weeks - cannot sit unsupported at 12 months - cannot walk at 18 months Fine motor: hand preference before 12 months is abnormal and may indicate cerebral palsy Most common causes of gross motor 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