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Development Board Review Part 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

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Development Board Review Part 1 of 2

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Development board review part 1 of 2 l.jpg

Development Board ReviewPart 1 of 2

August 26, 2010


What s the best way to learn the developmental milestones l.jpg

What’s the best way to learn the developmental milestones??

Have your own guinea pigs at home!!


One month l.jpg

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 l.jpg

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 prone

B. Coo

C. Follow the mother visually around the room 180°

D. Grasp a rattle and bring it to his mouth


Two months l.jpg

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 2OCIALLY

Follows past midline: Can look at 2 sides at 2 months.

Recognizes parent: with their 2 eyes.


Three months l.jpg

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 objects

C s (Coos)

Baby is “tri”- podding

3


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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


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Five Months

  • Gross Motor

    • Rolls back to front

  • Fine Motor

    • Transfers

    • Reaches out unilaterally

  • Language

    • Razzes


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Six Months

  • Gross Motor

    • Sits when placed, anterior propping

    • Helps hold bottle

  • Fine Motor

    • Raking grasp

  • Language

    • Babbles rhythmically

  • Social

    • Stranger anxiety

6a66les(babbles)

6 looks like a baby sitting with a round butt


Seven months eight months l.jpg

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


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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-boo

B. Roll a ball back to you

C. Bang two cubes together

D. Take off his T-shirt


Nine months l.jpg

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”


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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


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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 l.jpg

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 l.jpg

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


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Question 3

A 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 evaluation

C. Refer him to speech therapy

D. 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 l.jpg

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 l.jpg

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 sentences

  • Knows (1) age, (2) name, and (3) gender

  • Builds bridge of 3 cubes

  • Usually can repeat 3 digits

  • Plays in a group (3-some)


  • Four years l.jpg

    Four Years

    • Gross Motor

      • Hops/Skips

    • Fine Motor

      • Copies cross, square

      • Dresses self

    • Language

      • Colors, shapes, ABCs

      • 100% intelligible

    • Social

      • Cooperative play

    FOUR years old

    4 “corners.”

    Asks questions: What for? (what 4?)

    Names 4 body parts


    Five years l.jpg

    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


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