Child dev.

Question 1

7 basic domains of function

Answer 1

1. gross motor
2. fine motor
3. language
4. cognition
5. ADL
6. social/emotional
7. behavior

Question 2

how does dev. occur

Answer 2

head to toe, prox. to distal

Question 3

what is needed to learn something

Answer 3

exposure to the stim.

Question 4

how to best ID probs

Answer 4

1. dev. surveillance
2. parental report, trigger questions
3. early ID and intervention

Question 5

how to take a history

Answer 5

• observe early
• talk to child and parents
• additional from other professionals

Question 6

what is covered on Hx

Answer 6

1. pre/perinatal events
2. PMH
3. Social
4. ROS
5. dev. milestones

Question 7

4 aspects to think about with dev. milestones

Answer 7

1. quality vs. quantitiy
2. age approp.
3. all domains
4. delay/plateau/regression

Question 8

5 parts of physical

Answer 8

1. growth parameters (head circ)
2. dysmorphic features
3. skin exam
4. neuro
5. dev. surveillance

Question 9

what are the primitive reflexes (6)

Answer 9

1. root - touch cheek
2. suck
3. hand grasp
4. toe grasp
5. moro
6. ATNR (fencer)

Question 10

when do most primitive disappear

Answer 10

first few month - replace by postural

Question 11

2 postural

Answer 11

1. lateral propping - 4-6 months

2. parachute - 8-9 mmon

Question 12

6 red flags to reflexes

Answer 12

1. asymmetric
2. obligate
3. persisitent
4. absent
5. no lateral prop by 7-8
6. no parachute by 10

Question 13

** key gross motor timepoints (12)

Answer 13

1. head control - 3 months
2. extend forearms -4
3. roll - 4
4. sit -6
5. 4 point crawl - 9
6. pull to stand - 9
7. run stifly -18
8. up stairs at a time - 2yo
9. up stairs alternating 2.5
   10 trike - 3
10. hop on one foot - 4
11. bike -5

Question 14

3 gross motor red flags

Answer 14

1. too early - roll before 3mo
2. toe walking, scissoring, stands when pulled to sit
3. milestones too late

Question 15

2 general fine motor milestones

Answer 15

1. evolve pincer grasp - 1 year

2. use pincer to manipulate tool -2 year

Question 16

other fine motor dev. (3)

Answer 16

3mo - hold object, hand regard
4mo - reach object
6mo - transfer hand to hand

Question 17

2 red flags for fine motor

Answer 17

1. persistent fisting - 3 months

2. hand pref.

Question 18

5 types of cog. dev. measures

Answer 18

1. use of senses
2. sensory/motor playu
3. object permanence
4. cause and effect relat
5. functional play

Question 19

3 types of language

Answer 19

1. expressive
2. receptive
3. articulation

Question 20

7 language milestones

Answer 20

2-3mo - coo
6 mo - babble
1year - first word
1.5 - 25 words
2 - 2 words together 50% intell.
3yo - 3-4 word, 75% intel.
4yo - nursery rhymes

Question 21

3 lang. red flags

Answer 21

1. failure to coo be 4-6 mo

2.

Question 22

5 ADL milestones

Answer 22

12 mo - drink from cup
18mo - eat with spoon
2yo - remove shoes
3yo - toilet
4-5 - buttons zippers

Question 23

5 social milestones

Answer 23

1-2 mo - follow person with eyes
6 week - smile
6-9 mo - stranger anxiety
9 mo - pat a cake, wave
2 year - temper tantrum

Question 24

2 social red flags

Answer 24

1. no smile

2. lack of social relationships

Question 25

what is most oftenn used screening tool

Answer 25

nipissing - up to 6 years

Question 26

when is last major visit

Answer 26

18 month well baby visit

Question 27

def. social communication

Answer 27

ability to use verbal and non-verbal means to interact with others

Question 28

criteria 1 of 2 for autism (3)

Answer 28

1. def. in social reciprrocity 2. def. in non-verbal communication 3. def. in dev., maintaining and understanding relats.

Question 29

criteria 2 of 2 for autism (2./4)

Answer 29

1. sterotyped movements 2. insistence on sameness 3. restricted fixated interests 4, hyper or hypo reactivity to sensory stim

Question 30

what are common comorbidities with ASD

Answer 30

many - phobia most common - weird stuff - anxiety ADHD