Developmental milestones are an important topic in pediatric, Every year one question has been asked in TU and KU exam and 1-2 asked in viva of pediatric. It is asked for 5 to 8 mark in the final theory year exam.
And it is also important for our day-to-day life clinical practice as a physician/paediatrician.
Developmental milestones are behaviours or physical skills seen in infants and children as they grow and develop. Rolling over, crawling, walking, and talking are all considered milestones. The milestones are different for each age range. There is a normal range in which a child may reach each milestone.
key point of developmental milestones:
Age | Gross motor | Fine motor | social adaptations | language |
| 3 month | Neck holding Rolls over (5 month) | Bidextrous reach (4month) | Recognizes mother Social smile(2 month) | Coos(musical Sound) |
| 6 month | Sits in tripod fashion Sitting without support (8 months) | Unidextrous- reach Transfers object | Recognizes strangers Stranger Anxiety | Monosyllables (ba, da,pa),ah- goo sound |
| 9 month | Stand with support; | Immature- pincer grasp | Waves bye bye | Bisyllables (Mama, baba Dada) |
| 12 month (1 year) | Stand without support; Walks but falls; reeps well | Mature pincer Grasp | Comes when called | 1-2 words with meaning |
| 15 month | Walk alone Creeps upstairs | Imitates - Scribbling Tower of 2 block | Jargon | × |
| 18 month | Runs Explores drawers | Scribbles Tower of 3 block | Copies parent in task Eg: sweeping | 8-10 word vocabulary |
| 24 month (2 year) | Walks up/downstairs (2feet/step) | Tower of 6 block Circular/vertical strokes | Asks for food, drink, toilet, pulls people to show toys | 2-3 word sentence Uses I,me,you |
| 36 month (3 year) | Rides tricycle Alternate feet upstair | Tower of 9 block Copies circle | Shares toys, Knows full name & Gender | Asks questions full name & gender |
| 48 month (4 year) | Hops on one foot Alternate feet downstairs | Copies cross Bridge with block | Plays in a group Goes toilet alone | Sings song or Poem Tell stories |
| 60 month (5th year) | Skipping | Copies triangle Gate with block | Help household task Dresses & undressed | Asks meaning of word |
Red flag signs in child development:
| Age | Red flag Signs |
| 2 month | No visual fixation |
| 6 month | No vocalization |
| 10 month | Not sitting without support. |
| 16 month | Not standing alone |
| 18 month | Not walking alone |
| 18 month | Not single word |
| 3 years | lack of imaginative play |
| Any age | loss of comprehension, Single-word,phrases |
Comments
Post a Comment