child development

Child Development

Thaweesak Siriratrekha, MD., Child and Teenager Psychiatrist

    Child Development can be variedly divided into 4 main areas as follows:

          1. Physical development consists of gross motor development and fine motor development

          2. Cognitive development includes fine motor development and language development.

          3. Emotional development

          4. Social development contains social development and moral development.

   Children in general will have close stages of development. If children have developmental delay of over 6 months, it is considered abnormal which will need urgent intervention and support.

      Normal Development of Each Age Range is shown in the table below.

Gross Motor Development

At birth

Equally bend both sides of legs and arms.

1 month

Turn face to left and right directions

2 months

Raise neck

4 months

Use hand support to rise in a prone position

6 months

Lie in prone and supine position by himself

9 months

Sit firm, crawl and cling to stand

12 months

Cling to walk

15 months

Walk alone

18 months

Run and bend down to pick things up

2 years

Kick a ball, jump with both feet

3 years

Go up stairs with alternate steps, operate a tri-cycle

5 years

Go down stairs with alternate steps, jump with one leg

 

 

 

 

 

 

Fine Motor Development

At birth                Palm reflect action

1 month                Firm hand fist

2 months               Loose hand fist and keep an eye on something

4 months               Reach for objects

6 months               Pick up objects with one hand and exchange to the other hand

9 months               Grasp small items with fingers.

12 months              Pick up items and put them into a cup or a box.

15 months              Build 2 stacks of wooden blocks

18 months              Build 3 stacks of wooden blocks

2 years                   Build 6 stacks of wooden blocks

3 years                   Draw a circle as per a model given

4 years                   Draw a square as per a model given

5 years                   Draw a triangle as per a model given

 

 

 

Language Development

Receptive Language Development

At birth                    Differentiate mother’s voice and others’

1 month-2 months   Listen to a person talking to him

4 months                 Turn to a voice

6 months                 Turn to a voice while calling his name

9 months                  Understand facial expressions and gestures

12 months                 Follow the orders with posture

15 months                Point to facial parts following the commands

18 months-2 years    Point to a picture following the instructions

3 years                     Recognize 2 colors

4 years                     Recognize 4 colors

5 years                     -

 

 

 

Language Development

Expressive Language Development

At birth                    Cry

1 month                   Make voices in the throat

2 months                  Respond with smiles

4 months                  Babble and laugh

6 months                  Play with saliva and make voices apart from “AW” sound

9 months                  Papa, mama

12 months                Babble a single word with meaning.

15 months                Babble 2-3 single words with meaning.

18 months                 Utter many single words (50 words on average)

2 years                      Say 2-3 consecutive words with meaning, tell his name

3 years                      Tell a story with half understanding

4 years                      Tell a story with entire understanding

5 years                      Count numbers from 1-20

 

 

 

 

Social Development

At birth                      Look at faces for a short time

1 month                     Stare and smile

2 months                   Give an eye contact

4 months                    Greet by smiling and show gladness when food or caregiver is present

6 months                    May show stranger anxiety

9 months                    Cry when mom is absent, waylay and pick up foods to eat

12 months                  Clap hands, wave hands and Bye Bye!

15 months                  Hold a cup of water

18 months                   Pick foods with a spoon

2 years                        Tell toilet requirement and imitate an adult’s actions

3 years                         Realize gender, put on shoes and put off clothes

4 years                         Play in groups and fasten buttons

5 years                         Play with rules, role play, realize age and dress alone

 

 

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