Pediatric : Deciduous Teeth

Deciduous teeth also known as milk teeth, baby teeth, temporary teeth, primary teeth, lacteal dentition are the first set of teeth in the growth development of humans. They develop during the embryonic stage of development and erupt during infancy. They are usually lost and replaced by permanent teeth, but in the absence of permanent replacements, they can remain functional for many years. (www.wikipedia.org)

Deciduous teeth will continue to form until they erupt at age of 6 – 24 months or 33 months of age.

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Pediatric : Developmental Milestones (15 months – adolescent)

As a previous post I mentioned pediatric developmental milestones from 0 month till 12 months, here now I continue with pediatric developmental milestone from 15 months till adolescent.

15 Months :

• Can pull or push a toy
• Can walk without assistance
• Can build tower of 2 blocks
• Can throw ball overhanded
• Can scribble with crayon or pencil

18 Months :

• Can run clumsily
• Can build tower of 3-4 blocks
• Can jump in lace with both feet
• Can control anal and urinary sphincter
• Can control about 10 words

2 Years :

• Climbs stair
• Runs with wide stance
• Says names some familiar objects
• Says combine 2-3 words meaningful
• Can attain bladder and bowel control
• Weight about 4 times birth weight
• Average weight gain is 4-6 lb/year during ages 2-6 years
• Attains about a half of expected adult height

2.5 Years :

• Able to jump from chair or step, and
• Can stand on one foot briefly

3 Years :

• Climbs stairs by alternating feet on steps
• Can ride tricycle
• Turn doorknobs
• Can dress self
• Says or speaks in short sentences
• All 20 deciduous teeth have erupted

4 Years :

• Catches ball
• Recognizes colors
• Hops on one foot
• At this time, birth length has doubled

5 Years :

• Can skip well and jump rope
• Says contain all parts of speech
• Maintain balances with eyes closes
• Vocabulary of 2100 words can be built

6-12 years :

• Can tie shoes
• Can learn to how to swim, skate, and ride bicycle
• Forms clubs or gangs
• Uses pencil and crayon well
• Strong sense of what is fair
• Can read and count
• At this time, average weight gain will be 4-6 lb/year during age 6-12 years

Adolescent :
At this time, he/she can learn to care for self independently while learning to effectively interact with society.

As mentioned on previous post that Pediatric developmental milestones are difficult to memorize, but at least as a Nurse should have knowledge about that. NCLEX - CGFNS examination will ask some questions in relation with pediatric developmental milestones.

Pediatric : Developmental Milestones ( 0 - 12 Months)

Pediatric developmental milestones are based on averages, means that each child progresses at his or her own rate.

Birth - 1st month :

* Maintains eye contact
* Demonstrates reflex activities
* Lies in flexed position
* Using communication technique by crying
* Average weight gains is 3-5 oz weekly during first 6 month

2 Months :

* Can lifts head for short periods when prone
* Smiles and frowns
* Coos
* Will visually follows moving objects

3 Months :

* Sits with support
* Will turn from back to side
* Can recognizes parent
* Demonstrates pleasure by squealing
* Focusing on win hands

4 Months :

* Can lift head and chest about 90 degrees and bearing weight on forearms
* Turning from back to prone position
* Holing head erect while in siting position
* Can reach for objects and grasps objects with both hands
* Plays with fingers
* Carries objects to mouth
* Makes consonant sounds and laughs aloud

5 Months :

* Turning from abdomen to back
* Playing with toes and puts feet into mouth
* Can hold objects in one hand and reaches for another objects with other hand

6 Months :

* Can sit alone leaning forward on both hands
* Reaches for and grasps objects
* Extends arm when he or she wishes to be picked up
* Briefly looks for dropped objects
* Fear to strangers
* Enjoying to play peekaboo
* Begins to produce world like sound
* Birth weight has doubled
* Weekly weight gain is 3-5 oz during 6-18 months


7 Months :

* Bears weight on feet
* Transfers object from one hand to other hand
* Begins to crawl

8 Months :

* Sits alone without support
* Pull to standing position
* Can release object intentionally
* Uses pincer grasp
* Say "DADA" without meaning
* Stranger anxiety

9 Months :

* Can crawl well
* Will walk sideways while holding on
* Bangs 2 blocks together
* Searches for hidden object
* Can drink from cup and attempts to feed self

10 Months :

* Begins to walk and climb
* Neat pincer grasp
* Playing pat-a-cake and initiates peekaboo game
* May say 1-2 words with meaning

11 Months :

* Will cooperate with dressing activities
* Attempts to feed self with spoon
* Follows simple direction
* Will understand "no" and shakes head to indicate "no"

12 Months :

* Will walk alone or with one hand held
* Frequently falls while walking
* Can drink well from a cup
* Can pull off socks
* Points with one finger
* Birth weight has tripled
* Birth length has increased by 50%
* Head and chest circumference are equal

Pediatric developmental milestones are difficult to memorize, but at least as a Nurse should have knowledge about that. NCLEX - CGFNS examination will ask some questions in relation with pediatric developmental milestones.