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Contents Chapter Topic Page Neonatology Respiratory Cardiology

Contents Chapter Topic Page Neonatology Respiratory Cardiology

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B. Gross Motor<br />

5 mo Does not roll over<br />

8 mo Does not sit without support<br />

10 mo Does not stand while holding on<br />

18 mo Not walking unaided<br />

2 yr Not climbing up or down stairs<br />

2 ½ yr Not jumping with both feet<br />

3 yr Unable to stand on one foot<br />

momentarily<br />

4 yr Not hopping<br />

5 yr Unable to walk a straight line<br />

back and forth or balance on one<br />

foot<br />

C. Fine Motor<br />

5 mo Unable to hold rattle<br />

7 mo Unable to hold an object in each<br />

hand<br />

12 mo Absence of pincer grasp<br />

15 mo Unable to put in or take out<br />

2 yr Not scribbling<br />

2 ½ yr Not turning a single page of a<br />

book<br />

3 yr Unable to draw a straight line<br />

4 yr Unable to copy a circle<br />

5 yr Unable to copy a cross<br />

D. Language<br />

6 mo Not babbling<br />

9 mo Not saying “da” or “ba”<br />

11 mo Not saying “dada” or “baba”<br />

18 mo Has < 3 words with meaning<br />

2 yr No two-word phrases<br />

2 ½ yr Speech unintelligible to parents<br />

3 yr Speech unintelligible to<br />

strangers.<br />

Gestures used instead of speech.<br />

4 yr No ‘Why?’ or ‘What?’ questions.<br />

Can’t tell a simple story.<br />

Poor social play.<br />

Poor word / sentence structures.<br />

5 yr Still gets words, sentences or<br />

ideas jumbled up.<br />

Articulation problems<br />

E. Psychosocial<br />

3 mo No social smile<br />

6-8 mo Not laughing in playful situation<br />

1 yr Hard to console, stiffens when<br />

approached<br />

18 mo Not pointing to indicate wants<br />

2 yr Kicks, bites, and screams easily<br />

and without provocation<br />

Rocks back and forth.<br />

No eye contact.<br />

3-5 yr In constant motion.<br />

Resists discipline.<br />

Does not play with other kids.<br />

F. Cognitive<br />

3 mo Not alert to mother<br />

9 mo No interest in peek-a-boo<br />

12 mo Does not search for hidden object<br />

18 mo No interest in cause-and-effect<br />

games<br />

2 yr Does not know categories<br />

3 yr Does not know own full name<br />

4 yr Cannot pick shorter or longer of<br />

two lines<br />

4 ½ yr Cannot count sequentially<br />

5 yr Does not know colours or any<br />

letters

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