Paeds General Flashcards
(29 cards)
Define developement
Skills acquired between birth + 5yrs
What are the 4 areas of development?
Gross motor
Vision and fine motor
Hearing, speech and language
Social, emotional and behavioural
What are the 2 types of age category related to developmental milestones + what do they mean?
Median age of acquisition = when half of a standard population of children achieve that level
Limit age = age by which milestones should have been achieved
What are the 6 key gross motor developmental milestones up to 1yr?
Newborn-limbs flexed, symmetrical pattern
6-8wks-raises head to 45 degrees in tummy time
6-8mths-sits without support
8-9mths-crawling
10mths-stands independently
12mths-walks unsteadily, broad gait
At what age should children be able to run + jump?
2.5yrs
What are fine motor skills?
Child’s development of precise and skilled movements
What fine motor movement should children be able to do at 8wks?
Fix eyes on object + make attempt to follow it. Preference for face over inanimate object
Describe how children’s grip should change between 6mths + 14-18mths (4 stages)
6 months: Palmar grasp of objects (wraps thumb and fingers around the object).
9 months: Scissor grasp of objects (squashes it between thumb and forefinger).
12 months: Pincer grasp (with the tip of the thumb and forefinger).
14-18 months: They can clumsily use a spoon to bring food from a bowl to their mouth.
Describe how children’s drawing skills should develop between 12mths-5yrs
12 months: Holds crayon and scribbles randomly
2 years: Copies vertical line
3 years: Copies circle
4 years: Copies cross and square
5 years: Copies triangle
How should children’s brick building skills develop at 18mths, 2yrs, 3yrs, 4yrs?
18mths-tower of three
2yrs-tower of six
3 yrs-build bridge (from a model)
4yrs-build steps (after demonstration)
How much later than copying shapes should children be able to draw them without copying?
6mths later
What level should a newborn’s hearing be?
Should startle to loud noises
How should babies expressive language change at 3,6,9,12mths?
3mths-cooing
6mths-noises with consonants
9mths-babbles-unrecognisable words
12mths-single words e.g. dadda/hi
What should children’s language skills be like at 2,3,4yrs?
2yrs-combines 2 words, 50+ words total
3yrs-basic sentences
4yrs-tells stories
What are the receptive language milestones for children between 3mths-12mths?
3 months: Recognises parents and familiar voices and gets comfort from these
6 months: Responds to tone of voice
9 months: Listens to speech
12 months: Follows very simple instructions
What are the receptive language milestones for children between 18mths-4yrs?
18mths-understands nouns
2yrs-understands verbs
2.5yrs-understands propositions
3yrs-understands adjectives
4yrs-follows complex instructions
How many key words should children be able to understand at 18mths,2,3,4yrs?
18 months: 1 key word, for example “show me the spoon”
2 years: 2 key words, for example “show me the spoon and the cup”
3 years: 3 key words, for example “put the spoon under the step”
4 years: 4 key words, for example “put the red spoon under the step”
At what age should babies start smiling?
6wks
At what age should children start becoming cautious/apprehensive with strangers?
9mths
Describe a child’s level of social + behavioural development at 12mths
Waves bye, plays peek-a-boo, drinks from cup with 2 hands, claps
Describe a child’s level of social + behavioural development at 18mths
Holds spoon, gets food in mouth, imitates activity e.g. using phone
Describe a child’s level of social + behavioural development at 2yrs
Interest beyond parents e.g. waves to strangers
Plays next to other children
Usually dry by day
Describe a child’s level of social + behavioural development at 3yrs
Plays with other children
Bowel control
Turn-taking
Describe a child’s level of social + behavioural development at 4yrs
Has a best friend
Imaginative play
Dry by night
Dresses self