Flashcards in BRS-Behavioral Deck (73):
Four domains of development
Developmental quotient equation + normal value
developmental age/ chronological age x 100
normal = 85+
Infants with CNS injury have stronger _____ but delayed _____
primitive reflexes; postural reactions
attenuates to voice
When is moro reflex present? hand grasp? rooting?
all start at birth
moro: to 4 months
hand grasp: to 1-3 months
rooting: to 6 months
When is atonic neck reflex present?
2-4 weeks --> 6 months
fine motor milestones
3-4: hands to midline
6-7 transfers object
9, 12 month fine motor milestones
immature, mature pincer
mature vs immature pincer
thumb and finger vs finger TIP
When should hand dominance be present?
Which developmental domain is most commonly delayed and is also the best predictor of intelligence
Optimal language acquisition occurs during
first two years of life
3,6,9 month speech abilities
3- cooing (vowels)
6- babbling (vowels + consonants)
12,18 month words
18: 20-50 + 2 word phrases
2,3 year language milestones
2 word --> 3 word sentences
half understood --> 75% understood
What are the three speech development phases
word combination 18-24
When is the sensorimotor period of cognitive development?
birth to two
When does functional play begin?
When does imaginative play begin?
When are concrete and abstract thinking present?
When is magical thinking seen?
preschool, toddler years
Cause of language + problem solving delay
Cause of language delay
hearing vs communication disorder
Cause of isolated problem solving delay
fine motor vs visual impairment
Discrepencies between what two domains put child at risk of learning disorder?
language and problem solving
When does sense of "self" appear
When does parallel play occur? when does sharing emerge?
Maternal risk factors for CP (2)
Prenatal risk factors for CP (3)
Perinatal risk factors for CP (3)
prolonged/ traumatic delivery
early or late delivery
Four postnatal risk factors for CP
CP involving lower extremities
CP involving unilateral extremities
CP involving all four limbs
CP causing athetoid movements + cause
Extrapyramidal (nonspastic) CP
kernicterus vs hypoxia/ischemia
"scissoring" is seen in which CP type?
Mental retardation must be manifested before ____
mild, mod, severe, profound IQ
mild: below 70
moderate: below 55
severe: below 40
profound: below 25
Acquired insults that may cause MR (3)
Prototypical Pervasive developmental disorder
PDD must effect ___________
multiple areas of development
Autism is common in what age and sex?
boys below three
ADHD is more common in what sex?
What is a risk factor?
male; family history (30-50% have first degree relative)
ADHD must onset before age _____ in _____ settings
7; multiple settings
Three key symptoms of ADHD
Stimulants increase levels of __________ in ADHD treatment.
DOC for ADHD in patients with tics
Effect of stimulants on stature
decrease growth velocity but not ultimate stature
Transient tics occur in ______% of kids treated with stimulants
80% of deafness is genetic and has what inheritance pattern?
Three labs to order in case of deafness
Primary cause of blindness worldwide
Feeling someones face to form an image of them is called?
more than 3 hours of crying at least 3 days a week
When does colic usually resolve?
nocturnal vs diurnal
primary vs secondary
% of kids wetting the bed at 4,5,6
Gene assc with nocturnal enuresis
chromosome 13, paternal
Three etiologic factors/organic causes of enuresis
How long must alarm be used to treat bed wetting?
Two drugs for encopresis
Risk assc with use of imipramine
When do most infants begin sleeping through the night?
after 3 months
Trained night waking occurs when?
4-8 months, kid requires parental intervention
Nightmares occur during ____ sleep.
Night terrors occur during _____ sleep.
Nightmares: REM (recall)
Night Terrors: N4 (no recall)
Major cause of eating troubles in toddlers
Temper tantrum age groups
What kids are more likely to have tantrums
poor fine motor skills/ language delay
When does breath holding occur?
provoked or unprovoked?
What has been shown to help some patients with apneic spells?
Range of normal bowel control?
16-48 months bowel