peds milestones

1 month

moro and grasp reflex

regards face

cries

*back to birth weight by 2 weeks

2 months

- social smile

- coos/babbles

-tracks objects

- holds head up, + palmar grasp reflex

3 months

moro reflex disappears

4 months

- Laughs

- Turns head to sound

- Opens mouth to bottle when hungry

- Holds head without support, rolls prone to supine

*colic resolved in most

*double birth weight

6 months

- Knows familiar people, laughs

- Babbles, squeals

- Reaches for toys, transfer hands

- Roll over, sits with support

*introduce solid food

9 months

- Stranger danger, responds to name, waves, peak a boo

- Mama dada nonspecific

- Hits things together

- Sits without support/pull to stand, crawls, pincer grasp

12 months

-peak a boo

-mama-dada (specific), understands "no"

-stand/cruise/walk, precise pincer grasp, points

*triple birth weight

15 months

walk/crawl up stairs

stack 2 cubes

3-6 words

understand simple commands

18 months

walk up stairs/run

feed self

name objects

4-10 words

*start toilet training

2 years

runs well/jump

2 word sentences

2 step commands

3 years

tricycle/kick ball/stand 1 foot

3 word sentences

colors

knows name

4 years

hop 1 foot

full sentences, sings, stories

count to 10

toilet trained

5 years

skip/tip toes

some letters

dresses unsupervised

vax at birth

hep B

vax at 2 months

hep B

DTap

Roto

Hib

IPV

PCV

(2 B DR. HIP)

vax at 4 months

DTap

Roto

Hib

IPV

PCV

(4 DR.HIP)

vax at 6 months

hep B

DTaP

Roto

Hib

IPV (6-18 months)

PCV

INfluenza

(Be DR. HIP in 6 months)

vax at 12 months

Varicella

MMR (12-15 mon)

hep A (2nd dose 6-18 mon after)

D

HIB (12-15)

IPV (if missed at 6 mon)

PCV (12-15)

(1 Very MAD HIP-ster)

vax at 15 months

DTaP (15-18)

vax at 4-6 years

Varicella

DTaP

IPV

MMR

(Very DIM between 4-6 pm)

vax at 11-12 years

Tdap

meningococcal

HPV

HPV vax rules

if before 15 bday: 2 doses, 6-12 months apart

if on/after 15 bday: 3 doses:

1st dose (1-2 months later) 2nd dose (6 months later) 3rd dose

vax at 16 y/o

meningococcal

which vaccines are live attenuated

MMRV

rotovirus

intranasal flu

which vaccines are given PO

rotovirus