Dev. milestones Flashcards

1
Q

Milestones for ages

A

see P 71

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2
Q

4 DDx for gross motor probs

A
  1. CNS prob
  2. PNS prob
  3. metabolic conditions
  4. genetics
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3
Q

4 DDx for lang issues

A
  1. structural/functional anaotmy
  2. hearing impaired
  3. pure language
  4. pervasive dev. disorders
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4
Q

4 cognitive DDx

A

global dev. delay

  1. genetics
  2. poor env.
  3. prenatal/perinatal events leading to hypoxia
  4. prenatal exposure
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5
Q

2 DDx for emotional/social

A
  1. PDD

2. poor env.

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6
Q

mgmt for motor delays

A
  1. poor correlation between cog. and motor

2. PT/OT ref

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7
Q

mgmt for lang. delay

A
  1. hearing assess
  2. early local intervention service
  3. SLP
  4. nursery school
  5. educate parents
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8
Q

mgmt for cog.

A

thourough Hx
Ph exam including HC, neuro, dysmorphic features
hearing/vision assess
karyotype, lead levels

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9
Q

mgmt for social/emot

A
  • early intervention
  • incr. contact with other children
  • refer to therapeutic groups
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10
Q

3 examples of dev. surveillance

A
  1. rourke baby record
    - growth
    - nutrition
    - dev milestones
    - ant. guidance
  2. nipissing
    - up to 6 years
    - part of enhanced 18month
  3. greig health record
    - 6-17 years
    - height wwight
    - pyschosocial
    - nutrition
    - education
    - behav. and fam issues
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11
Q

epi of ADHD

A

2-3x high in boys than girls

- girls more likely to get Dx with inattention

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12
Q

ADHD def.

A
  1. inattention (6 or more) and/or hyperactivity that is inconsistent with dev. level and impact function
  2. Sx prior to 12
  3. 2 or more settings
  4. interferes
  5. not due to another illness
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13
Q

3 types

A
  1. in attentive
  2. hyperactive
  3. combines
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14
Q

risk for ADHD

A
  1. genes are 75%

2. LBW, smoking in preg, severe early deprivation

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15
Q

Phx for ADHD

A

useful for ruling out other issues

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16
Q

invest. for ADHD

A

none usually

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17
Q

MGMT of ADHD

A
  • psychoed
  • behavior therapies
    school aged
  • first line stim. meds
  • second non stim meds
  • third behav. mgmt
    preschool
  • first behav. mgmt
  • second meds

DIET NOT helpful

18
Q

meds for ADHD

A

stim first line

  • extended release associated with less use of street drugs
  • should be used 365
19
Q

basic def. of ASD

A
  • persistent impairment in reciprocal social interactions and restricted stereotyped patterns of behaviors, interests of activity
  • present from early childhood
  • language, motor signs, aversion to cuddling
  • cog. varies
20
Q

risk factors for ASD (7)

A
  1. male 4x
  2. another child with autism
  3. advanced parental age
  4. genetic syndromes
  5. early bilat. temp lesions
  6. very LBW
  7. NOT MMR
21
Q

4 signs to look out for ASD

A
  1. loss of lang
  2. lack of orienting to speech
  3. concern about lang. comprehension
  4. persistent mutism
22
Q

invest. for ASD

A

formal hearing test

23
Q

Dx of ASD

A
  • DSM -V
  • interdisc.
  • one parent report measure and one behav . measure
  • by 18 mos by exp. professionals
24
Q

mgmt of ASD

A
  • early multi disc.
  • structured learning
  • SLP
  • OT - sensory integration
  • behav. mgmt
  • meds and self injurious behavs.
25
Q

def. LD

A

discrepancy between cog. ability and academic performance

26
Q

3 main types

A
  1. math
  2. reading
  3. reading expression
27
Q

what is done to manage LD

A

IEP that is written and worked on

28
Q

def. bullying

A

use of power or aggression to cause distress or control

29
Q

indicators of bullying

A
  • physical Sx
  • depression/anxiety
  • poor school perf.
  • little concern for others
  • extra money or posessions
30
Q

indicators of victims

A
    • physical Sx
  • depression/anxiety
  • school refusal
  • drop in school motivation
  • lost items/money
  • injuroes
  • threats to hurt self or others
31
Q

mgmt of bullying

A

comprehensive strategies that encompass the school, fam.m and community

32
Q

Sleep requirments by age

A

newborn - 16
6-1year - 14
toddlers - 10-13
preschool - 10-12

33
Q

how a newborn should sleep

A

on back in crib with flat surface and no pillows/blankets

34
Q

def. sleep terrors

A

first thrid of night

  • extreme autonomic reg.
  • no recall
35
Q

nightmares

A

last third of REM sleep

  • milder
  • very common
  • vivid recall
36
Q

BEARS screen for sleep

A
Bedtime problems
Excess daytime sleepyness
Awake during the night
Regularity and duration of sleep
Snoring
37
Q

signs of readyness to toilet train

A
  • can follow simple instructions
  • diaper dry ofr 2-3 hours at a time
  • BMs regular and somewhat predicatable
  • uncomfortable in soiled diapers
  • recognized need to go
  • can walk to bathroom and pull up pants
  • stable on potty
  • motivated
38
Q

4 stages of car seats

A
  1. rear face
  2. forward face
  3. booster
  4. seat belt
39
Q

def. colic

A

paroxysms of fussiness, irritability or crying

  • 3 hrs or more per day 3 days per week
  • no fail to thrive
40
Q

epi and mgmt of colic

A

peaks at 6 weeks and better by 4 mos

  • might help to pacify
  • no evidence for meds or diet