Child Health 3 Flashcards
What are the four domains of a development assessment?
Gross motor
Fine motor and vision (as each are required)
Hearing, speech and language
Social, emotional and behavioural
What are the milestones expected of a 6 month old?
Red flags?
Gross motor: Sitting with no support/support, no head lag on pull to sit.
Fine motor: pass block between hands [limit age 9 mo]
Language: single syllable, vocalisation (3 - 4 months - coos and laughs). - turns to soft sounds out of sight.
Social: finger feed self
Red flags: Poor head control, floppiness, not reaching
What are the expected developmental milestones of a 1 year old?
Gross motor: pulls to stand, standing independently, may walk alone
Fine motor: Pincer grip, [limit age 12 mo] puts block in cup: casts about
Language: Responds to name and says Mama/Dada, imitates adult sounds + drink (other words to mama/dada)
Social: Drinking from a cup using 2 hands, imitates activities (wave bye bye), object permanence, stranger danger, points to wants
Red flags: not communicating by gestures such as pointing, not weight bearing through legs.
What are the expected developmental milestones of a 2 year old?
Gross motor: running, kicks ball, climb stairs, two feet per step
Fine motor: circular (vertical line) scribbles, builds tower of 6 - 7 cubes
Language: 2-3 word sentences “want drink” knows some body parts, identifies objects in pictures [ “give me teddy”]
Social: Remove a garment (i.e. shirt) + symbolic play, dry by day
Red flag: not joining two words, cannot run
What are the expected developmental milestones of a
3 year old?
Gross motor: Jump up, briefly stand on one foot, one foot per step.
Fine motor: Copy a vertical line/ drawn a circle. [copy 6 mo earlier]
Tower of 9 cubes
Language domain: Speak in 3-4 word sentences [ push me fast daddy ]
Social domain: Put on a T shirt, may be toilet trained, eats with fork and spoon. - parallel play, interactive play evolving - takes turns.
Red flag: not communicating with words, cannot climb stairs.
What are the expected developmental milestones of a 4 year old?
Gross motor: stand on each foot for 3 seconds
Fine motor: drawn a cross (3.5) or square
Language: Name 4 colours
Social: Can dress independently
What are the expected developmental milestones of a 5 year old?
Gross motor: Walk heel to toe (tight rope walk)
Fine motor: Draw a person with 6 parts - draw a triangle
Language: Speech all understandable and counts up to 5
Social: Plays board game/brush teeth independently
When is a baby’s first vaccination and full health check?
6 - 8 weeks 1.5 - 2 months
At 8 weeks they’ve be given their
Pneumococcal
Rotavirus
Meningitis B
(6 in 1) Diptheria Tetanus Whooping cough (pertusis) Polio Haemophilus Infuenzae B hepatitis B
When is the second time babies with have their vaccinations?
What are they?
3 months
6 in 1 + 2nd rotavirus
What is the 3rd vaccination? when is it?
at 4 months (16 weeks)
3rd 6 in 1
2nd men B and pneumococcal.
When will a baby smile?
by 8 weeks
What would you expected from a baby of 3 months for their development?
Gross motor: holds head at 90 degrees in ventral suspension
Fine motor: holds an object placed in the hand
Language: turns to sound
Social: hand regard, laughs and squeals
Red flag: Lack of social response or vocalisation
why should you measure head circumference in relation to height and weight?
Micro or macrocephaly
How might genetic, metabolic or syndromic conditions present?
dysmorphic features - compared with the family
How might neurocutaneous syndromes present in children?
Skin abnormalities, cafe au lait patches, axiallary freckling, neurofibromas or hypopigmented patches (ash leaf macules)
