Paediatric development milestones Flashcards by Rakul Sri

When should you urgently refer a child?

They don’t smile at 10 weeks

Can’t sit unsupported at 12 months

Cannot walk at 18 months

Hand preference before 12 months

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what fine motor problem needs urgent referral?

Hand preference before 12 months is abnormal and may indicate cerebral palsy

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What are the common differential for a gross motor issue?

Variant of normal

Cerebral palsy

Neuromuscular disorder e.g. Duchenne’s

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What should be checked if there is a speech and language issue?

hearing

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causes of speech and language problems

Hearing

Environmental Deprivation

General developmental delay

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Risk factors for cerebral palsy

HIE
preterm, low birth weight

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what delayed motor milestones make cerebral palsy likely?

Not sitting by 8 months (corrected for gestational age)

Not walking by 18 months (corrected for gestational age)

Early asymmetry of hand function (hand preference) before 1 year (corrected for gestational age)

Persistent toe-walking

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When do most children become toilet trained?

at or after 3 years

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When should children be able to stand on one leg?

3 years

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When should children be able to hop?

4 years

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what is the limit for walking?

18 months

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Quietens to parents voice
Turns towards sound
Squeals

3 months

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Double syllables ‘adah’, ‘erleh’

6 months

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Says ‘mama’ and ‘dada’
Understands ‘no’

9 months

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Knows and responds to own name

12 months

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Knows about 2-6 words (Refer at 18 months)
Understands simple commands - ‘give it to mummy’

12-15 months

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Combine two words
Points to parts of the body

2 years

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Vocabulary of 200 words

2½ years

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Talks in short sentences (e.g. 3-5 words)
Asks ‘what’ and ‘who’ questions
Identifies colours
Counts to 10 (little appreciation of numbers though)

3 years

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Asks ‘why’, ‘when’ and ‘how’ questions

4 years

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by what age should they respond to their own name

1 year

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motor milestones at 3 months

Little or no head lag on being pulled to sit
Lying on abdomen, good head control
Held sitting, lumbar curve

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motor milestones at 6 months

Lying on abdomen, arms extended
Lying on back, lifts and grasps feet
Pulls self to sitting
Held sitting, back straight
Rolls front to back

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motor milestones at 7-8 months

Sits without support (Refer at 12 months)

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motor milestones at 9 months

Pulls to standing Crawls

motor milestones at 12 months

Cruises Walks with one hand held

motor milestones at 13-15 months

Walks unsupported (Refer at 18 months)

motor milestones at 18 months

Squats to pick up a toy

motor milestones at 2 years

Runs Walks upstairs and downstairs holding on to rail

motor milestones at 3 years

Rides a tricycle using pedals Walks up stairs without holding on to rail

motor milestones at 4 years

Hops on one leg

fine motor and vision milestones at 3 months

Reaches for object Holds rattle briefly if given to hand Visually alert, particularly human faces Fixes and follows to 180 degrees

fine motor and vision milestones at 6 months

Holds in palmar grasp Pass objects from one hand to another Visually insatiable, looking around in every direction

fine motor and vision milestones at 9 months

Points with finger Early pincer

fine motor and vision milestones at 12 months

Good pincer grip Bangs toys together

number of bricks at 15 months

tower of 2

number of bricks at 18 months

tower of 3

number of bricks at 2 years

tower of 6

number of bricks at 3 years

tower of 9

drawing at 18 months

circular scribble

drawing at 2 years

copies vertical line

drawing at 3 years

copies circle

drawing at 4 years

copies cross

drawing at 5 years

copies square and triangle

book at 15 months

looks at book, pats page

book at 18 months

turns pages, several at a time

book at 2 years

turns pages, one at a time

social behaviour and play at 6 weeks

smiles

social behaviour and play at 3 months

laughs enjoys friendly handling

social behaviour and play at 6 months

not shy

social behaviour and play at 9 months

shy takes everything to mouth

feeding at 6 months

May put hand on bottle when being fed

feeding at 12-15 months

Drinks from cup + uses spoon, develops over 3 month period

feeding at 2 years

Competent with spoon, doesn't spill with cup

feeding at 3 years

Uses spoon and fork

feeding at 5 years

Uses knife and fork

dressing at 12-15 months

Helps getting dressed/undressed

dressing at 18 months

Takes off shoes, hat but unable to replace

dressing at 2 years

Puts on hat and shoes

dressing at 4 years

Can dress and undress independently except for laces and buttons

play at 9 months

Plays 'peek-a-boo'

play at 12 months

Waves 'bye-bye' Plays 'pat-a-cake'

play at 18 months

Plays contentedly alone

play at 2 years

Plays near others, not with them

play at 4 years

Plays with other children

Paediatric development milestones Flashcards

(65 cards)