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Pediatrics > Infant developmental milestones > Flashcards

Infant developmental milestones Flashcards

(74 cards)

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1
Q

Newborn motor

A

Ventral suspension: head drops, hips flexed, limbs hang
Moro + palmar + plantar reflex present
Marked head lag

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2
Q

Newborn fine motor/vision

A

Hands fisted

Closed eyes to bright light

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3
Q

Newborn hearing and speech

A

Stills to sound

Startles to sudden loud sounds

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4
Q

Newborn social/personal

A

Alternate drowsy and alert

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5
Q

Newborn warning signs

A

Hyper/hypotonia
Asymmetrical reflexes
++head lag
Poor sucking

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6
Q

6 weeks motor

A

Some head control
Prone: head to side, buttocks mod high
Moro reflex
Ventral suspension: head in midline with body and hips, hips semi-extended

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7
Q

6 weeks fine motor/vision

A

Strares

Follows horizontally to 90 degrees places hand in mouth

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8
Q

6 weeks hearing and speech

A

Startle response
Coos to mother
Turns to look at sound

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9
Q

6 weeks social

A

Smiles at mother

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10
Q

6 weeks red flags

A 
No visual fixation/following
Asymmetry of tone
Floppy
\++head lag
Failure to smile
No response to sound
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11
Q

3 month motor

A 
Pulls to sit: little or no head lag
Prone: support on forearms, lifts head, buttocks flat
Reflex standing when held
Rolls over
Moro begins to disappear
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12
Q

3 month fine motor/vision

A

Follows through to 180
Holds rattle
watches own hand
Pulls up clothes

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13
Q

3 month hearing and speech

A

Coos and chuckles

Quieting with familiar sound

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14
Q

3 month personal/social

A

Gets excited when fed

Reacts to familiar situations

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15
Q

3 month red flags

A

As for earlier
++startling to visual stimuli- does not hear well
Absent vocalisation

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16
Q

6 month motor

A

Pull to sit: braces shoulder. Support sit
Prone: Lifts head and chest wall
Supports on extended arms
Can support with one arm while grabbing with the other
Supine: lifts legs->plays with feet, feet to mouth

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17
Q

6 month fine motor/vision

A

Reaches for object with palm and grasps with all fingers
Can transfer between hands
Radical approach to toys
Shadow reaction in opposite hand

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18
Q

6 month hearing and speech

A

Babbling begins about 4 months
Vowel, repetitive
Turn to mother voice across room
Laughs aloud

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19
Q

6 month personal/social

A

Takes everything to mouth
Responds to mirror image
Starts holding bottles

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20
Q

6 month red flags

A 
Floppiness
Failure to use both hands
Squint
Xresponding to sound
Poor response to people
Meagre vocalisation
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21
Q

9 month motor

A 
Sits without support
Can move body without losing balance
Rolls
Attempts to crawl
Rocks on all fours
Pulls to stand
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22
Q

9 month fine motor/vision

A

Immediately reached out
Grab cube in each hand, flexed finger approach
Removes peg man
Points

