Child development Flashcards

1
Q

Give examples of Standardised developmental assessment

A

SOGSII, Griffiths

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2
Q

What questions might be asked in hisotry- antenatal

A

illnesses/infections; medications; drugs; environmental exposures

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3
Q

What questions might be asked in hisotry- birth

A

prematurity, Prolonged/complicated labour

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4
Q

What questions might be asked in hisotry- postnatal

A

illnesses/infections; Trauma

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5
Q

What questions might be asked in consanguinity- postnatal

A

increases chances of chromosomal or autosomal recessive conditions

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6
Q

What features might be examined in growth paraemters for child develoment

A

height, weight and head circumference

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7
Q

What is childhood development

A

global impression of a child which encompasses:

growth,
increase in understanding,
acquisition of new skills and
more sophisticated responses and behaviour.

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8
Q

4 domains of hcilhood development

A

(1) gross motor and posture;
(2) fine motor and vision;
(3) language and hearing; and
(4) social, emotional and behaviour.

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9
Q

Outline the rate of child development

A

t follows a constant pattern, although at variable rates, among children.

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10
Q

What does developmental progress depend on

A

interplay between biological and environmental influences.

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11
Q

What is a limit age

A

The age by which they should have been achieved = 2 standard deviations from the mean. They indicate cause of major concern.

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12
Q

How can developmental progress be measured

A

monitored or identified either through developmental screening or by the use of standardised developmental tools

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13
Q

What is abnormal development

A

slow acquisition of skills and follows three main patterns

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14
Q

What 3 main patterns does absnormal development occur in

A

(1) slow but steady; (2) plateau; and (3) regression.

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15
Q

Give an example of a biological factor impacting child development

A

folate deficiency increases the risk of neural tube defects in utero which, in its most severe form, can result in limb paralysis, neurogenic bladder and bowel; and intellectual impairment.

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16
Q

How can children present with developmental concerns

A

through:
(i) identification of antenatal or postnatal risk factors;
(ii) developmental screening; or
(iii) concerns raised by parents or other healthcare professionals.

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17
Q

When should smiling happen

A

6 weeks

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18
Q

When might stanger anxiety occur

A

Emerge at 9 months,

established at 12 months

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19
Q

When might a child point to indicate wants

A

12 months

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20
Q

From when might a child wave bye bye

A

9 moths

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21
Q

When might a child use a spoon/’talk’ on telephone/’help’ in sweeping etc. (mimicry)

A

18 months

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22
Q

When can a child remove some clothes

23
Q

When can a child eat with fork and spoon/pt on clothing/perhaps toilet trained

24
Q

When does a child become still inr esponse to sound. When might they turn to sound

A

6 weeks (becomes still)

3 months (turns)

