The document discusses the assessment of developmental milestones, highlighting four key areas: gross motor, fine motor, language/speech, and personal/social development. It details age-specific milestones from birth to 6 years, outlining physical abilities and communication skills that develop at each stage. Assessment is essential for detecting any abnormal developmental delays.

1. DEVELOPMENTAL
MILESTONE
BY
WASEEM AKRAM BEIGH
GNM 2ND
YEAR
7889601170

2. TOPIC
 ASSESSMENT OF DEVELOPMENT

3. .It is essential to detect abnormal developmental
delay.Assessment of development can be described
in a four important areas.
.GROSS MOTOR DEVELOPMENT.
.FINE GROSS MOTOR DEVELOPMENT.
.LANGUAGE /SPEECH DEVELOPMENT.
.PERSONAL AND SOCIAL DEVELOPMENT.

4. GROSS MOTOR DEVELOPMENT
It is assessed by supine
position,prone
position,turning,reaching to object
etc.The important developmentalm
milestones includes head holding
sitting,standing,walking,running,riding
tricycle etc.It promotes independent
local motor.

5. FINE MOTOR DEVELOPMENT
It promotes adaptive activities with fine sensory
motor adjustments and incliude eye
coordination,grasping dressing etc.

6. LANGUAGE/SPEECH DEVELOPMENT
It depends upon hearing level of understanding. It
is skill of communication with developing of true
speech.

7. PERSONAL AND SOCIAL
DEVELOPMENT
It includes personal reactions to his/her own social and cultural
situations .It is related to interpersonal and social skill as social smile
recognition of mother,use of toys,play,mimmicry etc.

8. AGE ACTIVITY (MILESTONE)
AT BIRTH .POSTURE IS GENERALIZED FLEXION
.TURNS HEAD TO ONE SIDES WHEN KEPT IN PRONE POSITION.
.SUCKING AND SWALLOWING REFLEX IS PRESENT.
HANDS ARE CLENCHED.
AT 1-13
MONTHS
.HOLD HEAD WHILE SITTING.
.TURN HEAD TOWARDS SOUND.
.DEVELOPS SOCIAL SMILE CAN RECOGNIZE MOTHER.
3-6 MONTHS .CAN SIT WITH OR WITHOUT SUPPORT.
.CAN REACH THE OBJECTS.
.TRANSFERS OBJECTS ONE TO ANOTHER HANDS.
. RECOGNISE PARENTS VOICE.
.CAN LOUGH AND SMILE AT MIRROR.
6-9 MONTHS .ROLL BACK TO STOMACH (SUPINE TO PRONE).
.ERUPTION OF TEETH STARTS.
.FOLLOWS ONE STEP COMMAND.
.THUMB FINGER GRASP DEVELOPS.
.STARTS CRAWLING.
9-12 MONTHS .CAN WALK WITHOUT SUPPORT.
. CAN DRINK WITH OUT CUP.
. CAN SPEAK SINGLE WORDS.
. CAN TURN PAGES OF BOOK.
. THERE MAY BE 6-8 TEETHS.
12-18 MONTHS . CAN WALK WITH OUT SUPPORT.
. OPEN BOXES AND PUT FINGERS IN HOLES.
. ANTERIOR FONTANELLAE CLOSES.
. CAN SPEAK 4-10 WORDS.
. CAN SCRIBBLE AND BUILD TOWER OF 2 CUBES.
18-24 MONTHS . CAN RUN WELL.
. WALK UP AND DOWN STAIRS WITH TWO FEET STEP.
. CAN KICK BALL.
. CAN BUILD TOWER OF SIX CUBES.

9. AGE ACTIVITY (MILESTONE)
2-3 YEAR . CAN FEED HIMSELF.
. CONTROLS BODLY FUNCTIONS SUCH AS URINATION.
. LEARN SOCIAL NORMS.
.CAN JUMP WITH BOTH FEETS.
.CAN RIDE TRICYCLE.
. CAN DRESS AND UNDRESS.
. CAN INTERACT AND PLAY SIMPLE GAMES.
. HAS VOCABULARY OF 250 WORDS.
3-6 YEARS .RIDES BICYCKLE.
. CAN RUN,CLIMB, AND JUMP VERY WELL.
. CAN PLAY WITH BALL,CAN ADRESS HIMSELF.
. HAVE INTERESTS WITH RELATIONS.
6-12 YEARS . MUSCULAR COORDINATION IMPROVES.
. PERMANENT TEETHING STARTS.
. PREFERS TO BE WITH FRIENDS.
. DEVELOPS POSITIVE ATTITUDE WITH SOCIAL
GROUPS

10. THANK YOU ……….