Dev. milestones Flashcards
Milestones for ages
see P 71
4 DDx for gross motor probs
- CNS prob
- PNS prob
- metabolic conditions
- genetics
4 DDx for lang issues
- structural/functional anaotmy
- hearing impaired
- pure language
- pervasive dev. disorders
4 cognitive DDx
global dev. delay
- genetics
- poor env.
- prenatal/perinatal events leading to hypoxia
- prenatal exposure
2 DDx for emotional/social
- PDD
2. poor env.
mgmt for motor delays
- poor correlation between cog. and motor
2. PT/OT ref
mgmt for lang. delay
- hearing assess
- early local intervention service
- SLP
- nursery school
- educate parents
mgmt for cog.
thourough Hx
Ph exam including HC, neuro, dysmorphic features
hearing/vision assess
karyotype, lead levels
mgmt for social/emot
- early intervention
- incr. contact with other children
- refer to therapeutic groups
3 examples of dev. surveillance
- rourke baby record
- growth
- nutrition
- dev milestones
- ant. guidance - nipissing
- up to 6 years
- part of enhanced 18month - greig health record
- 6-17 years
- height wwight
- pyschosocial
- nutrition
- education
- behav. and fam issues
epi of ADHD
2-3x high in boys than girls
- girls more likely to get Dx with inattention
ADHD def.
- inattention (6 or more) and/or hyperactivity that is inconsistent with dev. level and impact function
- Sx prior to 12
- 2 or more settings
- interferes
- not due to another illness
3 types
- in attentive
- hyperactive
- combines
risk for ADHD
- genes are 75%
2. LBW, smoking in preg, severe early deprivation
Phx for ADHD
useful for ruling out other issues
invest. for ADHD
none usually
MGMT of ADHD
- 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
meds for ADHD
stim first line
- extended release associated with less use of street drugs
- should be used 365
basic def. of ASD
- 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
risk factors for ASD (7)
- male 4x
- another child with autism
- advanced parental age
- genetic syndromes
- early bilat. temp lesions
- very LBW
- NOT MMR
4 signs to look out for ASD
- loss of lang
- lack of orienting to speech
- concern about lang. comprehension
- persistent mutism
invest. for ASD
formal hearing test
Dx of ASD
- DSM -V
- interdisc.
- one parent report measure and one behav . measure
- by 18 mos by exp. professionals
mgmt of ASD
- early multi disc.
- structured learning
- SLP
- OT - sensory integration
- behav. mgmt
- meds and self injurious behavs.
def. LD
discrepancy between cog. ability and academic performance
3 main types
- math
- reading
- reading expression
what is done to manage LD
IEP that is written and worked on
def. bullying
use of power or aggression to cause distress or control
indicators of bullying
- physical Sx
- depression/anxiety
- poor school perf.
- little concern for others
- extra money or posessions
indicators of victims
- physical Sx
- depression/anxiety
- school refusal
- drop in school motivation
- lost items/money
- injuroes
- threats to hurt self or others
mgmt of bullying
comprehensive strategies that encompass the school, fam.m and community
Sleep requirments by age
newborn - 16
6-1year - 14
toddlers - 10-13
preschool - 10-12
how a newborn should sleep
on back in crib with flat surface and no pillows/blankets
def. sleep terrors
first thrid of night
- extreme autonomic reg.
- no recall
nightmares
last third of REM sleep
- milder
- very common
- vivid recall
BEARS screen for sleep
Bedtime problems Excess daytime sleepyness Awake during the night Regularity and duration of sleep Snoring
signs of readyness to toilet train
- 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
4 stages of car seats
- rear face
- forward face
- booster
- seat belt
def. colic
paroxysms of fussiness, irritability or crying
- 3 hrs or more per day 3 days per week
- no fail to thrive
epi and mgmt of colic
peaks at 6 weeks and better by 4 mos
- might help to pacify
- no evidence for meds or diet
