Developmental Milestones

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Author:
kguglielmo
ID:
232895
Filename:
Developmental Milestones
Updated:
2013-09-06 19:16:51
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Pediatric
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Pediatric Nursing
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  1. Birth-1 Month Milestones
    Physical Growth
    • Gains 5-7 oz. per week
    • Grows 1.5 cm. (1/2 in.) in first month
    • Head circumference increases 1.5 cm. (1/2 in.) per month
  2. Birth-1 Month Milestones
    Fine Motor Ability
    • Holds hand in fist
    • Draws arms and legs to body when crying
  3. Birth-1 Month Milestones
    Gross Motor Ability
    • Infant reflexes such as startle and rooting are predominant activity
    • May lift head briefly if prone
    • Alert to high-pitched voices
    • Comforts with touch
  4. Birth-1 Month Milestones
    Sensory Ability
    • Prefers to look at faces and black and white geometric designs
    • Follows objects in line of vision
  5. 2-4 Months Milestones
    Physical Growth
    • Gains 5-7 oz. per week
    • Grows 1.5 cm. (1/2 in.) per month
    • Head circumference increases 1.5 cm (1/2 in.) per month
    • Posterior fontanel closes
    • Ingests 120 ml. per kg. throughout 24 hours
  6. 2-4 Months Milestones
    Fine Motor Ability
    • Holds rattle when placed in hand
    • Looks at and plays with own fingers
    • Brings hands to midline
  7. 2-4 Months Milestones
    Gross Motor Ability
    • Moro reflex fading in strength
    • Can turn from side to back and then return
    • Decrease in head lag when pulled to sitting; sits with head held in midline with some bobbing
    • When prone, holds head up and supports weight on forearms
  8. 2-4 Months Milestones
    Sensory Ability
    • Follows objects 180 degrees
    • Turns head to look for voices and sounds
  9. 4-6 Months Milestones
    Physical Growth
    • Gains 5-7 oz. per week
    • Doubles birth weight at 5-6 mos.
    • Grows 1.5 cm (1/2 in.) per month
    • Head circumference increases 1.5 cm (1/2 in.) per month
    • Teeth may begin erupting by 6 mos.
    • Ingests 100 ml. per kg. throughout 24 hours
  10. 4-6 Months Milestones
    Fine Motor Ability
    • Grasps rattles and other objects at will; drops them to pick up another offered object
    • Mouths objects
    • Holds feet and pulls to mouth
    • Holds bottle
    • Grasps with whole hand (palmar grasp)
    • Manipulates objects
  11. 4-6 Months Milestones
    Gross Motor Ability
    • Head held steady while sitting
    • No head lag when pulled to sitting
    • Turns from abdomen to back by 4 mos. then back to abdomen by 6 mos.
    • When held standing, supports much of own weight
  12. 4-6 Months Milestones
    Sensory Ability
    • Examines complex visual images
    • Watches the course of a falling object
    • Responds readily to sounds
  13. 6-8 Months Milestones
    Physical Growth
    • Gains 3-5 oz. per week
    • Grows 1 cm. per month
    • Growth rate slower than first 6 mos.
  14. 6-8 Months Milestones
    Fine Motor Ability
    • Bangs objects held in hands
    • Transfers objects from one hand to the other
    • Beginning pincer grasp at times
  15. 6-8 Months Milestones
    Gross Motor Ability
    • Most inborn reflexes extinguished
    • Sits alone steadily without support by 8 mos.
    • Likes to bounce on legs when held in standing position
  16. 6-8 Months Milestones
    Sensory Ability
    • Recognizes own name and responds by looking and smiling
    • Enjoys small and complex objects at play
  17. 8-10 Months Milestones
    Physical Growth
    • Gains 3-5 oz. per week
    • Grows 1 cm. per month
  18. 8-10 Months Milestones
    Fine Motor Ability
    • Picks up small objects
    • Uses pincer grasp well
  19. 8-10 Months Milestones
    Gross Motor Ability
    • Crawls or pulls whole body along the floor by arms
    • Creeps using hands and knees to keep trunk off floor
    • Pulls self to standing and sitting by 10 mos.
