Growth and Development Flashcards

(48 cards)

1
Q

What are the recognised phases of childhood?

A
Neonate
Infant
Toddler
Pre-school
School age
Teenager/adolescent
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2
Q

What are the key developmental fields?

A
Gross motor
Fine motor
Social and self-help
Speech and language
Hearing and vision
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3
Q

What are some milestones?

A

Social smile
Sitting
Walking
First words

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4
Q

What are the expected skills for a 6 month old?

A

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.

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5
Q

What are the expected skills for a 12month old?

A

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

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6
Q

What are the expected skills for a 2y old?

A

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

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7
Q

What are the expected skills for a 3y old?

A

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.)

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8
Q

Describe child health programme

A

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

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9
Q

What does the blood spot screening test check?

A

PKY, congenital hypothyroidism, CF, MCADD and SCD, maple syrup urine disease, isovaleric acidaemia, glutaric aciduria type 1, homocystinuria

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10
Q

What is assessed at 6-8w review?

A
Identification data
Feeding; breast/bottle/both
Parental concerns
Development
Measurements; weight, OFC, length
Examination
Sleeping position
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11
Q

What is assessed at 27-30mnth review?

A
Identification data
Development; 
- social, behavioural, attention and emotional
- communication, speech and language
- gross and fine motor
- vision and hearing

Physical measurements

Diagnoses/other issues

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12
Q

What are the usual reference values for children?

A

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

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13
Q

What are maternal causes of failure to thrive in early life?

A

Poor lactation
Incorrectly prepared feeds
Unusual milk or other feeds
Inadequate care

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14
Q

What are infant causes of failure to thrive in early life?

A
Prematurity
Small for dates
Oro palatal abnorms
Neuromuscular disease
Genetic disorders
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15
Q

What is the infant vaccination schedule?

A

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

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16
Q

What is the childhood vaccination schedule?

A

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

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17
Q

What is the 6-in-1 vaccine given to protect against?

A
Diphtheria
HepB
Hib
Polio
Tetanus
Whooping cough/pertussis
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18
Q

What is gravidity?

A

Number of pregnancies a woman has had

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19
Q

What is parity?

A

Number of times given birth to a fetus >24wks gestation

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20
Q

What would G4P2+2 mean?

A

4 pregnancies
2 birthed >24weeks (stillborn or alive)
+2 terminated/miscarried prior to

21
Q

What would G4P2+2 mean?

A

4 pregnancies
2 birthed >24weeks (stillborn or alive)
+2 terminated/miscarried/ectopic

22
Q

What is considered significant delay of skills?

A

greater than 2SD from population means

23
Q

Describe developmental delay

A

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

24
Q

What are some primary care developmental assessment tools?

