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Flashcards in DEVELOPMENT AND DELAY Deck (41):
1

What are the four main aspects of development that are routinely assessed?

Gross motor
Fine motor and vision
Hearing, speech and language
Social behaviour and play

2

In terms of assessing gross motor ability of a new born, what should you be looking for?

Symmetrical movement of all four limbs
Normal muscle tone

3

In terms of assessing fine motor and visual ability of a new born, what should you be looking for?

Whether or the not the baby fixes on mother's face and follows through 90 degrees

4

In terms of assessing hearing, speech and language ability of a new born, what should you be looking for?

Crying
There is also the national Newborn Hearing Screening Programme

5

In terms of assessing social behavior and play ability of a new born, what should you be looking for?

Whether or not the baby responds to being picked up.

6

What should a 6 week old be able to do in terms of gross motor development?

Have good head control when pulled up to sitting position or when held in ventral suspension
Have the Moro response (see next card)

7

What is the Moro response?

Extension of the arms, and then brisk adduction towards the chest when the infant is startled or if the baby's head is allowed to drop back slightly. Should be symmetrical.

8

What should a 6 week old be able to do in terms of social development?

Smile

9

What should a 6-8 month old be able to do in terms of gross motor development?

Bears weight on legs
Sits without support
Forward & downward parachute response
Crawls
No longer exhibit Moro response

10

What should a 6-8 month old be able to do in terms of fine motor and visual development?

Reaches out to grasp
Fixes on small objects
Follows fallen toys

11

What should a 6-8 month old be able to do in terms of hearing and speech development?

Polysyllabic babbling
Laughs
Responds to own name
Positive distraction hearing test

12

What should a 6-8 month old be able to do in terms of social behaviour and play development?

Puts everything to mouth
Hand and foot regard (bringing feet up to mouth)
Plays peek-a-boo

13

What are some of the red flags seen in babies who are 6-8 months old?

Persisting primitive reflexes (such as Moro response)
Hand preference, fisting, squint

14

What should a 12 month old be able to do in terms of gross motor development?

Gets to sitting position
Pulled to a standing position
Walks holding furniture
Walks 2 steps alone

15

What should a 12 month old be able to do in terms of fine motor and visual development?

Points with index finger
Throws objects
Pincer grip
Holds 2 bricks and bangs them together

16

What should a 12 month old be able to do in terms of hearing and speech development?

Turns to sound of name
Uses 'mama' and 'dada'
Understands several words

17

What should a 12 month old be able to do in terms of social behaviour and play development?

Imitating
Indicates wants without crying
Gestures such as waving

18

What are the red flags to look out for if reviewing a 12 month old?

Unable to sit or weight bear
Persistence of hand regard
Absence of babbling

19

What should a 18 month old be able to do in terms of gross motor development?

Carries toys while walking
Climbs stairs (14-22 months)
Climbs onto chair

20

What should a 18 month old be able to do in terms of fine motor and visual development?

Delicate pincer grasp
Scribbles
Turns pages
Builds tower of 3 or 4 bricks

21

What should a 18 month old be able to do in terms of hearing and speech development?

Jabbers Continually
Utters 3 or more words
Points to eyes, nose and mouth on direction
Obeys simple instructions – ‘close the door’

22

What should a 18 month old be able to do in terms of social behaviour and play development?

Holds spoon: gets food to mouth
Explores environment
Indicates toilet needs

23

What are the red flags to look out for if reviewing an 18 month old?

Inability to stand without support
Inability to understand simple commands
No spontaneous vocalisation
No pincer grip
Casting (throwing) still present

24

At what age should a child be able to sit unsupported?

8 months

25

At what age should a child be able to pull themselves to standing?

12 months

26

At what age should a child be able to walk a couple of steps alone?

12-14 months

27

At what age should a child be able to kick a ball?

18 months

28

At what age should a child be able to sit at the table?

2 years

29

At what age should a child be able to jump?

2 years

30

At what age should a child be able to stand on one leg?

3 years

31

At what age should a child be able to hop?

4 years

32

At what age should a child be able to catch a ball?

5 years

33

By what age should a child be able to scribble?

18 months

34

By what age should a child be able to draw a straight line?

2 years

35

By what age should a child be able to draw a square?

4 years

36

By what age should a child be able to draw a circle?

3 years

37

By what age should a child be able to draw a triangle?

5 years

38

By what age should a child be able to draw an intersecting cross?

3 years

39

By what age should a child be able to draw a diamond?

6 years

40

What are the red flags to look out for when reviewing a child of 3 years old?

Inaccurate use of spoon
Not speaking in sentences
Unable to understand simple commands
Unable to use the toilet alone
Not interacting with other children

41

What is the first sign of puberty in boys?

Development of axillary hair

Height spurt

Development of pubic hair

Increase in penis length

Increase in testicular volume

Increase in testicular volume