Development/Social Flashcards
T/F First born children speak later than subsequent children
F - First born children speak earlier
T/F Girls speak earlier than boys
True
T/F Twins speak earlier than singletons
F - Twins speak later
T/F Tongue tie and cleft palate are risk factors for speech delay
F - they may affect speech QUALITY though
A 4 year old should be able to give their home address T/F
F that is more typical of a 5 year old
Note: 5 years old should also be able to drawn a triangle, dress and undress unaided and write their name and make good cuts with scissors
At what age would you expect a child to have a 100 word vocab?
3 yrs
Note: think 3 digits 3 yr old should also speak in 3-4 word phrases Match 2 colors Copy a circle Jump Ride a tricycle Build a tower of 9 blocks
In a pt with macrocephaly and a strong family history when is reassurance and no further work up appropriate
Only if none of the following: neurodevelopmental abnormalities; abnormal growth velocity or macrocephaly >3 sd above average
Causes of toe walking?
Prematurity Unilateral hip dislocation Duchenne MD Spastic CP Spinal tumors
UA should be performed in all children that present with nocturnal enuresis T/F
F - Do not perform urinalysis routinely in children and young people with bedwetting, unless any of the following apply:
- bedwetting started in the last few days or weeks
- there are daytime symptoms
- there are any signs of ill health
- there is a history, symptoms or signs suggestive of urinary tract infection
- there is a history, symptoms or signs suggestive of diabetes mellitus.
Waking or lifting children and young people with bedwetting, at regular times or randomly, will promote long‑term dryness. T/F
False
First‑line treatment to children and young people whose bedwetting has not responded to advice on fluids, toileting or an appropriate reward system
Alarm
Desmopressin is indicated for use in those who have daytime urinary wetting only T/F
F
But it can be used in patients who have both daytime and nocturnal enuresis
Desmopressin use is CI in those with sickle cell disease T/F
F - but it must be stopped during times of crisis
Desmopressin can be used for nocturnal enuresis for those > 7 yrs only T/F
F - can consider in those 5-7 yrs
Roughly how many newborns will have hearing loss?
1-2 in 1,000
Note: this number increases to 1 in 100 if they have spent at least 48 hours in special care
Emotional deprivation is a known cause of speech delay T/F
T
Other known causes: any type of learning disability, hearing defects, CP, autism, developmental expressive aphasia
When does the Morro reflex disappear?
Around 4 months, persistence past 6 months is always abnormal
When does the palmar reflex disappear?
Around 3 months
Which is the last of the postural reflexes to develop?
Parachute reflex . Develops around 9 months, around the time the baby is learning to balance and sit unsupported.
At what age should a child be able to write their name?
5 yrs
At what age should a child with a squint be referred for work up?
Over 6 months old. However can wait up to 18 month if transient and only lasting a few seconds
By what age would a neat pincer grasp be demonstrated?
By 12 months
Building a tower of three cubes and following a one step command - what age?
By 18 months
In a patient with nocturnal enuresis and only a partial response to desmopressin the next medication is imipramine T/F
F - imipramine is used for this; but first should try to add an anticholingeric.
Note: anticholinergic should not be used for those with nocturnal enuresis without daytime wetting and it should not be combined with tricyclic therapy.
