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    Development Milestones - Angel 2020

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    Angel George

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    © All Rights Reserved
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    Development Milestones - Angel 2020

    Uploaded by

    Angel George
    8 views24 pages

    Original Title

    Development Milestones.angel 2020

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as pptx, pdf, or txt
    8 views24 pages

    Development Milestones - Angel 2020

    Uploaded by

    Angel George

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 24

    DEVELOPMENT

    Angel George
    20019
     Increase in size or mass of body tissue
    GROWTH

     Maturation of function
    DEVELOPMENT  Acquisition of skills for optimal functioning
    of individual
     Continous process(in utero- maturity)
     Depends on functional maturation of the
    nervous system
     Sequence of attainment of milestone same in
    PRINCIPLES OF all children
    DEVELOPMENT  Cephalocaudal progression
     Primitive reflex should dissapear
     Specific action replace the initial disorganized
    mass activity
     Prenatal factors
    1. Genetic factors
    2. Maternal factors
    Maternal nutrition
    Exposure to drugs and toxins
    Factors affecting Maternal diseases and infections
    development
     Neonatal factors
    1. Small for gestational age status
    2. Prematurity (<37 week)
    3. Perinatal asphyxia
    4. Hyperbilirubinemia
     Postneonatal factors
    1. Infant and child nutrition
    2. Infectious diseases
    3. Environmental toxins
    4. Traumatic or infectious insult to brain
    5. Associated impairments
     Psychosocial factors
    1. Parenting
    2. Lack of nurturing condition
    3. violence and abuse
    4. Maternal depression
    5. Institutionalization

     Protective factors
    Breastfeeding,KMC,optimum nutrition,absence
    of illness,nurturing family,secure
    home,educated parents,exposure to stimulating
    environment
     Gross motor
     Fine motor
    Domains of  Personal,social,general understanding
    development  Language
     Vision and hearing
    Gross Motor • Complete
    head lag on
    2 month pull to sit

    • Head control on
    pull to sit
    3-4 month
    • Sit with support( tripod
    6 month position)

    8 month

    • Crawling • Sit without support


    10 month

    11 month - Cruising

    • Creeping • Stands with support

    • Walk with
    support

    12 months
    • Stand without support
    15 month

    • Walk without support

    • Runs

    18 month
    2 years  Walk up and downstairs ( 2 feet per step),jumps

    3 years

    • Rides tricycle .Walking upstairs one foot per step


    4 years

    • Hopping Walking downstairs one foot


    per step

    5 years
    • Skips
    FINE MOTOR

    2-3 month
    • Hand regard

    4 month
    • Bidextrous grasp

    6 month

    • Unidextrous gasp and


    transfer of objects
    8 month

     Mature/radial palmar
    grasp

    10 month
    Immature pincer
    grasp

    12 month
    Mature pincer grasp

    15 month
    • Scribbles,turns 2-3 pages of book
    Tower of cubes

    15 month 18 month 2 year 3 year

    Copying
     Undressing with support- 2 yrs
     Dressing with support- 3 yrs
    Dressing and undressing
     Buttoning- 4 yrs
     Undressing and dressing without support
    Tying shoelaces -5 yrs

    Feeding milestone
    Social and
    adaptive
    milestone
    2month
    • Social smile

    3 month
    • Mother regard
    6 month
    Stranger anxiety
    Smiles at mirror image
    • Waves “bye bye”
    • Plays “peak a boo”
    10 month

    12 month • Plays simple ball game

    15 month • Points to objects

    18 month • Domestic mimicry,follow orders,


    2 yrs • Ask for food ,drink,toilet
    3 years
    • Parallel play,know sex,age,handedness
    4yrs
    5yrs • Group play
    • Follow 3 step commands,identify four
    colours,repeat 4 digits,bladder control
    Language Milestone
    2 month  Alerts to sound
    3 month  Cooing
    4 month  Laugh loudly
    6 month  Monosyllables
    9 month
     Bisyllables
     1-2 meningful word
    12 month
    15 month  Jargon speech
    18 month  8-10 meningful word
    24 month  100 words,2 word sentence
    3 yrs  Ask questions,know full name,gender
    4yrs  Song,poems,stories
    5yrs  Asking meaning of words
     Newborn- follows objects upto 45°
    Vision
     1 month- follows object upto 90°
     3 month- follows object upto 180°
     4 month-Fully established binocular vision
    Hearing

    • Newborn- startles in response to sound


    • 4 month- horizontal localization of sound
    • 6 month-downward localization of sound
    • 7 month- upward localization of sound
    • 10 month- diagonal localization of sound
    Development Intelligence
    Quotient(IQ) Quotient(IQ)

    Developmental age/ Mental age/ Chronological


    chronological age × 100 age ×100

    DQ ≤ 70 – developmental Intellectual disability


    delay 51-70- Mild
    In more than 2 milestone- 36-50- Moderate
    global developmental delay 21-35- severe
    ≤20- profound
    Screening test Definitive test

    Draw A man (Goodenough Bayley 2( most common)


    Harmis fest)

    Vineland adaptive
    Denver 2 behaviour scale

    Phatak’s Barooda Stanford binet scale


    screening

    Trivandrum screening Weschler Intelligence Scale


    Thank You

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