5.3 Pediatric Vaccine and Development timelines

5.3 Pediatric Vaccine and Development timelines 1 year fine motor development - drops and object in a cup, picks up small object with 2-finger pincer grasp 1 year gross motor development - takes independent steps, stand without support 1 year verbal development - imitates new gestures, uses dada and mama specifically, use 1 word 15 month fine motor - make marks with crayons, drops object in a container 15 month gross motor development - squats to pick up objects, crawl up a few steps, runs 15 month verbal development - points to ask for something, looks around after hearing commands 18 month fine motor development - scribbles spontaneously, throws small ball a few feet while standing 18 month gross motor development - walks up steps with 2 feet per step with hand being held, sits in small chair, carries toys while walking 18 month verbal development - identifies at least 2 body parts, names at least 4 familiar objects 2 year fine motor development - stacks objects, turns book pages, draws lines 2 year gross motor development - kicks ball, jumps off the ground 2 feet 2 year verbal development - uses 50 words, 2 word phrases, follows 2 step commands, names 5 body parts, words at 50% understandable by strangers 3 year fine motor development - draws a single circle, draws a person with head and 1 other body part, cuts with child scissors 3 year gross motor development - pedals a tricycle, climbs on and off couch or chair, jumps forward 3 year verbal development - 3 word sentences, strangers understand 75%, tells you a story 3-5 day verbal, gross motor, and fine motor development - verbal: cries with discomfort gross: lifts head briefly when on stomach fine: keeps hands in fists 4 month fine motor development - keeps hands unfisted, plays with fingers in midline, grasps objects 4 month gross motor development - supports self on elbows and wrist when on stomach, rolls over from stomach to back 4 month verbal development - laughs aloud, looks for parent when upset, turns to voices 4-5 year fine motor development - draws a person with at least 3 body parts, dresses themselves (unbuttons and buttons medium size buttons) 4-5 year gross motor development - skips on 1 foot, climbs stairs, alternating feet without support 4-5 year verbal development - 4-word sentences, 100% understandable by strangers 6 month fine motor development - passes a toy from one hand to another, rakes small objects, bands object on surface 6 month gross motor development - rolls over from back to stomach, sits briefly without support 6 month verbal development - smiles at own reflection, looks when name is called, babbled 9 month fine motor development - picks up food to eat, picks up small objects with 3 fingers and thumb, lets go of object intentionally 9 month gross motor development - sits well w/o support, pulls to stand, transitions well between sitting and laying 9 month verbal development - uses basic gestured (wave bye-bye), say "dada" or "mama" nonspecifically, looks around when hears something at what age is worrisome for a baby to have a fever of 100.4 to the point where workup is needed - 2-3 months Define failure to thrive - weight 5% on growth charts OR decreased growth velocity failing 2+ major percentile sections over 3-6mo fine motor 1 month development - open fingers slightly at rest fine motor development 2 months - open and shuts hands, briefly brings hands together gross motor development 1 month - moves arms and legs together, holds child up when on stomach gross motor development 2 month - lifts head and chest when on stomach, keeps head steady when held in sitting position how long should a rear facing car seat be used - until 2yr AND 20lbs lab and screening components of the 3 year visit - BP, cholesterol