Assessing Children

Question 1

Why are developmental milestones useful?

Answer 1

They can be used as indicators that something is wrong

Question 2

If a 6 week old child’s head is not level with its body in ventral suspension, what can this be a sign of?

Answer 2

Down’s Syndrome

Question 3

What could lack of a smile in 6 week old child suggest?

Answer 3

Sight problems

Question 4

Are developmental milestones precise markers?

Answer 4

No, there can be some leeway

Question 5

What developmental milestone can be particularly misleading in children between 18 months and 2 years?

Answer 5

Development of walking

Question 6

What normal reason can be given for a child over 18 months not being able to walk?

Answer 6

If a child is a fast crawler it my not develop walking as a skill as it is not require for it to move quickly

Question 7

When would lack of walking be concerning?

Answer 7

Beyond the age of 2

Question 8

What gross motor milestones should be displayed in a child of 6 weeks?

Answer 8

Head level with body in ventral suspension

Question 9

What gross motor milestones should be displayed in a child of 3 months?

Answer 9

Holds head at 90˚ in ventral suspension

Question 10

What gross motor milestones should be displayed in a child of 6 months?

Answer 10

No head lag on pull to sit

Sits with support

In prone position lifts up on forearms

Question 11

What gross motor milestones should be displayed in a child of 9 months?

Answer 11

Crawls

Sits steadily when unsupported and pivots around

Question 12

What gross motor milestones should be displayed in a child of 12 months?

Answer 12

Pulls to stand

Cruises

May stand alone briefly

May walk alone

Question 13

What gross motor milestones should be displayed in a child of 18 months?

Answer 13

Walks well

Runs

Question 14

What gross motor milestones should be displayed in a child of 2 years?

Answer 14

Kicks ball

Climbs stairs two feet per step

Question 15

What gross motor milestones should be displayed in a child of 3 years?

Answer 15

Stands briefly on once foot

Climbs stairs one foot per step

Question 16

What fine motor and vision milestones should be displayed in a child of 6 weeks?

Answer 16

Fixes and follows

Question 17

What fine motor and vision milestones should be displayed in a child of 3 months?

Answer 17

Holds an object placed in the hand

Question 18

What fine motor and vision milestones should be displayed in a child of 6 months?

Answer 18

Palmar grasp of objects

Transfer objects hand to hand

Question 19

What fine motor and vision milestones should be displayed in a child of 9 months?

Answer 19

Pincer grasp

Index finger approach

Bangs two cubes together

Question 20

What fine motor and vision milestones should be displayed in a child of 12 months?

Answer 20

Puts block in cup

Casts about

Question 21

What fine motor and vision milestones should be displayed in a child of 18 months?

Answer 21

Builds a tower 2-4 cubes high

Hand preference emerges

Question 22

What fine motor and vision milestones should be displayed in a child of 2 years?

Answer 22

Builds tower of 6-7 cubes high

Does circular scribbles

Question 23

What fine motor and vision milestones should be displayed in a child of 3 years?

Answer 23

Builds a tower of 9 cubes

Copies a circle

Question 24

What hearing, speech and language milestones should be displayed in a child of 6 weeks?

Answer 24

Becomes still in response to sound

Question 25

What hearing, speech and language milestones should be displayed in a child of 3 months?

Answer 25

Turns to sound

Question 26

What hearing, speech and language milestones should be displayed in a child of 6 months?

Answer 26

Vocalisations

Question 27

What hearing, speech and language milestones should be displayed in a child of 9 months?

Answer 27

2 syllable babble Non-specific consonant vowel e.g. “mama”

Question 28

What hearing, speech and language milestones should be displayed in a child of 12 months?

Answer 28

One or two words Imitates adults’ sounds

Question 29

What hearing, speech and language milestones should be displayed in a child of 18 months?

Answer 29

6-12 words

Question 30

What hearing, speech and language milestones should be displayed in a child of 2 years?

Answer 30

Joins 2-3 words Knows some body parts Identifies objects in pictures

Question 31

What hearing, speech and language milestones should be displayed in a child of 3 years?

Answer 31

Talks in short sentences that a stranger can understand

Question 32

What social, emotional and behavioural milestones should be displayed in a child of 6 weeks?

Answer 32

Smiles

Question 33

What social, emotional and behavioural milestones should be displayed in a child of 3 months?

Answer 33

Hand regard Laughs Squeals

Question 34

What social, emotional and behavioural milestones should be displayed in a child of 6 months?

Answer 34

May finger feed self

Question 35

What social, emotional and behavioural milestones should be displayed in a child of 6 months?

Answer 35

Waves bye bye Plays pat-a-cake Indicates wants Emerging stranger anxiety

Question 36

What social, emotional and behavioural milestones should be displayed in a child of 12 months?

Answer 36

Imitates activities Object permanence established Stranger anxiety established Points to indicate wants

Question 37

What social, emotional and behavioural milestones should be displayed in a child of 18 months?

Answer 37

Uses a spoon Symbolic play e.g. ‘talks’ on telephone Domestic mimicry e.g. ‘helps’ with chores

Question 38

What social, emotional and behavioural milestones should be displayed in a child of 2 years?

Answer 38

Can remove some clothes

Question 39

What social, emotional and behavioural milestones should be displayed in a child of 3 years?

Answer 39

Eats with fork and spoon Puts on clothing May be toilet trained

Question 40

When taking a child’s temperature in the axilla what must be done to get an accurate reading?

Answer 40

Add 1˚C to the reading

Question 41

What is classed as a fever in a child < 1 years old?

Answer 41

> 38˚C

Question 42

When is the colour of a child’s skin concerning?

Answer 42

If there is pallor reported by parent/carer More concerning if the patient appears pal/mottled/ashen/blue

Question 43

When is a child’s level of activity concerning?

Answer 43

Little/no response to social cues Appears ill Unable to rouse or only with prolonged stimulation No smile