Development Board Review Part 1 of 2 August 26, 2010.

Development Board ReviewPart 1 of 2

August 26, 2010

What’s the best way to learn the developmental

milestones??Have your own guinea pigs at

home!!

One Month

Gross motor– Raises head from

prone position Fine Motor

– Visually fixates– Clenches fists tightly– Brings hands to

mouth and face Language

– Alerts to sounds Social

– Regards face 1

Question 1

During a two month well child exam, you would expect a healthy baby to do all of the following except

A. Lift head and chest while proneB. CooC. Follow the mother visually around the room 180°D. Grasp a rattle and bring it to his mouth

Two Months

Gross Motor– Lifts chest off table

Fine Motor– Hands to midline

(mouth)– Tracks 180°– No longer clenches fists

Language– Coos

Social– Social smile

2MILES 2OCIALLYFollows past midline: Can look at 2 sides at 2 months.Recognizes parent: with their 2 eyes.

Three Months

Gross Motor– Supports on forearms in

prone– Holds head and chest up

Fine Motor– Holds hands open– Holds object placed in

hands Language

– Babbles randomly Social

– Anticipated feedings– Reaches for familiar

objectsC s (Coos)Baby is “tri”- podding

3

Four Months

Gross Motor– Rolls over front to back– Achieves head control– Supports on wrist

Fine Motor– Reaches for objects

with both hands– Hands to midline

Language– Laughs aloud

Social– Enjoys looking around

Five Months

Gross Motor– Rolls back to front

Fine Motor– Transfers– Reaches out

unilaterally Language

– Razzes

Six Months

Gross Motor– Sits when placed,

anterior propping– Helps hold bottle

Fine Motor – Raking grasp

Language– Babbles

rhythmically Social

– Stranger anxiety6a66les (babbles)6 looks like a baby sitting with a round butt

Seven Months Eight Months

Gross Motor– Gets into sitting

posture by self Language

– Orients to bell indirectly

Gross Motor– Commando crawl

Crawling– Fine Motor

Finger feeds– Language

“Dada” indiscriminately

Question 2

A child walks into your office holding onto his mother’s hand. As he leaves he turns to his brother in the waiting room and waves bye-bye. His mother reports that he says dada and baba for bottle but has no other words. You would NOT expect this child to:

A. Play peek-a-booB. Roll a ball back to youC. Bang two cubes togetherD. Take off his T-shirt

Nine months Gross Motor

– Lateral propping– Pulls to stand– Crawls with legs underneath

body (Creeping)– Cruises

Fine Motor– Immature pincer grasp– Holds bottle– Throws objects

Language– “mama” indiscriminately– Understands own name

Social– Gesture games

“pat-a-cake”– Waves “bye-bye”

Ten Months Eleven Months

Gross Motor– Walks with both

hands held Language

– Orients to bell directly

Gross Motor– Walks with one

hand held Language

– One word plus “mama/dada” specifically

Twelve Months Gross Motor

– Walks alone– Posterior propping

Fine motor– Drinks from sippy cup– Marks paper with crayon– Mature pincer grasp

Language– One step command with

gesture– 2 other words– Babbles with inflection

Social– Enjoys imitating– Cooperates with dressing– Secure attatchments

Fifteen Months

Gross Motor– Creeps upstairs– Plays with ball– Stoops to floor and recovers

Fine Motor– Line with crayon– 2 block tower

Language– 4-6 words

Social– Uses spoon and cup

independently

Eighteen Months Gross Motor

– Runs– Stairs with hand held– Throws overhand

Fine Motor– Scribbles spontaneously– 3 block tower

Language– 7-20 words– 5 body parts– 2 word combination

Social– Copies tasks

Question 3A mother is concerned about her 24 month old son’s

language development. She reports that he knows more than 50 words, but strangers are often unable to understand him. When you evaluate the child, he is able to point to 4 named pictures, uses 2-word sentences and points to six named body parts. You understand about half of what he says. Based on your evaluation, you:

A. Reassure the mother that her son’s language development is normal for age

B. Schedule a hearing evaluationC. Refer him to speech therapyD. Encourage the mother to read to the child

more often because his language development is clearly delayed

E. Inform the mother that her son’s language development is advanced

for his age

Two Years Gross Motor– Runs well– Kicks ball– Walks up & down stairs without

help– Vertical jump

Fine Motor– Turns pages one at a time– Removes shoes/pants– 7 block tower– Uses spoon adequately

Language– 50 word vocabulary– 2 word sentences– 50% intelligible– Prounouns

Social– Parallel play

Three Years Gross Motor

– Alternates feet going up stairs– Pedals tricycle

Fine Motor– Unbuttons– Copies circle– Undresses completely

Language– 250 words– 3-5 word sentences– 75% intelligible

Social– Knows name, age & gender– Interactive play

Can ride a tricycle (3-wheeler)Uses 3 word sentencesKnows (1) age, (2) name, and (3) genderBuilds bridge of 3 cubesUsually can repeat 3 digits

Plays in a group (3-some)

Four Years

Gross Motor– Hops/Skips

Fine Motor– Copies cross,

square– Dresses self

Language– Colors, shapes,

ABCs– 100% intelligible

Social– Cooperative play

FOUR years old4 “corners.”Asks questions: What for? (what 4?)Names 4 body parts

Five Years Gross Motor

– Swings/Climbs Fine Motor

– Dresses and undresses unassisted

– Prints some letters– Copies Triangle

Language– May print name– Recalls part of story

Social– Abides by rules– Helps with chores