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Flashcards in Rita's Development Questions Deck (57):
1

A 3yo has an imaginary friend. What would you counsel the parent?
a) Normal development
b) Increase playmate time
c) Refer to psychiatry

a) Normal development

2

Which of the following behaviors in a 4yo is concerning?
a) having an imaginary friend
b) always plays independently
c) gets into fights over toys
d) has nightmares at night

b) always plays independently

3

What is the toddler task for socialization?
a) develop close friends
b) play only side by side
c) prepare cooperative play

c) prepare cooperative play

4

Which of the following sexual behaviors in a preschooler would be most concerning?
a) 2 4yo's who are found playing doctor
b) 4yo who states she wants to have babies with her male teacher
c) a 5yo who is found exploring and touching a 2yo's penis
d) a 3 1/2yo female who is noted to be masturbating in her bed in the morning

c) a 5yo who is found exploring and touching a 2yo's penis

--normal for masturbation staring at 18mos!
(abnormal if doing constantly, in public...)

5

Which groups of adolescents might be expected to have the greatest difficulty adjusting to the changes of puberty?
a) Late maturing boys and early maturing girls
b) Late maturing boys and late maturing girls
c) Early maturing boys and late maturing girls
d) Early maturing boys and early maturing girls

a) Late maturing boys and early maturing girls

6

What stage of development for a 10 month old in Piaget's terms?
a) concrete operations
b) Preoperational
c) Trust vs mistrust
d) Sensorimotor

d) Sensorimotor

7

What should the average 2 month old be able to do?
a) roll from front to back
b) pass a toy form hand to hand
c) bring hands together to midline
d) lift head up 45 degrees when prone

d) lift head up 45 degrees when prone

pass a toy form hand to hand = 5-6 mos

bring hands together to midline = 3-4 mos, before rolling over

8

What should a 2yo be able to do?
a) walk up stair one step at a time
b) dress himself
c) tell a story
d) always build a tower of 8 blocks

a) walk up stair one step at a time

dress himself = 3-4yo

9

Which of the following concepts is relevant to the school aged child?
a) operational thinking
b) initiative
c) concrete operations
d) separation individualization

c) concrete operations

10

A preschool boy whose parents have separated and are beginning divorce procedures:
a) may think that he caused the divorce by misbehaving
b) is likely to experience gender identity confusion
c) should be involved in the decision making regarding the divorce issues
d) shouldn't be told anything of divorce until it's final

a) may think that he caused the divorce by misbehaving

--preschoolers are personalizers!

11

How can a mother enhance motor development in a 6 month old?
a) place in a walker
b) place on floor w/blanket
c) place in playpen

b) place on floor w/blanket

place in a walker -> no way!
place in a playpen --> restricts motor development

12

You are examining a Caucasian protestant 6 month old infant of Irish descent with significant head lag. What dx would you consider?
a) Tay Sachs disease
b) Microcephaly
c) Cerebral palsy

c) Cerebral palsy

Tay Sach's disease --> of Jewish origin, generally look okay at 6 mos--deteriorate later

13

What is the best approach to a 6yo who has been stuttering for 7 months?
a) Have the child relax when talking
b) Ignore the problem
c) Refer to speech

c) Refer to speech

--stutter for 6 dos before getting referred

14

What is the best approach to a 4yo who is mixing up the r and l consonants?
a) Reassure the parent this is normal
b) Refer to speech and language
c) Refer to ENT

a) Reassure the parent this is normal

--no articulation therapy

15

What explains why a 9 month old is waking up at night?
a) separation anxiety
b) growth spurt
c) sleep disorder

a) separation anxiety
--> starts at 7-8mos to 18-20mos...st parents goes into room, reinforces behavior...

16

Which of the following times is not a time when you would normally see biting?
a) 8-12 mos
b) 1-2 yo
c) 2-3 yo

c) 2-3 yo
--> by 2, biting should be gone

17

Which of the following is NOT a technique to use in the management of temper tantrums?
a) Childproof the home to reduce times parent must say no
b) Allow child to make frequent choices
c) Limit frustration by paying attention to the child's temperament
d) Giving in on NO
e) Ignoring the temper tantrums by being neutral during the event

d) Giving in on NO

18

Which of the following is not an example of a problem temper tantrum?
a) Child is older than 4yo or less than 2yo
b) Tantrums occur more than 3 times/day or last more than 15 minutes
c) Tantrums occur in school
d) The parent is negative about the child.
e) Tantrums are associated w/intentional damage to valuable objects or other
f) Child is 2yo and stamps her feet during the tantrum.

f) Child is 2yo and stamps her feet during the tantrum.

