Approach to child Flashcards

1
Q

A useful standardised screening tool to
use for further evaluation in a GP setting, if there
are concerns regarding development, is the ____________

A

Denver- II Developmental Screening Test

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2
Q

Gross motor skills we want to see emerge
(12 months to 6 years)

• _______ —walking up stairs holding onto an adult
hand, and possibly attempting alternating feet with
each stair
• _______ —observing a child being able to jump
• _______ —starting to try and to use a tricycle
• _______ —weaning the trainer wheels off the bike
• _______ —skipping

A

2 years

2½ years

3 years

5–6 years

6 years

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3
Q

An easy way to remember the principles of fine
motor development is to think of the ________
in terms of whole-hand activity, and the _________ as individual digit activity

A

first 9 months

second
9 months (9–18 months of age)
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4
Q

Between 3 and 6 months, _______ (using consonants—that is, involving the tongue and lips to change sounds) will
appear.

A

babble

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5
Q

Receptive language usually precedes
expression, so at the________ check, even if a
child is not saying many words, his or her increasing
understanding of speech should be evident

A

18-month

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6
Q

Between ________, the combination
of words and small sentences and increasingly
reciprocal (back-and-forth) conversation expand
markedly

A

18 months and 3 years

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7
Q

Articulation also improves over this
time, with around 25% of articulation intelligible at
____ months, 50–75% intelligible at ______and 75–
100% at ______

A

18

2 years

3 years

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8
Q

At what month

includes grasping objects passed to the
child, looking at objects he or she is holding (‘object
regard’) and banging objects onto a surface, such as a
tray in a high chair

A

3–6 months

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9
Q

—banging objects together. By 9 months,
babies should be doing hand-to-hand transfers and
purposefully releasing objects

A

6–9 months

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10
Q

Pointing is an important milestone, and is often there by

______ and should be there by _____

A

12 months

18 months

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11
Q

At around ______of age, separation anxiety

will usually appear.

A

6 months

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12
Q

Separation anxiety often peaks
around ________ months and then decreases through
the preschool years.

A

14–18

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13
Q

Stranger anxiety, usually appearing around
_____months and reducing after months of age, is
similar in many ways to separation anxiety.

A

7–9

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14
Q

Tantrums, which are common between __________occur because the child lacks the skills to deal with an emotionally challenging event

A

18 months and 3 years (or older),

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15
Q

In the second year of life, two emerging skill
sets dominate social development: speech and
play, particularly _______

A

pretend play

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16
Q

Red flags for autism

• Lack of babbling or pointing by _______
• No sharing of interest in objects or activities with
another person
• No single words by _______, or no two-word
(non-echoed) phrases by ______
• Any loss of language or social skills at any age

A

12 months

16 months

24 months

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17
Q

Most (96%) Australian women initiate breastfeeding, but almost a third will have introduced formula or stopped
breastfeeding by ________

A

3 months

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18
Q

It is also recommended that the woman
continues to breastfeed while introducing appropriate
solid food until ______ of age and beyond

A

12 months

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19
Q

Exclusively
breastfed infants do not require additional fluids up
to________

A

6 months of age.

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20
Q

If formula is used, a _______ should be

used up until 12 months

A

cow’s milk-based type

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21
Q

postpartum women are vulnerable to
suggestions of lactation failure, which is a risk factor
for__________

A

postnatal depression

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22
Q

The only other fluid besides breast milk and

formulas suitable to be given to infants is_____

A

boiled and
cooled tap water (i.e. no bottled water, juice, cordial
or other beverages).

23
Q

Honey

should be avoided because of the risk of______

A

botulism.

24
Q

Hard, small, round (e.g. whole nuts) and/or sticky

foods are not recommended because of _______

A

choking and

aspiration risk

25
Q

_________ should not be used
in the first 2 years of life, and soy and other milks
(e.g. goat’s milk, sheep’s milk, coconut milk, almond
milk) are inappropriate alternatives to breast or
formula or pasteurised whole cow’s milk

A

Low-fat milks

26
Q

From _______, milk and other
drinks should be offered in a cup rather than a feeding
bottle

A

12 months

27
Q

The ages by which most children are fully trained
are:

  • daytime—between _______
  • night-time—by __________
A

2½ and 4 years

8 years of age

28
Q

On toilet training:

Nagging does not work; a __________
approach is far better. This can include reward
systems such as reward charts and stickers

A

positive-reinforcement

29
Q

Indications that a child is ready to start
toilet training

1
2
3
4
5
A

• Interest in others going to the toilet
• Has a dry nappy for 1–2 hours or more
• Tells you when they have wet or soiled their
nappy or are about to go
• Doesn’t like wearing a nappy, especially when it is
wet or soiled
• Has the motor skills to pull training pants up and
down and get on and off the toilet (may need a
step) or potty

30
Q

Arthralgia (lower limbs) + rash (buttocks,

legs) ± abdominal pain

A

HSP

31
Q

Pallor + drowsiness + fever

A

Meningits

32
Q

Pallor + abdominal pain (severe and

intermittent) + inactivity

A

intussusception

33
Q

(<12 months): drowsiness + cough + wheezing

A

bronchiolitis

34
Q

(<3 months, usually male): weakness +

weight loss + vomiting (severe, intermittent)

A

pyloric stenosis

35
Q

vomiting (after first feeds) + drooling + abdominal distension

A

oesophageal or duodenal atresia

36
Q

Malaise + pallor + bone pain

A

acute lymphatic leukaemia

37
Q

Malaise + pallor + oral problems

gingival hypertrophy, bleeding, ulceration

A

acute myeloid leukaemia

38
Q

Abdominal pain + pallor + a/n/v

A

acute appendicitis

39
Q

Abdominal pain + malar flush + fever ± URTI

A

mesenteric adenitis

40
Q

Drowsiness + tachypnoea + chest wall recession

A

pneumonia

41
Q

Drowsiness + fever + purpuric rash

A

meningococcal infection

42
Q

URTI + brassy cough + inspiratory stridor

A

croup

43
Q

Coughing + wheezing + chest wall recession

A

asthma or aspirated foreign body

44
Q

Fever + conjunctivitis + skin changes
(cracked red lips, maculopapular rash,
erythema of palms/soles, desquamation of
fingertips)

A

Kawasaki syndrome

45
Q

Malaise + abdominal pain (vague) +

abnormal behaviour

A

lead poisoning

46
Q

(<2 years): lethargy + irritability + pallor

A

iron deficiency anaemia

47
Q

Fever + malaise (extreme) + a/n/v ± anaemia

A

neuroblastoma

48
Q

Headache + a/n/v + ataxia

A

medulloblastoma

49
Q

Speech communication skills +
poor socialisation + repetitive/obsessive
behaviour/restriction of interests

A

autism

spectrum disorder

50
Q

Male): snorting, blinking, etc. + oral

noises (e.g. grunts, hisses) ± loud expletives

A

Tourette syndrome

51
Q

Mid to low back pain/discomfort

+ inability to touch toes + kyphosis

A

Scheuermann disorder

52
Q
Knee pain (after activity) + tender
knee ‘lump’ + pain on kneeling
A

Osgood–

Schlatter disorder

53
Q

(Adolescent): limp + knee pain + hip pain

A

slipped capital femoral epiphysis