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Paeds developmental milestones Flashcards

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1
Q

What are the four domains of development?

A

Gross motor
Fine motor
Language and speech
Social skills

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2
Q

What are some gross motor skills?

A

Head lag
Position
Sitting
Walking
Running

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3
Q

What are some fine motor skills?

A

Use of hands
Grasp/ fine pincer
Bricks
Crayon
Puzzle

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4
Q

What are some language and speech skills?

A

Vocalisation
Words
Understanding

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5
Q

What are some social skills?

A

Social interactions
Stranger danger
Eating skills
Dressing

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6
Q

In what order do gross motor skills develop and why?

A

Head to toe. Myelination occurs that way

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7
Q

At 12 months, what should the average baby be able to do?

A

Stand unsupported
Pincer grip
Mama/dada/no
Fear strangers

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8
Q

At 18 months, what should the average baby be able to do?

A

Stack 2 blocks
Walk without help
Anxious separated from parents
Know 6-12 words
Scribble

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9
Q

At 2 years, what should the average baby be able to do?

A

Link two words into sentences
Understand 2 step commands

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10
Q

At 3 years, what should the average baby be able to do?

A

Use a tricycle
3 word sentences
Constantly talk

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11
Q

Define primitive reflex

A

involuntary motor responses originating in the brainstem present after birth

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12
Q

When should primitive reflexes be absent?

A

After 6 months

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13
Q

Name some primitive reflexes

A

Moro (sudden head drop- arms outstretched)
Stepping
Rooting
Palmar and plantar grasp
Atonic neck (fencing posture)

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14
Q

What gross motor skills to look for in newborn?

A

limited flexed, symmetrical position
marked head lag on pulling up

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15
Q

What gross motor skills to look for in 6-8 week infant?

A

raises head to 45 deg

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16
Q

What gross motor skills to look for in 6-8 month old infant?

A

Sit without support at 6m with rounded back and 8m with straight back

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17
Q

What gross motor skills to look for at 8-9 months?

A

Crawling

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18
Q

Gross motor skills at 10 months?

A

Cruises around furniture

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19
Q

Gross motor skills at 12 months

A

walks unsteadily, broad gait, hands apart

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20
Q

Gross motor skills at 15 months

A

Walks steadily

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21
Q

Average age to walk independently

A

12 months (18 month limit)

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22
Q

Limit to walk independently

A

18 months

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23
Q

Average age to stand with support

A

10 months

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24
Q

Limit age stand with support

A

12 months

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25
Average age sit unsupported
6 months curved back 8 months straight back
26
Limit age to sit unsupported
9 months
27
Average age head control
1 month
28
Limit age head control
4 months
29
What must you be careful of when testing for vision and fine motor skills?
The object should not make any noise when moving
30
Vision/ fine motor skills at 6 weeks
follows moving object or face by turning head
31
Vision/ fine motor skills at 4 months
Reaches out for toys
32
Vision/ fine motor skills at 4-6 months
Palmar grasp
33
Vision/ fine motor skills at 7 months
transfers toys from one hand to another
34
Vision/ fine motor skills at 10 months
mature pincer grip
35
Vision/ fine motor skills at 16-18 months
Makes marks with crayon
36
Vision/ fine motor skills at 14 months to 4 years
Tower of 3 : 18 months Tower of 6: 2 years Tower of 8/ train with 4 bricks : 2.5 years Bridge from a model: 3 years Steps (after demonstration) : 4 years
37
Vision/ fine motor skills at 2-5 years
line : 2 years circle: 3 years cross: 3.5 years square: 4 years triangle: 5 years ability to draw independently, can copy 6 months earlier
38
Average age to fix and follow
6 weeks
39
Limit age to fix and follow
3 months
40
Average age to reach
4 months
41
Limit age to reach
6 months
42
Average age to transfer
7 months
43
Limit age to transfer
9 months
44
Average age to pincer grip
10 months
45
Limit age to pincer grip
12 months
46
What case should hearing be tested?
Child with language delay
47
Hearing, speech, language expected for newborn
startles to loud noises
48
Hearing, speech and language in 3-4 months
vocalises alone or when spoken to, coos and laughs
49
Hearing, speech and language at 7 months
turns to soft sounds out of sight
50
Hearing, speech, language at 7-10 months
7 months: sounds used indiscriminately 10 months: sounds used discriminately to parents
51
Hearing, speech, language at 12 months
2/ 3 words other than 'dada' and 'mama'
52
Hearing, speech, language at 18 months
6-10 words, shows 2 parts of the body
53
Hearing, speech, language in 20-24 moinths
uses 2 or more words to make simple phrases
54
Hearing, speech, language in 2.5 to 3 years
talks constantly in 3-4 word sentences
55
Average age polysyllabic babble
5 months
56
Limit age polysyllabic babble
7 months
57
Limit age consonant babble
10 months
58
Limit age saying 6 words with meaning
18 months
59
Limit age joining words
2 years
60
Limit age 3 word sentences
2.5 years
61
Social, emotional and behavioural skills at 6 weeks
smiles responsively
62
social, emotional, behavioural skills at 6-8 months
puts food in mouth
63
social, emotional and behavioural skills in 10-12 months
waves bye-bye, plays peek-a-boo
64
social, emotional, behavioural skills in 12 months
drinks from a cup with 2 hands
65
social, behavioural, emotional skills in 18 months
holds spoon and gets food safely to mouth
66
social, emotional, behavioural skills in 18-24 months
symbolic play
67
social, emotional, behavioural skills in 2 year old
dry by day, pulls off some clothing
68
social, emotional, behavioural skills in 2.5 year to 3 year old
parallel play, interactive play evolving, takes turns
69
average age to smike
70
average age to smike
71
average age to smile
6 weeks
72
limit age to smile
8 weeks
73
average age to feed strangers
7 months
74
limit age to fear strangers
10 months
75
limit age to feed self/spoon
18 months
76
average age to symbolic play
1.5 to 2 years
77
limit age to symbolic play
2 to 2.5 years
78
average age to interactive play
2.5 to 3 years
79
limit age to interactive play
3 to 3.5 years
80
different types of delays in progression
slow but steady plateau regression acute insult
81
types of delay
global: all domains specific: language, motor, sensory, cognitive
82
causes of global delay
chromosomal abnormalities metabolic
83
causes of specific delay
motor (cerebral palsy) hearing loss

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