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 ASSESSMENT OF DEVELOPMENT

Development is a continuous process from conception to maturity.

The seuence of !evelopment is similar in all chil!ren" #ut its rate variesfrom chil! to chil!.

The !irection of !evelopment is cephalo$cau!al" i.e. the infant controls his

hea! #efore he can sit" an! cra%ls #efore he can %al&.

The !evelopmental process reflects the maturation of the #rain an!

nervous system.

The ne%#orn cannot !o any voluntary activities' all his #ehavior is refle( in

nature.

 As maturation procee!s" this refle( activity is replace! #y specific

in!ivi!ual responses.

Development is assesse! in ) ma*or fiel!s +see ta#le,-

. /ross motor- e.0. hea! control" sittin0" stan!in0" etc..

1. Fine motor- e.0. coor!ination of han!s an! eyes" usin0 fin0ers" etc..

2. Social- i.e. social reaction of chil! %ith his surroun!in0s an! relatives.

). Lan0ua0e- all visi#le an! au!i#le forms of communications

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Mile Stones in st year of life

 A0e +mo,/ross Motor Fine Motor Social Lan0ua0e

Prone- 3aises uphea!momentarily"

PrimitivePalmar /raspstill present

Spontaneous

Smile

1 Prone- raises chinoff couch

+sustaine!,

2 Supports hea! 4chest on forearms

Open han!sspontaneously"

 Active Plamar /rasp

 AppropriateSocial smile

5oos lau0h

) Prone- raises hischest supporte! on

his %rists

6 Supine- rolls fromsupine to prone

position

3eaches too#*ects 4 #rin0s

to mouth

7 Sits supporte!

+momentarily,Transferso#*ects

#et%een han!s

3eco0ni8esmother"Sho%s

li&e9!isli&e

:a#les %ith Mspeech

; Sits unsupporte! 5ru!e ra!ial0rasp

<

3olls over fromprone to supine

position

Mono sylla#levoices +Ma,

=

5ra%lin0 on hisa#!omen

Pull to stan!

 Assiste!

Pincer 

0rasp

>aves :ye:ye" playspat a ca&e

?mmitatessoun!s

@5reeps on han!san! &nees"

Stan!s supporte!

Tries to retrieve!roppe! o#*ects Polysylla#le+Mama,speech

Stan!sunsupporte!

nassiste!Pincer 0rasp

1 >al&s supporte! 3eleaseso#*ects on

5omes %hencalle!

1 meanin0ful%or!s

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comman!

Mile Stones after the first year 

 A0e +mo,/ross Motor Fine Motor SocialLan0ua0e

 At least 7%or!s

Mimics actionsof others

Fee!s fromspoon" !rin&s %ith

cup

>al&s upstairs%ith assistance

< mo

1$2 %or!sentences

Plays %ithothers

:uil!s a to%er of si( #loc&s

3uns1) mo

5ounts 2o#*ects"

&no%s name"a0e "se(

Belp in !ressin0Dra%s circle3i!es a tricycle"stan!s on one

foot #riefly

27 mo