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Developmental Milestones

Topic: Adult

Created on Sunday, July 16 2006 by

Last modified on Wednesday, December 31 1969.

A woman brings her 48 month old boy into your clinic. The mother is concerned that the child may be developmentally delayed.
He imitates scribbling and walks up steps while someone is holding his hand.
The mother tells you that the child has a vocabulary of 6 words and feeds himself.
This child is meeting milestones for what age?

A) 18 months

B) 14 months

C) 12 months

D) 60 months

E) 24 months

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This question was created on July 16, 2006 by .
This question was last modified on December 31, 1969.

ANSWERS AND EXPLANATIONS

A) 18 months

This answer is correct.

At 18 months, he should have a vocabulary of 6 words. Socially, he should be able to feed himself. In terms of motor function, he should be able to walk up steps while someone is holding his hand and imitate scribbling. (See References)


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B) 14 months

This answer is incorrect.

At 14 months, he should have a vocabulary of 1 to 2 words. Socially, he should be able to hug his parents and indicate his desires by pointing. In terms of motor function, he should be able to walk alone and stoop and then recover to a standing position. (See References)


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C) 12 months

This answer is incorrect.

At 12 months, he should be able to use words like "dada" or "mama" with specific meaning. Socially, he should be able to adjust his body when he is being dressed and play simple games with a ball. In terms of motor function, he should be able to use a thumb-finger pincer grasp and stand alone. (See References)


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D) 60 months

This answer is incorrect.

Socially, he should be able to ask about the meaning of words and engage in domestic role playing. In terms of motor function, he should be able to copy a triange and skip. (See References)


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E) 24 months

This answer is incorrect.

At 24 months, he should have a vocabulary of about 250 words. Socially, he should be able to listen to stories with pictures and help when he is being undressed. In terms of motor function, he should be able to run well, copy a horizontal line, and make circular scribbles. (See References)


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References:

1. Michelson, D.J., and Aswal, S. (2004). Global Developmental Delay and Developmental Regression. In Bradley, W.G., Daroff, R.B., Fenichel, G.M., and Jankovic, J. (Eds.). Neurology in Clinical Practice, 4th Edition. Butterworth Heinemann, Philadelphia. Pp. 75-84.


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adult
Developmental Milestones
Question ID: 0000004
Question written by . (C) FrontalCortex.com 2006-2009, all rights reserved. Created: 07/16/2006
Modified: 12/31/1969
Estimated Permutations: 0