Developmental Milestones + Vaccines Flashcards

1
Q

At what age does a child typically understand age/gender?

A

3 years old

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2
Q

At what age does an infant typically develop separation anxiety?

A

12 months

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3
Q

At what age does an infant typically develop stranger anxiety?

A

6 months

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4
Q

What fine motor developmental milestone(s) are expected in a 4 months old? (3)

A

shakes/plays with rattle

Clutches clothes

hands mostly open

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5
Q

What fine motor developmental milestone(s) are expected in a 12 month old? (2)

A

fine pincer grasp (2 finger)

2 cube tower

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6
Q

What fine motor developmental milestone(s) are expected in a 4 year old? (3)

A

copies square/cross

imitate gate with blocks

ties knot

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7
Q

What fine motor developmental milestone(s) are expected in a 2 year old? (3)

A

builds a tower with 6 cubes

imitate circle (not draw)

copies horizontal line

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8
Q

What fine motor developmental milestone(s) are expected in a 3 year old? (3)

A

copies a circle

uses utensils

imitate bridge with blocks

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9
Q

What fine motor developmental milestone(s) are expected in a 5 year old? (4)

A

copies triangle

ties shoes

builds stairs

uses scissors

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10
Q

What fine motor developmental milestone(s) are expected in a 6 month old? (2)

A

transfer objects from hand to hand

raking grip

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11
Q

What fine motor developmental milestone(s) are expected in a 9 month old? (3)

A

inferior pincer grasp (3-fingers)

bangs blocks together

holds bottle or cup

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12
Q

What fine motor developmental milestone(s) are expected in an 18 month old? (3)

A

builds a tower with 4 cubes

imitates vertical line

removes clothing

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13
Q

What fine motor developmental milestone(s) are expected in an 2 month old? (3)

A

hands unfisted 50% of time

holds rattle when put in hand or hand together

tracks objects past midline

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14
Q

What gross motor developmental milestone(s) are expected in a 12 month old? (3)

A

stands well

walks first steps independently

throws ball

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15
Q

What gross motor developmental milestone(s) are expected in a 2 month old?

A

Lift head and chest in prone position

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16
Q

What gross motor developmental milestone(s) are expected in a 2 year old? (3)

A

begin walking down** **stairs with both feet on same step (WITH rail)

kicks ball

throws overhand

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17
Q

What gross motor developmental milestone(s) are expected in a 3 year old? (4)

A

rides tricycle

walks up** **stairs with alternating feet (NO rail)

walks heel-to-toe

balance on 1 foot for 3 seconds

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18
Q

What gross motor developmental milestone(s) are expected in a 4 year old? (4)

A

balance & hop on 1 foot (4-8 seconds)

standing broad jump

gallops

throws ball overhand (10 feet)

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19
Q

What gross motor developmental milestone(s) are expected in a 5 year old? (4)

A

Skips

catches ball with 2 hands

Walks down stairs alternating feet (with rail)

running jump + jumps backwards

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20
Q

What gross motor developmental milestone(s) are expected in a 4 month old? (2)

A

begins rolling front to back

sits with trunk support

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21
Q

What gross motor developmental milestone(s) are expected in a 6 month old? (3)

A

sits without support

prone pivots

weight on 1 hand in prone

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22
Q

What gross motor developmental milestone(s) are expected in a 9 month old? (2)

A

crawling** or **creeping (cruises)

pulls to “stand” on feet and hands (all 4 limbs straight)

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23
Q

What gross motor developmental milestone(s) are expected in an 18 month old? (4)

A

runs well

creeps down stairs

seats self in small chairs

throws ball while standing

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24
Q

What language developmental milestone(s) are expected in a 12 month old? (4)

A

says first words aside from “mama” and “dada”

recognizes 2 objects when named

points to get object

follow 1-step commands

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25
Q

What language developmental milestone(s) are expected in a 2 month old? (3)

A

coos

alert to voice/stimuli

social smile

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26
Q

What language developmental milestone(s) are expected in a 2 year old? (4)

