Peds developmental stages

Question 1

Motor skills: first 12 months

Answer 1

1: head up
2: Chest up
3: Up on elbows
3-4: roll front to back
4: on hands
4-5: roll back to front
5: sit with support
6-7: sit w/o support
8: come to sit
8-9: pull to stand
12: walk alone

Question 2

Definition of walking

Answer 2

taking 10 steps before hitting the deck

Starting walking at 12 months is norm:
2 standard deviations from the norm would be delayed
standard deviation is 1.5 months,
Not walking at 15 months would be delayed

Question 3

Gross motor skills 12 months to 3 years

Answer 3

14-15: squat and recover

15: stiff leg run
21: walk up stairs with rail
24: jump in place
30: pedal tricycle
36: walk down stairs alternating feet

Question 4

Fine motor milestones

Answer 4

1: retains rattle
3: hands unfisted (hand open more than 1/2 time)
3-4: reaches
5: transfers (one hand to the other)
5-6: takes 1” cube
6-7: takes pellet
7-8: immature pincer
10: mature pincer
12: release (ability to voluntarily release)

Question 5

Block stacking

Answer 5

15 months: 2 blocks
18: 3 blocks
2 years: 4 blocks in a row
3 years: 9 blocks

Question 6

Gesel figures

Answer 6

3 years: circle

3. 5: x
   4: square
   5: triangle
   6: horizontal diamond
   7: vertical diamond
   8: cross
   9: cylinder
   12: 3d cube

Question 7

Auditory milestones

Answer 7

1 wk: alerting
2 months; cooing (vowels)
4: orient to voice
4-5: laugh
6: babbling (consonance)
8: mama, dada (inappropriate)
9-10: gestures, games
10: dada/mama (appropriate)
11: one word
12: two words, one step command (w/gesture)

Question 8

Linguistic and auditory milestones 13-24 months

Answer 8

14 months: three words
12-14: immature jargoning
14-15: one-step command w/o gesture
15: 4-6 words, one body part
17: 7-20 words
18: 5 body parts
21: 2 word combo
24: 50 words
24: 2 word sentence S+P, inappropriate pronouns
30: appropriate pronouns

Question 9

Language milestones after 2

Answer 9

2: pronouns
2. 5-3: boy/girl recognition
3: 250 word vocab
- 3+ word sentence
- plurals
3. 5: understands 3 prepositional commands
4: tells story with complete syntax
- recognizes 4 colors
5: number concepts

Question 10

speech intelligibility

Answer 10

69% understood by 2 yo
84% understood by 3 yo
96% understood by 5 yo

Question 11

Grooming skills

Answer 11

2 yo: attempts to wash self in tub
2-2.5: adequate attempt to wash hands, toilet trained day and night
3-4: dries hands w/o reminder
4-4.5: brushes teeth, washes and dries face
6-7: combs and brushes hair
7-8: bathes independently

Question 12

Milestone cut off for what should be looked into

Answer 12

Childs milestone / conventional

If .70-.80 = boarderline
.70 or below is cut off and should be investigated