Child's Developmental Milestones

A female child is brought for her well child exams. During her visit, she was babbling and crawling around the office. She poked her fingers at the outlet covers (which thankfully were covered) and could use a pincer grasp to pick up a raisin off the floor.

These behaviors are appropriate for the development
of a child at approximately age:
A) 6 months.
B) 9 months.
C) 15 months.
D) 24 months.

Answer:



B: 9 months

Discussion:  Child's Developmental Milestones

1 Month :
Gross Motor: Raises head slightly from prone, lifts chin up.
Language: Alert to sound (e.g., by blinking, moving, startling)
Social: regards face

2 Months:
Gross Motor:Holds head in mid line, lifts chest off table. Fine Motor: No longer clenches fist tightly
Language & Social: Smiles after being stroked or talked to, Recognizes parent.

3 months:
Gross Motor:Supports on forearms in prone, holds head up steadily.
Language: Coos (produces long vowel sounds in musical fashion)
Social: Reaches for familiar people or objects, anticipates feeding

4-5 Months:
Gross Motor:Rolls front to back and back to front, sits well when propped, supports on wrists, and shifts weight.  Fine Motor: Moves arms in unison to grasp, touches cube placed on table.
Language & Social: Orients to voice; 5 mo: orients to bell (localized laterally), says “ahgoo, Enjoys looking around environment.

6 Months:
Gross Motor: Sits well unsupported, puts feet in mouth in supine position
Fine Motor: Reaches with either hand, transfers, uses raking grasp.
Language & Social: Babbles; 7 mo: orients to bell (localizes indirectly); 8 mo: “dada/mama” indiscriminately Recognizes strangers.

9 Months;
Gross Motor: Creeps, crawls, cruises, pulls to stand, pivots when sitting.
Fine Motor: Uses pincer grasp, probes with forefinger, holds bottle, finger-feeds.
Language & Social:Understands “no,” waves bye-bye; Starts to explore environment, plays pat-acake

12 Months:
Gross Motor:Walks alone , Fine Motor: Throws objects, lets go of toys, hand release, uses mature pincer grasp.
Language & Social:Follows one-step command with gesture, uses 2 words other than “dada/mama”;
Imitates actions, comes when called, cooperates with dressing.

15 Months: 
Gross Motor: Creeps upstairs, walks backward.
Fine Motor: Builds tower of 2 blocks in imitation of examiner, scribbles in imitation.
Language: Follows one-step command without gesture, uses 4–6 words and immature jargon (runs several unintelligible words together).
Social:  Indicates some simple needs by pointing, hugs parents.

2 Years: 
Gross Motor: Walks up and down steps without help.
Fine Motor: Turns pages one at a time, removes shoes, pants, etc., imitates behavior of others.
Language: Uses 50 words, 2-word sentences, uses pronouns (I, you, me) inappropriately, points to 5 body parts, understands 2-step command.

5 Years: 
Gross Motor: Skips, alternating feet, jumps over low obstacles.
Fine Motor: Ties shoes, spreads with knife.
Language: Prints first name, asks what a word means.
Social: Plays competitive games, abides by rules, likes to help in household tasks