Child dev. Flashcards
7 basic domains of function
- gross motor
- fine motor
- language
- cognition
- ADL
- social/emotional
- behavior
how does dev. occur
head to toe, prox. to distal
what is needed to learn something
exposure to the stim.
how to best ID probs
- dev. surveillance
- parental report, trigger questions
- early ID and intervention
how to take a history
- observe early
- talk to child and parents
- additional from other professionals
what is covered on Hx
- pre/perinatal events
- PMH
- Social
- ROS
- dev. milestones
4 aspects to think about with dev. milestones
- quality vs. quantitiy
- age approp.
- all domains
- delay/plateau/regression
5 parts of physical
- growth parameters (head circ)
- dysmorphic features
- skin exam
- neuro
- dev. surveillance
what are the primitive reflexes (6)
- root - touch cheek
- suck
- hand grasp
- toe grasp
- moro
- ATNR (fencer)
when do most primitive disappear
first few month - replace by postural
2 postural
- lateral propping - 4-6 months
2. parachute - 8-9 mmon
6 red flags to reflexes
- asymmetric
- obligate
- persisitent
- absent
- no lateral prop by 7-8
- no parachute by 10
** key gross motor timepoints (12)
- head control - 3 months
- extend forearms -4
- roll - 4
- sit -6
- 4 point crawl - 9
- pull to stand - 9
- run stifly -18
- up stairs at a time - 2yo
- up stairs alternating 2.5
10 trike - 3 - hop on one foot - 4
- bike -5
3 gross motor red flags
- too early - roll before 3mo
- toe walking, scissoring, stands when pulled to sit
- milestones too late
2 general fine motor milestones
- evolve pincer grasp - 1 year
2. use pincer to manipulate tool -2 year
other fine motor dev. (3)
3mo - hold object, hand regard
4mo - reach object
6mo - transfer hand to hand
2 red flags for fine motor
- persistent fisting - 3 months
2. hand pref.
5 types of cog. dev. measures
- use of senses
- sensory/motor playu
- object permanence
- cause and effect relat
- functional play
3 types of language
- expressive
- receptive
- articulation
7 language milestones
2-3mo - coo 6 mo - babble 1year - first word 1.5 - 25 words 2 - 2 words together 50% intell. 3yo - 3-4 word, 75% intel. 4yo - nursery rhymes
3 lang. red flags
- failure to coo be 4-6 mo
2.
5 ADL milestones
12 mo - drink from cup 18mo - eat with spoon 2yo - remove shoes 3yo - toilet 4-5 - buttons zippers
5 social milestones
1-2 mo - follow person with eyes 6 week - smile 6-9 mo - stranger anxiety 9 mo - pat a cake, wave 2 year - temper tantrum
2 social red flags
- no smile
2. lack of social relationships
what is most oftenn used screening tool
nipissing - up to 6 years
when is last major visit
18 month well baby visit
def. social communication
ability to use verbal and non-verbal means to interact with others
criteria 1 of 2 for autism (3)
- def. in social reciprrocity
- def. in non-verbal communication
- def. in dev., maintaining and understanding relats.
criteria 2 of 2 for autism (2./4)
- sterotyped movements
- insistence on sameness
- restricted fixated interests
4, hyper or hypo reactivity to sensory stim
what are common comorbidities with ASD
many
- phobia most common - weird stuff
- anxiety
ADHD
