Community Flashcards

1
Q

Milestones - Gross Motor

6 weeks

A

Head side to side

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2
Q

Milestones - Gross Motor

3 months

A

No head lag

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3
Q

Milestones - Gross Motor

*6 months

A

Roll both ways

Sit unsupported

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4
Q

Milestones - Gross Motor

9 months

A

Attempts crawl

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5
Q

Milestones - Gross Motor

*12 months

A

Crawling

Cruising

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6
Q

Milestones - Gross Motor

*18 months

A

Walks

Starting to run

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7
Q

Milestones - Gross Motor

*2 years

A

Throw/kick ball

Walk up stairs

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8
Q

Milestones - Gross Motor

3 years

A

Tricycle

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9
Q

Milestones - Gross Motor

4 years

A

Balance one foot

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10
Q

Milestones - Gross Motor

5 years

A

Hop one foot

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11
Q

Milestones - Fine Motor

Neonate

A

Primitive (until 6 months)

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12
Q

Milestones - Fine Motor

*3 months

A

Grasp

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13
Q

Milestones - Fine Motor

6 months

A

Transfer

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14
Q

Milestones - Fine Motor

*9 months

A

Pincer

Parachute reflex

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15
Q

Milestones - Fine Motor

*12 months

A

Points

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16
Q

Milestones - Fine Motor

18 months

A

2 block tower

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17
Q

Milestones - Fine Motor

*2 years

A

Straight line

>4 block tower

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18
Q

Milestones - Fine Motor

3 years

A

8 block tower

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19
Q

Milestones - Fine Motor

4 years

A

Circle

Tripod grasp

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20
Q

Milestones - Fine Motor

*5 years

A

Square

Person in 3 parts

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21
Q

Milestones - Fine Motor

6 years

A

Diamond’Triangle

Small sentence

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22
Q

Milestones - Hearing and Speech

Neonate

A

Startle

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23
Q

Milestones - Hearing and Speech

6 weeks

A

Familiar sounds

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24
Q

Milestones - Hearing and Speech

3 months

A

Vocal sounds to respond

Laugh

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25
Milestones - Hearing and Speech | 6 months
Localises to voice
26
Milestones - Hearing and Speech | *9 months
Vocalises | Repetitive babble
27
Milestones - Hearing and Speech | *12 months
Single words | Single command
28
Milestones - Hearing and Speech | *18 months
6-20 words | Hands known objects
29
Milestones - Hearing and Speech | 2 years
2 word sentences | Knows body parts
30
Milestones - Hearing and Speech | *3 years
3 word sentences Name and gender 2 step command
31
Milestones - Hearing and Speech | 4 years
First and last name
32
Milestones - Hearing and Speech | *5 years
Age
33
Milestones - Social and Behaviour | 6 weeks
Smile
34
Milestones - Social and Behaviour | 3 months
Enjoys people
35
Milestones - Social and Behaviour | 6 months
Friendly with strangers
36
Milestones - Social and Behaviour | *9 months
Peek-a-boo | Everything to mouth
37
Milestones - Social and Behaviour | 12 months
Simple objects (cup, brush)
38
Milestones - Social and Behaviour | *18 months
Pretend play | Drink from cup
39
Milestones - Social and Behaviour | *2 years
Imaginary/parallel play
40
Milestones - Social and Behaviour | *3 years
Shares
41
Milestones - Social and Behaviour | 4 years
Joint play
42
Milestones - Social and Behaviour | 5 years
Dresses self
43
Milestones - Vision | Neonate
Fix and follow 90 deg
44
Milestones - Vision | *3 months
Fix and follow 180 deg | Knows face
45
Milestones - Vision | 6 months
Full colour vision
46
Milestones - Vision | *9 months
Looks for fallen toys (object permanence)
47
Milestones - Vision | 12 months
Interest in movements
48
Milestones - Vision | *15 months
Finds hidden toys
49
Milestones - Vision | 18 months
Points to distant object
50
Milestones - Vision | *5 years
Knows colours
51
Development Screening Tools | Ages and Stages Questionnaire (ASQ)
For 0-4yo | Good sensitivity and specificity
52
Development Screening Tools | Denver II
0-6yo | Good for language delay
53
Development Screening Tools | Parents Evaluation of Developmental Status (PEDS)
0-8yo Fast, easy to use Relies on parents being good observers
54
Development Screening Tools | Goodenough Harris/DAP (Draw a person test)
>3yo 1 point for each detail = 3 months 1 year = 4 points
55
IQ Screening Tools | Griffith Scale
0-2yo
56
IQ Screening Tools | Bailey scale
1-3yo | Neurodevelopment/intelligence
57
IQ Screening Tools | McCarthy scale
2-8yo
58
IQ Screening Tools | Peabody picture test
>2.5yo
59
IQ Screening Tools | Wehsler Preschool and Primary Scale of Intelligence (WPPSI)
3-7yo
60
IQ Screening Tools | Wehsler Intelligence Scale for Children (WISC)
6-16yo | Intelligence
61
Tympanometry
Type A - normal (spike at 0) Type B - fluid in middle ear, perforation, debris in external ear (flat curve) Type C - Eustachian tube dysfunction (spike at minus numbers)
62
Hearing testing | - What to use at which age?
Any age: OAE (otoacoustic Emmisions. Measures evoked sound waves by hair cells 0-3 months: ABR (auditory brainstem response) - Screening to detect moderate to severe hearing loss >6 months: behavioural observed (reflexes to sounds) 6m-2y: visual reinforced (response to sounds and visual reinforcement) 2y-5y: conditioned play (engage in activity overtime they hear the noise) >4y: Kendell Toy Test (two similar sounding toys in front of child e.g. house and mouse, asked to take one) >4-5y: Pure tone audiometry - tones at various frequencies and decibels. Test air and bone conduction
63
Hearing loss
Mild 20-40dB Mod 40-60dB Severe 60-90dB Profound >90dB Air < Bone = Conductive hearing loss - Gap between the air and bone conduction (air worse) - Usually due to outer or middle ear Air + bone low = Sensorineural hearing loss - Air and bone scores similar but both are reduced - Usually due to inner ear, auditory nerve, cortex Mixed hearing loss: - Gap between air and bone AND both depressed
64
Cerebral Palsy
Delayed motor milestones (toe walking, scissoring) Asymmetrical gross motor function (early favouring, fisting one hand) Persistent primitive reflexes Co-morbidities: epilepsy, cognitive, psychiatric, visual, speech. Spastic - UMN (reflexes.tone), clasp knife, contractures. Dyskinetic - involuntary movements (athetosis - slow writing, chorea - rapid jerky, dystonia - contractions). Ataxic - cerebellar signs, nystagmus. Motor function by 2 years is best indicator Level 1: walks without restriction Level 2: walks without devices (limited outdoor activities) Level 3: walks with mobility device Level 4: self mobility with device Level 5: self mobility severely impaired even with supporting technology
65
Hearing loss genetic causes
- Congenital deafness: Connexin 26 gene/GJB2, Connexin 30 gene/GJB6. Normal at birth SNHL 1-6y. Disrupts K+ in ear - Waardenberg: white forelock - Pendred: goitre + SNHL - iodine defect - Usher: visual failure + SNHL - Alport: nephritis + lens defect + SNHL, M>F - Jervell and Lange Nielson: long QT - Downs: C + SNHL - Goldenhaar: C and/or SNHL