Because you'll want to measure the infant's best performance, checking milestones is best achieved at the end of the interview, just before the examination. This "fun and games" interlude also enhances cooperation during the examination. Experienced clinicians can weave the developmental examination into the other parts of the examination. The graph at the bottom of p. 628 shows some key physical/motor, cognitive/language, and social/emotional milestones during the first year of life. The standard for measuring developmental milestones throughout infancy and childhood is the Denver Developmental Screening Test (DDST). The DDST is designed to detect developmental delays in personal-social, fine motor-adaptive, language, and gross motor dimensions from birth through 6 years of age.
The DDST form is shown on p. 738 in Table 17-2 and includes instructions for recording specific observations. Each test item is represented on the form under the age by a bar, which indicates when 25%, 50%, 75%, and 90% of children attain the milestones depicted. It must be emphasized that the DDST is only a measure of developmental attainment in the categories indicated and not a measure of intelligence.
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