development board review part 1 of 2 august 26, 2010
TRANSCRIPT
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