A

2-word phrases

follow 2-step commands

2/4 words understandable (> 50 word vocab)

telegraphic speech

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27
Q

What language developmental milestone(s) are expected in a 3 year old? (3)

A

names body parts (on animals too) + function

3-word sentences (200+ vocab)

¾ words understandable

28
Q

What language developmental milestone(s) are expected in a 4 month old? (2)

A

laughs

orients head to direction of voice

29
Q

What language developmental milestone(s) are expected in a 6 month old? (4)

A

babbles (monosyllables, reduplicative)

listens and babbles when adults stop talking

momentary pause to “no”

smiles at mirror

30
Q

What language developmental milestone(s) are expected in a 9 month old? (3)

A

babbles (disyllables - “dada”, “mama”)

imitates sounds

orients to name

31
Q

What language developmental milestone(s) are expected in an 18 month old? (5)

A

10 - 25 word vocabulary

imitate environmental sounds (ie. animals)

points to 3 body parts

points to familiar people when named

understands “mine”

32
Q

What language developmental milestone(s) are expected in a 4 year old? (4)

A

4/4 understandable (300-1000 vocab) → tells stories uses “feeling” words

knows same/opposites

identifies colors

follows 3-step commands

33
Q

What language developmental milestone(s) are expected in a 5 year old? (4)

A

counts to 10

6-8 word sentences + rhymes (>2,000 vocab)

responds “why”

knows right and left

34
Q

What social developmental milestone(s) are expected in a 2 month old? (2)

A

reciprocal smile

responds to parents voice (smile)

35
Q

What social developmental milestone(s) are expected in a 2 year old? (2)

A

parallel play - kids play next to each other, not with each other

(their actions don’t affect each other)

starts masking emotions for social etiquette

36
Q

What social developmental milestone(s) are expected in a 4 month old? (3)

A

Smiles spontaneously

stops crying when hears parents

enjoys looking around

37
Q

What social developmental milestone(s) are expected in a 3 year old? (3)

A

imaginative play (fears imaginative things)

knows age/gender

shares without prompting

38
Q

What social developmental milestone(s) are expected in a 4 year old? (4)

A

cooperative (group) play - kids play together with a common goal

deception

labels their own emotions (happy, sad, mad)

has preferred friend

39
Q

What social developmental milestone(s) are expected in a 6 month old?

A

stranger anxiety

40
Q

What social developmental milestone(s) are expected in a 9 month old? (4)

A

separation anxiety

recognizes familiar faces

uses sound to get attention

“cat-a-cake”

41
Q

What social developmental milestone(s) are expected in a 5 year old? (3)

A

has groups of friends (verbally congratulates others)

apologizes

completes toilet training

42
Q

What social developmental milestone(s) are expected in a 18 month old? (4)

A

pretend play

shows shame (when doing something wrong)

understand “mine”

Passes M-CHAT - Modified Checklist for Autism in Toddlers (20 Qs about child behavior)

43
Q

What social developmental milestone(s) are expected in a 12 month old? (2)

A

points at objects they want

shows objects to parents to share interest

44
Q

What is the minimum age for the influenza vaccine?

A

6 months

45
Q

When are the first three doses of the DTaP vaccine typically administered?

Only give at what ages?

A

2 months, 4 months, 6 months

<7y/o

46
Q

When is the fourth dose of the DTaP typically administered?

When is the fifth dose of the DTaP typically administered?

A

fourth dose → 15 months

(must be 6 months from 3rd dose)

fifth dose → 4-6 yr

47
Q

When are the first three doses of the inactivated poliovirus vaccine (IPV) typically administered?

Only give at what ages?

A

2 months, 4 months, 6 months

<18y/o

48
Q

When are the fourth doses of the inactivated poliovirus vaccine (IPV) typically administered?

Only give at what ages?

A

fourth doses → 4-6 yr

<18y/o

49
Q

When are the first three doses of the pneumococcal conjugate vaccine (PCV13 or “Prevnar”) typically administered?

