Developmental Milestones

Question 1

Pre-speech: __ to __ months

Answer 1

0-10

Question 2

Naming period: __ to __ months

Answer 2

10-18

Question 3

Word combination period: __ to __ months

Answer 3

18-24

Question 4

Gross motor development: (cranial-caudal)

• 2mos:
• 4 mos:
• 6 mos:
• 9 mos:
• 12 mos:

Answer 4

2: lift head (neck)
4: reach (nipple line)
6: sit (hip)
9: crawl (knee)
12: stand (feet)

Question 5

Speech development: # words in a row, % understandable:
2 yrs
3 yrs
4 yrs

Answer 5

2 yrs: 2 words, (2/4) 50% speech understandable
3 yrs: 3 words, (3/4) 75% understandable
4 yrs: 4 words, (4/4) 100% understandable

Question 6

Psychosocial development: red flags 1-3 mos

Answer 6

irritability, sleep/eating disturbances

Question 7

Psychosocial development: red flags 3-6 mos

Answer 7

absent smile (visual loss, attachment problems, maternal depression)

Question 8

Psychosocial development: red flags 6-9 mos

Answer 8

absent stranger anxiety (may be d/t multiple care givers, e.g. NICU)

Question 9

Psychosocial development: red flags 15-18 mos

Answer 9

lack of social relatedness, may indicate autism

Question 10

Psychosocial development: red flags 21-24 mos

Answer 10

persistent poor transitions may indicate pervasive developmental disorder

Question 11

infant can understand relationship between voices and faces, smiles reciprocally, and can follow moving person with eyes: # mos?

Answer 11

1-3mos

Question 12

infant can recognize mother, anticipates food on sight, and smiles spontaneously: # mos?

Answer 12

3-6 mos

Question 13

infant can discriminate emotional facial reactions (reacts differently), has preference for a particular person, and exhibits stranger anxiety: # mos?

Answer 13

6-9 mos

Question 14

infant should be able to eat solids well in what mos?

Answer 14

6-9 mos

Question 15

separation anxiety: # mos

Answer 15

9-12 mos

Question 16

solitary play begins in which mos?

Answer 16

12-15

Question 17

infant hugs parents, coy, and uses a spoon: # mos?

Answer 17

15-18

Question 18

infant initiates interaction by calling to adult, associates feelings with words , drinks from cup without spilling and removes a garment independently: # mos?

Answer 18

18-21 mos

Question 19

infant imitates others, engages in parallel play and tolerates separation: # mos?

Answer 19

21-24 mos

Question 20

infant should return to birthweight by __

Answer 20

2 wks

Question 21

infant should double birthweight by __

Answer 21

5 mo

Question 22

infant should triple birthweight by __

Answer 22

1 yr

Question 23

infant should quadruple birthweight by __

Answer 23

2 yrs

Question 24

head circumference should grow at the average rate of ___ during the first year

Answer 24

1cm/mo (starting at 35cm, 47cm by 1 yr, then 49 cm by 2yrs - slows significantly)

Question 25

Motor development red flag: 2 mos

Answer 25

rolling prior to 3 mos may indicated hypertonia

Question 26

Motor development red flag: 5 mos

Answer 26

poor head control

Question 27

Motor development red flag: 7 mos

Answer 27

W-sitting and bunny hopping, may indicate adductor spasticity or hypotonia

Question 28

Motor development red flag: 9 mos

Answer 28

persistence of primitive reflexes may indicated neuromotor disorder

Question 29

Motor development red flag: 12 mos

Answer 29

failure to develop protective reactions may indicate neuromotor disorder

Question 30

Motor development red flag: 18mos

Answer 30

hand dominance prior to 18mos may indicated contralateral weakness

Question 31

Motor development red flag: 24mos

Answer 31

inability to walk up and down stairs (may be the result of lack of opportunity)

Question 32

infant holds head up in prone position and mostly tightly fist hands: age?

Answer 32

1-2 months

Question 33

infant can rest on forearms in prone position, bats at objects and can sustain voluntary grasp of object if placed in hand: age?

Answer 33

3 months

Question 34

infant rolls from front to back and reaches for objects: age?

Answer 34

4 months

Question 35

infant rolls back to front, lifts head when pulled to sit, and transfers objects hand-mouth-hand: age?

Answer 35

5mos

Question 36

infant transfers objects from hand to hand

Answer 36

6 months

Question 37

infant sits without support, commando crawls, and puts feet to mouth when supine: age?

Answer 37

7 months

Question 38

infant can get into sitting position on own: age?

Answer 38

8 months

Question 39

infant can pull to stand: age?

Answer 39

9 months

Question 40

infant can stand alone and walk with one hand held: age?

Answer 40

11 months

Question 41

infant has fine pincer grasp, and marks with crayon: age?

Answer 41

12 months

Question 42

infant walks well independently and can make tower of 2 cubes: age?

Answer 42

14 mos

Question 43

tower of 3 cubes: age?

Answer 43

16months

Question 44

infant scribbles spontaneously, makes a tower of 4 cubes, and can throw a ball while standing: age?

Answer 44

18mos

Question 45

infant walks up stairs with hand held

Answer 45

20 months

Question 46

infant walks up stairs with railing and can stack 6 cubes: age?

Answer 46

22 months

Question 47

infant can jump in place, kick a ball, walk down stairs with railing and can throw overhand: age?

Answer 47

24 months

Question 48

child can make a tower of 9-10 blocks and copy a circle: age?

Answer 48

36 months

Question 49

Expected weight increase for birth-3 mo? 3-6 mo? 6-12mo?

Answer 49

birth-3: 30g/day (1 oz) 3-6: 20g/day 6-12: 10g/day

Question 50

birth length should increase by __% at 12 months

Answer 50

50

Question 51

The most common cause of FTT

Answer 51

``` inorganic FTT (i.e., a disturbed parent–child bond that results in inadequate caloric intake or retention) ```

Question 52

Premature closure of one or more of the cranial sutures

Answer 52

Craniosynostosis

Question 53

Causes of congenital microcephaly

Answer 53

``` HIV, TORCH fetal alcohol syndrome T13, 18, or 21 familial Maternal PKU ```

Question 54

TORCH

Answer 54

``` Toxoplasmosis Other (syphilis) Rubella CMV HSV ```

Question 55

Asymmetry of the infant head shape usually not associated with premature suture closure (may be associated with ___)

Answer 55

Plagiocephaly (congenital muscular torticollis)

Question 56

Primary teeth (20 teeth in total) are generally established by

Answer 56

2 years of age

Question 57

Secondary tooth eruption also begins with the lower central incisor between?

Answer 57

6 and 8 years of age. There are 32 secondary or permanent teeth