Development Of Adls

Question 1

Infant Fed by non-oral means

Answer 1

Prior 33 weeks gestation

Question 2

Jaw and tongue movements are strong enough for feeding

Answer 2

35 weeks of gestation or after

Question 3

Rooting, gag, and laugh reflexes are present, protecting airway and decreasing risk of aspiration

Answer 3

40 weeks of gestation and Up to 4 months

Question 4

Rhythmic sucking

Answer 4

One month

Question 5

Strong sucking, good lip closure, tongue moves up and down, munching occurs (consists of a phase bite and release of soft cookie )

Answer 5

4-5 months

Question 7

Efficient sucking, strong up and down movement of the tongue, good lip closure

Answer 7

6 months

Question 8

Beginning of mastication of soft and mashed foods with diagonal jaw movement,

Answer 8

7-8 months

Question 9

Lateral tongue movements make mastication of soft and mashed foods effective, able to drink from cup but jaw is not firm

Answer 9

9 months

Question 10

Jawns firm; rotam chewing allows for a good bite on a hard cookie

Answer 10

12 months

Question 11

Tongue movements increase to include elevation, rotary chewing is well-coordinated, biting is sustained

Answer 11

18 months

Question 12

Able to chew most foods including meats and raw vegetables with a well-graded and sustained bite, drinks from cup with firm jaw

Answer 12

24 months

Question 13

Takes cereal or poured baby food from spoon

Answer 13

5-7 months

Question 14

Attempts to hold bottle

Answer 14

6-8 months

Question 15

Holds and tries to eat cracker but sucks on it more; consumes soft food that dissolves in mouth; grabs spoon but bangs on it or only sucks

Answer 15

6-9 months

Question 16

Finger feeds self portion of meals of soft table food; and food it fed by adult

Answer 16

9-13 months

Question 17

Dips spoon in food, brings spoonful to mouth, but spills food by inverting spoon before it goes into mouth

Answer 17

12-14 months

Question 18

Scoops food with spoon and brings to mouth

Answer 18

15-18 months

Question 19

Demonstrates interest in fork; may stab at food, proficient at spoon use

Answer 19

24 - 30 months

Question 20

• knows soiled
• cooperate with diaper change
• regular bowel movements

Answer 20

1-2 years

Question 21

• regular urine patterns, bowel accidents rare
• interest in toilet training
• knows whether they need to urinate or bowel
• tells when they need to go to the bathroom
• may need reminders about need to toilet
  -Occasional accidents
• help with wiping and clothing

Answer 21

2 -2.5 years

Question 22

• Toilet on their own
• may need help wiping and clothing fasteners
• reminders of flushing and washing hands

Answer 22

3-4 years

Question 23

• Daytime/ nighttime control
• independently toilet, wipe, and pull Up clothes
• may need help with difficult fasteners
• remembers to flush and wash hands

Answer 23

4- 5 years

Question 24

Completely independent in all toileting aspects

Answer 24

5-6 years

Question 25

-cooperates with dressing/undressing - puts arms up for donning/doffing shirts - extends legs to get socks and pants on - removes socks

Answer 25

1 year

Question 26

- removes slip on or untied shoes - removes unfastened jackets, coats, and sweaters - removes mittens - helps pull down pants - pushes arms through armholes of a pullover shirt when shirt is placed above their head

Answer 26

1.5 - 2 years

Question 27

- attempts to don slip on shoes - assists in pulling up socks - pulls down and removes elastic waist pants - dons and doffs pullover shirt with some assistance - dons open front jackets or shirts but cannot zipper or button them - unbuttons large buttons and unsnaps snaps - unzips and zips zippers that are placed on track

Answer 27

2.5 - 3 years

Question 28

-don slip on slippers and shoes; initially may be on wrong feet - dons elastic waists pants - recognizes front and back of clothing - dons and doffs pullover shirts - buttons large buttons - buttons a series of 3-4 buttons - zips zippers - snaps front snaps - fastens front hooks - unbuckles belt - dons mittens

Answer 28

3.5-4 years

Question 29

- independent dresses and undresses upper and lower body - pulls a belt though belt loops and buckles the belt buckle - may need minimal assistance with difficult fasteners and tying shoes

Answer 29

4.5-5 years

Question 30

- ties and unties shoelaces and bows - buttons small buttons - can close back fasteners -zip back zippers

Answer 30

5-6 years

Question 31

- imitate household chores - follow directions to pick up items and put them in designated spaces - wipe up spills and pick up fallen objects - fill a pets food dish with provided amount of food

Answer 31

2-3 years

Question 32

- prepare simple cold meals and snacks - set a table for meals and clean it after - empty a dishwasher; sort and put away cutlery - sort laundry and match socks - make a bed - dust, sweep, rake leaves - water houseplants and gardens - feed pets - throw away trash and place items for recycling in their proper receptacle

Answer 32

4-5 years

Question 33

- help make and pack school lunch - load dishwasher - wash and dry unbreakable dishes, cups, and cookware -tidy room - collect and bring in mails, newspapers, and delivered packages

Answer 33

6-7 years

Question 34

-prepare hot meals and snacks - load dishwasher - wash and dry breakable dishes, cups and cookware - put away groceries - fold laundry and put away - mop and vacuum floors - walk pets

Answer 34

8-9 years

Question 35

- clean kitchens and bathroom - help find items while shopping - change bed linens

Answer 35

10-11 years

Question 36

- plan and prepare hot or cold meals - do laundry and iron clothes - independently manage household machines - grocery shop using a list - wash a car - complete simple home repairs

Answer 36

12 years