question

Gross Motor: flexed posture; low tone

answer

newborn

question

Gross Motor: Head up when prone

answer

2 months

question

Gross Motor: Rolling over

answer

4 months

question

Gross Motor: Sitting up

answer

6 months

question

Gross Motor: Pulling to stand

answer

9 months

question

Gross Motor: Walking

answer

12 months

question

Gross Motor: Stoop and recover

answer

18 months

question

Gross Motor: Jump on two feet

answer

24 months

question

Fine Motor: Whole hand reach

answer

4 months

question

Fine motor: Whole hand grasp; transfer objects

answer

6 months

question

Fine motor: Pincer grasp

answer

9 months

question

Fine motor: Place blocks in cup

answer

12 months

question

Fine motor: Hold utensils

answer

18 months

question

Fine motor: Scribble

answer

24 months

question

Expressive Language: cooing (vowel sounds)

answer

2-3 months

question

Expressive Language: babbling (consonant sounds)

answer

6 months

question

Expressive Language: Mama, dada non-specifically

answer

9 months

question

Expressive Language: Mama, dada specifically

answer

10 months

question

Expressive Language: First real word

answer

12 months

question

Expressive Language: 7-10 words

answer

18 months

question

Expressive Language: speech 50% understandable to strangers

answer

24 months

question

Receptive Language: turns to name

answer

6 months

question

Receptive Language: Joint attention

answer

9 months (impaired in autism)

question

Receptive Language: Follows a 1 step direction with gesture

answer

11 months

question

Receptive Language: Follows a 1 step direction without a gesture

answer

15 months

question

Receptive Language: Identifies body parts

answer

18 months

question

Receptive Language: Understands prepositions, more complex sentences

answer

30 months

question

Social: Fixes on face

answer

2 months

question

Social: Monitors gaze

answer

4 months

question

Social: Stranger anxiety, peek-a-boo

answer

9 months

question

Social: Points for requests

answer

12 months

question

Social: Points to show interest

answer

18 months

question

Social: Early pretend play

answer

24 months

question

Gross Motor Red Flags (Infant, Toddler)

answer

Head lag >3 months (low muscle tone), Rolling <2-3 months (may be increased muscle tone instead of strength), not walking by 15-18 months

question

Fine Motor Red Flags (Infant, Toddler)

answer

Fisting > 3 months; hand preference < 18 months (may indicate poor hand function rather than preference)

question

Language Red Flags (Infant, Toddler)

answer

<50 words or on 2 word phrases by 2 years

question

Social-Emotional Red Flags (Infant, Toddler)

answer

No pointing, gaze monitoring or pretend play by 2 years

question

Gross Motor: Pedal Tricycle

answer

3 years

question

Fine Motor: Copy a circle, cut with scissors

answer

3 years

question

Gross Motor: Hop on one foot

answer

4 years

question

Fine Motor: Copy a cross; button and snap

answer

4 years

question

Gross Motor: Gallop, skip

answer

5 years

question

Fine Motor: Print some letters; write name

answer

5 years

question

Expressive Language: speech 75% understandable

answer

3 years

question

Receptive language: Identify 2 colors, knows age

answer

3 years

question

Expressive Language: speech 100% understandable

answer

4 years

question

Receptive Language: Knows gender of self and others

answer

4 years

question

Expressive Language: Uses future tense

answer

5 years

question

Receptive Language: Knows phone number and address

answer

5 years

question

Social: imaginary play

answer

3 years

question

Social: Understands perspective of others

answer

4 years

question

Social: Can cooperate with chores

answer

5 years

question

Gross Motor Red Flags (Preschooler)

answer

Trouble with stairs, pedaling, jumping or hopping

question

Fine Motor Red Flags (Preschooler)

answer

Trouble with fasteners, drawing shapes

question

Language Red Flags (Preschooler)

answer

Trouble understanding directions; speech difficult to understand

question

Social-Emotional Red Flags (Preschooler)

answer

Lack of complex play; disinterest in peers; persistent difficulty regulating emotions

question

Gross Motor: bike riding, sports

answer

School aged

question

Fine Motor: handwriting

answer

School aged

question

Speech and Language: reciprocal conversations

answer

School aged

question

Social-Emotional: Peer groups; best friends

answer

School aged

question

Cognitive: Academics; complex reasoning

answer

School aged

question

Red Flags for School Aged Children

answer

Academic challenges, difficulties with peer interactions, mood problems, disruptive behavior, inattention

question

Ages for general developmental screen

answer

9, 18, and 24-30 months (PEDS and Ages and Stages)

