10-22 Infant Development Flashcards
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
2
Q
Four Domains of Development
A
Social
Language
Gross motor
Fine motor
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
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
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
6
Q
M-CHAT
A
screening test for autism
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
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
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)
10
Q
Cerebral Palsy
A
- usu normal birth, no anoxia
- periventricular WM densities ∆ed
- 50% pts w/ Global Developmental Delay