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Pediatric Development Milestones Guide

The document outlines the six rules of normal development in children, emphasizing continuous growth from utero and the importance of CNS maturity. It details various developmental milestones in gross motor, fine motor, language, and personal social skills, specifying age ranges for each milestone. Additionally, it highlights the progression of reflexes and the significance of losing primitive reflexes for normal development to continue.

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michaelyemanewold2003
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6 views21 pages

Pediatric Development Milestones Guide

The document outlines the six rules of normal development in children, emphasizing continuous growth from utero and the importance of CNS maturity. It details various developmental milestones in gross motor, fine motor, language, and personal social skills, specifying age ranges for each milestone. Additionally, it highlights the progression of reflexes and the significance of losing primitive reflexes for normal development to continue.

Uploaded by

michaelyemanewold2003
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Pedi Essentials

Normal Development
6 Rules of normal development

- Continuous starting from utero


- CNS maturity is the major determinant
- CephaloCaudal and ProximoDistal Progression
- Primitive Reflexes must be lost for the normal development to continue
- Initial Reflexes are general and crude and become more complex gradually
- Similar sequence occurs in all children

Reflexes

different from the spontaneous


sucking movement that starts at 20 weeks in utero
Nelson : disappear at 4 months
when you fail
Milestones

- Gross Motor
 Neck Control /Head Holding - no Head Lag in Pull to Sit maneuver
o Partial at 2 months
o Complete at 3-4 months
 Sucking the Great Toe / Geet to Mouth in Supine Position - at 5 Months

 Sitting with own support / Tripod Position – at 6 months


 Roll Over
o Begins at 4-6 Months = Back to Side and Side to Back
o 6 Months = Prone to Supine
o 7 Months = Supine to Prone nelson: 6.5 months
 Sitting without support at 8 months nelson : 6 months
 Crawling at 8-9 months
 Creeping at 9-10 months Creeping = Crawling with abdomen above the
ground
 Standing with Support at 9 months:
 Pivoting (rotating in a sitting position) at 9-10 months
 Cruising (walking by holding on furniture) at 11 months 10 months
 Standing without support + Walking with Support at 12 months
 Walking without support at 15 months
 Running at 18 months
 Walking Backwards at 2 Years
 Riding a Tricycle + Stand on one Foot at 3 years
 Hopping or Skipping on one foot at 4 Years
 Skipping a rope (skipping on both feet) at 5 years
 Tip Toe Walking

 Stair Walking
o There is no such a thing called crawling downstairs
- Fine Motor Milestones
 Nothing during 0 to 3 months
 Mouthing at 4-6 months
 Bidextrous Reach/Grasp at 4 months
 Unidextrous Reach/Grasp + Transfer objects hand to hand at 6 months
 Palmar Grasp / Objects hold by the palm ,finger only support, thumb not
involved [not the reflex which disappears at 3 months]
o Ulnar at 6 months
o Radial at 8 Month main one
 Pincer Grasp / Holding objects between the fingers and thumb is involved
o Immature / Scissor like grip at 9 month - midpoint of the fingers
o Mature / True Pincer Grasp at 12 months – end of thumb and
index fingers
 Scribbling at 15 to 18 months
 Figure making/Figure Coping
o Vertical Line – at 18 month
o Horizontal Line – at 24 month
o Circle at 3 years
o Square/Rectangle/ Plus or Cross Sign at 4 years
o Triangle / Multiplication or Tilted Cross Sign at 5 years
o Rhomboid or Diamond at 6-7 years
 Tower/Structure using Colored Cubes

- Language Milestones
Story = Past tense

1 year: 1 step command and 2 for 2 years Nelson

Personal Social / Cognitive


Miscellaneous Milestones

Vision & Hearing

Colored
object

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