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• Key milestones
3 months – turns to sound on level with ear
6 months – tuneful babble
12 months – responds to name, understands no / bye bye, uses 1 – 2 words
18 months – follows simple commands, points to body parts, 10-15 words
2 years – joins words to make simple phrases
3 years – speaks in sentences, asks questions
Social skills
Normal development milestones
• 4 months
• 9 months
• 12 months
• 18 months
• 2 years
How to take a developmental history
– First observe the child’s free play and interaction with parent
– Offer the child age appropriate toys to find out about more specific skills
e.g. fine motor
• Delayed milestones
– A child may be delayed in just one development domain, most commonly
speech and language
• Community based paediatric service which provides care for children with
wide range of developmental difficulties / disabilities
Clinical case
CJ
• Health visitor
• GP
• Paediatrician
• Speech therapist
• Physiotherapist
• Dietician
• ENT and Audiology
Ongoing follow-up
CJ’s weight and length are following the 25th centile on Down’s
syndrome chart and his annual TSH screening is normal.
Developmental assessment
• Gross motor sitting and pulling to stand but not yet walking
• Fine motor pincer grip but not holding crayon or building blocks
• Ask parents about their child’s development when taking a paediatric history