CLIPP 28: 18-month with developmental delay

Question 1

Up to what age should premature children be assessed by their “corrected age”

Answer 1

2 years

Question 2

At what ages does the AAP recommend developmental screening be done?

Answer 2

9 months
18 months
24 months
30 months

Question 3

What is periventricular leukomalacia?

Answer 3

PVL is the result of damage to the white matter surrounding the ventricles in the brain as a result of hypoxia, ischemia, and inflammation

Question 4

PVL with cysts (cystic PVL) is highly correlated with….

Answer 4

cerebral palsy

Question 5

What diagnosis would you give to an ex-29-week preemie who has delayed acquisition of developmental milestones and hypertonia and spasticity on exam

Answer 5

Cerebral palsy

Question 6

Is CP progressive?

Answer 6

no

Question 7

What is spastic diplegia?

Answer 7

Spastic diplegia is characterized by increased tone and spasticity predominantly involving the lower extremities. The incidence of spastic diplegia is greatly increased in premature infants.

Question 8

What birth history is the highest incidence of CP?

Answer 8

prematurity

Question 9

Lab evaluation for CP?

Answer 9

MRI
Hearing/vision
formal developmental testing