Growth and Development Flashcards
(48 cards)
What are the recognised phases of childhood?
Neonate Infant Toddler Pre-school School age Teenager/adolescent
What are the key developmental fields?
Gross motor Fine motor Social and self-help Speech and language Hearing and vision
What are some milestones?
Social smile
Sitting
Walking
First words
What are the expected skills for a 6 month old?
Rolls over from back to
front, Sits steadily without
support (by 8-9
months)
Transfers toy from one
hand to the other, Uses two hands to pick
up large objects.
Babbles, responds to name
(turns and looks), makes sounds like
“da-da, ma-ma, baba”. 2 syllable babble)
Reaches for familiar
people.
Pushes things away he/
she doesn’t want.
Feeds self biscuits or
similar food.
What are the expected skills for a 12month old?
Stands without support, Walks without help.
(By 18 months), Runs (some falls).
Stacks 2 or more
blocks, Picks up 2 small toys in
one hand.
Has 1 or 2 words
with meaning, Uses “Mama” or
“Dada” specifically for
parents, or similar.
Gives kisses or hugs, Shows shared
attention
Lifts cup to mouth
and drinks, insists on doing things
by self such as feeding
Feeds self with spoon
What are the expected skills for a 2y old?
Climbs on play equipment e.g. ladders/ slides.
Scribbles with circular
motion
Has a vocabulary of around 30-50 words.
“Helps” with simple household tasks, Opens door by turning knob
What are the expected skills for a 3y old?
Rides on a tricycle, using pedals.
Draws or copies a complete circle.
Asks questions beginning with “Why? When? How?”
Identifies >4 colours by name correctly
Gives directions to other children.
Toilet trained (but may
need help with wiping
etc.)
Describe child health programme
New born exam and blood spot screening
New born hearing screening (by day 28)
Health visitor first visit
6-8w review
27-30month reveiw
Vision screening 4-5y
What does the blood spot screening test check?
PKY, congenital hypothyroidism, CF, MCADD and SCD, maple syrup urine disease, isovaleric acidaemia, glutaric aciduria type 1, homocystinuria
What is assessed at 6-8w review?
Identification data Feeding; breast/bottle/both Parental concerns Development Measurements; weight, OFC, length Examination Sleeping position
What is assessed at 27-30mnth review?
Identification data Development; - social, behavioural, attention and emotional - communication, speech and language - gross and fine motor - vision and hearing
Physical measurements
Diagnoses/other issues
What are the usual reference values for children?
Weight; birth 3.3, 4mnths 6.6, 12 mnths 10, 3y 15
Length; birth 50, 4mnths 60, 12mnths 75, 3y 95
OFC; birth 35, 12 mnths 45
What are maternal causes of failure to thrive in early life?
Poor lactation
Incorrectly prepared feeds
Unusual milk or other feeds
Inadequate care
What are infant causes of failure to thrive in early life?
Prematurity Small for dates Oro palatal abnorms Neuromuscular disease Genetic disorders
What is the infant vaccination schedule?
8 weeks; 6-in-1, RV, MenB, PCV
12 weeks; 6-in-1 (2), RV (2)
16 weeks; 6-in-1 (3), MenB (2), PCV
What is the childhood vaccination schedule?
1 year; Hib/MenC, MMR, PCV (2), MenB (3)
3yr 4mnth; MMR (2), 4-in-1 pre-school
12-13yrs; HPV
14 yrs; 3-in-1, MenACWY
What is the 6-in-1 vaccine given to protect against?
Diphtheria HepB Hib Polio Tetanus Whooping cough/pertussis
What is gravidity?
Number of pregnancies a woman has had
What is parity?
Number of times given birth to a fetus >24wks gestation
What would G4P2+2 mean?
4 pregnancies
2 birthed >24weeks (stillborn or alive)
+2 terminated/miscarried prior to
What would G4P2+2 mean?
4 pregnancies
2 birthed >24weeks (stillborn or alive)
+2 terminated/miscarried/ectopic
What is considered significant delay of skills?
greater than 2SD from population means
Describe developmental delay
Present when functional aspects of child’s development in one or more domains (motor, language, cognitive, social, emotional) are significantly delated compared to the expected level for age
What are some primary care developmental assessment tools?
ASQ - ages and stages questionnaire
PEDS - parents evaluation of developmental status
M-CHAT - checklist for autism in toddlers
SOGS-2 - Schedule of growing skills