Scribbles; tower of 3 blocks 2 yr Tower of 6 blocks; vertical and circular stroke 3 yr Tower of 9 blocks; copies circle 4 yr Copies cross; bridge with blocks 5 yr Copies triangle; gate with blocks

Key Social and Adaptive Milestones

Age	Milestone
2 mo	Social smile (smile after being talked to)
3 mo	Recognizes mother; anticipates feeds
6 mo	Recognizes strangers, stranger anxiety
9 mo	Waves "bye bye"
12 mo	Comes when called; plays simple ball game
15 mo	Jargon
18 mo	Copies parents in task (e.g. sweeping)
2 yr	Asks for food, drink, toilet; pulls people to show toys
3 yr	Shares toys; knows full name and gender
4 yr	Plays cooperatively in a group; goes to toilet alone
5 yr	Helps in household tasks, dresses and undresses

Key Language Milestones

Age	Milestone
1 mo	Alerts to sound
3 mo	Coos (musical vowel sounds)
4 mo	Laugh loud
6 mo	Monosyllables (ba, da, pa), ah-goo sounds
9 mo	Bisyllables (mama, baba, dada)
12 mo	1-2 words with meaning
18 mo	8-10 word vocabulary
2 yr	2-3 word sentences, uses pronouns "I", "me", "you"
3 yr	Asks questions; knows full name and gender
4 yr	Says song or poem; tells stories
5 yr	Asks meaning of words

* Define Global Developmental delay.

Global Developmental Delay (GDD): A significant delay in two or more developmental domains (e.g., gross motor, fine motor, speech/language, personal/social, cognition) in a child under the age of 5 years.
The term "global" implies delays across multiple areas, suggesting a more widespread impact on neurological development.
It is a provisional diagnosis used when a child is too young to undergo formal standardized intelligence testing. After age 5, if the child continues to show significant cognitive deficits, the diagnosis is often changed to intellectual disability.

***** BREATH HOLDING SPELLS & its treatment.

Definition

Breath-Holding Spells: Involuntary, non-epileptic events characterized by a s