Childhood Milestones

18 to 30 months

At what age do we conduct an MCHAT autism assessment?

Language: laughs Gross motor: rolls over, 90 degree head raising Fine motor: two hand reach Social: follows 180 degrees

What are the 4 month milestones for babies? (1 language, 2 gross motor, 1 fine motor, 1 social)

Language: monosyllabic babbling Gross motor: sits alone without support Fine motor: palmar grasp Social: talks to mirror image, plays peek-a-boo

What are the 6 month milestones for babies? (1 language, 1 gross motor, 1 fine motor, 2 social)

Language: multi-syllabic babbling Gross motor: cruises Fine motor: pincer grasp Social: stranger anxiety, waves hi and bye

What are the 9 month milestones for babies? (1 language, 1 gross motor, 1 fine motor, 2 social)

Language: uses their first word (correctly uses word like “mama” and “dada”) Gross motor: walks alone, pivots to pick up objects Fine motor: fine-pincer grasp

What are the 12 month milestones for babies? (1 language, 2 gross motor, 1 fine motor)

Language: 4-6 words Gross motor: stands up from the floor without support Fine motor: builds 2 block towers Social: points to things and then vocalizes wants

What are the 15 month milestones for babies? (1 language, 1 gross motor, 1 fine motor, 1 social)

Language: 2 words together used correctly Gross motor: walks up stairs, kicks ball Fine motor: scribbles Social: parallel play, copies adults actions with simple tasks (being on phone)

What are the 18 month milestones for babies? (1 language, 2 gross motor, 1 fine motor, 2 social)

Language: 2-3 word sentences, knows 50 words Gross motor: walks down stairs, overhand throw Fine motor: copies a line, turns door knob Social: says “mine”, is dry during the night

What are the 24 month milestones for babies? (2 language, 2 gross motor, 2 fine motor, 2 social)

Language: 4 word sentences Gross motor: rides tricycle, jumps from bottom step Fine motor: copies a circle Social: toilet trained, dresses with some help

What are the 36 month milestones for babies? (1 language, 2 gross motor, 1 fine motor, 2 social)

Blood pressure: 65-95/35-65 Heart Rate: 100-160 Respiratory rate: 30-60

What is the expected blood pressure, heart rate and respiratory rate for a newborn?

Blood pressure: 75-105/40-60 Heart Rate: 90-150 Respiratory rate: 20-30

What is the expected blood pressure, heart rate and respiratory rate for an infant?

Blood pressure: 85-120/55-75 Heart Rate: 70-110 Respiratory rate: 16-25

Blood pressure, heart rate, and respiratory rate for a school-aged child?

Blood pressure: 95-125/65-85 Heart Rate: 55-100 Respiratory rate: 12-20

Blood pressure, heart rate, and respiratory rate for a teenager?

Newborn: HepB vaccine with second dose at 1 or 2 months 1 month: nirsevimab or clesrovimab (RSV vaccine, between birth and 6 months) UNLESS mother received RSV vaccine at least 14 days before birth

Which vaccine be given to a newborn? What 2 vaccines should be given at 1 month (although one can be deferred until 6 months and the other can be deferred untl 2 months)?

First doses for the following at 2 months:

Rotavirus (RV1 is a 2-dose series, RV5 is a 3-dose series) (RSV5 needs 3rd dose at 6 months)

DTAP (Diphtheria, tetanus, and acellular pertussis) (3rd dose at 6 months)

Hib vaccine

Pneumococcal conjugate (PCV15 or PCV20) (3rd dose at 6 months)

IPV (Inactivated poliovirus)

Which 5 vaccines have first doses that should be given at 2 months and second doses that should be given at 4 months? Which two must have a 3rd dose at 6 months?

Hepatitis B and IPV

Which two vaccines can have a third dose between 6 months and 18 months?