4.2 Developmental Milestones I v2

Developmental Milestones I

Pediatrics: Stages of Development

Age Gross Motor

Fine Motor

Language Social/Cognitive

1 month

? Head lag (poor head control)

? Grasp reflex 0 - 3 mo. ? Babinski reflex 0-12 mo. ? Rooting reflex 0 - 4 mo. ? Tonic-neck reflex 0 - 4 mo.

? Responds to touch & voices

? Sensory motor communication

? Finds safety with caregiver & Looks at face

2 - 3 months

? Kicks legs NCLEX TIP Memory Trick: 2 legs kick at 2 months Raises head when prone Less head lag

? Grasp reflex diminishes

4 - 5 months

? NO more head lag (Report if head lag is found after 4 months)

NCLEX TIP Memory Trick: After month 4 = head lag NO MORE 5 months rolls from front to the back Kaplan ATI

? Grabs object voluntarily (Grabs rattle) HESI

? Diminished Moro reflex (startle reflex) & other reflexes

? Response to sounds ? Able to make sounds

with mouth

? Mimics sounds heard ? Able to change cry

tone for different needs

? Smiles & coos when seeing a familiar face NCLEX TIP Memory Trick: Smiles - Second month

? Soothed by caregiver's voice

? Copies expressions ? Cries when doesn't get

their way

6 - 9 months

Birth weight DOUBLES at 6 months NCLEX TIP

6 - 9 Months ? Rolls from back to front ? Can sit up unsupported ? Can pull self up

? 6 months holds a big bottle

? 7 months Transfers objects from 1 hand to the other

? Babbling words ATI "Mama Dada"

? Responds to name NOT babbling 9 months? MUST REPORT IT

? Identifies faces & strangers

? Separation anxiety begins at 6 months

NCLEX TIP

Memory Trick: Separation at Six mo.

10 - 12 months

? 10 months prone to sitting position

10 months: 3 NCLEX TIP

1. Pincer grasp "Pick up small finger foods"

2. Grasps a rattle or doll by the arm

3. Transfers objects from hand to hand Memory Trick: 10 months uses 10 fingers to grab things

? Able to make a variety of sounds ? Mimics gestures ? Understands simple words Yes & No

? Vocalization & speech (Talking toys & books) Purposeful play

12 months

2 NCLEX TIPS

? Birth WEIGHT TRIPLES ? Sits down from standing ? Crawls up stairs ? Walks 1st steps while

holding hand Saunders

3 NCLEX TIPS

1. Fully developed 2 finger pincer grasp

2. Tries to build 2 block tower unsuccessfully

3. Attempts to turn book pages Memory Trick: 12 mo. use fingers 1 & 2 - fully developed pincer grasp

? 3 - 5 words ? Nonverbal gestures

(waving, head nodding)

? Shy: stranger danger ? Can follow short simple directions ? Searches for hidden objects (Object permanence)

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