data/processed/lp/indices/NormalDevelopmentalMilestonesinChildren/docstore.json

{"docstore/ref_doc_info": {"189e4d25-a0ca-418a-b6a7-c71f246812f7": {"node_ids": ["e685c0fa-732f-46b5-8797-583d63c8fa7a", "8c124f78-86af-4a51-a97f-d3f3cc6bc12e"], "metadata": {}}}, "docstore/data": {"e685c0fa-732f-46b5-8797-583d63c8fa7a": {"__data__": {"id_": "e685c0fa-732f-46b5-8797-583d63c8fa7a", "embedding": null, "metadata": {}, "excluded_embed_metadata_keys": [], "excluded_llm_metadata_keys": [], "relationships": {"1": {"node_id": "189e4d25-a0ca-418a-b6a7-c71f246812f7", "node_type": "4", "metadata": {}, "hash": "14837f81eb9631dc8b0e8e80503854a29a32666b16d180ce1d65d45dcbc8ff17", "class_name": "RelatedNodeInfo"}, "3": {"node_id": "8c124f78-86af-4a51-a97f-d3f3cc6bc12e", "node_type": "1", "metadata": {}, "hash": "3948cc116c0e444afb461fbe3c2b7924677757c9af4b6de8ec1a4f4a70549000", "class_name": "RelatedNodeInfo"}}, "metadata_template": "{key}: {value}", "metadata_separator": "\n", "text": "# Annex 3: Normal Developmental Milestones in Children\n\n| AGE       | GROSS MOTOR                                                                                                                                                                       | FINE MOTOR                                                                                                                                                                                                                                                                | WARNING SIGNS                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |                                                                                                                 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------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |\n| 3 Months  | Supine:- Pull to sit:\n- 45\u00b0 head lag still presentSitting: Propped up- Flexed/C-Position\n- Hold head steadyProne:- Bears weight on flexed arms\n- Lifts head 45\u00b0 turn head to side | Eyes:- Follow through 90\u00b0 in lyingHands:- Open for longer\n- Shake a rattle when it is placed in the hand (not intentional)\n- Mouthing begins                                                                                                                              | * No visual fixation or following asymmetry of tone or movement.", "mimetype": "text/plain", "start_char_idx": 2, "end_char_idx": 3788, "metadata_seperator": "\n", "text_template": "{metadata_str}\n\n{content}", "class_name": "TextNode"}, "__type__": "1"}, "8c124f78-86af-4a51-a97f-d3f3cc6bc12e": {"__data__": {"id_": "8c124f78-86af-4a51-a97f-d3f3cc6bc12e", "embedding": null, "metadata": {}, "excluded_embed_metadata_keys": [], "excluded_llm_metadata_keys": [], "relationships": {"1": {"node_id": "189e4d25-a0ca-418a-b6a7-c71f246812f7", "node_type": "4", "metadata": {}, "hash": "14837f81eb9631dc8b0e8e80503854a29a32666b16d180ce1d65d45dcbc8ff17", "class_name": "RelatedNodeInfo"}, "2": {"node_id": "e685c0fa-732f-46b5-8797-583d63c8fa7a", "node_type": "1", "metadata": {}, "hash": "bb90af87dafd3406b50a6d522a796e4168e5a990ba5db0e0b78538a4907bb39f", "class_name": "RelatedNodeInfo"}}, "metadata_template": "{key}: {value}", "metadata_separator": "\n", "text": "# Annex 3: Normal Developmental Milestones in Children\n\n| AGE       | GROSS MOTOR                                                                                                                                                                       | FINE MOTOR                                                                                                                                                                                                                                                                | WARNING SIGNS                                                                                                                                                                                                                                                                                                 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------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |\n| 3 Months  | Supine:- Pull to sit:\n- 45\u00b0 head lag still presentSitting: Propped up- Flexed/C-Position\n- Hold head steadyProne:- Bears weight on flexed arms\n- Lifts head 45\u00b0 turn head to side | Eyes:- Follow through 90\u00b0 in lyingHands:- Open for longer\n- Shake a rattle when it is placed in the hand (not intentional)\n- Mouthing begins                                                                                                                              | * No visual fixation or following asymmetry of tone or movement.\n* Floppy/stiff\n* Consistent fisting\n* Unstable to turn or lift head\n* Failure to smile\n* Poor sucking & swallowing                                                                                                                                                                                                                                                                                                |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |                                                                                                                                                                                                       |\n|           | 6 Months                                                                                                                                                                          | Supine:* Pull to sit, no more head lag\n* Plays with feet\n* Rolls from back to tummySitting:* Unaided supported by armsStanding:* Bears weight on legs, equal both sidesProne:* Props self on straight arms, legs extended, toes turned outwards                           | Eyes:* Follow through 180\u00b0 in lying\n* Focus on small objectsHands:* Hands on midline\n* Banging blocks against the table reaches and attains objects at will Holds and actively plays with rattle                                                                                                                                                                                                                                                                                   | - Floppiness\n- No head control\n- Failure to use both hands\n- Asymmetrical movement squint\n- Failure to turn to sound\n- Poor response to people                                                                                                                                                                                                                                                                                                                                       |                                                                                                                                                                                                       |\n|           |                                                                                                                                                                                   | 9 Months                                                                                                                                                                                                                                                                  | Sitting:- Sits without support lean forward\n- And sit up again without losing balanceStanding:- Remain standing for a few seconds by holding onto an object, falls down againProne:- Baby starts to crawl                                                                                                                                                                                                                                                                          | Eyes:- Extremely accurate visionHands:- Can pick up and button\n- Holds a block in each hand\n- Points                                                                                                                                                                                                                                                                                                                                                                                 | * Unable to sit\n* Failure to use both hands\n* Fisting\n* Squint\n* Persistence of primitive reflexes                                                                                                    |\n| 12 Months |                                                                                                                                                                                   |                                                                                                                                                                                                                                                                           | Sitting:* Turns around to reach nearby toys\n* Sits down unaided from standingStanding: (Walking)* Walks forward if held by one hand\n* Walks around furniture sideways-cruisingProne: (crawling)* Crawls\n* Pulls up to standing by holding onto object                                                                                                                                                                                                                              | Eyes:* Looks for toys when out of sightHands:* Able to pick up a button with thumb and index finger (pincer grasp)\n* Release on request\n* Hold with 1 hand and play with the other\n* Throws things into a container and take it out again                                                                                                                                                                                                                                            | - Unable to bear weight on legs\n- Not yet crawling and pulling to stand\n- Abnormal grasp\n- Failure to respond to sound\n- Unable to start with solids independently                                    |\n|           | 15 Months                                                                                                                                                                         | Sitting:- Stand up from sitting\n- Will climb on a chair and sit downStanding: (Walking)- Bend over to pick up an object\n- Squat and stand up again\n- Walks alone, broad base with arms in the airsProne: (crawling)- Able to crawl fast and manage obstacles e.g., stairs |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | Eyes:- Hold crayon in a fist when scribbling\n- Turn pages of a book roughly\n- Hold 2 small toys in 1 hand\n- Put lid back on container                                                                                                                                                                                                                                                                                                                                                | * Unable to bear weight on legs\n* Not yet walking\n* Abnormal grasp\n* Abnormal posture: floppy/spastic\n* Failure to respond to sound\n* Not yet talking                                                 |\n|           |                                                                                                                                                                                   | 18 Months                                                                                                                                                                                                                                                                 | - Walking with more confidence\n- Walk, squat and pick up something, stand up and walk again\n- Starts running, often falls\n- Take few steps backwards\n- Runs and change direction easily\n- Jump off step with 2 feet together\n- Stand and kick a ball\n- Able to throw a ball\n- Walk forward and backward\n- Walks on tip toes\n- Walks on straight line\n- Jump 2 feet together\n- Able to climb on chair\n- Catch a big ball (hugging against chest)\n- Holds ball above head and throws | * Build a 3-cube tower\n* Scribbles\n* Holds the crayon in a fist\n* Turn pages of a book\n* Page through a book page by page\n* Obvious hand preference\n* Uses lines: I, \\_,0\n* Completes 3-piece puzzle\n* Remove a sweet wrapper with little help\n* Copies the following shapes: \\_, I, O, T\n* Start coloring in, go over the lines\n* Pencil grip:\n* Holding crayon to draw (still developing)\n* Builds a 9-block tower\n* Thread big beads on a shoelace\n* Draw a man: at least 4 parts | - Failure to walk\n- Unable to pick up small objects e.g., buttons\n- Abnormal posture\n- Not yet talking\n- Unable to understand simple commands\n- Poor co-ordination\n- Using only single words\n- Ataxia |", "mimetype": "text/plain", "start_char_idx": 2, "end_char_idx": 12873, "metadata_seperator": "\n", "text_template": "{metadata_str}\n\n{content}", "class_name": "TextNode"}, "__type__": "1"}}, "docstore/metadata": {"e685c0fa-732f-46b5-8797-583d63c8fa7a": {"doc_hash": "bb90af87dafd3406b50a6d522a796e4168e5a990ba5db0e0b78538a4907bb39f", "ref_doc_id": "189e4d25-a0ca-418a-b6a7-c71f246812f7"}, "8c124f78-86af-4a51-a97f-d3f3cc6bc12e": {"doc_hash": "3948cc116c0e444afb461fbe3c2b7924677757c9af4b6de8ec1a4f4a70549000", "ref_doc_id": "189e4d25-a0ca-418a-b6a7-c71f246812f7"}}}