PEDIATRIC BUNDLE
, DEVELOPMENTAL MILESTONES
1 – 12 MONTHS
Age Gross Motor Fine Motor Language Social/Cognitive
Attempts to hold Maintains fisted Cries when Ga es on parent s
1 month head up when prone hands upset/hungry face when parent
speaks
Begins to hold Holds object Makes cooing Begins to smile at
head up when placed in and gurgling people as a
2-3 months Makes smoother hand sound response
movements with Turns head mechanism
extremities toward sounds
Hold head steady Hold objects with Laughs Cries when playing
and unsupported palmar grasp Begins to stops
Rolls from Brings hands to babble and Copies smiling
stomach to back mouth copies sounds expression
Sits with support Can swing at heard Calmed by parent s
4-5 months
dangling toys Distinction voice
between cries
for different
needs
Rolls in both Moves objects Takes turns Knows who is
directions from one hand to with parent familiar and who is
(stomach to back, the other while making a stranger
vice versa) sounds (stranger anxiety)
Sits without Responds to Responds to the
6-9 months assistance own name emotions of others
Begins to crawl Strings together
Will bounce when vowels
standing Begins to say
BIRTH WEIGHT consonants
DOUBLED
Pulls to stand Begins to use 2 Understands Plays peek-a-boo
Walk with finger grasp to “no Watches the path
10-12 assistance pick things up Makes a lot of of something as it
months (pincer grasp) different sounds falls
Copies gestures
of others
, DEVELOPMENTAL MILESTONES
1 – 4 YEARS
Age Gross Motor Fine Motor Language Social/Cognitive
Walks holding 2 finger pincer MAMA/DADA May have separation
furniture grasp Says 3-5 words anxiety
May walk first Hits 2 objects Waves goodbye Shy with others
steps alone together Shake head n Shows fear
Crawls upstairs Copies gestures Tries to mimic words Search for hidden
12 months Cooperate with Put/take out things being said objects
dressing by offering from a container Follows simple directions
arm or leg Pokes with index Peek-a-b !
BIRTH WEIGHT finger (Think:
TRIPLED pokes is with ONE
finger)
Always walks alone Builds tower with Says 10+ words Temper tantrums
Walks up and 3-4 blocks Identifies common Ownership MINE!
downstairs with Turns 2-3 pages at objects Imitates others
help a time Points to show what Plays pretend
18 months Throws a ball Scribbles he/she wants Explores alone with
overhand Drinks from a cup Follows 1 step verbal parents close by
Jumps in place Eats with a spoon commands i
Will help undress d n
self
Walks up and Builds tower with Vocabulary 300+ PARALLEL PLAY
downstairs alone 6-7 blocks words Begins to gain
1 step at a time Turns 1 page at a Can form 2-3 word independence from
Run without falling time phrases (Think: 2 parents
2 years words = 2 years old)
Kicks ball Draws line Gets excited with other
States own name children around
Points to things or
pictures that are named
Walks upstairs Draws a circle Can form 3-4 word Begins ASSOCIATIVE
alternating feet Feeds self without sentences (Think: 3 PLAY
Pedals a tricycle assistance words = 3 years old) Toilet trained except for
(Think: Tri for 3 Grips marker with Ak h wiping (Think: 3 for pee-
3 years years) fingers instead of States age pee)
Jumps forward fist Follows 2-3 steps Has imaginary friends
instructions (Think: 3
steps for 3 years old)
Hops on one foot Draws a square Sings a song from Plays mom and dad
(Think: of your feet (Think: a square memory Would rather play with
in a flamingo shape has 4 sides) Tells stories other children than
looks like a 4) Pours liquid States first and last alone
4 years
Climbs and jumps Cuts with name Begins creative/make
Catches a ball 50% supervision C ec l e he and believe play
of the time Mashes own food he
, NCLEX IMMUNIZATION SCHEDULE
A simplified schedule of the most important immunizations for exams
IMMUNIZATION AGE
Hepatitis B (HepB) Birth, 1-2 months, 6-18 months
Inactivated Polio Virus (IPV) 2 months, 4 months, 6-18 months, 4-6 years
2 months, 4 months, 6 months, 15-18
DTaP (<7 years old)
months, 4-6 years
Pneumococcal Conjugate Vaccine (PVC) 2 months, 4 months, 6 months, 12-15 months
Haemophilus influenzae type b (Hib) 2 months, 4 months, 6 months, 12-15 months
Influenza 6 months, yearly routine
MMR (Measles, Mumps, Rubella) 12-18 months, 4-6 years
Varicella 12-15 months, 4-6 years
Hepatitis A (HepA) 12-24 months, 6 months after first dose
Meningococcal B Recommended at 16 years
Minimum age for Hepatitis B vaccine Birth
Minimum age for DTaP vaccine 6 weeks
Minimum age for IPV 6 weeks
Minimum age for Hib 6 weeks
Minimum age for PCV 6 weeks
Minimum age for influenza vaccine 6 months
Minimum age for MMR 12 months
Minimum age for varicella 12 months
Minimum age for Hepatitis A vaccine 12 months
Minimum age for Human Papillomavirus (HPV) vaccine 9 years
11-12 years for routine vaccine
Minimum age for Tdap >7 years old
7 years for catch-up vaccine
