Developmental milestones are the skills or abilities that most children are able to perform when they reach a certain age. Understanding Understanding Decision-making Capacity and Legal Competence the appropriate milestones and at what age they are reached helps clinicians identify symptoms of delayed development. Developmental milestones are divided into 5 important domains: gross motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology, fine motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology, language, social, and cognitive. These milestones should be monitored by pediatricians at each well-child check Well-child check Well-child checks are visits scheduled at crucial ages in a child’s development. These checks are necessary to assess overall health, to provide preventive services, for early detection of disease and abnormalities, and for prompt management of health concerns. Infant Care. Early identification Identification Defense Mechanisms of developmental delays can prevent future complications and permits timely referral to appropriate supportive services.
Last updated: 28 May, 2021
Developmental milestones are a set of benchmarks Benchmarks Quality Measurement and Improvement in gross motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology, fine motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology, language, cognition, social/emotional, and behavior patterns expected by a certain age.
Assessment of developmental disorders must take into account gestational age Gestational age The age of the conceptus, beginning from the time of fertilization. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last menstruation which is about 2 weeks before ovulation and fertilization. Pregnancy: Diagnosis, Physiology, and Care at birth; e.g., a premature Premature Childbirth before 37 weeks of pregnancy (259 days from the first day of the mother’s last menstrual period, or 245 days after fertilization). Necrotizing Enterocolitis baby should be expected to reach their milestones appropriately for their chronological age.
Pediatricians assess developmental milestones at every well-child visit for:
Growth parameters Growth Parameters Child and Adolescent Care during the 1st year:
By the end of the 1st year, a child’s weight should be triple their birth weight, and their height should increase by 50% from their height at birth.
Age | Gross motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology | Fine motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology | Language | Social/cognitive |
---|---|---|---|---|
1 month |
|
Hands clenched in fists brought near face most of the time | Makes sounds |
|
2 months |
|
|
|
|
4 months |
|
|
|
|
5 months |
|
|
|
|
6 months | Sits for brief moment propped on hands |
|
|
Stranger anxiety Anxiety Feelings or emotions of dread, apprehension, and impending disaster but not disabling as with anxiety disorders. Generalized Anxiety Disorder develops |
7 months | Sits steadily without support | Grasps using side of hand Hand The hand constitutes the distal part of the upper limb and provides the fine, precise movements needed in activities of daily living. It consists of 5 metacarpal bones and 14 phalanges, as well as numerous muscles innervated by the median and ulnar nerves. Hand: Anatomy (radial- palmar grasp Palmar Grasp Primitive Reflexes) |
|
|
9 months |
|
Grasps with 2 fingers and thumb below (radial-digital or 3-finger grasp) |
|
|
10 months |
|
Grasps pellet with side of index finger and thumb (inferior pincer grasp) | Says “dada” (specific) |
|
12 months | Takes 1st independent steps (walking may be delayed up to 18 months) |
|
Says at least 1 word other than “dada” or “mama” |
|
Age | Gross motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology | Fine motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology | Language | Social/cognitive |
---|---|---|---|---|
15 months |
|
Builds 3- to 4-cube tower | Uses 3–5 words |
|
18 months |
|
|
|
|
24 months |
|
|
|
|
3 years |
|
|
|
|
4 years |
|
|
|
|
5 years |
|
|
|
|
It is recommended to use standardized screening Screening Preoperative Care for early identification Identification Defense Mechanisms of developmental or behavioral problems.
Age | Benefit of screening Screening Preoperative Care |
---|---|
9-month visit | Might identify motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology, vision Vision Ophthalmic Exam, hearing, or communication problems Communication problems Patient Safety: Types of Medical Errors |
18-month visit | Might identify motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology delays, language delays, and symptoms of autism spectrum disorders ( ASD ASD Autism spectrum disorder (ASD) is a neurodevelopmental disorder marked by poor social skills, restricted interests/social interactions, and repetitive/stereotyped behaviors. The condition is termed a “spectrum” because of the wide variability in the severity of symptoms exhibited. Autism Spectrum Disorder) |
24-month visit | Might identify patients Patients Individuals participating in the health care system for the purpose of receiving therapeutic, diagnostic, or preventive procedures. Clinician–Patient Relationship with ASD ASD Autism spectrum disorder (ASD) is a neurodevelopmental disorder marked by poor social skills, restricted interests/social interactions, and repetitive/stereotyped behaviors. The condition is termed a “spectrum” because of the wide variability in the severity of symptoms exhibited. Autism Spectrum Disorder who were missed at the 18-month screening Screening Preoperative Care |
30-month visit | Might identify motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology, language, and cognitive delays |
4-year-old visit | Screen for school readiness (e.g., fine motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology, gross motor Motor Neurons which send impulses peripherally to activate muscles or secretory cells. Nervous System: Histology, handwriting, communication Communication The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups. Decision-making Capacity and Legal Competence, and self-help skills) |