    • Recovers balance when sitting
  20. 8-10 Months Milestones
    Sensory Ability
    • Understands words such as "no" and "cracker"
    • May say one word in addition to "mama" and "dada"
    • Recognizes sound without difficulty
  21. 10-12 Months Milestones
    Physical Growth
    • Gains 3-5 oz. per week
    • Grows 1 cm. per month
    • Head circumference = chest circumference
    • Triples birth weight by 1 year
  22. 10-12 Months Milestones
    Fine Motor Ability
    • May hold crayon or pencil and make mark on paper
    • Places objects in containers through holes
  23. 10-12 Months Milestones
    Gross Motor Ability
    • Stands alone
    • Walks holding onto furniture
    • Sits down from standing
  24. 10-12 Months Milestones
    Sensory Ability
    Plays peek-a-boo and patty cake
  25. 1-2 Years Milestones
    Physical Growth
    • Gains 8 oz. or more per month
    • Gains 3.5-5 in. during year
    • Anterior fontanel closes
  26. 1-2 Years Milestones
    Fine Motor Ability
    • By end of second year, builds a tower of four blocks
    • Scribbles on paper
    • Can undress self
    • Throws a ball
  27. 1-2 Years Milestones
    Gross Motor Ability
    • Runs
    • Shows growing ability to walk, finally walks with ease
    • Walks up and down stairs a few months after learning to walk with ease
    • Like push-and-pull toys
  28. 1-2 Years Milestones
    Sensory Ability
    Visual acuity 20/50
  29. 2-3 Years Milestones
    Physical Growth
    • Gains 3-5 lb. a year
    • Grows 2-2.5 in. a year
  30. 2-3 Years Milestones
    Fine Motor Ability
    • Draws a circle and other rudimentary forms
    • Learns to pour
    • Learns to dress self
  31. 2-3 Years Milestones
    Gross Motor Ability
    • Jumps
    • Kicks ball
    • Throws ball overhand
  32. 3-6 Years Milestones
    Physical Growth
    • Gains 3-5 lb. a year
    • Grows 1.5-2.5 in. per year
  33. 3-6 Years Milestones
    Fine Motor Ability
    • Uses scissors
    • Draws circle, square, cross
    • Draws at least a six-part person
    • Enjoys art projects such as pasting, stringing beads, using clay
    • Learns to tie shoes at end of preschool years
    • Buttons
    • Brushes teeth
    • Uses spoon, fork, and knife
  34. 3-6 Years Milestones
    Gross Motor Ability
    • Throws a ball overhand
    • Climbs well
    • Rides tricycle
  35. 3-6 Years Milestones
    Sensory Ability
    • Visual acuity continues to improve
    • Can focus on and learn letters and numbers
  36. 6-12 Years Milestones
    Physical Growth
    • Gains 3-5 lb. a year
    • Grows 1.5-2.5 in. per year
  37. 6-12 Years Milestones
    Fine Motor Ability
    • Enjoys craft projects
    • Plays card and board games
  38. 6-12 Years Milestones
    Gross Motor Ability
    • Rides two-wheeler
    • Jumps rope
    • Roller skates or ice skates
  39. 6-12 Years Milestones
    Sensory Ability
    • Can read
    • Able to concentrate for longer periods on activities by filtering out surrounding sounds
  40. 12-18 Years Milestones
    Physical Growth
    • Variation in age of growth spurt
    • During growth spurt, girls gain 15-55 lbs. and grow 2-8 inches.
    • Boys gain approximately 15-65 lbs. and 4.5-12 in.
  41. 12-18 Years Milestones
    Fine Motor Ability
    Skills are well developed
  42. 12-18 Years Milestones
    Gross Motor Ability
    • New sports activities are attempted and muscle development continues
    • Some lack of coordination occurs during growth spurt
  43. 12-18 Years Milestones
    Sensory Ability
    Fully developed

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