Peds- Developmental Milestones

Question 1

Screening occurs at every visit until what age?

Answer 1

6 yrs old

Question 2

What are the 4 categories of development?

Answer 2

social
fine motor
language (correlates w/ cognitive develop)
gross motor

Question 3

Newborn Dev. Milestones

Answer 3

social: regards face, smiles spontaneously
fine motor: grasp reflex (very little)
language: vocalizes (cries), responds to bell
gross motor: equal mvnts, lifts head

Question 4

Primitive Reflexes

Answer 4

Moro- gone by 4-6 mo
Rooting- gone by 4-6 mo
Sucking- replaced by voluntary sucking
Grasp reflex- gone by 3-4 mo
Plantar reflex- gone by 6-15 mo
asymmetric tonic neck reflex- gone by 2-3 mo

Question 5

2 months dm

Answer 5

social: smiles responsively
fine motor: follows past midline
language: single vowels
gross motor: turns head, lifts head 45 degrees, less head lag

Question 6

4 months dm

Answer 6

social: regards own hand, notices environment, brings items to mouth, enjoys playing w/ people & may cry if playing stops, facial expressions
fine motor: hands together, grasps rattle
language: laughs, squeals
gross motor: chest up w/ arm support, holds head steady, maintains neck neutral at 90 degrees

Question 7

Truncal Control

Answer 7

head ctrl: improves progressively to 3-5mo
support of lumbar spine: needed to 4-5 mo
sitting up unaided 6-7 mo

Question 8

6 months dm

Answer 8

social: work for toy, book in mouth
fine motor: reaches for objects & transfers hand to hand; rakes raisins
language-turn to voice, recognizes verbal cues (“no”), responds to own name, babbles chains of consonants, uses voice to communicate joy/ displeasure
gross motor- sit w/ some help or no support, rolls over both ways (back to front, front to back), anticipates raising of trunk by flexing neck

Question 9

6 mo cognitive & visual milestones

Answer 9

develops full color vision

ability to track moving object

Question 10

9 month dm

Answer 10

social: feeds self (cheerios)
fine motor: take 2 cubes
language: says dada/mama nonspecific, combines syllables
gross motor: stands holding on

Question 11

Stranger anxiety

Answer 11

9-18 mo

involves fear separation from primary caregiver

Question 12

12 months dm

Answer 12

social: indicates wants by pointing, plays pat-a-cake, waves bye bye
fine motor: pincer grasp, bang 2 cubes
language: says mama/ dada specific, 1-3 words, follows single step commands
gross motor: stands 2 seconds, gets from prone to sitting alone

Question 13

12 mo cognitive milestones

Answer 13

object permanence

Question 14

15 months dm

Answer 14

social: imitate parent’s activities
fine motor: puts block in cup, bangs 2 cubes
language: 1-2 words
gross motor: walk well, stoop & recover

Question 15

18 months dm

Answer 15

social: fees self, uses spoon/fork
language: 5+ words
gross motor: runs (stiffly), walks backwards, walks up stairs one hand on rail
fine motor: makes a tower of 2 cubes, imitates scribbling, dumps pellet from bottle

Question 16

18 month cognitive milestones

Answer 16

mature means-end reasoning

Question 17

24 months dm

Answer 17

social: handles spoon well, feeds doll, helps to undress
fine motor: tower of 4 cubes, fold paper once imitatively
language: combines 2-3 words into phrases, speaks ~50 words, ~50% understandable, follows 2-step commands
motor: runs well, walks up steps, kicks ball forward, opens doors

Question 18

3 years dm

Answer 18

social: name friend, wash & dry hands
fine motor: tower of 8 cubes, imitates vertical line
language: speech 75% understandable, uses sentences routinely
gross motor: broad jump, balances 1 foot for 1 second, throws ball overhand

Question 19

4 years dm

Answer 19

social: dresses w/ no help
fine motor: copies a cross & a circle
language: speech 100% understandable, knows 4 prepositions, routinely uses sentence sequences, conversational give & take
gross motor: balance on each foot 3 seconds, hop

Question 20

5 years dm

Answer 20

social: pour cereal, plays a board game
fine motor: copy square
language: knows 4 colors, complex sentence structures, extensive use of modifiers, pronouns & prepositions
gross motor: balance each foot 4 seconds, catches ball, heel-to-toe walk

Question 21

Early adolescence

Answer 21

peer group formation

inflated concerns about relationship to peers

Question 22

Middle adolescence

Answer 22

omnipotence, risk taking

narcissistic behavior

Question 23

Late adolescence

Answer 23

ability to think abstractly

less self-centered, more socially-globally aware

Question 24

“Abnormal”

Answer 24

two or more delays in two or more categories

always suspect hearing/visual impairments & refer for testing

Question 25

Developmental Delay help

Answer 25

3- school district

all ages: pediatric developmental specialist