Behavioral and Developmental Pediatrics

Question 1

development quotient =

Answer 1

development age/chronological age * 100

Question 2

Normal development quotient =

Answer 2

> 85

Question 3

Reflexes in infants with CNS injury

Answer 3

Stronger and more sustained primitive reflexes

Question 4

Gross motor birth

Answer 4

Turns head side to side

Question 5

Gross motor 2 months

Answer 5

lifts head when prone. Head lag when pulled from supine

Question 6

Gross motor 4 months

Answer 6

rolls over, no head lag, pushes chest up with arms

Question 7

Gross motor 6 months

Answer 7

sits alone, leads with head when pulled from supine

Question 8

Gross motor 9 months

Answer 8

Pulls to stand, cruises

Question 9

Gross motor 12 months

Answer 9

Walks

Question 10

When do primitive reflexes disappear

Answer 10

between 3 and 6 months

Question 11

Primitive reflexes at birth

Answer 11

Moro reflex, hand grasp, rooting reflex

Question 12

Order of primitive reflexes disappearing?

Answer 12

Hand grasp (1-3 mo), moro 4 mo, rooting 6 mo

Question 13

Atonic neck reflex develops and disappears when?

Answer 13

Appears 2-4 weeks, disappears at 6 months.. this is fencer position

Question 14

When does head righting develop

Answer 14

4-6 months

Question 15

When does parachute reaction develop

Answer 15

8-9 months. parachute = outstretched arms and legs when body is abruptly moved head first ina downward direction

Question 16

When can child bring hands together to midline and to mouth

Answer 16

3-4 months

Question 17

When can child transfer objects from hand to hand

Answer 17

6-7 months

Question 18

When does immature pincer develop

Answer 18

9 months

Question 19

When does mature pincer develop

Answer 19

12 months

Question 20

What is earliest sign of motor development

Answer 20

persistent fisting beyond 3 months

Question 21

What development indicates spasticity

Answer 21

early rolling over, early pulling to stand over sitting, persistent toe walking

Question 22

Spontaneous postures in spasticity vs hypotonicity

Answer 22

scissoring in spasticity, frog-leg in hypotonic infant

Question 23

When is hand dominance too early

Answer 23

Before 18 mo of age, it can indicate weakness in oppositie side instead of good development

Question 24

When do they begin using mama and dada

Answer 24

9-12 months

Question 25

When does cooing start

Answer 25

2-3 months

Question 26

How many words at 12 months

Answer 26

1-3 words

Question 27

How many words at 18 months

Answer 27

20-50. Using two word phrases

Question 28

Language at 2 years

Answer 28

Two-word telegraphic sentences. At least 25-50% intelligible

Question 29

Language at 3 years

Answer 29

Three word sentences, more than 75% of speech is intelligible

Question 30

What is best indicator of intellectual potential?

Answer 30

Language

Question 31

When does child begin functional play

Answer 31

At 1 year of age

Question 32

When does imaginative play begin?

Answer 32

At 24-30 months

Question 33

When does object permanence and separation anxiety develop

Answer 33

Object permanence at 9 months and separation anxiety from 6-18 months

Question 34

What does discrepancy between language and problem solving skills put one at?

Answer 34

At high risk for learning disabilities

Question 35

When does parallel play occur and when does playign together occur

Answer 35

2 years for parallel. Play together and share at 3 years of age

Question 36

When does sense of self and independence develop

Answer 36

at about 15 months of age