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PPREPARED BY
Mrs. Melba Sahaya Sweety .D
Pediatric department,
GIMSAR
REFLEXES
Sucking and
rooting
reflexes
disappear at
seventh to
eight months
when asleep
PHYSICAL OR BIOLOGICAL
DEVELOPMENT
REFLEXES
Parachute
reflex appear
between 7 to 9
months
TEETHING
 Upper central
incisors erupt(7.5
+ or – 2 months )
Lower central
incisors erupt (7+
or – 2 months )
Ultimate color of
iris is established
Sit alone
in a
hard
surface,
leaning
forward
on
hands.
Lift
head as
if tying
to sit
up
when
supine
Control
of trunk
is more
advanced
Sustains
all of
weight on
feet when
held in
standing
position
Bounce
actively
when
held in
standing
position.
Hold two
toys at
once
Approaches
a toy grasps
it with on
hand
(unidextro
us)
Transfers a
toy from
one hand to
the other,
usually
successfully
Imitates
simple
acts of
others
Bangs
objects
that
are
held
Use a
raking
motion
to try to
obtain
small
objects
Holds
cup
Head
turns in
a
curving
arch to
localize
sounds
Has
preferences
in taste for
food
Fixates
on very
small
objects
and
details
Sense of
trust
Shows
increasing
fear of
strangers
Actively
clings to a
familiar
person
when
distressed
Unhappy
when
caregiver,
usually
mother
disappear
Close lips
tightly
when
disliked
food is
offered
Oral stage
Oral aggressiveness is evidenced
by biting and chewing
Undifferentiated
Sensorimotor stage
Secondary circular reaction
Preconventional moraity
Stage 0
Receptive language
Recognizes
own name
Responds with
gestures to
words such as
‘’come’’
Expressive language
 Vocalizes “m-m-
m” when crying
 Vocalizes “da”,
“ma”, “ba”
 Imitates simple
noises and speech
sound
Place
toys
under
blanket
and
encourag
e infant
to find it
Repeat
simple
sounds
“dada”
“mama”
Provide
small
object
or food
that can
be
bitten
and
chewed
safely
Encourage
banging of
toys and
clapping
hands
Thank you

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