Test 1: Denver II Testing

Question 1

What is the name of the most widely used developmental screening test for young children?

Answer 1

Denver II

Question 2

What ages is this test designed for?

Answer 2

between birth and 6 yr

Question 3

What does this test screen for?

Answer 3

delays, allows for early interventions

Question 4

What does the test look for in the personal/social area?

Answer 4

• getting along with others

- caring for personal needs

Question 5

What does the test look for in the fine motor/adaptive area?

Answer 5

• eye/hand coordination
• manipulation of small objects
• problem solving

Question 6

What does the test look for in the language area?

Answer 6

• hearing
• understanding
• using language

Question 7

What does the test look for in the gross motor area?

Answer 7

• sitting
• walking
• jumping
• overall large muscle development

Question 8

What are the 4 sectors observed in this test?

Answer 8

1) Personal/social
2) Fine motor - adaptive
3) Language
4) Gross motor

Question 9

Administering Denver II: How can you build rapport?

Answer 9

• make child and caregiver comfortable
• administer test when child is dressed
• allow younger child to sit on parent’s lap
• encourage older child to sit in chair
• present as a game to the younger

Question 10

Administering Denver II: What should be explained to the parent?

Answer 10

• Not an IQ test
• child not expected to pass all the items
• results will be explained after all items have been concluded

Question 11

What should be taken into account during administration?

Answer 11

Cultural variations can incorrectly show as delays

Question 12

Administering Denver II: How do you calculate the child’s age?

Answer 12

Subtract the date of birth from the date of testing

• can borrow 30 from the month column
• can borrow 12 from the year column

Question 13

What is considered premature for the Denver II? How do you adjust the age for a premature infant?

Answer 13

Premature is > 2 weeks before delivery date.
Adjust for less than 2 years of age only!
- Divide the # of weeks premature into months and days (using 4 weeks to a month and 7 days to a week)
- After calculating age, further subtract the weeks/days premature

Question 14

T/F: It is ok to say “good boy/girl” during the test.

Answer 14

False!

Praise the BEHAVIOR, not the PERSON

Question 15

How do you score the items?

Answer 15

P = passed
F = failed
N.O. = no opportunity
R = refusal

Question 16

How do you choose the items to measure?

Answer 16

1) administer at least 3 items nearest to and totally to the left of the age line
2) then, every item that is intersected by the age line
3) keep administering items to the right of the age line until 3 failures are recorded

Question 17

What is considered a “delay”?

Answer 17

failed or refused item that falls completely to the left of the age line

Question 18

What is considered a “caution”?

Answer 18

failed or refused items where the age line runs on or between the 75th or 90th percentiles (the blue shaded area on the bar)

Question 19

What is considered normal?

Answer 19

No delays and a max of 1 caution

- Rescreen at next well child visit

Question 20

What is considered suspect?

Answer 20

2 or more cautions and/or 1 or more delays

- Rescreen in 1-2 weeks

Question 21

What is considered untestable?

Answer 21

Refusal scores on 1 or more items completely to the left of the age line OR on more than 1 item intersected by the line in the 75-90%
- Rescreen in 1-2 weeks

Question 22

What is a basis for referral?

Answer 22

• number of cautions or delays
• rate of development
• other clinical considerations
• availability of referral resources