13: Developmental Assessment

Question 1

What is an essential part of each health maintenance visit?

Answer 1

Developmental assessment

Question 2

The developmental assessment is composed of what 2 components?

Answer 2

Screening and diagnostic which assess physical and motor skills, communication and language development, and social, emotional, and cognitive development.

Question 3

What are the 2 goals of developmental assessments?

Answer 3

1. Monitor child’s growth and development.
2. Determine at an early stage if problems exist.

Question 4

What age?

BP screenings normally begin.

Answer 4

3

Question 5

What age?

Dental home established.

Answer 5

1

Question 6

What age?

Hearing and vision assessments.

Answer 6

4 and 5 (Bright Futures has vision begin at 3 and hearing at 4).

Question 7

A cleft uvula may impact what development?

Answer 7

Could indicate an occult cleft palate which would interfere with ability to shape words.

Question 8

What tool is used to assess?

Motor skills development.

Answer 8

Ages and Stages Questionnaire (ASQ)

Question 9

What tool is used to assess?

Communication and language development (2).

Answer 9

1. Early Language Milestone (ELM)
2. Denver Articulation Screening Exam (DASE)

Question 10

What tool is used to assess?

Social and emotional development.

Answer 10

ASQ: Social-Emotional (ASQ:SE)

Question 11

If you look at how well a child holds a spoon, builds a block of towers, and dresses himself, what are you assessing?

Answer 11

Motor Skills Development

Question 12

If you look at the history of the child’s abilities and patterns of learning, what are you assessing?

Answer 12

Communication and Language Development

Question 13

If you look at the child’s role in the family, success in making friends, self-esteem, and feelings of contentment and security, what are you assessing?

Answer 13

Social and Emotional Development

Question 14

If you look at the child’s make-believe time, story-telling, and games of fantasy, what are you assessing?

Answer 14

Cognitive Development

Question 15

Toddlers or Preschoolers?

Enjoys make-believe.

Answer 15

Toddlers

Question 16

Toddlers or Preschoolers?

Love stories.

Answer 16

Preschoolers

Question 17

Toddlers or Preschoolers?

Become masters at games of pretend and fantasy.

Answer 17

Preschoolers

Question 18

What are red flags for physical disorders (3)?

Answer 18

1. Child falls outside of normal growth parameters.
2. Child falls off the normal curve or levels off.
3. Symptoms (stop eating, fatigue, less active, parents notice regression).

Question 19

How do you assess for red flags for cognitive disorders?

Answer 19

• Need screening tool or in-depth assessment.
• Ranked based on standardized score or criteria.

Question 20

Why is it so important to recognize language delays?

Answer 20

Problems in learning communication systems affect other areas of development.

Question 21

What can cause language delays (4)?

Answer 21

Cognitive, familial, environmental, or cultural factors:

1. Not immersed in language-rich environment.
2. Psychological disorder (deprivation, autism).
3. Speech disorders with physical problems (cleft lip, palate, cerebral palsy, hearing impairment).
4. Idiopathic.

Question 22

What 6 factors indicate readiness for toilet training?

Answer 22

1. Voluntary sphincter control.
2. Able to stay dry 2 hours.
3. Fine motor skills to remove clothing.
4. Willingness to please parents.
5. Curiosity about toileting habits.
6. Impatient with dirty diapers.