Ch 3: Developmental Surveillance and Screening

Question 1

If a child is referred for behavioral concerns, what screening tests should be done?

Answer 1

hearing and vision

Question 2

At what what age do babies turn their head to look at a speaker?

Answer 2

4 months

Question 3

At what age do babies begin to make consonant-vowel complexes?

Answer 3

6 months

Question 4

At what age should a baby respond to his/her name?

Answer 4

6 months

Question 5

When do babies begin to use multiple syllables?

Answer 5

8 - 10 months

Question 6

At what age do babies wave bye bye or play patty-cake?

Answer 6

10 months

Question 7

When does a baby say her/his first word?

Answer 7

8-18 months, mean 13 months

Question 8

At what age does an infant begin to communicate by pointing?

Answer 8

12-13 months

Question 9

At what age should a child follow familiar requests?

Answer 9

12-15 months

Question 10

At 18-20 months, how many words should a child understand? Speak?

Answer 10

understand: 50 words
speak: 20 words

Question 11

At 24 months, how many words should a child be able to say?

Answer 11

300 words

Question 12

Name a program known to enhance a young child’s early literacy environment

Answer 12

Reach Out and Read

Question 13

What does M-CHAT/R/F stand for, and for what what does it screen?

Answer 13

Modified Checklist for Autism in Toddlers–Revised with Follo-Up

autism spectrum disorders

Question 14

Why is the DENVER-II no longer used?

Answer 14

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

Question 15

Name the most commonly used mental health screening tool for children in middle childhood and adolescents

Answer 15

Pediatric Symptom Checklist (PSC)

Question 16

Why is routine screening for mental health and emotional and behavioral disorders important in caring for adolescents?

Answer 16

approx 1:4 or 1:5 adolescents have a mental, emotional and behavioral problem

Question 17

Name some biological risk factors that put a child at risk for developmental delays

Answer 17

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)

Question 18

Name some SOCIAL risk factors that put a child at risk for developmental delays

Answer 18

maternal depression
low maternal education
poverty
lack of maternal bonding
child abuse and neglect
last of developmentally appropriate opportunities for learning

Question 19

DEVELOPMENTAL RED FLAGS: 3 months

Answer 19

rolling over before 3 months

failure to alert to environmental stimuli or visual/auditory stimuli

Question 20

DEVELOPMENTAL RED FLAGS: 4-6 months

Answer 20

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

Question 21

DEVELOPMENTAL RED FLAGS: 6-12 months

Answer 21

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

Question 22

DEVELOPMENTAL RED FLAGS: 12-18 months

Answer 22

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

Question 23

DEVELOPMENTAL RED FLAGS: 18-24 months

Answer 23

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

Question 24

describe autism

Answer 24

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

Question 25

When should the M-CHAT be completed?

Answer 25

18 and/or 24 month well child visit

Question 26

Who should complete the M-CHAT?

Answer 26

parent

Question 27

Define learning disability

Answer 27

difficulty in acquiring and using basic skills

occurs without an environmental precipitant in otherwise normally intelligent children

Question 28

name the problematic behaviors of ADHD

Answer 28

inattention, hyperactivity, impulsivity