DEVELOPMENTAL MILE STONES FIRST 3 MONTHS OF LIFE MOTOR PRONE POSITION First 4 weeks: The infant lies in flexed

attitude; turns head from side to side At 4th week: The infant legs more extended; the baby lifts the chin up momentarily in the midline; turns head. By 4 weeks of age the infant lifts its head above the surface as it is turned. Supine position First 4 weeks: Generally flexed and a little stiff. At 4 weeks: Tonic neck posture predominates; by then a rather symmetric flexed posture has become more relaxed, and the infant is likely to lie, when supine, in a tonnic neck posture. 4-8 weeks of life At 12 weeks By 12 weeks Ventral suspension Visual First 4 weeks Or

Primary or Deciduous teeth Deciduous (primary) teeth Central lower Incisors upper Lateral upper Incisors lower First molars Eruption 7 month 9th month 12th month Shedding 75 months 86 month 100 months

Canines Second molars

18th month 24th month

122 months 109 months

Classification of sex maturity stages in girls SMR Breast development stage Stage 1 Preadolescent Stage 2 Breast and papilla elevated as small mound; areolar diameter increased Stage 3 Breast enlarged. Further enlargement of papilla and areola, contour of breast not defined Stage 4 Contour of breast well defined. Papilla and areola separate out as secondary mound. Stage 5 Mature breast. Areola recedes into general contour of breast. Papilla projects as nipple. SMR stage Stage 1 Stage 2 Stage 3 Stage 4 Stage 5 Pubic hair (in girls) Preadolescent No pubic hair Sparse, slightly pigmented, straight, bilaterally along the medial border of the labia majora. Darker, beginning to curl, increased amount. Coarse, curly, abundant but amount less than in adult. Adult feminine triangle, spread to medial surface of thigh

Classification of sex maturity stages in boys SMR Genital development in males stage Stage 1 Preadolescent-small sized testes, scortum and penis Stage 2 Testes enlarged-scrotum enlarges and develops reddish hue; skin texture of scrotum and penis Stage 3 Testes and scrotum enlarge further-penis becomes longer. Stage 4 Testes and scortum continues to grow penis becomes thicker, glans penis is developed Stage 5 Mature testes, scrotum and penis Pubic hair Stage 1 Stage 2 Stage 3 Stage 4 Stage 5 (in boys) None Scanty, long slightly pigmented Darker, starts to curl, small amount Resembles adult type, but less in quantity; coarse, curly Adult distribution, spread to medial surface of thighs DEVELOPMENTAL MILESTONES

Key developmental milestones gross motor Age 3 months 5 months 8 months 9 months 10 months 9-10 months 12 months 13 months 18 months 24 months 36 months Mile-stone Neck holding Sitting with support Sitting without support Standing with support Walking with support Crawling (creeping) Standing without support Walking without support Running walking up stairs Riding tricycle

Key developmental milestones fine motor Age 4 months 5 months Milestone Grasp a rattle or rings when placed in hand Reaches out to an object and holds it with both hands (intentional reaching with bidexterous grasp) Holding objects with crude grasp from palm (palmer grasp) Holding small object, like a pellet, between index finger and thumb (pincer grasp)

7 months 9 month

Key developmental milestones language Age 3 months 6 months 9 months 12 months 18 months 24 months 36 months Mile-stone Cooling Monosyllables (ma, ba) Bisyllables (mama, baba) Two words with meaning Ten words with meaning Simple sentence

Telling a story

Key developmental milestones Age 2 months 3 months 6 months 9 months 12 months 36 months

personal and social Mile-stone Social smile Recognizing mother Smiles at mirror image Waves bye-bye Plays a simple ball game Knows gender