question

Autism-specific screen ages

answer

18 and 24-30 months (M-CHAT)

question

Social: concepts of good and bad predominate

answer

3 years

question

Social: complex roles and stories in play

answer

5 years

question

Receptive Language: recognizes most letters

answer

5 years

question

Expressive Language: can give definition of words

answer

5 years

question

Receptive Language: knows first and last name

answer

4 years

question

Receptive Language: can count to 4

answer

4 years

question

Expressive Language: 4-5 word sentences

answer

4 years

question

Expressive Language: uses past tense

answer

4 years

question

Expressive Language: 3-4 word sentences

answer

3 years

question

Expressive Language: several hundred word vocabulary

answer

3 years

question

Expressive Language: 3-4 word sentences

answer

24 months

question

Expressive Language: 50 words

answer

24 months

question

Newborn Reflexes

answer

Grasp, sucking, Babinski, gaze at face, Moro, atonic neck reflex (archer, fencer)

question

Smiles

answer

2 months

question

Tracking past midline

answer

2 months

question

Lifts head when on belly and rotates it

answer

2 months

question

Anticipatory Guidance: Sleeping

answer

sleep on back with no stuffed animals, only small blankets

question

Anticipatory Guidance: Smoking

answer

NO SMOKING

question

Anticipatory Guidance: Water Heater

answer

Set <120 F

question

Lifts head when prone and rotates it

answer

2 months

question

Sits up unassisted

answer

4 months

question

Raises head 90 degrees while on stomach

answer

4 months

question

Plays with a rattle

answer

4 months

question

When lifted there is no head lag

answer

4 months

question

Laughs

answer

4 months

question

Anticipates feeding

answer

4 months

question

Fusses for attention

answer

4 months

question

Can begin cereal

answer

4-6 months

question

Has doubled birth weight

answer

6 months

question

Lifts chest and head while bearing weight on stomach

answer

6 months

question

Rolls from back to belly and belly to back

answer

6 months

question

Can sit in a high chair and hold a bottle

answer

6 months

question

Likes sound of own voice

answer

6 months

question

Recognizes parents

answer

6 months

question

Likes mirrors and toys

answer

6 months

question

Reaches for objects

answer

6 months

question

Ready for stage 1 baby food

answer

6 months

question

Picks up objects with hand via raking

answer

9 months

question

Begins crawling

answer

9 months

question

Sits unassisted for a long time

answer

9 months

question

Pulls to a stand

answer

9 months

question

Can shuffle holding on and standing

answer

9 months

question

Depth perception

answer

9 months

question

Understands no

answer

9 months

question

May be afraid of being left alone

answer

9 months

question

Feeds self

answer

9 months

question

Wiggles all over the floor

answer

9 months

question

Recognizes wet or soiled diaper

answer

12 months

question

2 block tower

answer

12 months

question

Triple birth weight

answer

12 months

question

Eats anything (may be picky)

answer

12 months

question

Can begin disciplining by saying "NO"

answer

12 months

question

Let them be more independent - let them cry without attention some

answer

12 months

question

Walk alone

answer

18 months

question

Runs uncoordinated with numerous falls

answer

18 months

question

Can get into a chair without assistance

answer

18 months

question

Can stack 3-4 blocks

answer

18 months

question

Can throw a ball

answer

18 months

question

Can hold utensils

answer

18 months

question

Learns to start sharing

answer

18 months

question

Can begin potty training

answer

18 months

question

Can kick a ball

answer

24 months

question

Can stack 6-7 blocks

answer

24 months

question

Stands on one foot

answer

24 months

question

Dresses self

answer

24 months

question

Verbalizes toilet needs

answer

24 months

question

Be firm about reprimanding and time outs

answer

24 months

question

Asks a lot of questions

answer

3 years

question

Goes to the bathroom on their own but may need help wiping

answer

4 years

question

Moro Reflex Disappears

answer

4 months (Moro reflex is symmetric abduction and extension of the arms followed by adduction of the arms, sometimes with a cry)

question

Palmar Grasp Reflex Disappears

answer

2-3 months (must disappear before voluntary grasping)

question

Plantar Grasp Reflex Disappears

answer

8 months (must disappear before taking steps)

question

Asymmetric Tonic Neck Reflex Disappears

answer

6 months (allows the infant to see the hand along the arm and is one of the first steps in visual/reaching coordination)

question

Babinksi Reflex Disappears

answer

1-2 years (reflex is dorsiflexion of the big toe, accompanied by fanning of the other toes, in response to the stroking of the lateral aspect of the foot's plantar surface)

Pediatrics Developmental Milestones – Flashcards

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