3. Growth and Development Flashcards

1
Q

What are the main childhood objectives?

A
Grow
Develop 
Attain optimal health 
Develop independence 
Be safe
Be cared for
Be involved
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2
Q

YouTube video about child development

A

10-12 minutes, episode two David yegoman. Was a BBC documentary now on YouTube

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3
Q

Where can you see more details about the child’s development?

A

Can see on learning guide, the tables that teach you about 6 months, twelve months, 18 months and two years

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4
Q

What are the key motor milestones

A

Smiling- week 8
Sitting up- 6 months
Steps- 12 months
First words/talking- 18 months

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5
Q

What influences your ability to reach these developmental milestones

A

DNA
Society
Detrimental factors (antenatal, post natal, trauma)
Gender

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6
Q

What antenatal things might affect a child?

A

Infections (toxoplasmosis, rubella)

Toxins (alcohol, smoking, anti-epileptics)

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7
Q

What post natal things may affect a child?

A
Infection
Toxins
Malnutrition
Trauma
Metabolic
Maltreatment 
Maternal mental health
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8
Q

What children do you assess developmentally?

A

Assess all children at 6 months and 2 and a half years, mostly done by parents/grandparents.

Specific groups (premature,syndromes, adverse events) are specifically followed up

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9
Q

What are some useful tools of assessing development in clinic?

A

Use small bricks for gripping,passing between hands, throwing (1 year)
Crayons (back and forth, round and round, circles and squares)
Balls are good for gross motor skills (go and get ball, jump ball,kick,throw)
Teacup and tea set- (pass cup to mum, give dad spoon)

Can use mobile phones to see

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10
Q

What are the different development categories?

A
Cognitive
Fine motor
Gross motor
Social
(Speech)
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11
Q

What are some red flags?

A
Loss of skills
Vision/ hearing
Head growth
Low muscle tone
No speech by 18 months
Asymmetry
Not walking by 18 months
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12
Q

What are the different levels of childhood development?

A
Neonate (<4w)
Infant (12w/1y)
Pre school (2-5yr)
School age
Teenager/adolescent
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13
Q

What is child health screening?

A

Predominantly primary care, child health programme based on healthy life

Health promotion 
Developmental screening
Immunisation
Parental observations crucial
Record, advise and refer
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14
Q

Explain the pre planned health checks that occur in the child review process

A
New born spot screening
New born hearing screen
Health visitor visit
6-8 week review 
27 month review 
Schedule vision check
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15
Q

What occurs at the 6-8 week health check?

A
ID
Feeding
Parental concerns
Developmental
Measurements
Examination (hearts, hips, testes, genitalia, femoral pulses, eyes (red eye reflex)
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16
Q

What occurs at the 2 year review?

A
ID
Social, behavioural, attention and emotion
Communication, speech and language
Gross and fine motor
Vision and hearing
Physical measurements
Other medical issues
17
Q

What are the important points surrounding vaccines?

A

Chronological age (don’t correct for premature)
No live vaccines if child is immunocompromised
Egg allergy is not a contraindication to MMR
Postponed if unwell
Different schedules in different countries
Expect mild temp, discomfort

18
Q

What three measurements do you make in children to assess wellbeing?

A

Weight
Length (2 years) height (after 2)
Head circumference

19
Q

What causes failure to thrive (weight faltering)

A
Feeding issues (technique , supply)
Growth syndrome
Inadequate care
Prematurity
Disease
20
Q

Wee kid, blood in stool, diagnosis?

A

Allergy to milk proteins

21
Q

What diseases can cause failure to thrive?

A
Congenital lung disease
Heart disease
Liver disease
Renal disease
Infection
Anaemia
CF
Thyroid
Crohns/IBD
Malignancy
22
Q

What can cause excessive nutrient loss?

A
GORD
Pyloric stenosis
Gastroenteritis 
Food allergy
Diarrhoea 
Pancreatic insufficiency
23
Q

What is the plan for investigating failure to thrive?

A

Excellent flow chart at the end of the lecture!