A

2 months, 4 months, 6 months

50
Q

When is the fourth dose of the pneumococcal conjugate vaccine (PCV13 or “Prevnar”) typically administered?

A

fourth doses → 15 months (12 - 18 mo)

51
Q

When is the first dose of the hepatitis A vaccine typically administered?

A

12 months

52
Q

When is the second dose of the hepatitis A vaccine typically administered?

A

18 months

(must be 6 months from 1st dose)

53
Q

When is the first Tdap vaccine typically administered?

Only give at what ages?

A

11 years of age

>7y/o

54
Q

When is the Haemophilus influenzae type b vaccine typically administered (three doses and four doses vaccines)?

A

three dose → 2 months, 4 months, and 15 - 18 months

four dose → 2 months, 4 months, 6 months, and 15 - 18 months

(if the child is given a 3rd dose at 6 months, a 4th dose is still needed between 12 - 15 months of age)

55
Q

When is the hepatitis B vaccine typically administered (three doses)?

A

birth, 2 months, and 6 months

56
Q

When is the meningococcal vaccine typically administered (two doses)?

A

11 years, and 16 years of age

57
Q

When is the MMR vaccine typically administered (two doses)?

A

1 year, and 4-6 years of age

58
Q

When is the rotavirus vaccine typically administered (three doses)?

Difference between Rotarix and Rotateq?

A

2 months, 4 months, and 6 months

Rotarix - 2 dose, 1st dose at 6wk (or later) → 2nd dose no later than 24wk

Rotateq - 3 dose, 1st dose before 15wk → 3rd dose no later than 32wk

59
Q

When is the Varicella vaccine typically administered (two doses)?

A

1 year, and 4 years of age

60
Q

What does DTap stand for?

Age given?

A

tetanus toxoid**, reduced diphtheria **toxoid, acellular pertussis

< 7 years old → FIVE DOSE - 2/4/6mo + 15mo + _4-6y_r

DTaP = full dose of D, T, and P

Both vaccines** contain **inactivated forms of the toxin produced by the bacteria that cause the three diseases. Inactivated means the substance no longer produces disease, but does trigger the body to create antibodies that give it immunity against the toxins. DTaP is approved for children under age 7. Tdap, which has a reduced dose of the diphtheria and pertussis vaccines, is approved for adolescents starting at age 11 and adults ages 19 to 64. It is often called a booster dose because it boosts the immunity that wanes from vaccines given at ages 4 to 6.

61
Q

What does Tdap stand for?

Age given?

A

tetanus toxoid**, reduced diphtheria **toxoid, acellular pertussis

> 7 years old → generally at 11 years old and EVERY 10 YEARS

Tdap = full dose of T only

Both vaccines** contain **inactivated forms of the toxin produced by the bacteria that cause the three diseases. Inactivated means the substance no longer produces disease, but does trigger the body to create antibodies that give it immunity against the toxins. DTaP is approved for children under age 7. Tdap, which has a reduced dose of the diphtheria and pertussis vaccines, is approved for adolescents starting at age 11 and adults ages 19 to 64. It is often called a booster dose because it boosts the immunity that wanes from vaccines given at ages 4 to 6.

62
Q

When is 2 dose HPV vaccine given?

A

11 y/o typically (9y/o - 14y/o)

TWO DOSE - 0mo → 6-12mo

63
Q

When is 3 dose HPV vaccine given?

Who else gets 3 doses?

A

15y/o - 45y/o** + **immunocompromised pts

THREE DOSE - 0mo → 1-2mo → 6-12mo

64
Q

Tetanus and diphtheria are [] vaccine type.

A

Tetanus and diphtheria are toxoids.

65
Q

S. Pneumoniae is [] vaccine type.

A

S. Pneumoniae is conjugated.

66
Q

MMR and VZV are [] vaccine type.

A

MMR and VZV are live attenuated.

67
Q

All live virus vaccines must be given a minimum of how many days apart?

What must be done before or 6 weeks after live vaccines given?

A

4 wks

TB skin test before or 6 weeks after live vaccines