Paeds Development

Question 1

By what age should children fix and follow

Answer 1

6 weeks

Question 2

By what age should children smile?

Answer 2

6 weeks

Question 3

By what age should children hold objects

Answer 3

3 months

Question 4

By what age should children be able to use palmar grasp and pass items between hands

Answer 4

6 months

Question 5

By what age should crawling develop

Answer 5

9 months

Question 6

By what age should pincer grip start to develop and when should it be fully developed

Answer 6

starts at 9 months
Good pincer at 12 months

Question 7

How many words should a child have by 12 months

Answer 7

One or two

Question 8

How many words should a child know at 12-15 months

Answer 8

2 to 6 words

Question 9

By what age should children walk alone

Answer 9

13 months

Question 10

What are the 4 fields of development

Answer 10

Gross motor,
vision and fine motor,
hearing, speech and language
Social emotional and behavioural

Question 11

How should developmental milestones account for prematurity.

Answer 11

The amount of prematurity should be accounted for up to 2 years
For example a 9 month year old who was three months premature should be assessed as a 6 month year old

Question 12

At what age should a baby sit without support

Answer 12

6 months- curved back
8 months - straight back

Question 13

By what age should a child be able to draw a triangle

Answer 13

5 years

Question 14

By what age should a child be able to build a tower of 3

Answer 14

18 months

Question 15

By what ages should a child be able to build a tower of 6.

Answer 15

2 years

Question 16

What would be expected of speech by 3 years (4)

Answer 16

Speaking if 3-4 word sentences
asks who at what questions
identifies colours
counts to 10

Question 17

At what age should a child be able to hop on one leg

Answer 17

4 years

Question 18

At what age should a child be able to pull to standing

Answer 18

9 months

Question 19

at what age should a child be able to squat to pick up a ball?

Answer 19

18 months

Question 20

at what age should a child sit without support

Answer 20

7-8 months

Question 21

What test is used in newborn hearing screening

Answer 21

otoacoustic emission test

Question 22

If the otoacoustic emission test comes back abnormal what additional screening should be done and when?

Answer 22

auditory brainstem response test

Question 23

what hearing test is done at school entry

Answer 23

pure tone audometry

Question 24

when should a child be referred for not walking?

Answer 24

at 18 months

Question 25

When should a child say mamma and dada

Answer 25

9 months

Question 26

When should a child know their own name

Answer 26

12 months

Question 27

When should a child start combining 2 words

Answer 27

2 years

Question 28

When should a child be competent with a spoon and not spill a cup

Answer 28

2 years

Question 29

when should a child wave bye

Answer 29

12 months

Question 30

when should a child start playing with others

Answer 30

4 years

Question 31

when does palmar grasp develop

Answer 31

6 months

Question 32

what are some prenatal causes of developmental delay ?

Answer 32

genetic conditions such as downs syndrome and fragile X cerebral dysgenesis stroke hypothyroidism maternal alcohol and drug use maternal infections -TORCH neurocutaneous syndromes such as tuberous sclerosis

Question 33

what are some perinatal causes of developmental delay

Answer 33

intraventricular haemorrhages hypoxic ischaemic encephalopthy hyperbilirubinaemia hypoglycaemia

Question 34

what are some postnatal causes of developmental delay

Answer 34

meningitis and encephalitis suffocations head injuries inborn errors of metabolism stroke

Question 35

what are some specific caues of motor delay

Answer 35

cerebral palsy congenital myopathy spinal cord lesions such as spina bifida

Question 36

what are some specific causes of speech delay?

Answer 36

hearing loss anatomical defects that affect speech production- cleft palate environmental deprivation (not having anyone to communicate with)

Question 37

What are some causes of vision delay

Answer 37

genetic- cataracts, albinism, retinoblastoma congential infection retinopathy of prematurity HIE

Question 38

what are some causes of sensorineural hearing loss

Answer 38

genetic congenital infections prematurity HIE hyperbilirubinaemia meningitis

Question 39

what are some causes of conductive hearing loss in children

Answer 39

otitis media with effusion poorly functioning eustachian tube (Downs, cleft palate)