13: Developmental Assessment Flashcards
What is an essential part of each health maintenance visit?
Developmental assessment
The developmental assessment is composed of what 2 components?
Screening and diagnostic which assess physical and motor skills, communication and language development, and social, emotional, and cognitive development.
What are the 2 goals of developmental assessments?
- Monitor child’s growth and development.
- Determine at an early stage if problems exist.
What age?
BP screenings normally begin.
3
What age?
Dental home established.
1
What age?
Hearing and vision assessments.
4 and 5 (Bright Futures has vision begin at 3 and hearing at 4).
A cleft uvula may impact what development?
Could indicate an occult cleft palate which would interfere with ability to shape words.
What tool is used to assess?
Motor skills development.
Ages and Stages Questionnaire (ASQ)
What tool is used to assess?
Communication and language development (2).
- Early Language Milestone (ELM)
- Denver Articulation Screening Exam (DASE)
What tool is used to assess?
Social and emotional development.
ASQ: Social-Emotional (ASQ:SE)
If you look at how well a child holds a spoon, builds a block of towers, and dresses himself, what are you assessing?
Motor Skills Development
If you look at the history of the child’s abilities and patterns of learning, what are you assessing?
Communication and Language Development
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?
Social and Emotional Development
If you look at the child’s make-believe time, story-telling, and games of fantasy, what are you assessing?
Cognitive Development
Toddlers or Preschoolers?
Enjoys make-believe.
Toddlers
Toddlers or Preschoolers?
Love stories.
Preschoolers
Toddlers or Preschoolers?
Become masters at games of pretend and fantasy.
Preschoolers
What are red flags for physical disorders (3)?
- Child falls outside of normal growth parameters.
- Child falls off the normal curve or levels off.
- Symptoms (stop eating, fatigue, less active, parents notice regression).
How do you assess for red flags for cognitive disorders?
- Need screening tool or in-depth assessment.
- Ranked based on standardized score or criteria.
Why is it so important to recognize language delays?
Problems in learning communication systems affect other areas of development.
What can cause language delays (4)?
Cognitive, familial, environmental, or cultural factors:
- Not immersed in language-rich environment.
- Psychological disorder (deprivation, autism).
- Speech disorders with physical problems (cleft lip, palate, cerebral palsy, hearing impairment).
- Idiopathic.
What 6 factors indicate readiness for toilet training?
- Voluntary sphincter control.
- Able to stay dry 2 hours.
- Fine motor skills to remove clothing.
- Willingness to please parents.
- Curiosity about toileting habits.
- Impatient with dirty diapers.
