Developmental milestones checklist | Pediatric OSCE guide
This guide covers the four major areas of developmental milestones organized according to the age of development. The developmental assessment skill is considered essential skills during case presentation and viva in pediatric exams. Developmental assessment is a common and important OSCE station. This chart can be a useful tool for a quick revisions or handy guide in ward rounds for assessment.
| 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. |
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