Infant developmental milestones Flashcards Preview

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Flashcards in Infant developmental milestones Deck (74):
1

Newborn motor

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

2

Newborn fine motor/vision

Hands fisted
Closed eyes to bright light

3

Newborn hearing and speech

Stills to sound
Startles to sudden loud sounds

4

Newborn social/personal

Alternate drowsy and alert

5

Newborn warning signs

Hyper/hypotonia
Asymmetrical reflexes
++head lag
Poor sucking

6

6 weeks motor

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

7

6 weeks fine motor/vision

Strares
Follows horizontally to 90 degrees places hand in mouth

8

6 weeks hearing and speech

Startle response
Coos to mother
Turns to look at sound

9

6 weeks social

Smiles at mother

10

6 weeks red flags

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

11

3 month motor

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

12

3 month fine motor/vision

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

13

3 month hearing and speech

Coos and chuckles
Quieting with familiar sound

14

3 month personal/social

Gets excited when fed
Reacts to familiar situations

15

3 month red flags

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

16

6 month motor

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

17

6 month fine motor/vision

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

18

6 month hearing and speech

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

19

6 month personal/social

Takes everything to mouth
Responds to mirror image
Starts holding bottles

20

6 month red flags

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

21

9 month motor

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

22

9 month fine motor/vision

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

23

9 month hearing and speech

Vocalises purposely
Babbles, imitates sound
Understands bye bye and no

24

9 month personal/social

Stranger anxiety
Holds bottle or cup

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,

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