QMPLUS Q's / Notes (Important) Flashcards
(9 cards)
A child needs one to one support to facilitate his learning at the current main stream school and is progressing well with the support he receives. How can this be process be formalised?
Education and Health care plan (EHCP)
- This outlines any special educational needs a child has and the provision a local authority (LA) must put in place to help them. The funding for this additional support is from school budget and any additional budget is provided by LA.
What is the difference between DLA and PIP? [1]
DLA stands for disability living allowance. For children over 16 years and adults this has now been replaced by PIP (personal independence plan.)
State what is meant by an IEP (Individual Education Plan) [1]
An IEP (Individual Education Plan) is used for children who are not fulfilling their potential at school, or may have an additional need that requires modification of the curriculum or extra learning resources. It is written by teachers, and is a tool to help plan, teach, monitor and evaluate a particular student’s progress.
If you think ?Cerebral palsy, what is the next management step? [1]
The correct answer is referral to Community Paediatrics.
- The red flag in this case is Hand Preference in an infant under 1 year of age. This raises concerns regarding the possibility of unilateral weakness, and thus, cerebral palsy (especially as the child was premature and had a long stay on the neonatal unit, because pre-term infants are at higher risk of brain haemorrhage shortly after birth).
- You may also find abnormal tone on examination. Once referred to community physio they would likely consider referral to physio and for MIR (however, this would be done after their assessment).
A lack of [] words by 18 months is a developmental red flag
A lack of 6 words by 18 months is a developmental red flag
A lack of 6 words by 18 months is a developmental red flag and not having any words at this age shows a delay in the speech, language and hearing functional area of development.
A delay in this functional area would warrant a [] test as a the first step.
The correct answer is a hearing test. A lack of 6 words by 18 months is a developmental red flag and not having any words at this age shows a delay in the speech, language and hearing functional area of development. A delay in this functional area would warrant a hearing test as a the first step.
A baby fails the Newborn Hearing Screening. What is the next appropriate step and why? [1]
The Newborn Hearing Screening test uses a Evoked otoacoustic emission test (EOAE), which uses an earphone to produce a sound which produces an echo from the normal ear. However, amniotic fluid in the ear canal can commonly cause false positives.
- Therefore, it is appropriate to reassure mum that this does not necessarily mean a problem with hearing at this stage, but that baby will need either a repeat test or a different type of test to check the hearing.
Faltering growth is a red flag in infants with vomiting - what specifically would trigger further investigations? [2]
Faltering growth is a red flag in infants with vomiting – infants with weight below the 2nd centile, or whose weight has dropped two centiles, should have further investigation.
Describe features of innoncent murmurs [+]
Innocent heart murmurs are usually systolic, short and have a ‘musical’ or ‘vibratory’ quality to them.
They do not usually radiate, and are less than grade 4/6 in intensity (i.e. no thrill present.)
Innocent heart murmurs often vary with respiration and the position of the child.
Tachycardia, tachypnoea and hepatomegaly may suggest possible cardiac failure. If femoral pulses are absent, this is concerning for coarctation of the aorta, and further investigation is required. Children over 1 year of age with features of an asymptomatic innocent heart murmur, with normal examination, do not require any further investigation. The family can be reassured and safety net advice given.
