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Pediatrics 1 > develop milestones > Flashcards

develop milestones Flashcards

1
Q

definition of failure to thrive

A

drop of 2 or more major percentile lines on standard growth charts
- or below 3rd percentaile

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2
Q

6 months

A

Parental- learn babies temperment
Feeding: rice cereal intro 4-6 months. Pureed meats, veggies, fruits.
Oral Health: teething begins 6-9mo then introduce tooth brush
Adjustment: put baby to sleep when drowsy, tummy time, allow opp to explore
Safety: dont leave baby alone

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3
Q

9mo Physical

A 
Crawling, sit from stand
- pull to stand by 9mo
- stand holding on 
pincer graps
- pass objects between hands
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4
Q

Autism

A

persistant deficits in social commnication and social interaction

  • often participate in repeative motion because it calms their nervous system
  • can be identifiees 18-24 months
  • m>f
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5
Q

Autism signs 18/24/30

A

12- no babbling pointing or gesture
16- no single words
24mo- no 2 word phrases
- any age any loss of langual social or other skills (sometimes they will lose a skill)

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6
Q

2mo physical

A

lift and turn head while laying on their back (momentarily)

  • tracks past midline
  • primitive reflexes present
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7
Q

2 mon language

A

turns head towards sound s

- use a range of nouses in commuication (crying/coos)

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8
Q

2 mo cognitive

A

-altert to voices
regard faces
- follow object with eyes

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9
Q

2 mo social and emotional

A

Begins to smile

  • tries to look at parent
  • they begin to breifly calm self
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10
Q

Anticipatory Guidance 2 mo

A 
Parents- how are their well being? 
Feeding: bottle or breast? no extra fluids. 2oz every 2-3 hrs 
- burping 
Diapers: 5-8 wet diap 3-4 stools 
Infant:
- consisitant schedules 
- sleeping on back 
Safety
- rear facing care seat, choking hazard
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11
Q

Car seat safety

A

Rear facing from birth and remain rear facing as long as possible until they reach highest weight allowed by their seat

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12
Q

4 mo physical

A 
Holds head steady 
roll stomach to back 
roll front to back 
- lift up on hands and elbows 
- vision improved 
- no head lag
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13
Q

4 mo language

A

Laughs and squeals

babbles

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14
Q

4 mo cognitive

A

let you know how they are feeling

  • responds to affection
  • following moving objects side to side
  • recognize familiar people
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15
Q

4 mo social

A

likes to play with people and copies some moveent and facial expressions

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16
Q

6mo physical

A 
Sit supported> unsupported 6-8mo
- voluntary grasp
> ulnar palmar grasp 
> reaches for object and brings to mouth 
rolls over both ways
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17
Q

6 mo language

A

Vowels and consonant sounds
responds to sounds
shows joy and pleasure

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18
Q

6mo cognitive

A

brings object to mouth
shows curiosity
tries to reach out and grasp

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19
Q

6mo social

A

knows farmiliar faces
likes to play with others
- responds to others emotions

20
Q

9mo language

A

begins to say mama, dada, baba - usually without meaning

  • they understand no
  • copies gestures and soudns
21
Q

9mo cognitive / social

A

Peek a boo- looks for objects they watch you hide

Social

  • stanger danger develops
  • has favorite toys
22
Q

12 mo physical

A

Takes steps and stands alone for a couple seconds

  • begins to walk alone
  • put block in cup
  • mature pincer grasp
23
Q

12 mo language

A

simple gestures
say simple words with means ( mama dada and 2 other words)
- counds with changes in tone

24
Q

12 mo cognitive

A

copies gestures
follows one step directions
can find hidden objects

25
Q

12 mo social

A

cries when parens leave
- stranger danger contineus
- waves bye bye
has favorites

26
Q

Toddler Behavior

A

Gaining independence
Consistency is key
caution with no
Tantrums - common but understand child is trying to communicate

27
Q

Discipline

A

-pos reinforcement of desired behavior
Effective Strategies
- distraction and redirection, timeout , appropriate chouces
* AAP does not endorce spanking

28
Q

15 mo physical

A

Gross motor
- walks well and stoops dowm
Fine
- tower of cubes and scribbles

29
Q

15mo Language

A

45+ words
follows simplw 1 step comands
indicates wants
*** no single words by 16 moths red flag

30
Q

15 mo social

A

hands things to other to initate play and affection to farmiliar people

31
Q

15 cognitive

A

knows purpose of ordinary things ( phone, spoon)

copies others

32
Q

18 months Physical

A 
Gross:
walk up steps and rrun 
kick ball and help with dressing
Fine 
- uses cup well and eats wel with spoon and feeds self
33
Q

18 mo langauge

A

Names some pics/ body parts
combines 2 words
shakes head no
>6 words sentences

34
Q

18 mo social

A

looks for help when i trouble
explores alone with farmiliar people near
- temper tantrums

35
Q

18 months cognitive

A

imrpoved function of ordinary items

  • points to body parts
  • understand 2 step commands
  • scribble on own
36
Q

Potty training

A

start at 18 mo
2-4 yrs daytime control achieved
Nightime control expected 5-7 yo

37
Q

24 physical

A 
Gross motor 
- throws overhead 
 jumps
- often stands on tip toes 
Fine motor
- makes copies straight lines
38
Q

24 language

A

expanding vocab >50 words

  • short phrases ( bad if no 2 word phrases)
  • know name of items and animals
  • says his own name
  • repeat overheard words
39
Q

24 mo socail

A

helps undress and put items away > can include defiant behavior

  • can tell about eperience
  • parallel play
  • empathy @24mo
40
Q

24 mo cogntiive

A

begins to sort
completes farmiliar sentences and rhymes
may have dominantt hand

41
Q

36mo physical

A

Gross
- tricycle and stand on one foot and can climbe
Fine
- copy a circle

42
Q

36 mo language

A 
100-200 word vocab 
-understandable >50% 
speaking in sentences 
- usually knows gender by 36 months 
- knows I me we you
43
Q

36 mo social

A

pretend play and simple games
shows affection without prompting
- may get upset in changes in routine
- understand mine or his

44
Q

36 months cognitive

A

works toys with buttons and moveing parts
- plays make believe
turns single pages in a book

45
Q

3-6 yrs gross physical development

A

more skilled at running, jumping, early throwing and kicking
- stands on 1 foot 3 ys
-hops on one foot 4yo
skips 5-6yo

46
Q

3-5 fine motor

A

3yo- draw circle, use blunt nose scissors, self dressing
4- draw square, use scissors and cut in straight line and neat eating
5yo- spreading with knife and draw triangle

47
Q

3-5 language

A 
3- 3 word sentences 
4- follow 3 step command 
count to 4 and name 4 colors 
always says why 
5. counts to 10 and responds o why

Pediatrics 1 (6 decks)

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