19

A child has episodes of crying inconsolable in her sleep for 5-20 minutes. You think she has night terrors. Which of the following is not consistent with that dx?
a) autonomic signs such as rapid pulse, increased HR, and sweating
b) glassy eyed appearance
c) after the episode, the child falls asleep
d) the child remember the episodes in the am

d) the child remember the episodes in the am

20

What would be the most helpful intervention in a child who is having nightmares?
a) dismissing the nightmares
b) ignoring the nightmares
c) reassuring the child and providing a transitional object
d) having them return to their bed by themselves

c) reassuring the child and providing a transitional object

21

Which one of the following are NOT signs of toilet training readiness?
a) ability to ambulate to the potty
b) stability when sitting on the potty
c) ability to remain dry for several hours
d) receptive language skills that enable the child to follow one and two step commands
e) expressive language skills that allow the child to communicate the need to go to the potty
f) an aggressive relationship with the parent

f) an aggressive relationship with the parent

22

What should a 4 month old infant be able to do?
a) sit without support
b) roll from front to back
c) roll from back to front
d) grasp feet and pull them to mouth

b) roll from front to back
--> tummy to back is always easier!

grasp feet and pull them to mouth --> at 5 mos

23

A developmentally normal infant who can creep, pick up a raisin using ventral surface of thumb and index finger, wave bye-bye, bang 2 objects together, and associate words w/their meaning would be how old?
a) 8 mos
b) 10 mos
c) 12 mos
d) 15 mos

b) 10 mos

24

What should a 2 month old be able to do?
a) follow sounds in all directions
b) coo
c) put hands together
d) roll to side from back

b) coo

follow sounds in all directions --> after 6-8 mos
put hands together --> 4 mos

25

Which of the following behaviors would cause concern in a six week old?
a) The baby lifts head off the table when prone
b) The baby's hands are fisted for half the time
c) The baby is rolling from front to back during exam
d) The baby's head bobs forward when sitting

c) The baby is rolling from front to back during exam
--> sign of hypertonicity

26

Which of the following is of concern for a 2 week old?
a) Spending time looking for the favorite book
b) Turning only groups of pages at a time
c) having a short attention span for a book w/out pictures
d) Looking for favorite pictures in a book

b) Turning only groups of pages at a time

27

Which of the following is an indication of a developmental delay?
a) A 2yo who can only stack 6 blocks.
b) A 15 month old who walks briefly b/t 3 pieces of furniture
c) An 18 month old who scribbles spontaneously
d) A 3 1/2yo who is unable to jump

d) A 3 1/2yo who is unable to jump

A 2yo who can only stack 6 blocks --> 6-8 is okay!

A 15 month old who walks briefly b/t 3 pieces of furniture
--> 16 mos is latest age

28

Which of the following is a red flag in a 3yo?
a) Builds tower of only 6 blocks
b) unable to copy a circle
c) involved in pretend play
d) follows simple instructions

a) Builds tower of only 6 blocks
--> should be 8-10 by age 3

unable to copy a circle --> have until 3 1/2 to do this!

29

A mother of a 5yo boy is very concerned that her daughter has been exhibiting stuttering for the past 4 weeks. She feels that her daughter is frustrated by the stuttering and is not talking with others as much. All of the findings in the hx would suggest a referral for a speech evaluation except:
a) Mild intermittent stuttering for 4 weeks
b) child avoiding speaking
c) child demonstrating frustrations
d) parental concern

a) Mild intermittent stuttering for 4 weeks

30

Who do you want to refer for a speech and language evaluation?
a) A 2yo with echolalia
b) 4yo who drops beginning consonants
c) A bilingual 20 month old with two words
d) a 5yo who does not pronounce S correctly

c) A bilingual 20 month old with two words

A 2yo with echolalia
--> repeating after you is okay at 2 but not 2 1/2

a 5yo who does not pronounce S correctly
--> may not pronounce correctly until 7-8yo

31

All of the following indicate a child is ready for school EXCEPT:
a) good social skills
b) inability to separate from mom
c) doing a square
d) recognizing colors

b) inability to separate from mom

32

Which of the following is more worrisome for a 3yo?
a) does not have 3 word phrases
b) cannot skip well
c) does not say S's well
d) has difficulty with TH sounds

a) does not have 3 word phrases

33

What is the Tanner breast stage at menarche for most females?
a) Tanner I
b) Tanner II
c) Tanner III
d) Tanner IV
e) Tanner V

c) Tanner III

34

What is normal progression of puberty in male?
a) Adrenarche, tests increase in volume, penis grows in length before width growth
b) Adrenarche, penis grows in length before width growth, testes increase in volume
c) penis grows in length before width growth, adrenarche, testes increase in volume

a) Adrenarche, tests increase in volume, penis grows in length before width growth

35

Which of the following is a worrisome sign in a child?
a) Persistent palmar grasp at 5 months
b) Failure to walk by 1 year
c) Failure to sit by 6 mos
d) Tonic neck reflex at 2 mos

a) Persistent palmar grasp at 5 months

Failure to walk by 1 year --> at 16 mos, not normal
Failure to sit by 6 mos --> at 9 mos, not normal
Tonic neck reflex at 2 mos --> normal!

