Normal development and delay Flashcards

(28 cards)

1
Q

what is the median age a child reaches a developmental milestone

A

when 50% of the population their age have achieved that skill

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2
Q

what is the limit age when referring to developmental milestones

A

when 97.5% of the population have achieved that skill - after this it is considered delayed

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3
Q

what are the 4 main areas for developmental milestones

A

gross motor (GM), fine motor and vision (FMV), language and hearing (LH) and social behaviour and play (SBP)

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4
Q

what are considered the 5 primitive reflexes babies are born with

A

sucking and rooting/ palmar and plantar grasp/ ATNR/ Moro/ stepping and placing

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5
Q

what is the ATNR designed to do

A

atonic neck reflex - stops babies falling off of surfaces when sleeping, disappears at 4 months

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6
Q

what developmental milestones should be reached in the first 6 weeks of life

A

head control in vertical (GM), follows torch with eyes (FMV), social smile (SBP)

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7
Q

what developmental milestones should be reached in the first 3 months of life

A

head control - no lag to sit (GM), hands in midline (FMV), vocalises (HL), pleasure on friendly handling (SBP)

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8
Q

what developmental milestones should be reached in the first 6 months of life

A

sitting balance (GM), grasps toys and transfers between hands (FMV), babbles (HL), plays with feet/ strangers (SBP)

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9
Q

what developmental milestones should be reached in the first 9 months of life

A

crawling and standing holding furniture (GM), pincer grasp, can pick up small objects (FMV), imitates sounds (HL), plays peek-a-boo (SBP)

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10
Q

what developmental milestones should be reached in the first 12 months of life

A

standing/ walking (GM), bangs toys together + throws them (FMV), knows name (HL), drinks from cup/ waves (SBP)

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11
Q

what developmental milestones should be reached in the first 18 months of life

A

runs (GM), tower of 3-4 bricks (FMV), 5-20 words and knows body parts (HL), feeds with spoon (SBP)

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12
Q

what developmental milestones should be reached in the first 2 years of life

A

stairs -2 feet (GM), block of 6-7 (FMV), simple instructions - 50+ words (HL), symbolic play - can out on some clothes (SBP)

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13
Q

what developmental milestones should be reached in the first 3 years of life

A

stairs alternative feet (GM), tower of 9 - can copy circle (FMV), complex instructions and asks questions (HL) pretend play and potty trained (SBP)

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14
Q

what developmental milestones should be reached in the first 4 years of life

A

hops (GM), draws simple man (FMV), can tell stories and count to 20 (HL), understands sharing and can get fully dressed (SBP)

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15
Q

what is abnormal development

A

failure to reach a developmental milestone for their age in one or more are

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16
Q

what patterns of abnormal development are there (4)

A

global delay (multiple areas)/ specific delay in 1 or 2 areas/ deviation from normal/ regression (loss of a skill)

17
Q

what % of children have a mild learning disability and what does that mean

A

1-2% - IQ = 50-70

18
Q

what % of children have a severe learning disability and what does that mean

A

0.3%-0.5% - IQ <50

19
Q

what % of children have a specific learning disability and what does that mean

A

5-10% eg dyslexia

20
Q

what are red flags for developmental delay

A

asymmetry of movement (eg just using one hand),/ not reaching for objects age 6/ unable to sit by 12 months/ unable to walk or talk by 18/ loss of skills

21
Q

what is global delay and what term is used at school age

A

delay in 2 or more areas - becomes learning disability at school age

22
Q

give some example of global developmental delays

A

down syndrome, autism

23
Q

what specific motor delays are common

A

Duchennes dystrophy and cerebral palsy

24
Q

how do you diagnose and identify duchennes

A

gower’s manoeuvre and CK enzyme levels

25
in cerebral palsy, what does hemiplegic, paraplegic and quadriplegic mean
hemi = one side of body/ para = legs only/ quad = all limbs
26
what is considered the autistic triad
communication/ social interactions/ inflexibility and imagination
27
what are some autistic traits
restricted, repetitive behaviours, sensory difficulties (noise, texture), social interactions eg turn taking, social cues, empathy, trouble understanding others emotions
28
what investigations can be done for developmental delay
genetics: chromosomes, fragile X, NGS / bloods: neonatal PKU, thyroid studies, CK/ if indicated: MRI, ECG, metabolic studies