A

ASQ - ages and stages questionnaire

PEDS - parents evaluation of developmental status

M-CHAT - checklist for autism in toddlers

SOGS-2 - Schedule of growing skills

25
How are developmental abnormalities quantified?
Delay; global or isolated Disorder; abnorma progression and presentation i.e. autism Regression; loss of milestones
26
What is the SOGS?
Schedule of growing skills Information of child's development in range of areas 0-5yrs 9 key areas Separate cognitive score can be derived
27
What are some secondary care assessment tools in development?
Griffiths mental development scales Bayley scales of infant development Wechsler preschool and primary scales of intelligence
28
What are some examination features would you carry out in developmental assessment?
``` Head circumference Dysmorphic features Skin abnormalities Movement quality Ability to sit and stand from supine Eye movements and eye examination General; resp, CVS Abdominal examination Observation of behaviour ```
29
What are some features of fragile X syndrome?
X linked dominant Broad forehead, elongated face Large prominent ears Strabismus (crossed eyes) Highly arched palate ``` Pectus excavatum flat feet hypotonia mitral valve prolapse hyperextensible joints ```
30
What are some features of William syndrome?
Autosomal dominant, chromosome 7 ``` broad forehead, medial eyebrow flare Strabismus Flat nasal bridge Malar flattening Short nose, long philtrum full lips, wide mouth ```
31
What are positive red flag signs?
``` Loss of developmental skills Concerns re vision or hearing Floppiness No speech by 18-23months Asymmetry of movement Persistent toe walking Head circumference ?99.6th <0.4th ```
32
What are negative red flag signs?
``` Sit unsupported by 9 months Walk by 18months Walk other than on tiptoes Run by 2.5yrs Hold objects in hand by 5 months Reach for objects by 6 months Point to objects and share interest by 2yrs ```
33
What are first line investigations in children with developmental delay?
``` Chromosomes Fragile X U and E Creatine kinase LEad TFTs Urate FBC Ferritin Biotinidase ```
34
What are common motor problems?
Delayed maturation Cerebral palsy Developmental co-ordination disorder
35
What are some common language problems?
Specific language impairment | Learning disability
36
What are some common sensory problems?
Deafness Visual impairment Multisensory impairment
37
What are some common social/communication problems?
Autism Asperger syndrome Elective mutism
38
Who may be involved in the care of a child with a developmental problem?
``` Developmental paediatrician Speech and language therapist OT/PT Psychologist Social worker Geneticist ```
39
What are expected skills for a nine month old?
Crawls on hands and knees, Pulls to stand, Walks around furniture Picks up small objects with thumb and finger pincer grasp Understands phrases like “No-no” and “All gone.” Looks for objects that fall out of sight - object permanence (9-12 months) Stranger Awareness (9-12) Plays social games, peek-a-boo,” “patty-cake.” Waves “Bye-bye.” Picks up a spoon by the handle.
40
What are expected skills for a 3 month old?
Lifts head and chest when lying on stomach. Turns around when lying on front. Looks at and reaches for faces and toys Picks up toy with one hand. Cries in a special way when hungry. Makes sounds - ah, eh, ``` Laughs out loud. Social smile (by 6-8 weeks) ``` Distinguishes mother from others. Reacts to seeing bottle/breast. Comforts self with thumb/dummy
41
What are expected skills for an 18 month old?
Kicks a ball forward, Runs well- few falls. Walks up and down stairs without support. Builds towers of four or more blocks. Scribbles with crayon, Turns pages of picture books, one at a time. Uses at least ten words, Asks for a drink or food, using words or sounds. Names a few familiar objects in picture books. Follows two-part instructions. Starts to join words into sentences (21-24 months) Sometimes says “No” when interfered with. Shows sympathy to other children, tries to comfort them. Early pretend play Usually responds to correction by stopping. Eats with fork. Eats with spoon, spilling little. Takes off open coat or shirt without help
42
What are expected skills for a 2.5yr old?
Stands on one foot without support. Walks up and down stairs one foot per step. Draws or copies vertical lines. Cuts with small scissors. Speaks clearly, understandable most of the time. Knows what to do with objects e.g. a hat or a biscuit Plays with other children (cars, dolls, building bricks, etc.). Plays a role in “pretend” games (mum, dad, teacher). Plays games - tig, hide and seek Washes and dries hands. Dresses self with help
43
What are expected skills for a 3.5yr old?
Hops on one foot without support. Cuts across paper with small scissors. Answers questions like, “What do you do with your eyes? (Or ears?)”. Talks in long, complex sentences (10 or more words). Follows a series of three simple instructions in order. Plays cooperatively with minimum conflict and supervision. Protective toward younger children. Washes face without help. Dresses and undress without help, except for tying shoelaces
44
What are expected skills for a 4yr old?
Draws a recognisable picture Counts ten or more objects, Prints a few letters or numbers Follows simple rules in board or card games Fastens one or more buttons
45
What are expected skills for a 4.5yr old?
Skips or makes running jumps. Draws person with 3 parts (e.g. arms, head, eyes, nose, etc.) Reads a few letters (>5). Usually looks both ways before crossing road
46
What are expected skills for a 5yr old?
Self propels on a swing. Prints first name. When asked, “What is an orange?” answers, “A fruit.” Goes to the toilet without help
47
Normal resp rate <1yo
30-40/min
48
Normal resp rate 2-5 yo
20-30