36

When would you begin to see a parachute reflex?
a) 6 mos
b) 8 mos
c) 12 mos
d) 18 mos

b) 8 mos
--> + separation anxiety!

37

What would make you the most concerned about in a 12month old? Whose mother reports that the child is:
a) Not saying bye-bye
b) Not pulling to stand
c) Not walking
d) Not scribbling

a) Not saying bye-bye

38

What do you want to tell parent about his 3yo thumb sucking?
a) Tell the parent to ignore it
b) Tell the parent it might cause malocclusion
c) Tel the parent that other children may tease the child about it
d) Tell the parent to go to the dentist for a palate device to prevent thumb sucking

a) Tell the parent to ignore it
--> normal until age 5!

--Tell the parent to go to the dentist for a palate device to prevent thumb sucking
--> not until age 7
--at age 5-6: use Stop-It/st that tastes bad
--pacifier okay until 1 yo

39

A 4yo has mild stuttering. What is the next best step?
a) Referral to speech pathology
b) Referral to a hearing specialist
c) Reassure!
d) Have the parent say the word for them.

c) Reassure!

40

An infant is teething. Which symptom is not consistent with teething?
a) Fussiness
b) Vomiting
c) wanting to be held
d) fever of 103

d) fever of 103

41

At what age should the child walk up the stairs alternating?
a) 2 years
b) 5 years
c) 3 years
d) 3.5 years

c) 3 years

42

At what age does a child follow two-step commands?
a) 12 mos
b) 15 mos
c) 18 mos
d) 24 mos

d) 24 mos

43

When does a child always have a 2 word sentence?
a) 12 mos
b) 15 mos
c) 18 mos
d) 24 mos

d) 24 mos
--> must join those words!

--18 mos
--> expect words, but not joining

44

When does a child start to have a 3 word sentence?
a) age 18 mos
b) age 2 yrs
c) age 2 1/2
d) age 3

c) age 2 1/2

--age 3
--> should be having conversations with you!

45

At what age should a child be able to walk up stairs one step at a time?
a) age 18 mos
b) age 2 yrs
c) age 2 1/2 yrs
d) age 3

b) age 2 yrs

46

When does a child hop on one foot?
a) 30 mos
b) 36 mos
c) 48 mos
d) 60 mos

b) 36 mos
--> by age 3!

by 4 --> hop 3 times
by 5 --> hop 5 times

47

Which of the following is worrisome in twin language development?
a) no babbling by 1 year
b) 10 words by age 15 month
c) 2 words together by age 20 mos
d) Full sentences by age 3

a) no babbling by 1 year

--10 words by age 15 month
--> pretty good!

48

What is the major task of toddler's socialization?
a) ordering other around
b) following rules
c) preparation for cooperative play

c) preparation for cooperative play

49

Which primary teeth erupt first?
a) Lower central incisors
b) upper central incisors
c) lateral lower incisors
d) molars

a) Lower central incisors

50

What is the minimal amount that a school aged child should grow each year?
a) one inch
b) one and 1/2 inch
c) 2 inches
d) 3 inches

c) 2 inches

51

A child w/normal growth but a lot of milk intake is at risk for what?
a) vomiting
b) cow's milk protein allergy
c) iron deficiency anemia

c) iron deficiency anemia

52

What should parents of an adolescent child who is being teased at school do?
a) talk to teacher
b) talk to bully's parents
c) teach their child conflict management techniques

c) teach their child conflict management techniques

53

What is the workup of a 12yo female who is Tanner I?
a) FSH, LH
b) Growth hormone
c) Reassurance
d) ACTH stimulation test

c) Reassurance
--> at 14, be concerned

54

What is the developmental stage of a child in adolescence?
a) industry vs inferiority
b) initiative vs. guilt
c) trust vs. mistrust
d) identity vs. role confusion

d) identity vs. role confusion

55

What is the age of a child who is in preoperational stage of development?
a) birth to 2 yo
b) 2-6yo
c) 6-11yo
d) over 12yo

b) 2-6yo

56

What encourages the development of adolescent autonomy?
a) employment
b) good balance in adult and peer relationships
c) rebellion

b) good balance in adult and peer relationships

57

Who gets a speech pathology referral?
a) 4yo who drops the leading consonants from words
b) 2yo with intermittent echolalia
c) a 3yo who is clear 80% of the time

a) 4yo who drops the leading consonants from words