10-22 Infant Development Flashcards

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1
Q

Define autism spectrum d/o’s

A
Delays in:
—social interaction
—language used in social communication
—symbolic or imaginative play (repetitive motions)
Not explained by:
—Rett Syndrome
—Other Intellectual Disabilities
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2
Q

Four Domains of Development

A

Social
Language
Gross motor
Fine motor

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3
Q

Language Developmental Milestones

1mo
2mo
4mo
6mo
9mo
12mo
15mo
A
Language Developmental Milestones:
.
1mo - vocalize
2mo - ooo, ahh
4mo - laugh 
6mo - turn to a voice
9mo - mama/dada/babble
12mo - mom/dad/specific words
15mo - 3 words
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4
Q

18 m/o: mom is worried b/c no words yet

—Are you worried?

A
yes; should have at least 3 words by 15 mos
—Boys : Girls — 4 : 1
1. communication
2. social interaction
3. w/ non-functional repetitive actions
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5
Q

DDx for being non-verbal

A
START W/ HEARING TEST
Ear/Nerve
—Microtia
—Hearing loss
Genetics
—21/21/21, Fragile X, Klinefelter's
Brain
—ASDs
—Normal variant
—Auditory processing
—Oromotor fxn of nn. muscles
—CP
—Stroke
—Oromotor dyspraxia
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6
Q

M-CHAT

A

screening test for autism

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7
Q
Gross Motor Developmental Milestone
head up w/ clenched fists 
head up w/ extended hands
sit w/o support
crawl
pull to stand
walk
A
head up w/ clenched fists = 2
head up w/ extended hands = 4 mos
sit w/o support = 7 mos
crawl = 9 months
pull to stand = 10 mos
walk = 12 mos
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8
Q

DDx for delayed walking

A

Brain test w/ imaging
-encephalitis, motor skills d/o, visual impair, CP

Spinal Cord test w/ neuro exam
-transverse myelitis, polio, SMA, spinal dysraphism

Periph Nerve
-CMT

Muscle
-congen. myopathies, arthrogryposis

Bone

  • dislocated hips
  • arthritis
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9
Q

Fine motor milestones

A

0-6 mos: Flexion -> extension
—2mos - fists
—4mos - hands open batting at things to mouth

7-12 mos: hands together/use of thumb/finger
—10mos - point and pincer grasp (raisins)

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10
Q

Cerebral Palsy

A
  • usu normal birth, no anoxia
  • periventricular WM densities ∆ed
  • 50% pts w/ Global Developmental Delay
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