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Flashcards in development Deck (47):
1

what does the gunthrie test measure?

Congenital Hypothyroidism (CHT)
Sickle Cell disorders
Cystic Fibrosis (CF)
six inherited metabolic diseases (IMDs)
phenylketonuria (PKU)
medium-chain acyl-CoA dehydrogenase deficiency (MCADD)
maple syrup urine disease (MSUD)
isovaleric acidaemia (IVA)
glutaric aciduria type 1 (GA1) and
homocystinuria (pyridoxine unresponsive) (HCU)

2

trisomy 21 investigations

triple screen increase BHCG decrease inhibin A
AFP, estriol
US: increased nuchal translucency
echo

3

what are the causes of trisomy 21

robertsonian translocation
mosaicism
maternal age 1:25 chance if greater than 45

4

symptoms of trisomy 21

face- flat round facies
up slanting palpebral fissures
epicanthal folds
eyes- brushfield spots in the iris
ears= small
flat occiput third fontanelle
braciocephaly
small mouth and protruding tongue
short neck and nuchal skin
hands= simian crease fifth inturning finger
feet= saddle toe and joint hyperflexiability

5

medical conditions in trisomy 21

hirschsprung’s disease
hypo/hyperthyroidism
insulin dependent diabetes
sleep apnea
early onset alzheimer’s
ALL
CHD
infertility in males

6

newborn gross motor development

head lag in pull to sit but head extension in ventral suspension

7

when should the primitive reflexes be lost at?

4-6 months

8

when should the child be sitting without support?

6 months to do this 2 very important reflexes need to be developed parachuting and righting reflex

9

when would you be considered if the child is not sitting?

by 9 months

10

what would you be concerned if a 9 month old hasn’t been able to do this critical step in gross motor development?

sitting by 9 months

11

locomotor skills- by 10 months what should a child do?

be cruising around the furniture

12

what should a 12 month old be able to do- gross motor?

50% are walking independently by 1 year old.

13

If a child is not walking by this age it is a red flag

18 months

14

20 months what can they do gross motor?

kicks ball

15

3 years old - gross motor

jump from bottom step, stand on one leg, and ride a tricycle

16

4 year old - gross motor

hop on one leg, go down the stairs one leg at a time, and ride a bike

17

at 5 years old what can they do gross motor

skip

18

3-4 months fine motor development

hand watching

19

when does a squint need to be checked out?

if persisting beyond 8 weeks.

20

at 6 months what are the fine motor skills?

palmer gasp
holds objects with both hands and bangs them together
transfers between hands

21

what should a child be able to do fine motor wise by 10 months?

pincer grip using thumb and first finger

22

what 12 months infant is supposed to do fine motor?

starts pointing to objects.

23

when does advanced fine motor skills come into play?

14 months

24

at 14 months what can a child do FM?

scribbles

25

when does the brick building venture start?

2 years old with 6 blocks.

26

what can a 2 and a half year old do AFM?

copy a circle and builds 8 brick tower and train with 4 carriages

27

what can a 3 year old do AFM?

draw a circle copies or makes a bridge

28

what can a 4 year old do? AFM

draws a cross copies or makes steps

29

what can a 4.5 year old do AFM?

draw a square

30

what can a 5 year old child do advanced fine motor?

draw a triangle

31

by 12 weeks what can a baby do S&L?

vocalise when spoken to and begins to coo and laugh

32

by 6 months S&L?

ba and da

33

8 months S&L?

mama or dada

34

by 13 months Sand L?

understanding of two syllable words drink and no

35

by 18 months what can a child do S&L?

vocab of 10 words and 6 parts of the body

36

20 months S.L

combine 2 words together in 3 word sentences

37

3 years S&L?

knows age and colors

38

early social development 6 weeks

smiling

39

when does separation anxiety start to come in?

8 months

40

at 10 months what can a child do socially?

wave goodbye

41

when does symbolic play come in?

2 years. which progress during that time to playing with other children

42

at three years old what are they starting to do in play?

taking turns and simple rules

43

when can a child be toilet trained?

by 2 but some much older night time dryness takes longer 10% of 5 year olds wet the bed at night.

44

cognitive function

pre-school the world resolves around them and imaginative

junior school- operational thought process more orderly
teens- abstract thought and complex thinking.

45

self-help skills in a 2 year old

taking off clothes and start to dress self.

46

18 months self help

feeding herself

47

12 months

drank from a cup.