Flashcards in Development Stages Deck (106):
Appearance (blue 0, acrocyanosis 1, pink 2), Pulse ( no HR 0, HR 100 2), Grimace (no response to stim 0, grimace with stim 1, cry with stim 2), Activity ( poor tone 0, some flexion 1, resists extension 2), Respiratory ( no effort 0, shallow, labored 1, strong cry 2)
How many hours do 6 week olds cry?
Up to 3 hours per day (peak)
At age 12 weeks how many hours per day should baby cry?
1 month devo
chin up in prone position, fists closed, follows face, startles to voice
2 month devo
chest up in prone position, chest bobs when sit up, hands unfisted 50% time, social smile, follows past midline, coos
3 month devo
props on forearms in prone position, brings hands to mouth, reaches for face, follows in a circle, vocalizes when talks to, expression of disgust
4 month devo
sits with trunk support, no head lag, rolls front to back, reaches for things, can briefly hold bottle, laughs out loud
5 month devo
sits up, transfers objects hand to mouth to hand, recognizes caregiver, begins to respond to name,
6 month devo
sits up momentarily, transfers hand to hand, feeds self crackers, can hold bottle, bangs and shakes toys, stranger anxiety, babbles with consonants
9 month devo
crawls, cruises, bangs two cubes together, separation anxiety, recognized familiar people, orients to name, mama, imitates sounds
12 month devo
stands, cruises, independent steps, fine pincer grasp, shows object to parents, points to get object, follows one step commands, mama, dada words, tower of 2 cubes
15 month devo
stoops to pick up toy, creeps up stairs, walks carrying toy, tower of 3-4 cubes, 3-5 words, turns pages of book
creeps down stairs, throws ball, 4 cube tower, 10-25 words, pretend play, understands mine
parallel play, kicks ball, throws overhand, takes off clothes, uses 2 word sentences, can understand half of whats said
3 years devo
balances on one foot, can pedal tricycle, goes up stairs alternating feet, can copy circle, draws 2-3 part person, 3 word sentences, understand 3/4 of whats said,
balances and hops on one foot, throws ball overhand 10 feet, copies square, ties single knot, toilets alone, brushes teeth alone, buttons, uses fork, draws a four to six part person, group play, 300 to 1000 words
walks down stairs alternating feet, skips, copies triangle, writes first name, bathes self, dresses self, names 10 colors, knows letters and consonant sounds, reads 25 words, knows phone number, knows right and left
tandem walks, writes first and last name, ties shoes, simple addition/subtraction, knows days of week.
At what age is inability to walk a red flag?
At what age is inability to sit up a red flag?
What are indications of language delay at 12 months?
No babbling pointing or gesturing
What are the indications of language delay at 16 months?
No single words
What is sign of language delay at 24 months?
No two word phrases
At how many months is persistence of Moro, ATNR reflex concerning?
past 6 months
When is lack of parachute response concerning?
past 12 months
What shape should a 3 year old be able to draw?
What shape should a 4 year old be able to draw
cross. At 4.5 square
What shape should a 5 year old be able to draw?
When should kids lose obligatory fisting?
by 3 months
When should kids transfer toy from hand to hand across midline?
When should head lag when pulling from supine to sitting be gone?
At what ages are ASQ administered?
9, 18, 30 month well child visits
At what age does a child use the immature pincer grasp?
At what age does a child use the mature pincer grasp?
At what age does a child recognize a stranger?
When does the parachute reflex appear
When should a child be able to climb up stairs on hands and knees?
At what age should a child be able to run stiffly?
At what age should child be able to walk up stairs alternating feet
At what age does a child skip with alternating feet, ride bike without training wheels, write first and last name?
What is unique about Aspbergers?
There is no language delay
lifts head momentarily
follows objects past midline
more disappears by:
bears weight while held standing
hands in midline
swipes at objects
laughs out loud and squeals
imitates social interaction
turns directly to sound and voice
start of stranger anxiety
bangs two blocks together
peek a boo
turns to name
follows single step command with gesture and without
12 months with, 15 months without
follows a point
drinks from cup
scribbles with crayon
stoops to floor and recovers to stand
number of words at 15 months
number of words at 17 months
self feeding solids with spoon
number of words at 18 months
knows 5+ body parts
points to show interest 18 months
washes and dries hands
kicks a ball
jumps in place with 2 feet
can follow 2 step commands
throw a ball overhead
stands on one foot
eats neatly with spoon and fork
knows sex, first and last name
speaks with 5-8 word sentences
dresses and brushes teeth without help
prepares bowl of cereal, toast
plays board games
counts to ten
knows right and left
bridge of cubes
gate of cubes
Rate of head circumference growth during first year
0-3months = 2cm/month, 3-6months = 1cm/mo, 0.5cm/mo = 6-12 months
Median head circ of a newborn
35cm female, 36cm male
concerning if before 18 months
refers to self by name
names 4 colors
4 years olds
asks why, when how
What comorbidities are associated with myelomeningocele
hydrocephalus in the majority, GU abnormalities, scoliosis and hip dislocation
imaging for spina bifida occulta
spinal US before 6 months, MRI thereafter
How to define Autism
qualitative impairment in social interaction, qualitative impairment in verbal and nonverbal communication and restrictive repetitive stereotypical patterns of behavior and activities. Must present before age 3
Definition of ADHD
Impairment before the age of 7, occurence of symptoms in home and school setting. Symptoms for at least 6 months. Clear evidence of clinically significant impairmet in social, academic or occupational functioning
At what age does AAP recommend starting stimulants