Developmental Milestones PDF

DEVELOPMENTAL MILESTONES 4 MONTHS - disappearance of STEP Reflex PERIOD OF INFANCY - head control complete - bubbling sounds A. PLAY - solitary play 5 MON...

DEVELOPMENTAL MILESTONES 4 MONTHS - disappearance of STEP Reflex PERIOD OF INFANCY - head control complete - bubbling sounds A. PLAY - solitary play 5 MONTHS - non-interactive - turns from front to back - priority is safety - handles rattle well - age who appreciate teddy bears - moro reflex disappear by 4- 5 months - Attitude: proper hygiene 6 MONTHS B. FEAR - roll over - stranger anxiety - reaches outs in anticipation of being - begin at 6 – 7 months picked up - peak at 8 months - handles bottle well - diminish by 9 months - sits with support - uses palmar grasp by 6 months C. MILESTONES 7 MONTHS NEONATE - transferring objects hand to hand - largely reflexes - beginning fear of stranger (stranger - complete head lag anxiety) - hands fisted - likes objects that are good sized - cry without tears (due to immature lacrimal duct) 8 MONTHS - visual fixation of human face - sits without support - peak of stranger anxiety 1 MONTH - plantar reflex disappears - midline vision - looks at mobile objects 9 MONTHS - creeps/ crawls 2 MONTHS - needs space for creeping - social smile - combine two syllables, “Dada, - baby “coos” Mama” - closure of posterior fontanel by 2-3 - Priority: Safety months - head lag when pulled to a sitting 10 MONTHS position - Pull self to stand - Understand word “No” 3 MONTHS - Pincer grasp reflex - laugh aloud - Respond to own name - holds head and chest when in prone - Peak – a – boo - follow object past midline - Stand with support - grasp and tonic reflex are fading 11 MONTHS - Walk up and down stairs holding on - Cruises (typically places both feet on one step - Walks with support before advancing) - Able to name body part 12 MONTHS - Speaks 7 – 20 words - Stand alone - Take first step 24 MONTHS - Drink from a cup - Can open doors by turning doorknobs - Learns Nursery rhymes - Unscrew lids - Toys: Pots and pans, Push and Pull - Walk upstairs alone by still using toy both feet on the same step at a time TODDLER - Daytime bladder control - Speak 50- 200 words A. PLAY - Parallel (2 toddlers playing 30 MONTHS separately) - 3 year old do tooth brushing with - Provide two similar toys (squawky little supervision squeeze toy) - 2- 3 year old is the right time to bring - Building blocks to the dentist - Pounding Peg - Temporary teeth complete and last - Pull trucks temporary teeth to appear is the posterior molars B. FEAR - 20 deciduous teeth by age 2 ½ years - Separation Anxiety - Can make simple lines or stroke for - Do not prolong goodbye, say goodbye crosses with a pencil firmly - Can jump down from the stairs - Knows full name C. MILESTONES - Copy a circle - Holds up fingers 15 months - Plateau Stage 36 MONTHS - Walks alone (delay in walking - Trusting three maybe a sign of mental retardation) - Able to unbutton - Puts small pellets into small bottle - Draw a cross - Scribbles voluntarily with pencil - Learns how to share - Holds a spoon well - Full name and sex - Seat self on chair - Speak fluently - Creep upstairs - Right time for bladder control (night - Speaks 4- 6 words time control) - Able to ride a tricycle 18 months - Speak 300 – 400 words - Hide of possessiveness - Cues for toilet training - Bowel control achieved a. Can stand, squat and walk alone - No longer routes a spoon b. Can communicate toilet needs - Run and jump in place c. Can maintain himself dry with interval of 2 hours D. CHARACTER TRAITS E. BEHAVIOR PROBLEMS - Negativistic – likes to say NO (it is - Telling tall tales (over imagination) their way to search independence) - Imaginary friends (Purpose: Release - Limit questions and offer options their anxiety and tension) - Temper tantrums (stomping feet and - Sibling rivalry (Jealously to a newly screaming) delivered baby) - Ignore the behavior - Bed wetting - Rigid ritualistic: Stereotype - Baby talk - Cause: Mastering - Fetal Position - Protruded abdomen - Masturbation is a sign of boredom -Cause: and should divert attention - Under development of abdomen - Unsteady guilt SCHOOL AGE - Physiologic Anorexia ( give foods that last a short period of time) A. PLAY - Competitive Play PRE-SCHOOL B. FEAR A. PLAY - School Phobia - Associative Play, Cooperative Play - To prevent phobia orient child to new environment B. FEAR - Significant person is the teacher and - Body mutilation or castration fear peer of the same sex - Dark places and witches - Fear of death - Thunder and lightning C. SIGNIFICANT DEVELOPMENT C. MILESTONES - Prone to bone fracture (green stick fracture) 4 YEARS - Mature Vision - Copy a square - Lace shoes - Know the 3 basic colors - Vocabulary of 1500 words 5 YEARS - Frustrating five - Copy a triangle - Imaginary playmates - 2100 words D. CHARACTER TRAITS - Creative - Imaginative - Imitative - Why and How