Ch 3: Developmental Surveillance and Screening Flashcards
If a child is referred for behavioral concerns, what screening tests should be done?
hearing and vision
At what what age do babies turn their head to look at a speaker?
4 months
At what age do babies begin to make consonant-vowel complexes?
6 months
At what age should a baby respond to his/her name?
6 months
When do babies begin to use multiple syllables?
8 - 10 months
At what age do babies wave bye bye or play patty-cake?
10 months
When does a baby say her/his first word?
8-18 months, mean 13 months
At what age does an infant begin to communicate by pointing?
12-13 months
At what age should a child follow familiar requests?
12-15 months
At 18-20 months, how many words should a child understand? Speak?
understand: 50 words
speak: 20 words
At 24 months, how many words should a child be able to say?
300 words
Name a program known to enhance a young child’s early literacy environment
Reach Out and Read
What does M-CHAT/R/F stand for, and for what what does it screen?
Modified Checklist for Autism in Toddlers–Revised with Follo-Up
autism spectrum disorders
Why is the DENVER-II no longer used?
it was found to have lower sensitivity and specify than other tools and resulted in over referral of those who do not have a delay and underidentification of those who do
Name the most commonly used mental health screening tool for children in middle childhood and adolescents
Pediatric Symptom Checklist (PSC)
Why is routine screening for mental health and emotional and behavioral disorders important in caring for adolescents?
approx 1:4 or 1:5 adolescents have a mental, emotional and behavioral problem
Name some biological risk factors that put a child at risk for developmental delays
prenatal conditions: maternal substance abuse, infection, chronic health conditions, medications, severe toxemia
neonatal risk factors: prematurity, GA < 33W, BW < 1500g, APGAR < 3 @ 5min, neonatal infections (sepsis or meningitis)
Name some SOCIAL risk factors that put a child at risk for developmental delays
maternal depression low maternal education poverty lack of maternal bonding child abuse and neglect last of developmentally appropriate opportunities for learning
DEVELOPMENTAL RED FLAGS: 3 months
rolling over before 3 months
failure to alert to environmental stimuli or visual/auditory stimuli
DEVELOPMENTAL RED FLAGS: 4-6 months
poor head control while sitting failure to reach for objects by 5 months no social smile lack of visual tracking by 4 months failure to turn to sound at 6 months
DEVELOPMENTAL RED FLAGS: 6-12 months
persistence of primitive reflexes after 6 months inability to sit by 9 months no babbling at 6 months no reciprocal vocalizations by 9 months inability to localize sound by 10 months absent stranger anxiety by 7 months
DEVELOPMENTAL RED FLAGS: 12-18 months
not verbalizing consonant by 15 months hand dominance before 18 months lack of imitation by 16 months simple commands not understood lack of pointing by 18 months inability to walk independently by 18 months
DEVELOPMENTAL RED FLAGS: 18-24 months
no two-word sentences by 24 months
no word other than mama/dada by 18 months
unable to follow simple command by 24 months
cannot name one picture in book by 24 months
inability to walk up/down stairs by 24 months
describe autism
neurodevelopment disorder characterized by
- -persistent deficits in social communication and interaction
- -repetitive patterns of speech or motor behavior
- -delays in communication and language skills
- -delays in social and behavioral development