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23
Q

9 month hearing and speech

A

Vocalises purposely
Babbles, imitates sound
Understands bye bye and no

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24
Q

9 month personal/social

A

Stranger anxiety

Holds bottle or cup

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25
9 month red flag
``` Unable to sit Hand preference Fisting Squint Persistence of primitive reflexes Monotonous vocalisations ```
26
10 month motor
``` Pulls to stand Lifts one foot Walks with both hands held May cruise furniture Sitting: begin protective backward extension of arms ```
27
10 month fine motor and vision
Picks up small objects with thumb and index finger | Voluntary release begins
28
10 month hearing and speech
Shakes head for no | Waves bye bye
29
10 month personal and social
Paces peek a boo with mother
30
10 month red flags
As for others
31
12 month motor
Bear walks Lifts one foot sideways Walks around furniture
32
12 month fine motor and vision
Pincer grasp Releases objects on request Over releases Looks for toys when out of sight
33
12 month hearing and speech
Knows own name 2-3 word with meaning Comprehends simple instructions
34
12 month personal and social
Finger feeds Pushes arm into sleeve Drinks from a cup Plays games
35
12 month red flags
Unable to sit and weight bear Abnormal grasp Xresponding to sound No speech
36
15 month motor
``` Walks alone with uneven steps Steps with arms out of balance Collapses backwards Creeps upstairs Goes downstairs backward ```
37
15 month fine motor and vision
2 cube tower
38
15 month hearing and speech
Jabbers with expression 2-6 spoken words Points at objects on request
39
15 month personal and social
Holds and drinks from cups | Attempts feeding with spoon and spills most
40
15 month red flag
As for previous months
41
18 month motor
``` Walks well Stop and start Cannot turn unless still Pulls a toy Throws a ball Climbs onto chair Rocks into small chair ```
42
18 month fine motor and vision
3 cube tower Scribbles May show hand preference
43
18 month hearing and speech
Uses 6-20+ recognisable words | Begins to put 2 words together
44
18 month personal and social
Handles spoon and cup Indicates wet nappy Enjoys picture books
45
18 month red flag
``` Failure to walk No pincer grip Inability to understand simple commands No spontaneous vocalisations Mouthing Drooling ```
46
24 month motor
``` Runs Up and down steps Kick a ball Squats and rises without hands Plan movement, under and over. ```
47
24 month fine motor and vision
``` 6 cube tower Train with cubes Imitates vertical line Hand preference usually obvious 24 month hearing and speech ```
48
24 month hearing and speech
Short phrases Uses 50+ words Puts 2-3 words together
49
24 month personal and social
Spoon feeds without spilling Clean and dry by day Pretend play
50
24 month red flag
Unable to understand simple commmands. Tremor Incoordination Severe clumsiness
51
36 month motor
``` Rides a tricycle Up steps one foot per step Down step two feet Climbs Walk on tiptoe Throws and kicks a ball ```
52
36 month fine motor and vision
``` 9 cube tower Builds bridge with cubes Copies a circle Cuts with scissors 2 piece jigsaw Threads large beads ```
53
36 month hearing and speech
``` Knows name and sex Uses pronouns Talks incessantly Large vocabulary Intelligible to strangers ```
54
36 month personal and social
Toilet trained Dresses with supervision Eats with forl
55
36 month red flag
Ataxia | Using single words only
56
48 month motor
Up and down stairs with one foot Hop Stand on one leg
57
48 month fine motor and vision
Copies cross | 3 piece jigsaw
58
48 month hearing and speech
Know name, address and age Speech is grammatically correct and intelligible Recognise colours
59
48 month personal and social
``` Eat with a spoon and fork Make believe play Ask questions Dress and undress Wash and dry their hands ```
60
48 month red flag
Speech unintelligible, omit consonants
61
60 month motor
Hop on each leg separately | Can easily follow narrow line
62
60 month fine motor and vision
Draws square and triangle Draws man with all features Can print a few letters Good control with writing and drawing
63
60 month hearing and speech
Knows name, address, birthday Fluent speech Use of conjunctions
64
60 month personal and social
Dresses and undresses self Picks own freidns Uses knife and fork competently
65
60 month red flags
Emotional immaturity | Clumsiness and poor motor skills
66
72 month motor
Can walk 10 paces backwards
67
72 month fine motor and vision
Diamond
68
72 month hearing and speech
Learns irregular forms of nouns and verbs | Learns comparatives
69
72 month personal and social
Coperative play- leader role and division of labour
70
72 month red flag
Clumsy Poor posture Poor pencil grip
71
Overview gross motor development components
Prone position Pull to sit Sitting Standing and walking
72
Overview fine motor and vision
Grasping and reaching Building blocks Manipulation Pencil skills
73
Essential milestones to remember
4-6 weeks: Fixes to face, smiles 6-7 months: Sits up unsupported 9 months: Gets to sitting position 10 months: Pincer grip, waves bye bye 12 months: Walks unsupported, 2-3 words with meaning 18 months: Feeds self with spoon, points to things, tower of 3-4 cubes, throws a ball without falling 24 months: Sentences of 2-3 words, running, kicks a ball
74
Developmental warning signs
Any age: Maternal concern, regression 10 weeks: No smiling 6 months: persistent primitive, persistent squint, hand preference, little interest in people/toys 10-12 months: no sitting, no double syllable babble, no pincer, not chewing 18 months: Not walking independently,

Pediatrics (58 decks)

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