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. Supi e p!siti! 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"# weeks !$ %i$e At &' weeks By &' weeks Ve tr(% suspe si! Visu(% First 4 weeks Or

Pri)(ry !r De*i+u!us teeth De*i+u!us ,pri)(ry- teeth Central lower Incisors upper "ateral upper Incisors lower &irst molars Erupti! month #th month '(th month She++i . ! months $% month ')) months

Canines *econd molars

'$th month (+th month

'(( months ')# months

/%(ssi$i*(ti! !$ se0 )(turity st(.es i .ir%s SMR Bre(st +e1e%!p)e t st(.e *tage ' ,readolescent *tage ( -reast and papilla elevated as small mound; areolar diameter increased *tage . -reast enlarged. &urther enlargement of papilla and areola, contour of breast not defined *tage + Contour of breast well defined. ,apilla and areola separate out as secondary mound. *tage ! /ature breast. 0reola recedes into general contour of breast. ,apilla pro1ects as nipple. SMR st(.e *tage ' *tage ( *tage . *tage + *tage ! Pu2i* h(ir ,i .ir%s-

,readolescent 2 3o pubic hair *parse, slightly pigmented, straight, bilaterally along the medial border of the labia ma1ora. 4arker, beginning to curl, increased amount. Coarse, curly, abundant but amount less than in adult. 0dult feminine triangle, spread to medial surface of thigh

/%(ssi$i*(ti! !$ se0 )(turity st(.es i 2!ys SMR 3e it(% +e1e%!p)e t i )(%es st(.e *tage ' ,readolescent5small si6ed testes, scortum and penis *tage ( Testes enlarged5scrotum enlarges and develops reddish hue; skin texture of scrotum and penis *tage . Testes and scrotum enlarge further5penis becomes longer. *tage + Testes and scortum continues to grow penis becomes thicker, glans penis is developed *tage ! /ature testes, scrotum and penis Pu2i* h(ir *tage ' *tage ( *tage . *tage + *tage ! ,i 2!ys-

3one *canty, long slightly pigmented 4arker, starts to curl, small amount 7esembles adult type, but less in 8uantity; coarse, curly 0dult distribution, spread to medial surface of thighs 49:9";,/93T0" /I"9*T;39*

<ey developmental milestones gross motor 0ge . months ! months $ months # months ') months #5') months '( months '. months '$ months (+ months .% months /ile5stone 3eck holding *itting with support *itting without support *tanding with support =alking with support Crawling >creeping? *tanding without support =alking without support 7unning walking up stairs 7iding tricycle

<ey developmental milestones fine motor 0ge + months ! months /ilestone Grasp a rattle or rings when placed in hand 7eaches out to an ob1ect and holds it with both hands >intentional reaching with bidexterous grasp? @olding ob1ects with crude grasp from palm >palmer grasp? @olding small ob1ect, like a pellet, between index finger and thumb >pincer grasp?

months # month

<ey developmental milestones language 0ge . months % months # months '( months '$ months (+ months .% months /ile5stone Cooling /onosyllables >AmaB, AbaB? -isyllables >AmamaB, AbabaB? Two words with meaning Ten words with meaning *imple sentence

Telling a story

<ey developmental milestones 0ge ( months . months % months # months '( months .% months

personal and social /ile5stone *ocial smile 7ecogni6ing mother *miles at mirror image =aves Abye5byeB ,lays a simple ball game <nows gender