Assessments Flashcards by Drew Cooper

RR at 12 months

20-30 rpm

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Pulse of 1 yo

100 bpm

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Anterior fontanelle should close by…

12 to 18 months

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Warning signs of neuro development in infant

No smile at 3 months
Refuses cuddles
Doesn’t enjoy people
No peek a boo at 8 months

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Warning signs of motor development in infant

Stiff or floppy
Can’t support head
Only 1 hand reach
Can’t sit
Can’t crawl
Can’t stand

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Warning signs sensory development in infant

No response to loud
No focus on near objects
No babble at 4 months
No turn to ID sound at 4 months
Crosses eyes at 6 months

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Warning signs of language development in infant

No making sounds at 4 months
No laugh or squeal at 6 months
No babble at 8 months
No single words by 12 months

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Signs toddler is ready for potty training

Regular BMs
Expresses need to go
Diaper not always wet
Willing to follow instructions
Walks well alone
Can pull pants down
Follows caregiver to bathroom
Climbs into potty chair or toilet

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Signs toddler needs to potty

Looks into or grabs diaper
Squats
Crossed legs
Grimaces or grunts
Hides behind something

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Normal things for toddlers (that might seem weird or bad)

Temper tantrums
Saying “no”
Labile moods
Security item
Impulsive

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When do they walk independently?

12 to 15 months

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(Gross motor)
At 18 months kids can…

Climb stairs with assistance
Pull toys while walking

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(Gross motor)
At 24 months kids can…

Run
Kick
Tiptoe
Carry lots of toys
Climb on and off furniture

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(Gross motor)
At 36 months kids can…

Climb
Tricycle
Run easily
Walk up and down stairs
Bend over

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(Fine motor)
At 12-15 months they can…

Feed self finger foods
Point with index finger

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(Fine motor)
At 18 months they can…

Reach
Grasp
Release
Stack blocks
Turn pages
Remove shoes and socks

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(Fine motor)
At 24 months they can…

Scribbles and paints
Turn knobs
Puts pegs into holes

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(Fine motor)
At 36 months they can…

Undress
Hold pencil
Unscrew lids

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Signs of delay in 18 month old

No walk
No speak 15 words
No understand function of household items

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Signs of delay in 2 year old

No 2 word sentences
Doesn’t imitate
Doesn’t follow basic instructions
Can’t push toy with wheels

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Signs of delay in 3 year old

Can’t do stairs
Falls
Can’t build tower
Extreme separation anxiety
Doesn’t pretend play
Little interest in other kids
Drooling
Unclear speech

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Toddler playing habits

No share
Parallel play
Changes toys frequently

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General changes for preschooler

Loses fat
Gains muscle
20 teeth
Longer attention span
Can tolerate separation
Bladder control
More voluntary control of motor
Refinement of motor
Longer bones

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(Gross motor)
At 4 yo they can…

Throw ball
Kick ball
Hop on 1 foot
Stand on 1 foot

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(Gross motor) At 5 yo they can…

Skip Somersault Skate and swim

(Fine motor) At 4 yo they can

Scissors Copy capital letters Draw circles and squares Draw person Lace shoes

(Fine motor) At 5 yo they can…

Print some letters Tie shoes Fork, spoon, knife Copies shapes

Communication ability of 4 yo

Adult like grammar Follow 3 part command Names common objects 1500 words

Communication ability of 5 yo

Can explain how to use something Talks about events Answers why and when questions 2100 words

Signs of delay in 4 yo

Can’t jump Can’t ride tricycle Can’t hold crayon Doesn’t use “me” or “you” appropriately No fantasy play

Signs of delay in 5 yo

Little interest in playing with kids Can’t build tower Can’t use plurals or past tense Easily distracted

Gross motor in school aged

Improved coordination, balance, rhythm Can be awkward with growth

Fine motor of school aged

Improved hand usage Hand eye coordination improved Pride in dexterity (music)

Peak height velocity for adolescent female

Before menarche

Peak height velocity for adolescent male

Spurt between 10.5 to 16 yo

General growth and development of adolescents

Deep voice Long limbs Growth plates close Sweat glands at pits and privates Acne Increased body hair Hips widen in gals Shoulders widen in guys

Gross motor in adolescence

Endurance Concentration Coordination adjustment during spurts Speed and accuracy Competitive Narrowed interests in late adolescence

Fine motor in adolescence

Finger dexterity Precise hand eye coordination

Mimic caregiver by…

3 to 4 months

Socially interactive games at…

6 to 8 months

Cognitive milestones for preschool

Count to 10 Name colors Concept of time Knowing everyday objects

Screenings for internationally adopted youngsters

Infectious disease Disorders of growth and development Vision and hearing Intestinal parasites Hep, varicella, HIV, syphilis, TB

Issues covered in psychosocial assessment

Health insurance Transportation Financial stressors Family coping School’s response

Elements of a health supervision visit

H and p Developmental/behavioral assessment Sensory screening At risk screening Immunizations Health promotion/anticipatory guidance

Components of health history

Demographics Chief complaint Past hx Review of symptoms Family hx Motor milestones School performance Daily routine (“functional hx”) Family environment

Components of chief complaint assessment

Onset, duration, characteristics Previous episodes Changes in environment/routine Previous testing and therapies What makes better or worse? What this means to child and family Exposure to infectious or toxic agents?

Aspects of past health history

Prenatal/perinatal hx Past illnesses Developmental concerns Prior hx of illness or injury Hospitalizations or surgeries Diet Allergies Immunizations Meds Supplements Menstrual hx

Elements of physical examination

Measure: height, weight, head circumference, VS Determine: BMI, appearance, activity, orientation, mood Examine via head to toe

Normal RR/HR Infant

25-55 RR 80-150 HR

Normal RR/HR toddler

20-30 RR 70-120 HR

Normal RR/HR preschooler

20-25 RR 65-110 HR

Normal RR/HR school age

14-26 RR 60-100 HR

Normal RR/HR adolescent

12-20 RR 55-95 HR

Age for tympanic temp

3 month or older

Age for temporal temp

Any age except younger than 90 days if ill or have fever (do rectal)

Age for oral temp

5 yo

Age for axillary

Newborns and uncooperative kids

Can cause failure to thrive

Cardiac disease Metabolic disease Cleft palate GERD Feeding disorders SDOH Neglect and abuse Mental illness Behavioral problems Lack of knowledge

QUESTT (pain assessment)

Question child Use pain scale Evaluate Secure parent involvement Take the cause into account Take action

FLACC parameters

Facial Legs Activity Cry Consolability

Ss of Reye syndrome

Vom LOC Lethargy Irritable Hyper reflex (Due to brain swelling and liver failure)

Assessments Flashcards

(61 cards)