A 1-year-old male presents to his pediatrician for a well-child visit. Through a history from the mother and physical examination, the pediatrician learns that the baby babbles non-specifically, takes several steps independently, and picks up his cereal using two fingers. His weight is currently 22 lbs (birth-weight 6 lbs, 9 oz), and his height is 30 inches (birth length 18 inches). Are there any aspects of this child's development that are delayed?
AFine motor skill delay
BLanguage delay
CInadequate growth
DGross motor skill delay
EThere are no developmental concerns
A 4-month-old boy is brought to the physician for a well-child examination. He was born at 39 weeks gestation via spontaneous vaginal delivery and is exclusively breastfed. He weighed 3,400 g (7 lb 8 oz) at birth. At the physician's office, he appears well. His pulse is 146/min, the respirations are 39/min, and the blood pressure is 78/44 mm Hg. He weighs 7.5 kg (16 lb 9 oz) and measures 65 cm (25.6 in) in length. The remainder of the physical examination is normal. Which of the following developmental milestones has this patient most likely met?
ASits with support of pelvis
BGrasps small objects between thumb and finger
CTransfers objects from hand to hand
DIntentionally rolls over
EBounces actively when held in standing position
A 13-month-old girl is brought to the physician for a well-child examination. She was born at 38 weeks' gestation. There is no family history of any serious illnesses. She cannot pull herself to stand from a sitting position. She can pick an object between her thumb and index finger but cannot drink from a cup or feed herself using a spoon. She comes when called by name and is willing to play with a ball. She cries if she does not see her parents in the same room as her. She coos “ma” and “ba.” She is at the 50th percentile for height and weight. Physical examination including neurologic examination shows no abnormalities. Which of the following is the most appropriate assessment of her development?
AFine motor: normal | Gross motor: delayed | Language: normal | Social skills: delayed
BFine motor: normal | Gross motor: delayed | Language: delayed | Social skills: normal
CFine motor: delayed | Gross motor: normal | Language: delayed | Social skills: normal
DFine motor: delayed | Gross motor: delayed | Language: normal | Social skills: normal
EFine motor: delayed | Gross motor: normal | Language: normal | Social skills: delayed
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