, DEVELOPMENTAL MILESTONES
1 – 12 MONTHS
Age Gross Motor Fine Motor Language Social/Cognitive
Attempts to hold Maintains fisted Cries when Ga es on parent s
1 month head up when prone hands upset/hungry face when parent
speaks
Begins to hold Holds object Makes cooing Begins to smile at
head up when placed in and gurgling people as a
2-3 months Makes smoother hand sound response
movements with Turns head mechanism
extremities toward sounds
Hold head steady Hold objects with Laughs Cries when playing
and unsupported palmar grasp Begins to stops
Rolls from Brings hands to babble and Copies smiling
stomach to back mouth copies sounds expression
Sits with support Can swing at heard Calmed by parent s
4-5 months
dangling toys Distinction voice
between cries
for different
needs
Rolls in both Moves objects Takes turns Knows who is
directions from one hand to with parent familiar and who is
(stomach to back, the other while making a stranger
vice versa) sounds (stranger anxiety)
Sits without Responds to Responds to the
6-9 months assistance own name emotions of others
Begins to crawl Strings together
Will bounce when vowels
standing Begins to say
BIRTH WEIGHT consonants
DOUBLED
Pulls to stand Begins to use 2 Understands Plays peek-a-boo
Walk with finger grasp to “no Watches the path
10-12 assistance pick things up Makes a lot of of something as it
months (pincer grasp) different sounds falls
Copies gestures
of others
, DEVELOPMENTAL MILESTONES
1 – 4 YEARS
Age Gross Motor Fine Motor Language Social/Cognitive
Walks holding 2 finger pincer MAMA/DADA May have separation
furniture grasp Says 3-5 words anxiety
May walk first Hits 2 objects Waves goodbye Shy with others
steps alone together Shake head n Shows fear
Crawls upstairs Copies gestures Tries to mimic words Search for hidden
12 months Cooperate with Put/take out things being said objects
dressing by offering from a container Follows simple directions
arm or leg Pokes with index Peek-a-b !
BIRTH WEIGHT finger (Think:
TRIPLED pokes is with ONE
finger)
Always walks alone Builds tower with Says 10+ words Temper tantrums
Walks up and 3-4 blocks Identifies common Ownership MINE!
downstairs with Turns 2-3 pages at objects Imitates others
help a time Points to show what Plays pretend
18 months Throws a ball Scribbles he/she wants Explores alone with
overhand Drinks from a cup Follows 1 step verbal parents close by
Jumps in place Eats with a spoon commands i
Will help undress d n
self
Walks up and Builds tower with Vocabulary 300+ PARALLEL PLAY
downstairs alone 6-7 blocks words Begins to gain
1 step at a time Turns 1 page at a Can form 2-3 word independence from
Run without falling time phrases (Think: 2 parents
2 years words = 2 years old)
Kicks ball Draws line Gets excited with other
States own name children around
Points to things or
pictures that are named
Walks upstairs Draws a circle Can form 3-4 word Begins ASSOCIATIVE
alternating feet Feeds self without sentences (Think: 3 PLAY
Pedals a tricycle assistance words = 3 years old) Toilet trained except for
(Think: Tri for 3 Grips marker with Ak h wiping (Think: 3 for pee-
3 years years) fingers instead of States age pee)
Jumps forward fist Follows 2-3 steps Has imaginary friends
instructions (Think: 3
steps for 3 years old)
Hops on one foot Draws a square Sings a song from Plays mom and dad
(Think: of your feet (Think: a square memory Would rather play with
in a flamingo shape has 4 sides) Tells stories other children than
looks like a 4) Pours liquid States first and last alone
4 years
Climbs and jumps Cuts with name Begins creative/make
Catches a ball 50% supervision C ec l e he and believe play
of the time Mashes own food he
, NCLEX IMMUNIZATION SCHEDULE
A simplified schedule of the most important immunizations for exams
IMMUNIZATION AGE
Hepatitis B (HepB) Birth, 1-2 months, 6-18 months
Inactivated Polio Virus (IPV) 2 months, 4 months, 6-18 months, 4-6 years
2 months, 4 months, 6 months, 15-18
DTaP (<7 years old)
months, 4-6 years
Pneumococcal Conjugate Vaccine (PVC) 2 months, 4 months, 6 months, 12-15 months
Haemophilus influenzae type b (Hib) 2 months, 4 months, 6 months, 12-15 months
Influenza 6 months, yearly routine
MMR (Measles, Mumps, Rubella) 12-18 months, 4-6 years
Varicella 12-15 months, 4-6 years
Hepatitis A (HepA) 12-24 months, 6 months after first dose
Meningococcal B Recommended at 16 years
Minimum age for Hepatitis B vaccine Birth
Minimum age for DTaP vaccine 6 weeks
Minimum age for IPV 6 weeks
Minimum age for Hib 6 weeks
Minimum age for PCV 6 weeks
Minimum age for influenza vaccine 6 months
Minimum age for MMR 12 months
Minimum age for varicella 12 months
Minimum age for Hepatitis A vaccine 12 months
Minimum age for Human Papillomavirus (HPV) vaccine 9 years
11-12 years for routine vaccine
Minimum age for Tdap >7 years old
7 years for catch-up vaccine
