development

birth to one month

fine:opens fingers slightly at rest gross: arms and legs move together, holds chin up when lying on stomach

2-3mo

fine: grasps toys, can open and close hands, eyes follow objects to midline, blows bubbles gross:raises head and chest when lying on stomach supports upper body with when llying on stomach,stretches legs out and kicks when lying on stomach or back

6-8mo

fine: bangs objects on table, can transfer objects from hand to hand, start of pincer grasp

gross: can roll from side to side, can sit unsupported from 7-8mo, supports whole wt on legs

1 year

fine: can hold crayon may mark on paper, begins to use object correctly

gross pulls self up to stand, walks holding onto furniture, may walk two or three steps independently

2-3 years

learning to dress self, can draw simple shapes

gross: jumps, kicks ball, learning to pedal tricycle

4-5 years

dresses independently, useses scissors, learning to tie shoes, brushes teeth gross: goes up and down stairs independently, throws ball overhand, hops on one foot

Tonic neck/fencing reflex

disappears around 4 to 6 months

Moro/startle reflex—

disappears around 4 to 6 months

Babinski’s—

disappears by 1 year of age

posterior fontenelle closes by

2 months

anterior fontanelle closes by

12-18mo

when should assessment of fontenelles be done

when the bb is not crying