Assessment of developmental milestones

ADD FROM TEXTBOOK PAEDS INCLUDING SINHALA STUFF AS WELL!!! SINHALA OF TEXTBOOK STUFF!!! Gross motor

newborn- Position of ventral suspension/prone/supinelimbs flexed, § In supine and prone position keeps arms & legs flexed , back curvedsymmetrical pattern, marked head leg on pulling up, primitive reflexes

6-8w - raises head to 45 degrees in prone (tummy time)

2m - head and body in same horizontal plane

3m - neck holding, head control

5m/6m - sits with support

6m prone to supine, supine to prone, sit without support but round back. prone - lift chest, extend arms

8m - sits without support with straight back (limit age 9 months)

9m - crawling, stands with support

10m - stands independantly, cruises around furniture

11m - walks with support

12m walks indenpendantly (unsteady), broad gait with hands apart (limit age - 18m)

15m walks steadily, crawls steps

18m - climbs stairs holding railings, walks backwards,

2yr - running, upstairs and downstairs two steps at a time, squat and rise without using hands, kick ball

3yr tricycle, walk on tip toes upstairs one foot at a time, stands on one foot for 1 sec, throw a ball

4yr hops/jumps and stands on one foot upto 3 secs, downstairs one step at a time}, runs on tiptoes}

5yr {{c1

Vision and fine motor

newborn - grasp reflex present, turns towards diffuse light

6w - following moving object (mother's face) with face by turning the head (fixing and following) limit age - 3m, respond to sound around them

3m - grasp relfex disappears, hand regard finger play, claps and unclaps handd

4m - hands come together in midline, reaches out for toys (limit age 6m)

5m - mouthing appears, bidextrous approach, palmar grasp

6m - drops when the object is given

7m - unidextrous, transfers onjects (limit age 9m)

9m - immature princer grasp, index finger approach

10m - mature princer grasp (limit age 12 months)

12m - casting appears (throwing), mouthing disappears, scribbles with pencil, drinks from cup

15m - use spoon with spillages, cribbles, look with interest at pictures

18m - use cup with spillage, tower of 3 cubes, turns 2-3 pages at a time

2yr - vertical strokes (16 - 18m) , 6 cubes, turning one page at a time - 3 years

2.5 yrs - tower of 8 cubes, train with four blocks, recognises himself in photo

3yr - circle, 9 cubes, handedness develops, bridge, draw a man with head and one part, match 2-3 colors

4yr -

square/rectangle, cross (3,5 yrs), draw person with 2 to 4 body parts, uses scissors. can thread smaller beads

5 yr triangle, can tie shoelaces, can draw person with atleasr 5-6 body parts, uses fork and spoon

Hearing, speech and language

Newborn - startles to loud noises

3m - cooing (6w) - responsice talk with mother (vocalises alone or when spoken to, coos and laughs), stops whimpering to human voice

3m-4m - vocalises pleasure

6m - monosyllables -Ba.Ma

7m - turns to soft sounds out of sight, polysyllabic babbles

9m - bisyllables, simple words - baba

7m-10m - mama, dada (indiscriminately to discriminately)

12m - two words with meaning (other than mama, dada) + understands name (drink)

15m - jargoning

18m - 10 words with meaning (6-10), is able to point to two parts of the body

2yrs - simple sentences

20m - 24m - join two or more words

3yrs - name, age, gender + talks in 3-4 word sentences + understands two joined commands, 3 colors, count upto 10

4yrstories + poems + songs, first and last name, 5-6 colors

5yr - colors, simple story with full sentences

Social, emotional and behavioural

6w - social smile, smiles responsively (limit age - 8w)

3m - recognises mother

6m - mirror play

6-8m puts food in mouth

6m - reconizes strangers

7m stranger anxiety

9mbyebye, clapping, peek-a-boo (social hand gestures 10m-12m)

12m - waving head to say no + drinks from cup with two hands

15m -

hugging

18m - holds spoon and gets food safely to mouth, drinks from cup, points to parts of the body, kissing

18m - 24m -

symbolic play (limit age 2 - 2.5 yrs)

2yrs - dry by day, pulls off some clothes

cognitive - points to things or pictures when they are named, begins to sort shapes and colors

2.5yrs - 3y - parallel play, interactive play, takes turns

3yr -

dry by night, puts on a tshirt, sharing objects

4yr - toilet alone (5y). plays board or card games

5m - dress and undress without assistance, more likely to agree to rules, sing dance act, concern and empathy to others, gender, sometimes demanding sometimes very cooperatve