Virginia Apgar‘s method of evaluating newborn infant Score Heart rateRespiratory effort Reflex irritability Muscle tone Color Normal cryReflex irritabilityGoodPink 1100Irregular and shallow Moderately depressed FairPale 0No heart beat observed Apnea for more than 60 sec. AbsentFlaccidCyanotic Virginia Apgar‘s method of evaluating newborn infant is now in standard use to evaluate the newborn one minute after birth. It is useful to make serial Apgar score: the longer the score remaine low the worse the prognosis with regard to mortality or neurological sequel. Total score: 8 – 10 Good Fair 0 – 2 Poor condition

Month One: Gross Motor Skills Fine Motor Skills Can lift chin slightly Hands fisted/reflexive grasp Head lag in ventral suspension Flexion attitude in prone lying position

Month Two Gross Motor Skills Fine Motor Skills Wobbly head while sitting Swipes toys with /hands Head Lag Head lag when pull to sit

Month Three Gross Motor Skill Fine Motor Skill Holds head steady in sitting Hands open Rolls back to side Grasps/holds an object Puts weight on arms while on tummy Hands play at midline

Month Four Gross Motor Skills Fine Motor Skills Sits on propped arms Reaches with both arms/hands Rolls tummy to side Brings fingers/hands in mouth No head lag seen when pulled Squeeze grasp emerging to sit

Month Five Gross Motor Skills Fine Motor Skills Rolls tummy to back Reaches with good aim Puts objects/toys in mouth Pushes up with arms Picks up spoon or cup by handle while on belly Starts grabbing feet Sits propped on hands

Month Six Gross Motor Skills Fine Motor Skills Sits briefly independently Reaches precisely and grasps objects Sits in a highchair Transfers toys from hand to hand Rolls over both ways Bangs a cup on a table

Month Seven Gross Motor Skills Fine Motor Skills Sits unsupported~30 seconds Crosses midline when reaching Rocks on all fours Uses whole hand to rake in objects Pivots in a circle while on tummy Thumb to finger grasp emerging

Month Eight Gross Motor Skills Fine Motor Skills Transitions tummy to sit Bangs cubes together Crawls forward Uses a three-fingered grasp Reaches while on tummy

Month Nine Gross Motor Skills Fine Motor Skills Transitions sit to tummy Uses thumb to index grasp (crude) Pulls to stand while holding on Crude release of objects Creeps on all foursDrops toys and objects Stands while leaning on furniture Points index finger

Month Ten Gross Motor Skills Fine Motor Skills Cruises along furniture Pokes with fingers Stands unsupported briefly Uses thumb to index finger grasp (precise) Transfers from crawl to sit Stacks objects

Month Eleven Gross Motor Skills Fine Motor Skills Stands unsupported Releases a cube at well. Walks with hands held

Month Twelve Gross Motor Skills Fine Motor Skills First independent steps Puts objects in a container Stands unsupported~12 seconds Releases an object precisely Assumes/maintains kneeling Stacks two one-inch cubes

Months Twelve-Fifteen Gross Motor Skills Fine Motor Skills Walks independently Throws objects Creeps/climbs stairs Places rings on a peg Tries to climb out of highchair Makes marks with crayons Squats to play Holds large crayon in fisted grasp Kneels Builds a 2 block tower

Months Fifteen-Eighteen Gross Motor Skills Fine Motor Skills Walks in circles/backwards Directional scribble using crayons Walks up stairs with help Throws a ball Balance reactions in standing Builds a 3-block tower Scribbles spontaneously Midlinhuse(1stabilizes/1manipulates) Tries to kick balls Climbs on furniture Pulls toy while walking

Months Eighteen-Twenty-Four Gross Motor Skills Fine Motor Skills Runs Unwraps things Jumps in place/off a step Strings large, one-inch beads Pedals a tricycle Builds a 6-block tower Kicks a stationary ball Holds crayon with thumb and fingers Walks up stairs independently Turns 2-3 pages at a time Throws a ball overhand Imitates vertical stroke with crayo

Months Twenty-Four-Thirty-Six(2-3 years old) Gross Motor Skills Fine Motor Skills Hops on one foot Turns pages one at a time Walks up stairs alternating feet Builds a 9 block tower Walks down stairs alternating feet Strings small ½ inch beads Walks backward Unscrews lid of a jar Balances on one foot briefly Imitates horizontal line, cross circle Throws overhand at a target Holds pencil in hand instead of fist Catches a rolled ball Makes snips with scissors Throws a small ball 2 feetUnbuttons Rides a tricycle using pedals Places pegs in a pegboard