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GROWTH AND DEVELOPMENT

INFANCY (0-12mos)
Age (Months) Gross Motor Fine Motor Language Social Nutrition
1 -EYES to MIDLINE -Throaty gurgling sound Lipase DEC until 1
2 -45 deg HEAD CONTROL -differentiate a cry Social smile year
3 -90 deg HEAD CONTROL -EYES PAST MIDLINE -Squeals Amylase DEC until 3
-Hands in front of face mos
-BREASTMILK
4 Lifts head & chest on -Bring hands together -COOS and Gurgles Plays with RATTLE
prone -Moves head to sound Enjoy social interaction -EXTRUSION REFLEX
-ROLLS OVER PRONE TO (GONE) -4mos
SUPPINE -2 tbsp SEMI-SOLID
5 -GOOD HEAD CONTROL -PALMAR GRASPS/REACHES -Simple vowel sounds -Recognizes familiar faces FOOD
6 -SITS w/ SUPPORT -HEADS OBJ in 2 HANDS -Introduce 7days-
-ROLLS to SUPINE TO 1mos interval for
PRONE new foods
-NO MORE HEAD LAG
7 -HAND to HAND transfer -“ma” when crying
8 -SITS w/o SUPPORT -Peek-a-boo
-STRANGER ANXIETY (as
-PINCER GRASP early as 4 months) -FINGER FOODS and
-Points at OBJ -Separation anxiety FLUIDS
9 -STAND with SUPPORT -mama, dada, -Waves bye-bye
(PULL self) understands No-no
-CREEPS/CRAWLS
10 -CRUISES -Understands gesture -Nursery games
-RESPONDS TO NAME
11 -Bangs object Together Holds arm or foot out in
dressings 3 MEALS W/ SNACKS
12 -STANDS ALONE -THROWS TOYS -OBEYS COMMAND -Attempts to use spoon
-Walk with someone’s -FEEDS self with Cup and Spoon -One word other than -jealousy and affection
Hand -DOUBLE HAND PINCER GRASP mama, dada
**PLAY -SOLITARY PLAY **PACIFIERS- Wean after 3 mos.
**Weight: 4-6mos. 2x BW-12mos 3x BW 2 ½ y/o x4 BW
**TOOTH- 6mos Tooth ERRUPTION HR: 100-120 bpm RR: 20-30cpm
**POSTERIOR FONTANNEL- Closes 2-3mos EE: TRUST vs MISTRUST -- SF: ORAL
**ANTERIOR FONTANNEL- Closes in 12-18mos

TODDLER (12-36 mos)


Age (Months) Gross Motor Fine Motor Language Social Nutrition/ Concerns
12 -Decrease Appetite
-Milk- 1L /day
15 -WALKS ALONE WELL -2 tower blocks, -Vocalizes wants -Immitates housework
-Single food instead of
scribbles -Jargons
mixtures
-3 words other than
-Allow self feeding
dada and mama
-Allow choices (2 types)
18 -RUN AND JUMP IN PLACE -3-4 towers -turns page 2-3 at a
-FINGER Foods
-WALK UP and DOWN STAIRS on -SCRIBBLES time
-Negativism- NO!
railing -USE CUP AND SPOON -Uses spoon
(Patience & humor)
-Seat self in chair -TEMPER TANTRUMS
-Have short attention
-THROWS A BALL OVERHAND -Ownership
span – explain
-BOWEL CONTROL
procedure
24 -WALK up and DOWN stairs one -Vertical Stroke -Short sentences -Removes garments
-Discipline- **Corporal
step at a time Alone -2-3words -Begins PARALLEL PLAY
punishment
-KICK A BALL -300 words pronouns (Push and Pull play)
TEMPER TANTRUMS-
-Points to body parts -TOILET TRAINED BY
Extinction- withdraw
DAY( 2-3 y/o)
attention do not let
27 -Tiptoes and Jumps -FULL NAME undesirable behaviors
30 -8 Tower blocks
**Death- reversible,
33 regression
36 -Throw balls -Speaks fluently using -3 y/o dry by night (3-4
-RIDES TRICYCLES longer sentence y/o)
-Stand on 1 foot momentarily -name,age, stories -Washes and dries
and jumps forward hands

**EE: Autonomy (Independent) vs Shame/Doubt -- SF: ANAL (TOILET TRAINING)


**Fear of Separation
**Deff Mechanism- Regressive behavior-> Reassurance
**Nutrition and Medication- Finger Foods and give choices (atleast two)
**Pain- allow express pain (Pictures)

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