MMDST

Question 1

the presumptive identification of an unrecognized disease or
defect

Answer 1

Screening

Question 2

sort out apparently well persons
who probably have the problem from those who probably do not

Answer 2

Screening Tests

Question 3

It is a modification and standardization of the original Denver
Developmental Screening Test

Answer 3

METRO MANILA

Question 4

is a simple, clinically useful tool used in the early
N U R SI N G
detection of children with serious developmental delays

Answer 4

MMDST

Question 5

indicates the child’s ability
to get along with people and
to take care of himself

Answer 5

Personal-Social Behavior

Question 6

indicates the child’s ability
to see and to use the hands
to pick up objects and to
draw

Answer 6

Fine Motor-Adaptive

Question 7

Language

Answer 7

indicates the child’s ability
to hear, follow directions,
and to speak

Question 8

indicates the child’s ability
to sit, walk, and jump

Answer 8

Gross Motor

Question 9

Test Kit

Answer 9

Bright red yarn (pom pom)
* Rattle with a narrow handle
* Eight 1-inch colored wooden blocks (red, blue, yellow, green)
* Small clear glass/bottle with 5/8” opening
Small bell with 2 ½ in. diameter mouth
* Rubber ball 12 ½ in. in circumferences
* Cheese curls
* Pencil
* Bond paper

Question 10

Before beginning a test: MEP

Answer 10

Make certain that the child can reach the test materials
Establish rapport. Explain the test to the parent
Prepare the test form. Give the test prior to any upsetting
medical/nursing procedures

Question 11

During the test:

Answer 11

Make the child as comfortable as possible.
(If infant…on mother’s lap
* If child is one year older, put child at ease– Showtoys…etc)

Question 12

is made up of _____ items, written in the range of accomplishments for children between birth and six years of age.

Answer 12

105

Question 13

These items are arranged in _______

Answer 13

four sectors.

Question 14

Across the top and bottom of the form are ____

Answer 14

age scales

Question 15

Each item is represented in the test form by a ____

Answer 15

bar

Question 16

The item, equal movements, has an asterisk (*) at the right end of its bar indicates

Answer 16

It indicates 100% of normal children pass this item at birth

Question 17

items have arrows at the right end of the bars, this includes

Answer 17

defines words, composition of __

Question 18

Arrows indicate that normal children may pass these items even

Answer 18

beyond 6 1/2 y. o

Question 19

calculating the age formula

Answer 19

date of test - birthdate = age of child
year-month-day

Question 20

spaces between age:

Answer 20

2 weeks to 14 months - 2 weeks
* 14 to 24 months – 1 month
* 24 months to 5 years – 3
months
* 5 years to 6 ½ years – 6 months

Question 21

Prematurity affect ability to perform that normal child pass at the same age
* Adjust for children years or younger

Answer 21

2 (After 2 years, it is no longer necessary to compensate)

Question 22

test interpretation

Answer 22

Mark each delay by heavily
shading the right end of the bar

Count the sectors which
have 2 or more delays

Count the sector which have 1
delay and no passes intersecting
the age line in that same sector

Use the formula to interpret the
results

Question 23

MMDST is interpreted as

Answer 23

NORMAL
QUESTIONABLE
ABNORMAL
UNTESTABLE

Question 24

Abnormal

Answer 24

2 or more sectors with 2 or more delays

1 sector with 2 or more delays plus 1 or more sectors with 1 delay and in that same sector no passes intersect the age line

Question 25

Questionable

Answer 25

1 sector with 2 or more delays 1 or more sectors with 1 delay and in that same sector no passes intersect the age line

Question 26

Untestable

Answer 26

When REFUSALS occur in numbers large enough to cause the test result to be questionable or abnormal if they were scored as failures

Question 27

Normal

Answer 27

any conditions not belonging to the aforementioned test interpretations

Question 28

At the end of the test

Answer 28

ask the parent if the child’s performance was typical of his ability and behavior at other times

Question 29

In general…

Answer 29

overall interpretation of the test results should be given rather than the labels

Question 30

Discussing the results

Answer 30

If the child has done well, he should receive praise and the parent should be reassured that the child is developing as he should be. If the child has a number of delays, remind the parent that this is a screening test, and that retesting will occur approximately within two weeks. Avoid testing the child when he is ill, sleepy, tired, hungry, or upset

Question 31

MMDST: Retesting

Answer 31

draw the new age line and score the new test with a different color of pencil. Write the date of the new test at the top of that age line.

Question 32

MMDST: Difficult Test situations

Answer 32

DO NOT make hasty conclusions that the child is UNTESTABLE

Question 33

Remarkable at age 6 to 7 months and may continue up to age 3

Answer 33

The Shy Child

Question 34

The Shy Child strategies

Answer 34

As an ice breaker, offer the child a cheese curl or give him a block, a bell, or a rattle to play with Start the test on items, that are scored by report. Focusing attention initially on the parent give the child a chance to cope with situations - he becomes familiar with the tester and the test materials If the child remains shy and wary, ask the parent to administer some of the test items or show how they are done. As the parent demonstrates, tester says, “Tingnan ko nga kung makakalakad ka din ng paurong kagaya ng nanay mo.” Preschoolers are great show offs. This technique may work and if it does, reinforce the child for performing

Question 35

not shy but refuses to do what is asked of him/her

Answer 35

Uncooperative Child

Question 36

Uncooperative Child strategies

Answer 36

Ask the parent to leave the room. Anxious feelings of a parent are communicated to the child who in turn acts negatively. The child may perform better in the parent’s absence If the child becomes upset by the separation, the parent need not leave the room but is requested to turn away from the screening scene but be within seeing distance If the parent says that the child can do certain items but is just uncooperative, asking him to do the opposite might help. The tester maysay, “Sa palagay ko hindi ka marunong magdrawing ng tao”. Reverse psychology works with the negativistic age.

Question 37

one whose interest shifts rapidly from one test item/materials to another. They have short attention span.

Answer 37

Overactive Child

Question 38

The Overactive Child STRATEGIES

Answer 38

a. Mastery of test items (seize the opportunity) b. Limit the distractions c. Bring out only the test materials necessary for testing. d. Keep the kit open behind the tester. If dealing with an older child, tell that you have series of surprise. e. Direct the child’s attention f.Be firm and calm. Tell the child what to do. Do not ask if he can or if he will perform the task. g. If it is possible, hold the child on your lap or sit next to him.

Question 39

The Child with Many Siblings Possible Scenario:

Answer 39

Each child would want to perform the tasks all at the same time. * A child already done with the test, tells the other what to do.

Question 40

The Child with Many Siblings STRATEGIES:

Answer 40

a.Explain to the parent the need to test each child individually. b. Start preferably with the eldest and ask the mother to send the child on errands once done

Question 41

one who becomes too involved. This parent answers the questions for the child and shows him what to do.

Answer 41

The Interfering Parent

Question 42

The Interfering Parent STRATEGIES

Answer 42

Explain to the parent, as in all test situations, that the MMDST is not an intelligence test and that the child is not expected to pass all items. The test will only show the child can do at a certain age. Be sure the mother understands the purpose of the test b. Administer the test c. If the parent interfere, repeat the explanation d. If the parent still tells the child what to do, let the parent leave the room.