Pediatric Milestones Flashcards

1
Q

2 weeks

A
  • lifts head momentarily, side-to-side
  • equal mvmt of extremities
  • regards face
  • responds to sound
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2
Q

2 months

A
  • lifts head 45deg
  • hands mostly open
  • smiles responsively
  • vocalizes, “cooing”
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3
Q

4 months

A
  • lifts head 90deg, rolls from front to back
  • hands come together (3mo), reach for object (5mo)
  • smiles responsively, regards hands
  • laughs “cooing”
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4
Q

6 months

A
  • rolls over back to front, sits alone momentarily
  • object hand to hand, reach for object
  • looks for dropped object
  • squeals, babbles (ba, ma, ga), imitates speech sounds made by others
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5
Q

9 months

Developmental screen recommended

A
  • sits well without support, crawls (mobility)
  • begins pincer grasp (feeds self)
  • stranger awareness, interactive games
  • mama, dada, non-specific
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6
Q

12 months

A
  • cruising, begins to walk
  • perfects thumb-finger grasp
  • drinks from cup
  • mama, dada, 1-2 other words regarding food, pets, etc.
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7
Q

15 months

A
  • walks well, walks backwards
  • tower of two cubes
  • begins to feed self with spoon and fork
  • understands simple commands
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8
Q

18 months

Developmental screen, autism specific screen

A
  • runs, kicks ball
  • tower of four cubes
  • imitates housework, spoon and fork
  • points to body parts
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9
Q

24 months

Autism specific screen

A
  • runs well, throws overhand, up and down stairs with 2 feet
  • tower of six cubes, starts to put on clothes
  • parallel play, independence issues
  • 2-3 word sentences, stuttering common
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10
Q

30 months

Development screening

A
  • jump up and down
  • washes and dries hands alone, brushes teeth with help
  • plays pretend, imaginative
  • stranger understands 50%
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11
Q

3 years

A
  • stairs with alternating feet, balance on 1 foot for 1-3 sec
  • 8 cubes, dress and undress, potty training, copies circles
  • knows age and sex, cooperative play begins
  • 4 word sentences, tells stories, strangers understand 75%
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12
Q

4 years

A
  • hops on one foot, pedals
  • cuts with scissors, copies cross
  • counts 4 objects, 4 colors, fantasy play
  • past and future tense, knows opposites, stranger understands 90-100%
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13
Q

5 years

A
  • skips, catches ball
  • prints name, cuts shapes, copies squares
  • knows colors, 10 pennies, ABCs, follow direction
  • fluent speech, defines words
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14
Q

6-7 years

Physical q 1-2yr

A
  • extracurricular activities, sports
  • academics, friends, behaviors
  • articulation - y, ng, d (5-6) and l, t, sh, ch, dr, cl, bl, gl (6-7)
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15
Q

8-9 years

Start Tanner exam

A
  • extracurricular activities, sports
  • academics, friends, behaviors
  • articulation
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16
Q

10-11 years

A
  • same G&D, menstrual hx
  • tanner stage, scoliosis
  • gynecomastia (tanner stage 2-4)
  • reassurance, surgical referral if severe
17
Q

12-13 years

A
  • same GD, menstrual hx, ask parent to leave room to talk about ETOH, drugs, sex
  • Tanner, scoliosis, lymph nodes largest at age 12
18
Q

14-15 years

A
  • same GD, adjustto high school

- acne, tanner

19
Q

16-18 years

A
  • GD, responsibility, college plans, goals
  • acne, tanner
  • start seeing internist/OB