child development Flashcards

1
Q

what is child development

A

global impression of a child which encompasses growth, increase in
understanding, acquisition of new skills and more sophisticated responses and behaviour.

evolves from helpless infancy to independent adult

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2
Q

Four developmental fields are:

A

1) gross motor and posture
2) fine motor and vison
3) language and hearing
4) social, emotional and behaviours.

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3
Q

Developmental progress depends on

A

interplay between biological and environmental

influences; following a constant pattern,

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4
Q

LOOK AT THE KEY MILESTONES

A

LOOK AT THE KEY MILESTONES

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5
Q

why are Primitive reflexes important

A

protective and have a survival value.

They promote proper orientation
and postural support

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6
Q

give examples of primitive reflexes

A

stepping, moro, grasp, asymmetric tonic reflex, rooting.

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7
Q

when should primitive reflexes appear and disappear

A

all during 4-6 months

abnormal if they are not present at birth

and if they persist
after 6 months.

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8
Q

what are Limit ages

A

the age by which key performance skills (milestones) should have achieved (2SD from mean)

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9
Q

Developmental progress can be monitored or identified through

A

lopmental screening or by the use of standardised developmental tools

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10
Q

Abnormal development refers to…

A

the slow acquisition of skills

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11
Q

Abnormal development follows three main

patterns

A

slow but steady

plateau (good progression which then stops)

regression (loss of
skills previously acquired).

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12
Q

define Consonant delay

A

all domains affected to same extent

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13
Q

define dissonant delay

A

domains affected

to different extent

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14
Q

name some biological factors that impact development

A

folate deficiency can impact development by increasing the risk of neural tube defects.

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15
Q

what can Global developmental delay be caused by

A

down’s syndrome
FAS
meningitis
trauma

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16
Q

what can delays in talking be caused by

A

stammering
hearing deficit
maturation delay environmental factors

17
Q

what can delay in walking be caused by

A

maturation delay, severe learning disabilities, cerebral palsy

18
Q

Children may present with developmental defects via what routes

A

Identification of antenatal or postnatal risk factors

Developmental screening

Concerns raised by parents or other healthcare professionals

19
Q

important history considerations for developmental delay

A

Antenatal- illnesses/ infections; medications; drugs

Birth- premature; prolonged/ complicated labour

Postnatal- illness/infections; trauma

Consanguinity- increases chances or chromosomal and recessive conditions

Developmental milestones from parent

20
Q

important examination considerations for developmental delay

A

Growth parameters- height, weight, head circumference

Dysmorphic features

Neurological examination and skin

Systems examination to identify associations, syndromes

Standardised developmental assessments- SOGSII, Griffiths, Denver

21
Q

what professionals need to be part of an MDT for patients with developmental delay

A

paediatrician, specialist health visitors, speech

and language therapists, occupational therapists, physiotherapists, psychologist

22
Q

define Autism

A

Neurobiological disorder characterised by qualitative impairment of social interaction and
communication

23
Q

what behaviours do people with autism tend to posses

A

restricted, repetitive and stereotypical patterns of behaviours,
interests and activities.

24
Q

gender difference in autism

A

Higher prevalence in boys than girls and

usually presents between 2-4 years.

25
Q

Features of include:

A

impaired social interaction

speech and language disorder

imposition of routines with ritualistic and repetitive behaviour

26
Q

Comorbidities of autism include

A

learning and attention difficulties, and epilepsy

27
Q

what are diagnostic criteria for ADHD

A

inattention, hyperactivity, impulsivity lasting <6 months and
commencing < 7 years;

inconsistent with child’s developmental level

28
Q

risk factors for ADHD

A
neurological disorder
1st degree relative with 
family member with depression
learning disability
antisocial personality and substance abuse.
29
Q

risk factors for ADHD

A
neurological disorder
1st degree relative with 
family member with depression
learning disability
antisocial personality and substance abuse.
30
Q

A significant proportion of children with ADHD will become adults with…..

A

antisocial personality

increased incidence of criminal behaviour and substance abuse.

31
Q

what is Cerebral palsy

A

A disorder of movement and posture arising from a non-progressive lesion of the brain acquired before the age of 2 years.

32
Q

management of cerebral pasly

A

Aim is to minimise spasticity and manage associated problems

33
Q

management

A

look at diagram on medlearn

34
Q

management of ADHD

A

Psychotherapy
Family therapy
Drugs – (Ritalin),
Diet – exclusion of certain foods e.g food colouring

35
Q

causes of learning disability

A

chromosome disorders
postnatal cerebral insults
metabolic or degenerative diseases

36
Q

causes of learning diability

A

chromosome disorders
postnatal cerebral insults
metabolic or degenerative diseases

37
Q

what do patients with learning disability present with

A

reduced intellectual functioning, delay in early milestones, dysmorphic features, ± associated problems (epilepsy, sensory impairment, ADHD)

38
Q

Management of learning disabilities

A

Involves establishing a diagnosis and input from the multidisciplinary team with long term follow up.