Developmental Milestones + Red Book (add More In 4th Year)

Question 1

What are the four categories of developmental milestones

Answer 1

• gross motor
• vision and fine motor
• hearing, speech and language
• social, emotional and behavioural

Question 2

At what ages are children seen by their GP and health visitors?

Answer 2

• newborn - GP/midwife
• 6-8 weeks - health visitor
• 9-12 months - HV
• 2-2.5 years - HV

Question 3

Who monitors children’s growth + development ?

Answer 3

Their health visitor

Question 4

Outline the gross motor developmental milestones

Answer 4

• Newborn: symmetrical and flexed posture | marked head lag on pulling up
• 6-8 weeks: raises head to 45° when lying prone
• 6-8 months: sits (limit age 9 months)
• 10 months: stands
• 12 months: walks (limit age 18 months)
• 18 months: squat and pick things up from the floor
• 2-2.5 years: walks steadily, runs + jumps

Question 5

Outline personal and social developmental milestones

Answer 5

• 6 weeks: smile
• 6 months curious + engaged with people
• 9 months: cautious with strangers
• 12 months: pointing, waves, claps
• 18 months: imitates activities
• 2 years: waving at strangers, parallel play
• 3 years: seek out other children + play with them | bowel control
• 4 years: has best friend, dresses self, imagination

Question 6

What is parallel play?
What age should a child be doing this?

Answer 6

Plays next to but not necessarily with other children
2 years

Question 7

What are the two components of language developmental milestones?

Answer 7

Expressive language
Receptive language

Question 8

Outline expressive language developmental milestones

Question 9

Outline receptive language developmental milestones

Question 10

Outline fine motor developmental milestones
Early milestones

Answer 10

• 8 weeks: fixes eyes on object 30cm away + attempts to follow it
• 6 months: palmar grasp of objects
• 9 months: scissor grasps objects
• 12 months: pincer grasp
• 14-18 months: clumsily use spoon to bring food from bowl to mouth

Question 11

Describe:
- palmar grasp
- scissor grasp
- pincer grasp
At what age should children be able to do these?

Answer 11

• palmar grasp: wraps thumb and finger around object 6 months
• scissor grasp: squashes it between thumb and forefinger 9 months
• pincer grasp: with tip of thumb and forefinger 12 months

Question 12

Fine motor

Question 13

Developmental milestones red flags

Answer 13

• lost developmental milestones
• not able to hold objet at 5 months
• not sitting unsupported at 12 months
• not standing independently at 18 months
• no interest with others at 18 months
• no words at 18 months
• not walking independently at 2 years
• not running at 2.5 years

Question 14

Developmental assessment

Question 15

What is the red book?

Answer 15

• PCHR - personal child health record
• used to record child’s weight, height, vaccinations and other important information

Question 16

How often should you weight a baby

Answer 16

• once a month up to 6 months
• once every 2 months between 6-12 months
• once every 3 months over 12 months