Growth & Development

Areas of Development to Assess

• Social• Language• Fine Motor• Gross Motor

Denver Developmental Screening Test

Social

Language

Fine Motor

Gross Motor

Obssessed with Growth

• Every visit• %ile for age• R/O obesity• R/O FTT

Plot the Weight, Height, Wt/Ht HC and get the percentile for age

Birth

• NO SKILLS• Color blind, 20/200

• Regain BW by 2 weeks• 1oz (30g) per day• 0.5cm/wk• Feed & Stimulate => Growth and Development

What’s for dinner?• Caloric needs 100-120 kcal/kg/day

4 monthsSocial• Beginning hand-eye coordinationLanguage Skills)• Nothing newFine Motor• Follow past midlineGross Motor• Raise head 90 degrees when placed on stomach• Able to roll from belly to backGrowth• 1lb (450g) per month [~15g/ (0.5oz)day]• 0.5cm per 2 weeks

6 monthsSocial• Begins to fear strangersLanguage• BabblesFine Motor• Transfer objects between hands• GraspGross Motor• Roll from back to stomach• Sit without support• No head lag• Add solid baby foods, 1 new choice q3-5d ays

6 months

Vision• Vision 20/60 to 20/40 , see color

Growth• Double birth weight• HC 0.5cm/mo• Add solid baby foods, 1 new choice q3-5d ays

9 months

Social• Plays interactive games (pat-a-cake)Language• JargonFine Motor• Course pincer (thumb-finger) grasp (3 fingers)Gross Motor• Cruises• Crawls• Pull to standhttp://www.babycenter.com/2_baby-on-the-move-sitting_1487307.bc

12 monthsSocial• Waves bye• Drinks from a cup• Points to objects with index finger• Imitates activitiesLanguage• Comprehends several words, simple commands• Can say “mama,” “papa,” and at least 1-2 other wordsFine Motor• Fine pine grasp (2 fingertips)• Start building block towers (age in mo X3)

– 1.0 X 3 = 3

Gross Motor• Stand alone 2 sec

12 months

Growth• Now 3X birth weight, 25cm+BW (+10in), HC =

chest• ½ lb per month (240g),• Ht ½ inch per month (~1cm)• HC 2cm /yr

15 months

Social• Separation anxietyFine Motor• ScribblesGross Motor• Walks well

18 months

Social• Strip!Language • 10-20 wordsFine Motor• Blocks 1.5 X3 = 4-5 block towerGross Motor• RUN!

2 yr (24mo)Social• Ready to POTTYRuules of 2• Parallel play• 2 words sentences,(50- 200) words, ½ understood by strangerFine Motor• Block: 2x3 = tower of 6 blockGross Motor• Climbs stairs• JUMP in place• Kick ball• Throw ball overhandGrowth• Now ~5 inches taller than at 12mo• Start growing to gain 3.5 (7cm) inches by 36mo

The Preschool Years

Social Skills• 3y: cooperative play, name 1 friend,

MONSTERS• 4y: dress without help (buttons), imaginary

friend, Distinguish similar objects by size and weight

• 5y: zippers, many friends, idolize same gender parent

The Preschool Years

Language Skills • speech understood by a stranger• Rule of fourths• 3y: ¾ or 75%• 4y: 4/4 or 100%• 5y: 100%, singing!

The Preschool YearsFine Motor Skills

• 3y: 9 block tower• 4y: 12 block tower• 5y: the Eiffel Tower ?

• SHAPES???? What can they draw? What age?

The Preschool Years:Secret to Shapes

Alphabetize the simple ones!• 3y– Circle

• 4y– Cross

• 5y– Square

• 6y– Triangle

BODY PARTS

4 at 4• 4 parts by age 4

6 by 6• 6 parts by age 6

The Preschool Years

Gross Motor Skills?

• It’s all about the Playground

The Preschool Years

• Gross Motor Skills?

• Hopscotch:– 3y – THE BASICS!

• HOP• BALANCE on ONE foot

– 4y – THE SHOW-OFFS!• BROAD JUMP• BALANCE on ALTERNATING feet

– 5y – THE EXPERT!• SKIP!

The Preschool Years

Gross Motor Skills• Everybody Gets A set of WHEELS! What’s your preference?

The Preschool Years

• THE REALITY…• # of WHEELS, Brand

– 3y• 3 wheels• Tricycle

– 4y• 4 wheels• Bicycle with training wheels

– 5y• EXPERT!• BIKE!