Developmental milestones checklist - Pediatric OSCE guide

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.
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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.