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Flashcards in Development Stages Deck (106):
1

APGAR score

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)

2

How many hours do 6 week olds cry?

Up to 3 hours per day (peak)

3

At age 12 weeks how many hours per day should baby cry?

1 hour

4

1 month devo

chin up in prone position, fists closed, follows face, startles to voice

5

2 month devo

chest up in prone position, chest bobs when sit up, hands unfisted 50% time, social smile, follows past midline, coos

6

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

7

4 month devo

sits with trunk support, no head lag, rolls front to back, reaches for things, can briefly hold bottle, laughs out loud

8

5 month devo

sits up, transfers objects hand to mouth to hand, recognizes caregiver, begins to respond to name,

9

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

10

9 month devo

crawls, cruises, bangs two cubes together, separation anxiety, recognized familiar people, orients to name, mama, imitates sounds

11

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

12

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

13

18 months

creeps down stairs, throws ball, 4 cube tower, 10-25 words, pretend play, understands mine

14

24 months

parallel play, kicks ball, throws overhand, takes off clothes, uses 2 word sentences, can understand half of whats said

15

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,

16

4 years

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

17

5 years

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

18

6 years

tandem walks, writes first and last name, ties shoes, simple addition/subtraction, knows days of week.

19

At what age is inability to walk a red flag?

18months

20

At what age is inability to sit up a red flag?

9 months

21

What are indications of language delay at 12 months?

No babbling pointing or gesturing

22

What are the indications of language delay at 16 months?

No single words

23

What is sign of language delay at 24 months?

No two word phrases

24

At how many months is persistence of Moro, ATNR reflex concerning?

past 6 months

25

When is lack of parachute response concerning?

past 12 months

26

What shape should a 3 year old be able to draw?

circle

27

What shape should a 4 year old be able to draw

cross. At 4.5 square

28

What shape should a 5 year old be able to draw?

triangle

29

When should kids lose obligatory fisting?

by 3 months

30

When should kids transfer toy from hand to hand across midline?

6 months

31

When should head lag when pulling from supine to sitting be gone?

6 months

32

At what ages are ASQ administered?

9, 18, 30 month well child visits

33

At what age does a child use the immature pincer grasp?

9 months

34

At what age does a child use the mature pincer grasp?

12 mos

35

At what age does a child recognize a stranger?

6mos

36

When does the parachute reflex appear

6 months

37

When should a child be able to climb up stairs on hands and knees?

15mos

38

At what age should a child be able to run stiffly?

16mos

39

At what age should child be able to walk up stairs alternating feet

3 years

40

At what age does a child skip with alternating feet, ride bike without training wheels, write first and last name?

6 years

41

What is unique about Aspbergers?

There is no language delay

42

lifts head momentarily

1 month

43

follows objects past midline

2 months

44

more disappears by:

3-6 months

45

bears weight while held standing

4 months

46

hands in midline

4 months

47

swipes at objects

3 months

48

laughs out loud and squeals

4 months

49

imitates social interaction

4 months

50

turns directly to sound and voice

6months

51

start of stranger anxiety

6-9mos

52

bangs two blocks together

9months

53

peek a boo

9 months

54

turns to name

9 months

55

follows single step command with gesture and without

12 months with, 15 months without

56

follows a point

10 months

57

drinks from cup

15 months

58

scribbles with crayon

15 months

59

stoops to floor and recovers to stand

15 months

60

number of words at 15 months

6 words

61

number of words at 17 months

8 words

62

self feeding solids with spoon

18 months

63

throws ball

18 months

64

number of words at 18 months

10-20

65

knows 5+ body parts

18 months

66

points to show interest 18 months

18 months

67

washes and dries hands

24 mos

68

removes clothing

24 months

69

kicks a ball

24 months

70

jumps in place with 2 feet

24 months

71

can follow 2 step commands

24 months

72

pronoun use

24 months

73

pretend play

24 months

74

throw a ball overhead

24 months

75

stands on one foot

3 yo

76

eats neatly with spoon and fork

3yo

77

knows sex, first and last name

3yo

78

speaks with 5-8 word sentences

3yo

79

imaginary play

3yo

80

tandem walk

4yo

81

dresses and brushes teeth without help

4yo

82

prepares bowl of cereal, toast

5yo

83

plays board games

5yo

84

ties shoelaces

6yo

85

writes name

6yo

86

counts to ten

6yo

87

knows right and left

6yo

88

2 cubes

15 month

89

3 cub

16 months

90

4cube

18 month

91

6-7 cube

24month

92

8 cube

30 months

93

bridge of cubes

36 months

94

gate of cubes

4 yo

95

Rate of head circumference growth during first year

0-3months = 2cm/month, 3-6months = 1cm/mo, 0.5cm/mo = 6-12 months

96

Median head circ of a newborn

35cm female, 36cm male

97

hand dominance

concerning if before 18 months

98

refers to self by name

24 month

99

names 4 colors

4 years olds

100

asks why, when how

4yo

101

What comorbidities are associated with myelomeningocele

hydrocephalus in the majority, GU abnormalities, scoliosis and hip dislocation

102

imaging for spina bifida occulta

spinal US before 6 months, MRI thereafter

103

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

104

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

105

At what age does AAP recommend starting stimulants

6yo

106

The diagnosis of MR requires both poor performance on standardized tests of intelligence and poor adaptive functioning, not either alone

MR