602 WEEK 2 QUIZ (PEDS QUIZZES STUDY
GUIDE)
Developmental Milestones (birth-adolescence)
Birth -1 month
-may lose 5-8% of birth wt but should regain in 10-14 days. >10% requires
close monitoring. Nutrition 110 kcal/kg/day
-sleep 16/24 hrs day
-Reflexes: sucking, rooting, asymmetric tonic neck, Moro, grasp- should be
+ and symmetric.
-Head lag
-Should orient to light and sound, self soothe
-Vision 8-12in from face
1-3month
-Growth spurt 6-8 wks. More defined sleep patterns 15-16 hrs day.
-Fine motor skills: attempt to grasp, visible head control, lifting head off bed
when prone.
-More social, imitate parents expressions- social smile. Can self soothe @ 3
mo-Extension, non-directed hand swipes, rooting reflex
4-5 months
4-6 months, infant doubles birth weight.
-Social smile
-Begins babbling
-More consistent sleep w/ 5 feedings and 1 @ night. Grasping and holding
bottle. Roll, stronger head control with no head lag when pulled to sitting.
-Hands to mouth, swing @ toys
-Recognize parents meeting needs w/ breast or bottle.. Sleep thru night w/o
feeding.
6-8 months
-Teething around 6 mo-8 mo, 1st illness can erupt at this time.
-Crawling. Growth may slow down with adding solids into diet.
-Vocalization increases. “mama” “dada”
-Use gestures (pointing, reaching). Stranger and separation anxiety may
appear. Understands cause and effect relationship.
,-Introduce solid foods @ 6 mo.
-Palmar grasp, pass things from hand to hand
-Sits independently, rolls over, supports wt, bounces when held.
9-12 months
-child proof house.
-Separation anxiety/stranger
-Understands simple commands, imitation, gives to on request,
-Understands gestures like bye-bye/peek a boo
-Feeds self/ Pincer grasp
-Crawls and cruises around furniture, pull to stand, bears weight
12 mo: 15 mo
-Can use sippy -Feeds self w/
spoon
-Stands & walks independently -Drinks from cup
-Points/clasps hands together -Follows
commands
-Knows @ least 3-4 words, knows name w/ gestures
-Growth rate slows -knows 4-6 words
*Health maintenance: check for anemia and lead
18 mo. 24 mo
(2yr)
-Turns page of book -Runs,
throws, kicks
-Walk up steps -uses spoon,
scribble
-Knows 10-20 words -2-3 word
sentences
-Point @ body parts -up stairs w/
same
-Pushes & pulls toys foot
-Walks well independently -Temper,
“No”
-Toilet training,
transitional toy
-Speech
understood by
family
, 36 mo (3yr) 42 mo (4 yr)
-Full name, age, sex -Understand #
-Speaks in complete sent. 3-5 words -Hops on foot
-Knows 3 #’s and colors -Future & past
tense
-Copies a circle -Tells stories
-Builds towers/rides tricycle -Copies a cross +
-Imagination play -Little help w/
dress
-“Oedipal stage”- interested in opposite sex
-Group play, does not like to take turns or share
-Speech understood by stranger
60 mo (5 yr) 6 yr
(Kindergarten)
-Counts 10 or more things -Rides bike
-Speaks clearly -Copies triangle
-Puts shoes on and ties laces -Ties shoes
-Prints own name
-Bathes self
-Can draw person w/ 6 body parts
7-11( Middle Childhood)
-Succeed in school and interact w/ peer group
-Thinks of future
PURPLE crying-
Peak of crying
Unexpected
Resists soothing
Pain-like face
Long lasting
Evening
Fontanelles- 12 months- not palpapble. Anterior closes by 18-19 months
Pediatric Physical Exam: