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C.H.I.L.D. PROTOCOL GUIDE MILESTONES & RED FLAGS BY AREAS OF DEVELOPMENT (AoD)
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As each child develops at her own pace and with her own characteristics, it is impossible to determine when that child will/has acquired an expected skill. The developmental milestones and red flags compiled in this chart are meant to give parents and professionals a general idea of the main acquisitions and changes expected to occur in a determined period of life and also the deviations from the norm that could impact a healthy development. At CHDP-0-7©, we believe that a 3-month interval is a fair amount of time to cover some theoretically and clinically expected differences in the developmental process and where the child really is. By repeating some of the expected actions/behaviors over 3 months we also capture the layers of the skills (e.g.: the child tries, performs, and masters). However, keep in mind, if the number of NOs responses exceeds the threshold of 40% of the questions answered, we strongly recommend a visit to the child’s primary provider. Parents should not be frightened but rather act proactively and preventively if a child is not quite there yet. Please, consult with the child's primary care provider, showing him/her the CHDP-07© report with the summary results you received. Professionals using this website, please contact the parent as soon as possible to share the results and take appropriate action.
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AoD1ST MONTH2ND MONTH3RD MONTH4TH MONTH5TH MONTH6TH MONTH7TH MONTH8TH MONTH9TH MONTH10TH MONTH11TH MONTH12TH MONTH
13RD-15TH MONTHS
15-18TH MONTHS18-21TH MONTHS21-24TH MONTHS24-30TH MONTHS30-36TH MONTHS
36TH-42ND MONTHS
42ND-48TH MONTH4TH-5TH YEAR5TH-6TH YEAR6TH-7TH YEAR
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SCALE 1SCALE 2SCALE 3SCALE 4SCALE 5SCALE 6SCALE 7SCALE 8SCALE 9SCALE 10SCALE 11SCALE 12SCALE 13SCALE 14SCALE 15SCALE 16SCALE 17SCALE 18SCALE 19SCALE 20SCALE 21SCALE 22SCALE 23
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PH/DLOral health [DHOH] Primary teeth eruption and shedding Started teething (drooling, biting, tooth eruption (3-10 months) [DHOH]Lower central incisor erupted (between 6-10 months) [DHOH]Upper central incisor erupted (between 8-12 months) [DHOH]Upper lateral incisors erupted (between 9-13 months) [DHOH]Lower lateral incisors erupted (between 10-16 months) [DHOH]Upper first molar erupted (between 13-19 months) [DHOH]Upper first molar erupted (between 14-18 months) [DHOH]Upper canine/cuspid erupted (between 16-22 months) [DHOH]Lower canine/cuspid erupted (between 17-23 months) [DHOH]Brushed teeth with supervision [DHHO]Brushed teeth without supervision [DHHO]Upper/lower central incisors shedding (between 6-7 years) [DHOH]PH/DL
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 Lower second molars erupted (between 23-31 months) [DHOH]Upper second molars erupted (between 25-33 months) [DHOH]
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NPCommunicate pain (0-3 months; 3 hours a day) [DHNPND]Cried when hungry, wet, or uncomfortable (between 1-6 months) [DHNPND]Cried to communicate needs (hangry, feeling pain or discomfort) [DHNPND]Absence of constant crying (0-6 months; more than 3 hours a day) [DHNPND]Needed a ritual to fall asleep [DHNPSP]Needed a ritual to fall asleep [DHNPSP]NP
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Rooting Reflex (0-4 months) [DHNPRR]Rooted around/searched nipple/bottle teat when put in hers/his mouth [DHNPRR]Absence of rooting reflex [DHNPRR]
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Rhythmic suction-swallow reflex (0-4 months) (DHNPSS)Suckled and swallowed milk/formula [DHNPSS]Suckled and swallowed milk/formula well [DHNPSS]Made the same noise when sucking breast or bottle (between 2-4 months) [DHNPSS]Absence of suction-swallowing reflex [DHNPSS]Chewed and swallowed soft, semi-solid food [DHNPSS]
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Moro Reflex (5-6 months) [DHPNMO}Startled to a touch, movement or loud sound (0-6 months) [DHNPMO]Absence of Moro reflex [DHNPMO]
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Palmar grasp reflex (0-6 months) [DHNPPG)If you touch her hand palm with a finger or a ring, she/he grasps it firmly [DHNPPG]Absence of palmar grasping reflex [DHNPPG]
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Plantar/Babinski reflex (0-24 months) [DHNPTG]If you stroked your baby’s foot from heel to toe, the big toe extended upward while the other toes spread out. The foot probably flexed upward too. [DHNPTG]Lower lateral incisors erupted (between 10-16 months) [DHOH]Absence of plantar/Babinski reflex [DHNPTG]
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Gagging reflex (0-6 months) [DHNPGR]Swallowed liquid food without gagging constantly [DHNPGR]Absence of constant gagging (0-6 months) [DHNPGR]Established chewing-swallowing pattern (6-9 m) [NPSS)
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March reflex (0-4 months) [DHNPMR]If you hold your baby by armpit in the air, she moved legs as marching (between 0-4) [DHNPMR]Absence of marching reflex [DHNPMR]
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Asymmetrical tonic neck reflex (0-7 months) [DHNPAR]When her head is turned to one side, her arm on that side strained and the arm on the other side bended. [DHNPAR]Absence of asymmetrical tonic neck reflex [DHNPAR]Upper canine/cuspid erupted (between 16-22 months) [DHOH]Brushed teeth with supervision [DHHO]Brushed teeth without supervision [DHHO]
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Sensation, body movement, integration process [DHNPSI] Passed a toy to other hand when offered a second object [DHNPSI]Lower second molars erupted (between 23-31 months) [DHOH]Alternated feet walking up/down in a stair [DHNPBL]Washed and dried hands with little supervision [DHNPSI]While running, skipped obstacles in her way [DHNPSI]Stopped to the sound of a whistle [DHNPSI]
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Sleep pattern [DHNPSP]Sleeps calming during the day/night (0-3 m; average 14-17 h/day) [DHNPSP]Sleeps calming during the day/night (4-12 m; average 12-16 h/day) [DHNPSP]Sleeps calming during the day/night (4-12 m; average 12-16 h/day) [DHNPSP]Sleeps calming during the day/night (4-12 m; average 12-16 h/day) [DHNPSP]Needed a ritual to fall asleep [DHNPSP]Sleeps calming during the day/night (4-12 m; average 12-16 h/day) [DHNPSP]Sleeps calming during the day/night (12-24 m; average 11-14 h/day) [DHNPSP]Sleeps calming during the day/night (12-24 m; average 11-14 h/day) [DHNPSP]Sleeps calming during the day/night (12-24 m; average 11-14 h/day) [DHNPSP]Sleeps calming during the day/night (36-48 m; average 10-13 h/day) [DHNPSP]Sleeps calming during the day/night (4-5 years; average 10-13 h/day) [DHNPSP]Sleeps calming during the day/night (6-13 years; average 9-12 h/day) [DHNPSP]
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Growth Assessment [DHGA] (height, weight: from 0-7 years, head circumference: from 0-36 months) Girl Height (actual; between 50-58 centimeters) [DHGA]Girl Height (actual; between 55-63 centimeters) [DHGA]Girl Height (actual; between 59-64 centimeters) [DHGA]Girl Height (actual; between 57-66 centimeters) [DHGA]Girl Height (actual; between 59.6-68.4 centimeters) [DHGA]Girl Height (actual; between 61.1-70.2 centimeters) [DHGA]Girl Height (actual; between 62.6-71.9 centimeters) [DHGA]Girl Height (actual; between 64,0-73.5 centimeters) [DHGA]Girl Height (actual; between 65.3-74.9 centimeters) [DHGA]Girl Height (actual; between 66.5-76.4 centimeters) [DHGA]Girl Height (actual; between 67.7-77.8 centimeters) [DHGA]Girl Height (actual; between 68.8-79.1 centimeters) [DHGA]Girl Height (actual; between 69.9-83.0 centimeters) [DHGA]Girl Height (actual; between 72.0-86.5 centimeters) [DHGA]Girl Height (actual; between 74.9-89.8 centimeters) [DHGA]Girl Height (actual; between 77.5-93.0 centimeters) [DHGA]Girl Height (actual; between 78.4-97.5 centimeters) [DHGA]Girl Height (actual; between 83.2-101.8 centimeters) [DHGA]Girl Height (actual; between 86.9-105.7 centimeters) [DHGA]Girl Height (actual; between 90.0-109.5 centimeters) [DHGA]Girl Height (actual; between 93.0-117.3 centimeters) [DHGA]Girl Height (actual; between 99.3-125.2 centimeters) [DHGA]Girl Height (actual; between 105.7-132.7 centimeters) [DHGA]
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Girl Weight (actual; between 2.8-5 kilograms) [DHGA]Girl Weight (actual; between 3.9-6 kilograms) [DHGA]Girl Weight (actual; between 4.53-7.61 kilograms) [DHGA]Girl Weight (actual; between 5.56-8.74 kilograms) DHGA]Girl Weight (actual; between 5.4-8.8 kilograms) [DHGA]Girl Weight (actual; between 5.7-9.3 kilograms) [DHGA]Girl Weight (actual; between 6.0-9.8 kilograms) [DHGA]Girl Weight (actual; between 6.2-10.1 kilograms) [DHGA]Girl Weight (actual; between 6.47-10.5 kilograms) [DHGA]Girl Weight (actual; between 6.6-10.8 kilograms) [DHGA]Girl Weight (actual; between 6.8-11.2 kilograms) [DHGA]Girl Weight (actual; between 7.0-11.5 kilograms) [DHGA]Girl Weight (actual; between 7.2-12.4 kilograms) [DHGA]Girl Weight (actual; between 7.55-13.1 kilograms) [DHGA]Girl Weight (actual; between 8.0-14.0 kilograms) [DHGA]Girl Weight (actual; between 8.5-14.8 kilograms) [DHGA]Girl Weight (actual; between 10.9-16.5 kilograms) [DHGA]Girl Weight (actual; between 10.7-18.0 kilograms) [DHGA]Girl Weight (actual; between 11.4-19.6 kilograms) [DHGA]Girl Weight (actual; between 12.0-21.2 kilograms) [DHGA]Girl Weight (actual; between 12.8-24.6 kilograms) [DHGA]Girl Weight (actual; between 14.3-28.9 kilograms) [DHGA]Girl Weight (actual; between 16.0-33.4 kilograms) [DHGA]
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Girl Head circumference (actual; between 34-38 centimeters) -at birth [DHGA]Girl Head circumference (actual; between 35-40.4 centimeters) -[DHGA]Girl Head circumference (actual; between 37-42 centimeters) -[DHGA]Girl Head circumference (actual; between 38-43 centimeters) -[DHGA]Girl Head circumference (actual; between 38.8-44.0 centimeters) -[DHGA]Girl Head circumference (actual; between 39.5-44.8 centimeters) -[DHGA]Girl Head circumference (actual; between 40.2-45.4 centimeters) -[DHGA]Girl Head circumference (actual; between 40.7-46.0 centimeters) -[DHGA]Girl Head circumference (actual; between 41.1-46.5 centimeters) -[DHGA]Girl Head circumference (actual; between 41.5-46.9 centimeters) -[DHGA]Girl Head circumference (actual; between 41.8-47.2 centimeters) -[DHGA]Girl Head circumference (actual; between 42.1-47.6 centimeters) -[DHGA]Girl Head circumference (actual; between 42.4-48.4 centimeters) -[DHGA]Girl Head circumference (actual; between 42.9-49.0 centimeters) -[DHGA]Girl Head circumference (actual; between 43.5-49.5 centimeters) -[DHGA]Girl Head circumference (actual; between 43.9-50.0 centimeters) -[DHGA]Girl Head circumference (actual; between 44.8-51.0 centimeters) -[DHGA]Girl Head circumference (actual; between 45.3-51.4 centimeters) -[DHGA]Girl Head circumference (actual; between 45.5-51.4 centimeters) -[DHGA]
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Boy Height (actual; between 50-58 centimeters) [DHGA]Boy Height (actual; between 54-62 centimeters) [DHGA]Boy Height (actual; between 57.3-65.5 centimeters) [DHGA]Boy Height (actual; between 59.7-68.0 centimeters) [DHGA]Boy Height (actual; between 61.6-70.1 centimeters) [DHGA]Boy Height (actual; between 63.3-71.9 centimeters) [DHGA]Boy Height (actual; between 64.8-73.5 centimeters) [DHGA]Boy Height (actual; between 66.1-75.0 centimeters) [DHGA]Boy Height (actual; between 67.2-76.4 centimeters) [DHGA]Boy Height (actual; between 68.7-77.8 centimeters) [DHGA]Boy Height (actual; between 69.8-79.1 centimeters) [DHGA]Boy Height (actual; between 70.9-80.5 centimeters) [DHGA]Boy Height (actual; between 72.0-84.2 centimeters) [DHGA]Boy Height (actual; between 74.0-87.6 centimeters) [DHGA]Boy Height (actual; between 76.8-90.8 centimeters) [DHGA]Boy Height (actual; between 79.3-94.0 centimeters) [DHGA]Boy Height (actual; between 80.0-98.6 centimeters) [DHGA]Boy Height (actual; between 84.5-103.0 centimeters) [DHGA]Boy Height (actual; between 88.3-106.8 centimeters) [DHGA]Boy Height (actual; between 91.6-110.5 centimeters) [DHGA]Boy Height (actual; between 94.5-117.8 centimeters) [DHGA]Boy Height (actual; between 100.3-125.1 centimeters) [DHGA]Boy Height (actual; between 106.1-132.3 centimeters) [DHGA]
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Boy Weight (actual; between 3.4-5.8 kilograms) [DHGA]Boy Weight (actual; between 4.1-7 kilograms) [DHGA]Boy Weight (actual; between 5.0-8.0 kilograms) [DHGA]Boy Weight (actual; between 5.56-8.74 kilograms) [DHGA]Boy Weight (actual; between 5.9-9.3 kilograms) [DHGA]Boy Weight (actual; between 6.3-9.8 kilograms) [DHGA]Boy Weight (actual; between 6.6-9.10.2 kilograms) [DHGA]Boy Weight (actual; between 6.9-9.10.6 kilograms) [DHGA]Boy Weight (actual; between 7.1-11.0 kilograms) [DHGA]Boy Weight (actual; between 7.3-11.3 kilograms) [DHGA]Boy Weight (actual; between 7.5-11.6 kilograms) [DHGA]Boy Weight (actual; between 7.7-11.9 kilograms) [DHGA]Boy Weight (actual; between 7.9-12.8 kilograms) [DHGA]Boy Weight (actual; between 8.2-13.6 kilograms) [DHGA]Boy Weight (actual; between 8.7-14.5 kilograms) [DHGA]Boy Weight (actual; between 9.2-15.2 kilograms) [DHGA]Boy Weight (actual; between 10.3-16.8 kilograms) [DHGA]Boy Weight (actual; between 11.1-18.0 kilograms) [DHGA]Boy Weight (actual; between 11.8-19.4 kilograms) [DHGA]Boy Weight (actual; between 12.5-21.0 kilograms) [DHGA]Boy Weight (actual; between 13.3-24.5 kilograms) [DHGA]Boy Weight (actual; between 14.8-28.2 kilograms) [DHGA]Boy Weight (actual; between 16.5-32.5 kilograms) [DHGA]
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Boy Head circumference (actual; between 35-40 centimeters) -at birth [DHGA]Boy Head circumference (actual; between 35-41 centimeters) [DHGA]Boy Head circumference (actual; between 38-42.8 centimeters) [DHGA]Boy Head circumference (actual; between 39.2-44.0 centimeters) [DHGA]Boy Head circumference (actual; between 40.1-44.9 centimeters) [DHGA]Boy Head circumference (actual; between 40.8-45.7 centimeters) [DHGA]Boy Head circumference (actual; between 41.5-46.4 centimeters) [DHGA]Boy Head circumference (actual; between 42.0-47.0 centimeters) [DHGA]Boy Head circumference (actual; between 42.4-47.5 centimeters) [DHGA]Boy Head circumference (actual; between 42.8-47.9 centimeters) [DHGA]Boy Head circumference (actual; between 43.2-48.3 centimeters) [DHGA]Boy Head circumference (actual; between 43.4-48.6 centimeters) [DHGA]Boy Head circumference (actual; between 43.7-49.4 centimeters) [DHGA]Boy Head circumference (actual; between 44.1-50.0 centimeters) [DHGA]Boy Head circumference (actual; between 44.7-50.5 centimeters) [DHGA]Boy Head circumference (actual; between 45.1-51.0 centimeters) [DHGA]Boy Head circumference (actual; between 45.5-52.0 centimeters) [DHGA]Boy Head circumference (actual; between 46.3-52.5 centimeters) [DHGA]Boy Head circumference (actual; between 46.4-52.7 centimeters) [DHGA]
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Waste elimination [DHNPWE] Sphincters control Toilette training readiness Reported soiled diapers [DHNPWE]Wanted a clean diaper [DHNPWE]Used words, facial expressions indicating the need to go [DHNPWE]Walked, sat, and followed simple instructions [DHNPWE]Is potty-training (urine/feces, during the night) [DHNPWE]Is potty-training (urine/feces, during the day) [DHNPWE]Is potty-training (urine/feces, during the day/night) [DHNPWE]Completed sphincter control [DHNPWE]Usually cares for own toilet needs [DHNPWE]
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SPSensoriperception: all senses [DHSP_] (detection, reaction, discrimination, recognition) Corporal scheme and proprioception [DHSPC], Laterality [DHSPL], Space structuration [DHSPSS], Time-based orientation [DHSPTO]Followed moving objects with eyes (midline, between 0-6 weeks) [DHSPV]Followed moving objects with eyes (midline, between 0-6 weeks) [DHSPV]Followed moving objects with eyes (midline, between 0-6 weeks) [DHSPV]In sitting position, looked firmly to an object producing sound [DHSPA]Followed moving objects with eyes (past midline, between 2-4 months) [DHSPV]Reacted to strong taste [DHSPG]Reacted to a strong taste (between 4-6 months) [DHSPG]Moved an object to grab another one she seemed interested on [DHSPSR]Turned several pages of a chunky book at once [DHSPT]Enjoyed listening to music [DHSPA]Improved tracking moving objects [DHSPV]Recognized some body parts on her own body (between 8-12 months) [DHSPC]Pointed 2-3 parts on her own body [DHSPC]Recognized familiar sounds (door bell, phone ring, etc.) [DHSPA]Perceived familiar sounds around the house (water running, door bell, TV playing ) [DHSPA]Listened attentively and reacted to a lullaby [DHSEF]Recognized words said to her [DHSPA]Pointed 1-3 body parts on you (e.g. head, hair, eyes, ears, nose, mouth, arms, hands, legs, or foot) [DHSPC]Identified 1-3 colors (e.g. red, yellow, green, white, or black) [DHSPV]Knew 4 basic colors (red, yellow, blue, green, black, white) [DHSPV]Stand up, eyes closed, in one foot with leg extended in the air for 30 seconds [DHSPC]Knew well all body parts (on herself and on you) [DHSPC]Knew time events (today, yesterday, this morning, at night) [DHSPTO]SP
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Focused on familiar caregiver [DHSPV]Focused on adults and objects [DHSPV]Turned head around in a sound direction [DHSPA]#REF!Hearing is mature [DHSPA]Reacted to a strong smell (between 5-7 months) [DHSPO]Reacted to a rough surface (between 5-7 months) [DHSPT]Reacted to a rough surface (between 5-7 months) [DHSPT]Reacted to a rough surface (between 5-7 months) [DHSPT]Named some basic colors [DHSPC]Identified body parts on herself [DHSPC]Understood better the concept of time [DHSPTO]
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Followed moving objects with eyes [DHSPA]Followed moving objects with eyes (midline, between 2-4 weeks) [DHSPV]Followed moving objects with eyes (past midline, between 2-4 months) [DHSPV]Localized sounds [DHSPA]Knew left to right [DHSPL]
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Began to have a sense of time [DHSPTO]
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PMPsychomotricity: Gross motor coordination [DHPMB] Muscular strength, Static and Dynamic equilibrium, RhythmMoves in response to stimuli [DHPMB]In prone/face down position, lifted the head for a moment (between 1-2 months) [DHPMB]Controlled head, for a second, when you hold her in a sitting position on your chest [DHPMB]Laying on back and awake, moved arms and legs vigorously [DHPMB]Rolled over from prone to supine position (between 2-4 months) [DHPMB]Held by armpit, put her feet on your chest and stretched her entire body [DHPMB]Rolled over from prone to supine position (between 4-6 months) [DHPMB]Laying on her belly, pulled herself along the mattress or carpet [DHPMB]Stand up supporting in a furniture (between 7-9) [DHPMB]Maintained balance in sitting position when throwing objects [DHPMB]Stand up with little support (between 8-10 months) [DHPMB]Stood up without support (between 9-12 months) [DHPMB]Crawled skillfully and quickly [DHPMB]Sat still in a high chair [DHPMB]Crouched to reach an object on the floor [DHPMB]Sat in a small chair/stool [DHPMB]Climbed a stair (up/down, at least 2-3 steps) alternating feet [DHPMB]Walked up/down stairs using 2 feet in the same step [DHPMB]Hopped on one foot without support [DHPMB]Jumped up with feet together landing in the same place [DHPMB]Walked inside the limits of a circle drawn on the floor [DHPMB]Kicked a large ball to a target [DHPMB]Running, she jumped an obstacle of 1 foot [DHPMB]PM
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Moves head from side to side when in prone/face down position [DHPMB]When held upright had head erect and steady [DHPMB]Rolled from side to back [DHPMB]Rolled from supine/tummy position to sideSat without support (between 1-4 months) [DHPMB]Laying on her belly, lift chest supported by hands [DHPMB]Held in standing position, sustained own weight (4-6 months) [DHPMB]Held head and displayed neck control (4-6 months) [DHPMB]Crawled [DHPMB]Walked holding on furniture DHPMB]
Kicked a large ball [DHPMB]
Walked alone [DHPMB]Ride a tricycle [DHPMB]Climbed stairs alternating feet [DHPMB]Kicked a ball forward [DHPMB]Threw a small ball overhand [DHPMB]Catch ball with 2 hands [DHPMB]Skips with alternate feet. [DHPMB]
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Controlled head when you hold her in a sitting position on your chest [DHPMB]Rolled over from prone to supine position (between 2-4 months) [DHPMB]Rolled over from supine to prone position (between 2-4 months) [DHPMB]Rolled over from prone to supine position (between 4-6 months) [DHPMB]Sat without hands support [DHPMB]Pulled self up to stand [DHPMB]Stand on tiptoe [DHPMB]Hopped and stand on one foot up to 5 seconds [DHPMB]Jumped up 5 inches [DHPMB]Skipped on both feet and hopped [DHPMB]Rides bicycle [DHPMB]
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Held head steady [DHPMB]Sat with support (between 1-4 months) [DHPMB]Held in standing position, sustained own weight (4-6 months) [DHPMB]Catches bounced ball most of time [DHPMB]Ran avoiding obstacles [DHPMB]Controlled balance when standing on one foot for 10 seconds or longer [DHPMB]
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Psychomotricity: Fine motor coordination [DHPMF] Fine appendicular coordination, Sensorimotor coordination (attention+perception), Percepto-motor coordination (visual perception+grasp)Kept hands closed most of time, near her face or mouth [DHPMF]Noticed her hands [DHPMF]Held a ring/rattle for few seconds, glimpses at it [DHPMF]Laying on back position, touched hanging toys or toys close by [DHPMF]Laying on back, grabbed a small toy you dangled above her face [DHPMF]Reached for a small object, crumb, cereal and picked it up [DHPMF]Pulled a toy by string in her direction [DHPMF]Grabbed food from her plate, using pointer and thumb, and took it to her mouth [DHPMF]Moved small objects with pointer [DHPMF]Moved small objects with pointer [DHPMF]Used pincer grasp (pointer and thumb) to hold small objects (between 8-10 months) [DHPMF]Stacked 2-4 cubes to make a tower (between 9-12 months) [DHPMF]Held a spoon (often upside down) to feed self with spills [DHPMH]Held a cup trying to drink [DHPMF]Scribbled back and forth (in a paper, blackboard, etc.) [DHPMF]Held spoon to feed self with little spill [DHPMF]Helped turn pages in a book [DHPMF]Turned pages of a book [DHPMF]Imitated a circle [DHPMF]Stringed small beads/pasta (string/shoe lace) upon demonstration [DHPMF]Opened/closed a zipper [DHPMF]Used scissors to cut a sheet of paper in half [DHPMF]Opened/closed a zipper [DHPMF]
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Held a ring/rattle for few seconds, glimpses at it [DHPMF]Held a ring/rattle firmly, glimpses at it [DHPMF]Laying on back, grabbed a small toy you dangled above her face [DHPMF]Laying on back, grabbed a small toy you dangled above her face [DHPMF]Grabbed the ring/rattle firmly (4-6 months) [DHPMF]Reached objects using one hand [DHPMF]Tries to imitate scribbling [DHPMF]Scribbles spontaneously [DHPMF]Cut paper with child-safety scissors [DHPMF]Used child-safe scissors to cut a sheet of paper [DHPMF]Copied a cross [DHPMF]Drew a human figure (stick form) [DHPMF]Tied laces, shoes [DHPMF]
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Grasped a small cube with whole hand (palmar grasp) [DHPMF]Reached hanging objects and grabbed them [DHPMF]Transferred objects hand to hand, switching hands [DHPMF]Used pincer grasp firmly [DHPMF]Built tower of 4+ blocks [DHPMF]Drew a person with 2-4 body parts [DHPMF]Dressed and undressed without assistance DHPMF]
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Transferred object from one hand to the other [DHPMF]Used utensils properly during meals [DHPMF]Demonstrated refined fine motor skills [DHPMF]
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COCommunication: Comprehension (language) [DHCOC], Expression (speech) [DHCOE], Graphism/pre-drawing [DHCOD], Pre-writing [DHCOW], Pre-reading [DHCOR]Made babbling, cooing sounds (between 1-2 months) [DHCOE]Made babbling, cooing sounds (between 1-2 months) [DHCOE]Made sounds back to you as you talked with her [DHCOE]Emitted sounds, cooing, babbling [DHCOE]Made noises to call your attention (between 2-4) [DHCOE]Babbled sounds that mimics a series of syllables (da, ga, ka, ba) [DHCOE]When you said NO, she stopped what she was doing [DHCOC]Understood and complied with a simple verbal/gestural order (give me the toy, a ball) [DHCOC]Participated in two-way communication [DHCOC]Shaked head meaning NO [DHCOE]Gave tune to sounds that meant what she wants (drink, eat, diaper change) [DHCOE]Used 1-2 words as name of an object or action (10-12 months) [DHCOE]Recognized familiar everyday objects by name [DHCOE]Communicated with sounds/gestures/words what she wanted [DHCOE]Follows a 2- step command (throw the ball to mamma; now catch the ball) [DHCOC]Spoke 5-10 words [DHCOE]Followed 2- steps command (throw the ball to me; now catch the ball) [DHCOC]Built vocabulary gradually [DHCOC]Spoke in complete sentences [DHCOE]Followed a 3- step unrelated command (stand up, get the ball, bring to me) [DHCOC]Used plural and ending of words correctly (-s, -ed, -ing) [DHCOE]Traced numbers [DHCOW]Copied basic shapes (triangle, rectangle, diamond) [DHCOW]CO
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Babbled sounds [DHCOC]Coed, babbled at familiar people [DHCOE]Vocalized (babbling, cooing) (between 2-12) [DHCOE]Vocalized (babbling, cooing) (between 2-12) [DHCOC]Babbled syllable sound (mum, dada) [DHCOE]Babbled consonant-vowel sound (dada) [DHCOE]Babbled tunefully [DHCOC]Understood and complied with a simple verbal/gestural order (give me … the toy, a ball) [DHCOC]Paid increased attention to your speech [DHCOC]Copied a line (scribbling with crayons) [DHCOW]Recognized names of familiar people, objects, and body parts [DHCOC]Used 900+ words (seemed to understand 4x that number) [DHCOE]Has mastered some basic grammar rules [DHCOC]Used prepositions and plural [DHCOC]Asked the meaning of words [DHCOC]Printed letters and numbers [DHCOW]
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Turned head towards sound of a voice [DHCOC]Vocalized to engage someone in a interaction [DHCOE]Responded to her name [DHCOC]Tries to imitate words [DHCOE]
Used simple phrases [DHCOE]
Copied shapes and letters [DHCOW]Told stories [DHCOC]
Questioned (why?) [DHCOC]
Fluent speech with few substitutions [DHCOE]Spoke sentences of 5+ words DHCOE]
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Used voice to express joy and displeasure [DHCOE]Responds to simple verbal requests [DHCOC]Followed simple instructions [DHCOC]
Used future tense [DHCOC]
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CGCognition: Simple reflexes [DHCGR], Attention/concentration [DHCGA], Memory [DHCGM], Circular reactions [DHCGC], Pre-operational stage [DHCGP], Conceptual/theoretical ability [DHCGT]Startled to a touch, movement, or loud sound (between 1-2 months) [DHCGR]Followed familiar face when quiet and alert [DHCGC]Seemed to recognize breast/bottle [DHCGR]Recognized breast/bottle [DHCGR]Explored with hands & mouth (between 6w-4m) [DHCGR]Understood where dropped objects fell [DHCGR]Held a small object with whole hand, and if someone tried to take it, didn't let go easily [DHCGR]Shaked rattle to hear the sound (between 5-7 months) [DHCGR]Started noticing the absence of a familiar object [DHCGC]Looked for toys she dropped [DHCGC]Noticed the absence of a familiar object (between 6-9 months) [DHCGC]Tapped pictures in a book (between 9-12 months) [DHCGC]Put all pegs in a pegboard [DHCGC]Piled 1-2 cubes to make a house, tower [DHCGC]Remembered a toy you hide from her, after few minutes you hid it [DHCGC]Pointed to a familiar object to request it (toy, food, cloth, e.g.) [DHCGC]Searched for a hidden object [DHCGC]Identified 1-3 familiar objects in a book (e.g. a cup, shoe, dog, house, flower, car, or ball) [DHCGP]Counted to 3 [DHCGP]Recognized basic shapes (circle, square, rectangle, triangle) [DHCGP]Completed a puzzle with a schematic human figure (6-7 pieces) [DHCGP]Recognized the four basic shapes (circle, square, rectangle, triangle) [DHCGP]Categorized at least 3 items when you asked “Tell me things you like to __” (eat, play, or do) [DHCGT]CG
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Seemed to react in anticipation to be fed, changed, or held (between 1-2 months) [DHCGR]Explored with hands and mouth[DHCGR]Explored with hands and mouth[DHCGR]Smiled spontaneously and laughs [DHCGC]Noticed the absence of a familiar object [DHCGR]Explored object/toy by poking it with one finger [DHCGC]Enjoyed playing peek-a-boo [DHCGC]Imitated body movements [DHCGC]Found hidden objects easily [DHCGC]Turned over container to pour out contents [DHCGC]Tried to sort by shapes and colors [DHCGC]Pointed to/counted 3 objects [DHCGC]Recalled part of a story [DHCGM]Repeated a sequence of 3-4 numbers [DHCGM]Counted to 10+ objects correctly [DHCGP]Was able to abstract from objects [DHCGP]
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Struggles to get objects that are out of reach [DHCGC]Looked at correct picture when the image is named [DHCGC]Began to make-believe plays [DHCGC]Understood concepts of same and different [DHCGP]Understood the concept of counting; and might know few numbers [DHCGP]Could tell a story from her imagination [DHCGC]Knew about things used at home routinely (food, appliances, money) [DHCGC]Recalled part of a story told a short time ago [DHCGM]
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Explored objects in different ways (shaking, banging, throwing, dropping) [DHCGC]Demonstrated increasing independence [DHCGC]Had Imaginary friends [DHCGC]Increased inventive in fantasy play [DHCGC]Distinguished fantasy from reality [DHCGT]Increased attention spam [DHCGA]
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SESocioemotional: Affection [DHSEB], Attachment [DHSEA], Symbolic access to regulate emotions [DHSES], Empathy [DHSEE], Self-conscious emotions [DHSEF], Interaction with significant other [DHSEB], Interaction with other [DHSEIO] Interaction with environment [DHSEIE]Smiled, or moved facial muscles that mimic a smile (between 1-2 months) [DHSEB] . Smiled at parents (between 2-3 months) [DHSEB] . When carried, looked around [SEIE]Reacted with movement or facial expression to your departure [DHSEB]When taken to unfamiliar environment, seemed unease [DHSEIE]Played by herself, babbling, entertaining herself [DHSEA]Waved bye-bye in response to your bye-bye [DHSEA]Made vocal sounds/noises to call your attention [DHSEB]Imitated your coughing, laughing, crying, or showing tong [DHSEB]Complained (cried or used sounds) when you took a toy away [DHSEA]Enjoyed playing games (e.g. peak-a-boo, pat-a-cake) (between 6-9 months [DHSEB]Gave kisses/hugs (between 9-12 months [DHSEI]Played by herself [DHSEA]Helped pick up and put toys away [DHSEI]Pointed at least 3 parts on her own body( (eyes, nose, hair, ears, mouth, hand or foot) [DHSEA]Recognized self in a mirror [DHSEA]Had a tantrum when upset, overly tired or frustrated [DHSEA]Imitated everyday activities [DHSEIE]Knew her name and gender [DHSEA]Enjoyed choosing own clothes [DHSEA]Helped clean up and put things were they belong (a book in a shelf, etc.) [SEIE]Played cooperatively, sharing toys [DHSEIO]Developed friendships (a preferred friend, a cousin, a classmate) [DHSEIO]SE
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Responded to parent comforting when upset [DHSEA]As you talked with your baby, s/he made sounds back to you [DHSEB]Laughed at simple things [DHSEB]Reacted negatively in the presence of strangers between 4-6 months) [DHSEIO]Seems to enjoy social play [DHSEIO] Waived good-bye [DHSEB]Cooperated with dressing [DHSEA] Imitated your actions or behaviors [DHSEB]Demonstrated separation anxiety [DHSEA]Understood taking turns [DHSEE]Role-played being "mom" or "dad" [DHSEIE]Imitated adults activities [DHSEB]Agreed with some rules and routines [DHSEIE]Demonstrated competency [DHSEF]
52
Cried when close parent or caregiver leaves [DHSEE] Enjoyed company of other children [DHSEIO]Was afraid of monsters [DHSEA]Cooperated with other children [DHSEE]Enjoyed to sing, dance, and act [DHSES]Curious about gender and sex [DHSES]
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 Repeats sounds or gestures for attention [DHSEB] Began to display defiant behavior; testing limits [DHSEA] Independent may visit a next-door neighbor [DHSEIE] Knew what is right and wrong [DHSEIE]
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DEVELOPMENTAL RED FLAGS
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1ST MONTH2ND MONTH3RD MONTH4TH MONTH5TH MONTH6TH MONTH7TH MONTH8TH MONTH9TH MONTH10TH MONTH11TH MONTH12TH MONTH
13RD-15TH MONTHS
15-18TH MONTHS18-21TH MONTHS21-24TH MONTHS24-30TH MONTHS30-36TH MONTHS
36TH-42ND MONTHS
42ND-48TH MONTH4TH-5TH YEAR5TH-6TH YEAR6TH-7TH YEAR
56
Does not cry to communicate discomfort [DHNPND]Does not cry to communicate discomfort [DHNPND]Does not respond to loud sounds or voice [DHSPA]Does not turn her head to locate sounds by four months [DHSPA]Seems inconsolable at night after five months [DHNPSP]Does not laugh or make squealing sounds by six months [DHCGC]Seems very stiff, with tight muscles [DHPMB]Does not babble by eight months [DHCOE]Is not growing as expected (height, weight, head circumference) [DHGA]Chewing-swallowing pattern not established (6-9 m) [DHNPSS)Does not follow a simple 1-step direction [DHCOC]Does not crawl [DHPMB]Unable to lift cup to mouth and drink [DHPMF]Does not seem to know the function of common household objects (brush, telephone, bell, fork, spoon) by fifteen months [DHSEA]Cannot walk by eighteen months [DHPMB]Does not use two-word sentences by the end of this period [DHCOC]Fails to develop a mature heel-toe walking pattern after several months of walking, or walks exclusively on his toes [DHPMB]Does not hops on one foot without support [DHPMB]Does not draw/copy a recognizable circle [DHPMF]
Cannot count 1-5 [DHCGT]
Cannot throw a ball overhead [DHPMB]Exhibits extremely fearful or timid behavior [DHSEA]Cannot copy basic/complex shapes [DHCOW]
57
Sucks poorly and feeds slowly [DHNPSS]Doesn’t notice her hands by two months [DHPMF]Doesn’t follow moving objects with her eyes by two to three months [DHSPV]Doesn’t reach for and grasp toys by three to four months [DHPMF]Doesn’t roll over in either direction (front to back or back to front) by five months [DHPMB]Cannot sit with help by six months [DHPMB]Seems very floppy, like a rag doll [DHPMF]Absence of asymmetrical tonic neck reflex [DHNPAR]Does not crawl around the house on hands and knees [DHPMB]Does not pick up a spoon by the handle [DHPMF]Does not copy vocal sounds you make [DHCOE]Drags one side of body while crawling (for over one month) [DHPMB]Does not stands without support [DHPMB]Does not walk without support [DHPMB]Does not speak at least fifteen words by eighteen months [DHCOC]Does not imitate actions or words by the end of this period [DHCGC]Does not follow simple instructions by age two [DHCOC]Does not walks up/down stairs, one foot per step [DHPMB]Does not cut a paper with a child-safe scissors {DHPMF]Does not know basic colors [DHSPV]Cannot jump in place [DHPMB]Exhibits extremely aggressive behavior [DHSEA]Does not know left and right concept [DHSPL]
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Doesn’t blink when shown a bright light [DHSPV]Doesn’t smile at the sound of your voice by two months [DHSEB]Doesn’t grasp and hold objects by three months [DHPMF]Doesn’t push down with her legs when her feet are placed on a firm surface by four months [DHPMB]Doesn’t smile spontaneously by five months [DHCGC]Does not actively reach for objects by six to seven months [DHPMF]Head still flops back when body is pulled up to a sitting position [DHPMB]Absence of suction-swallow reflex by eight months [DHNPSS]Does not sit without using the hands support [DHPMB]Does not understand words like no, stop, all gone [DHCOC]Does not walk around furniture or crib while holding on [DHPMB]Cannot stand when supported [DHPMB]Unable to pick 2 small objects in one hand [DHPMF]Unable to kick a ball forward [DHPMB]Cannot pass a toy to other hand when offered a second object [DHNPSI]Does not climb on play equipment, slide, ladder [DHPMB]Cannot push a wheeled toy by age two [DHPMB]Unable to ride around on a tricycle, using pedals [DHPMB]Unable to combine sentences with the words and, or, but {DHCOC}Rarely uses fantasy or imitation in play [DHCGC]Cannot ride a tricycle [DHPMB]Is unable to separate from parents without major protest [DHSEE]Does not form numbers and letters correctly [DHCOW]
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Does not sleep 14-17 h/daily (between 0-3 m) [DHNPSP]Is not growing as expected (height, weight, head circumference) [DHGA]Does not sleep 12-16 h/daily (between 4-12m) [DHNPSP]Is not growing as expected (height, weight, head circumference) [DHGA]Does not actively coordinate suck, swallow, and breathing sequence [DHNPSS]Does not sleep 12-16 h/daily (between 4-12m) [DHNPSP]Is not growing as expected (height, weight, head circumference) [DHGA]Does not transfer objects hand to hand, switching hands [DHNPSI]Does not sleep 12-16 h/daily (between 4-12m) [DHNPSP]Is not growing as expected (height, weight, head circumference) [DHGA]Does not sleep 11-14 h/daily (between 12-24 m) [DHNPSP]Is not growing as expected (height, weight, head circumference) [DHGA]Does not sleep 11-14 h/daily (between 12-24 m) [DHNPSP]Is not growing as expected (height, weight, head circumference) [DHGA]Does not sleep 10-13 h/daily (between 36-48 m) [DHNPSP]Is not growing as expected (height, weight) [DHGA]Has trouble using the toilet [DHNPHP]Does not sleep 10-13 h/daily (between 4-5 years) [DHNPSP]Is not growing as expected (height, weight) [DHGA]Does not sleep 9-12 h/daily (between 6-13 years) [DHNPSP]
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Doesn’t focus and follow a nearby object moving side to side [DHSPV]Does not keep head erect and steady when you held her head up right [DHPMB]Doesn’t smile at people by three months [DHSEB]Doesn’t babble by three to four months [DHCOC]Still has the tonic neck reflex at four to five months [DHPAR]Does not react tor seem to hear sounds or voices [DHSPA]Reaches with one hand only [DHPMF]Does not notice/reach for her image at a mirror [DHCGC]Does not notice the absence of a familiar object [DHCGR]Does not engage in social play (peek-a-boo, patty-cake, bye-bye) [DHSEIO] Does not search for objects that are hidden while she watches [DHCGC]Does not gives hugs and kisses [DHSEA]Does not distinguish between edible and inedible [DHNPSI]Does not scribble with circular motion [DHPMF]Presence of plantar/Babinski reflex [DHNPTG]Exhibits extremely fearful or timid behavior [DHSEA]Unable to understand size, number, shape concepts {DHCGC}Is easily distracted and unable to concentrate on any single activity for more than five minutes [DHCGA]Cannot grasp a crayon between thumb and fingers [DHPMF]Is easily distracted and unable to concentrate on any single activity for more than five minutes [DHCGA]Does not have control of balance [DHSPC]
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Rarely moves arms and legs; seems stiff [DHPMB]Sucks poorly and feeds slowly [DHNPSS]Cannot support her head well at three months [DHPMB]Begins babbling, but doesn’t try to imitate any of your sounds by four months [DHCOC]Presence of rooting reflex [DHNPRR]Does not imitate gestures [DHCGC]Refuses to cuddle [DHSEA]Does not actively shaking the rattle to hear the sound [DHCGC]Does not pick a small object using thumb and pointer grasp [DHPMF]Does not say single words (“mama” or “dada”) [DHCOE]Unable to talk using at least one word [DHCOE]Unable to use 2-3 word sentences [DHCOC]Does not sit independently to look at books or play [DHPMB]Is unable to separate from parents without major protest [DHSEB] Does not understand time concept (yesterday, today, and tomorrow) [DHSPTO]Has difficulty scribbling [DHPMF]Shows little interest in playing with other children [DHSEE]Has trouble taking off her clothing [DHNPSI]
62
Seems excessively loose in the limbs, or floppy [DHPMB]Doesn’t blink when shown a bright light [DHSPV]Has trouble moving one or both eyes in all directions [DHSPV]Doesn’t bring objects to her mouth by four months [DHPMF]Does not drink from a cup [DHPMF]Shows no affection for the person who cares for him [DHSEA]Shows no interest in games of peekaboo by eight months [DHCGC]Does not understand and comply with a simple verbal/gestural order (give me the toy, a ball) [DHCOC]Does not imitate yours gestures (waving or shaking head) [DHCGC] Resists dressing, sleeping, using the toilet [DHSEF]Cannot stack four blocks [DHPMF]Refuses to respond to people in general, or responds only superficially [DHSEIO]Cannot brush her teeth [DHNPSI]
63
Lower jaw trembles when is calm and not crying or excited [DHNPSI]Does not sleep 14-17 h/daily (between 0-3 m) [DHNPSP]Crosses her eyes most of the time (occasional crossing of the eyes is normal in these first months.) [DHSPV]Doesn’t reach for and grasp toys by three to four months [DHPMF]Does not actively reach for objects by six to seven months [DHPMF]Doesn’t seem to enjoy being around people [DHSEIO]Does not sit without using the hands support [DHPMB]Does not reach for familiar person [DHSEB]Does not point to objects or pictures [DHCGC]Lashes out without any self-control when angry or upset [DHSEA]Still clings or cries whenever his parents leave him [DHSEE]Rarely uses fantasy or imitation in play [DHCGC]Cannot wash and dry her hands [DHNPSI]
64
Seems not to respond to loud sounds or voice [DHSPA]Doesn’t focus and follow a nearby object moving side to side [DHSPV]Doesn’t pay attention to new faces, or seems very frightened by new faces or surroundings [DHSEIO]Does not rolled from supine/tummy position to her side [DHPMB]Doesn’t follow objects with both eyes at near (1 foot) [30 cm] and far (6 feet) [180 cm] ranges by seven months [DHSPV]One or both eyes consistently turn in or out [DHSPV]Does not transfer objects hand to hand, switching hands [DHNPSI]Does not notice/reach for her image at a mirror [DHCGC] Cannot copy a circle [DHPMF]Shows no interest in interactive games [DHCGC]Seems unhappy or sad much of the time [DHSEA]Avoids or seems aloof with other children and adults [DHSEE]
65
Does not make babbling, cooing sounds [DHCOC]Rarely moves arms and legs; seems stiff [DHPMB]Does not hold a ring/rattle firmly and glimpses at it [DHPMF]Presence of suction-swallowing reflex [DHNPSS]Persistent tearing, eye drainage, or sensitivity to light [DHSPV]Does not understand and comply with a simple verbal/gestural order (give me the toy, a ball) [DHCOC] Ignores other children [DHSEI]Doesn’t engage in a variety of activities [DHSEA]Doesn’t express a wide range of emotions [DHSEA]
66
Seems excessively loose in the limbs, or floppy [DHPMB]Presence of marching reflex [DHNPMR]Does not respond to sounds around him [DHSPA]Doesn’t respond to people outside the family [DHSEI]Has trouble using the toilet [DHNPHP]Doesn’t talk about her daily activities and experiences [DHSEA]
67
Lower jaw trembles when is calm and not crying or excited [DHNPSI]Has difficulty getting objects to his mouth [DHPMF] Doesn’t engage in fantasy play [DHCGC]Can’t differentiate between fantasy and reality [DHCGP]
68
Seems not to respond to loud sounds or voice [DHSPA]Does not bear some weight on legs by seven months [DHPMB]Doesn’t use sentences of more than three words [DHCOC]Seems unusually passive [DHSEA]
69
Does not make babbling, cooing sounds [DHCOC]Does not try to attract attention through actions by seven months [DHSEB]Doesn’t use “me” and “you” appropriately [DHCOC]Cannot understand two-part commands using prepositions (“Put the cup on the table”; “Get the ball under the couch.”) [DHCOC]
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