Apr 11, 2024
SMR Stage Pubic hair Breast 1 None / Preadolescent Preadolescent; elevation of papilla only 2 Sparse, straight, slightly pigmented, straight, at the medial border of labia Breast and papilla elevated as a small mound; areola diameter increased 3 Darker, beginning to curl, increased amount Breast and areola enlarged with no separation of their contours 4 Coarse, curly, abundant, not present on medial thigh Projection of areola and papilla to form secondary mound above the remaining part of breast. 5 Adult-like hair
Also present on medial thigh.Mature breast ,nipples projects, but areola is a part of the general breast contour now.
SMR stage Pubic hair Penis Testes 1 None Preadolescent Preadolescent 2 Sparse, long, straight, lightly pigmented. Minimal enlargement Enlarged, pink scrotum, altered texture. 3 Darker, increase in amount, begin to curl Lengthens Volume/size increases. 4 Coarse, curly, Abundant hair ,not present on medial thigh. Breadth increases, Glans increases in size. Enlarge further .dark /pigmented scrotum. 5 Adult like hairAlso present on medial thigh. Adult size Adult size
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Milestones Time of appearance Crawls or creeps upstairs 15 months Goes up and down stairs holding support/rail 18 months Goes up and down stairs alone (2 feet/step) 2 years Goes upstairs (Alternate feet) 3 years Goes downstairs (alternate feet) 4 years
Also Read: Adolescents And Their Development
Milestone |
Time of appearance |
Grasps a rattle when placed in the hand |
4 months |
Mouthing of objects |
4-6 months |
Bidextrous grasp begins Bidextrous grasp well established (Bidextrous grasp means approaching something with both hands) |
4 months 5 months |
Unidextrous grasp Transfers object hand-to-hand (Unidextrous grasp means approaching something with one hand) |
6 months 6-7 months |
Palmar grasp (Radial palmar grasp-this comes after the child’s involuntary reflex has gone away) |
7 months |
Pincer grasp
|
9 months 12 months |
Probing with finger |
9 months |
Scribbling |
15-18 months |
Figure-making / Copying
|
18 months 24 months 3 years 4 years 5 years 6-7 years 9 years 11 years |
Fine Motor Milestones using Coloured Blocks
Milestones |
Time of appearance |
Tower making using blocks/cubes
|
15 months 18 months 24 months (2 years) 36 months (3 years) |
Train making
|
24 months 30 months |
Bridge of 3 cubes |
3 years |
Gate of 5 cubes |
4 years |
Staircase making |
5 and a 1/2 to 6 years |
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Milestones Time of appearance Cooing 3 months Laughs Loudly 4 months Monosyllables 6 months Babbling 6 to 7 months Canonical babbling (Ba-Da-Ma) 8 to 10 months Bisyllables 9 months 1st real word 12 months 4-6 words Jargon speech (create new nonsensical words to indicate common needs)Names 4-5 common things (e.g., Ball) 15 months 8-10 words Names pictures 18 months A vocabulary of 50 - 100 words Speaks 2-word sentences 24 months Uses pronouns like I, me, you 24 to 30 months A vocabulary of 250 words Speaks 6-syllable sentences Repeats three numbers 36 months Tell a story/song/poem 48 months Uses future tense Speaks 10-syllable sentences Ask the meaning of words 60 months
Milestone |
Time of appearance |
Spontaneous smile (without stimulus) |
Neonatal period |
Social smile (smiling in response to a stimulus) Recognizes mother |
2 months 3 months |
Hand regard (Also occurs in blind children) |
Begins at 12 weeks and ends at 20 weeks |
Smiles at a mirror image Vocalizes or jumps while looking at a mirror image (Also called mirror play) |
5 months 6 months |
Stranger anxiety |
6-7 months |
Inhibits to no command |
6-7 months |
Object permanence (constancy) Waves bye-bye Plays peek-a-boo Plays a simple ball game |
9 months 9 months 10 months 12 months |
Imitation/Mimicry
|
6-7 months 9-12 months 18 months |
Knows full name, age, and gender handedness develops |
3 years |
Right left side discrimination |
4 years |
Milestone Time of appearance Startle/Crying response to loud noise Neonatal period Localizes sound horizontally/ Turns head horizontally towards the sound 4 months Localizes sound vertically down 5-6 months Localizes sound vertically up 7 months Localizes sound diagonally 10 months
Also Read: NEET SS Pediatrics Growth and Development Questions
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