Developmental milestones checklist | Pediatric OSCE
Use this guide for a quick reference to check the developmental milestone. Developmental assessment is a common and important OSCE station. The developmental assessment skills are considered essential skills during case presentation and viva in pediatric exams. This can be a useful as a quick revisions tool.
| Age | Gross motor | Fine motor | Social | Speech/Language |
|---|---|---|---|---|
| Birth | When Prone - knees under the abdomen. Rotates head to one side. | Hand fist, Follows light & big objects from side to midline (900) | Cries- Responds to sound, Startle or blinks if quiet | |
| 1 m | When Prone - Knees not under the abdomen. Hips are extended. Raises up head briefly | Hands open most of the time. Follows light & big objects past midline | Regards human face with interest | Cries- Responds to sound, Startle or blinks if quiet |
| 2 m | Prone:- lifts head to 450briefly | Hands open most of the time. Follows light & big objects past midline | Smiles on social contact | Coos |
| 3 m | Prone:- lifts head to 450for sustained periods- Supports the head | Hands open. Follows light 1800 Holds rattle if placed in his hands. | Smiles spontaneously | Coos |
| 4 m | Prone:- Head up to 900on extended arms | Brings hand together | Laughs loudly- smiles & vocalizes at self in the mirror- excited when toys presented | Increases vocalization to toys & people |
| 5 m | Rolls from supine to prone | Reaches objects by hand & grasp- mouths objects | Recognizes mother | Increases vocalization to toys & people |
| 6 m | Sits supported | Can transfer rattle from hand to hand | Displeasure if toys removed | Turns head to voice |
| 7 m | Sits unsupported | Shakes rattle- Bangs toys on a table surface | Persists to obtain toys out of reach- anticipates being picked up by raising arms | Da- Da & Ma-Ma sounds not specifically |
| 8 m | Rolls from prone to supine | Tries picking up things with fingers | Holds own bottle. Drinks from a cup held by mother | Da- Da & Ma-Ma sounds not specifically |
| 9 m | Crawling on the abdomen | Can use thumb & fingers to pick cubes | Responds to his name | Da- Da & Ma-Ma discriminately |
| 10 m | Creeps on hands & knees- Stands supported | Imitates waving bye-bye | Da- Da & Ma-Ma discriminately | |
| 11 m | Stands unsupported | Can pick up small objects | Imitates waving bye-bye | Da- Da & Ma-Ma discriminately |
| 1 y | Walks supported | Stops mouthing of objects | - cooperates in dressing- Throws toys away | Says 2-3 word but understands several ones |
| 1.5 y | Runs stiffly climb upstairs one by one | Drinks from cup & feeds self with spoon | Sphincter control by day time | Says 10 wordsResponds to simple commands |
| 2 y | Runs wellClimbs downstairs one by one | Uses spoon | Sphincter control by day & night. Asks for the toilet by day. Washes & dries hand | Joins 2-3 words in a sentence. At least can say 50 words |
| 3 y | Climbs upstairs wellPedal tricycles | Tower 8 cubes | Dresses with supervision. plays games | Gives his name, age, sex. Recognizes 3 colors. |
| 4 y | Climbs downstairs well | Builds a bridge with cubes | Buttons up, Dresses w/o supervision | Tells short story Count to 10Recognizes 8 colors. |