25
When might a child: vocalise, 2 sylable babble, tallk in short sentences that a stranger can understand One or two words 6-12 words Join 2-3 words/knows some body parts/identiies objectis in pics
vocalise= 6 months 2 sylable babble=9 months tallk in short sentences that a stranger can understand= 3 yr One or two words+imitates adult sounds =12 months 6-12 words=18 months Join 2-3 words/knows some body parts/identiies objectis in pics= 2 years
26
When can a child: hold object placed in hand Palmar grasp, transfer object hand to hand put block in cup build tower of 9 cubes/copy circle build tower of 6-7 cubes fix and follow Build tower of 2-4 cubes pincer grasp/index giner approach/bang 2 cuubes together
hold object placed in hand: 3 months Palmar grasp, transfer object hand to hand: 6 months put block in cup: 12 montshs build tower of 9 cubes/copy circle: 3 years build tower of 6-7 cubes: 2 years fix and follow Build tower of 2-4 cubes: 18 months pincer grasp/index giner approach/bang 2 cubes together: 9 months
27
When does hand preference emerge
18 months
28
When does a child: walk well/run stand briefly on 1 foot/climb stairs one foot per step Crawl/sits steadily when unsupported and pivots Head level with body in ventral suspension Hold head at 90 degrees in ventral susepsnin No head lag on pull to sit, sits with support, in prone position lifts up on forearms Pulls to stand/cruises, may stand alone briefly, may walk alone Kick ball, climbs stairs two feet per step
walk well/run: 18 months stand briefly on 1 foot/climb stairs one foot per step: 3 years Crawl/sits steadily when unsupported and pivots: 9 months Head level with body in ventral suspension: 6 weeks Hold head at 90 degrees in ventral susepsnin: 3 months No head lag on pull to sit, sits with support, in prone position lifts up on forearms : 6 moths Pulls to stand/cruises, may stand alone briefly, may walk alone: 12 months Kick ball, climbs stairs two feet per step : 2 years
29
Common developental problems
Cerebral palsy, autism, Attention deficit hyperactivity disorder Learning disability
30
Define cerebral palsy
disorder of movement and posture arising from a non-progressive lesion of the brain acquired before the age of 2 years.
31
When is most cerebral palsy caused
Most causes (~80%) are antenatal
32
T/F cerebral palsy, if caused antenatally, will not progress throughout life
Well it's not progressive, BUT Presentation may evolve and vary with age
33
Problems assocated with cerebral palsy
learning difficulties, epilepsy, visual impairment, hearing loss, feeding difficulties, poor growth, and respiratory problems.
34
Aims of management in cerbral alsy
minimise spasticity and manage associated problems
35
Look at the different problems and services assocaited with erebral palsy
......
36
Who is autism more common in
Boys>girls
37
When does autism spectrum disorder usually present
2 – 4 years of age
38
Feautres of autism
1. Impaired social interaction 2. Speech and language 3. mposition of routines with ritualistic and repetitive behaviour
39
``` Comorbidity for Child Development Child Development 100% I. The Clinical Approach ``` II. Management III. Summary of some common/typical developmental problems IV. References V. Summary VI. Review of normal development VII. Abnormal Development Child Development Summary of some common/typical developmental problems Cerebral palsy A disorder of movement and posture arising from a non-progressive lesion of the brain acquired before the age of 2 years. Incidence 1-2 per 1000 live births Most causes (~80%) are antenatal Presentation may evolve and vary with age Associated problems exist – learning difficulties, epilepsy, visual impairment, hearing loss, feeding difficulties, poor growth, and respiratory problems. Management Aim is to minimise spasticity and manage associated problems Figure 8.2 Summary of some common/typical developmental problems List of common/typical developmental problems Autism spectrum disorder
learning and attention difficulties, and epilepsy
40
Management for Autism spectrum disorder
Intensive support for child and family
41
Diagnositc criteria for ADHD
(1 )Inattention; (2) Hyperactivity; (3) Impulsivity; (4) Lasting > 6 months; (5) commencing < 7 years and inconsistent with the child’s developmental level
42
In what conditions should the ADHD criteria be present for diagnosis
in more than one setting, and cause significant social or school impairment.
43
As well as diagnostic criteria, what else is seen in ADHD children
increased risk of: conduct disorder, anxiety disorder & aggression
44
Risk factros for ADHD
Boys > girls, ratio 4:1; Learning difficulties and developmental delay, neurological disorder
45
Neurological disorders increasing risk of ADHD
epilepsy, cerebral palsy; first-degree relative with ADHD; family member with depression, learning disability, antisocial personality or substance abuse
46
What happens to chilren with ADHD in adulthood
significant proportion of children with ADHD will become adults with antisocial personality and there is an increased incidence of criminal behaviour and substance abuse.
47
Management of ADHD
Psychotherapy Family therapy Drugs – I Diet – Some children benefit noticeably from exclusion of certain foods from their diet, e.g. red food colouring
48
How could ADHD be managed- psychotherapy
Behavioural therapy
49
How could ADHD be managed- drugs
If behavioural therapy alone insufficient; stimulants, e.g. methylphenidate (Ritalin), amphetamines (dexamphetamine)
50
What might learning disability present with
reduced intellectual functioning, delay in early milestones, dysmorphic features, ± associated problems (epilepsy, sensory impairment, ADHD)
51
Causes of learning disability
(i) chromosome disorders (30%); (ii) other identifiable syndromes (20%); (iii) postnatal cerebral insults (20%); (iv) metabolic or degenerative diseases (1%)
52
Classification of learning disability
mild, moderate, severe or profound
53
T/f every child with learning disability there is a clear cause
F: 25% of children with severe learning disability have no identifiable cause
54
Management of learning disability
stablishing a diagnosis and input from the multidisciplinary team with long term follow up.