Dev Milestones 2016 Flashcards
What is the purpose of screening for developmental milestones?
A. Assess the incidence of developmental delays in a clinic population.
B. Diagnose developmental delays.
C. Identify children for referral to special education programs.
D. Identify children who should be referred for further evaluation.
E. Plan for treatment of developmental delays.
D. Identify children who should be referred for further evaluation.
A term 4-month-old male infant is developing normally. Which of the following is the
major milestone for normally developing children at this age?
A. Bring hands together to midline.
B. Lift head up when prone.
C. No head lag when pulled to sit.
D. Social smile.
E. Roll supine to prone.
C. No head lag when pulled to sit.
A. Bring hands together to midline =4 mos
B. Lift head up when prone= 1 mos
D. Social smile = 6 weeks
E. Roll supine to prone = 4mos
A child is able to run, make a four-cube tower with blocks, and have a tea party. She
understands “mine” and she feels badly when she steps on her mother’s foot. Given normal
developmental progress, how old is she?
A. 15 months.
B. 18 months.
C. 2 years.
D. 2.5 years.
E. 3 years.
B. 18 months.
A 3-year-old girl is developing normally. Which of the following milestones is consistent
with her developmental age?
A. Copy a square.
B. Identify her own gender.
C. Imitate a horizontal line.
D. Throw a ball overhand.
E. Turn door knobs.
B. Identify her own gender.
A. Copy a square =4yo
C. Imitate a horizontal line=24mos
D. Throw a ball overhand = 24mos (throw while standing 18mos)
E. Turn door knobs = 24mos
How long should you correct for gestational age when evaluating preterm infants?
A. 6 months.
B. 12 months.
C. 24 months.
D. Until kindergarten.
E. Until entry to high school.
C. 24 months.
An 18-month-old girl is seen for a health supervision visit. Her mother has no concerns regarding her
daughter’s development. Her growth parameters are at the 25th percentile. She walks well, climbs onto her
mother’s lap, and whispers a few words to her mother. The best next step in the evaluation of this child’s
development is:
A. Full developmental surveillance.
B. Further evaluation of language skills.
C. Implementation of a developmental screening tool.
D. Review of developmental milestones with the mother.
E. Scheduling of a visit for full developmental assessment.
C. Implementation of a developmental screening tool.
A 6-month-old infant is unable to roll from back to front or bring hands to midline. The most likely cause
of this infant’s difficulty is:
A. Absence of lateral protection postural reaction.
B. Absence of protective extension reaction.
C. Persistence of asymmetric tonic neck reflex.
D. Persistence of Moro reflex.
E. Persistence of positive support reflex.
C. Persistence of asymmetric tonic neck reflex.
When the ATNR persists, an infant is unable to roll
from back to front, bring the hands to midline, or reach
for objects. This reflex disappears between 4 and 6
months of age, the same time that these skills begin to
emerge.
The Moro reflex interferes with head control
and sitting equilibrium. As this reflex lessens and disappears by 6 months of age, the infant gains progressive stability in a seated position
A 15-month-old typically developing girl is able to release cubes into a cup and has a mature fine pincer
grasp. She most likely also is able to:
A. Build a tower of three blocks.
B. Copy a vertical line.
C. Feed herself with a spoon and fork.
D. Put on her shoes.
E. Turn a doorknob.
A. Build a tower of three blocks.
B. Copy a vertical line = 18 mos
C. Feed herself with a spoon and fork = 20 mos
D. Put on her shoes = 3yo
E. Turn a doorknob =2yo
An 18-month-old typically developing boy can walk well and run. He most likely also is able to:
A. Jump with two feet off the ground.
B. Kick a ball.
C. Pedal a tricycle.
D. Stoop and pick up a toy.
E. Toe-walk.
B. Kick a ball = 22mos
C. Pedal a tricycle = 3yo
D. Stoop and pick up a toy =15 mos
E. Toe-walk = 28 mos
