Development

Question 1

At what age should a child be able to lift their head in a prone position and exhibit a social smile?

Answer 1

2 months

Question 2

At what age should a child be able to rollover and laugh/squeal?

Answer 2

4 months

Question 3

At what age should a child be able to sit unassisted?

Answer 3

6 months

Question 4

At what age do children often exhibit stranger anxiety?

Answer 4

6 months

Question 5

At what age should a child be able to crawl and pull themselves to a stand?

Answer 5

9 months

Question 6

Around what age do children begin to say their first words?

Answer 6

9 months

Question 7

At what age do children walk/throw things? How many words do they use?

Answer 7

1 year
- Can use 1-3 words

Question 8

At what age should a child be able to walk up and down steps and jump?

Answer 8

2 years

Question 9

When does toilet training usually begin?

Answer 9

2 years - boys are slower than girls to learn

Question 10

At what age should children be able to ride a tricycle and climb stairs with alternating feet?

Answer 10

3 years

Question 11

At what age should children be able to hop, know colors/numbers and play?

Answer 11

4 years

Question 12

At what age should speech be 100% intelligible?

Answer 12

4 years

Question 13

At what age should children be able to skip, walk backwards, tie shoelaces?

Answer 13

5 years

Question 14

For premature infants less than 2 years old, their developmental milestones should be adjusted how?

Answer 14

The amount of months that they were born early is subtracted from their current age and they should be able to be at that developmental level

Question 15

What is measured at each well-child check?

Answer 15

Weight
Height
Head Circumference

Question 16

What is a normal weight loss for infants?

Answer 16

Up to 10% weight loss of birth weight but this needs to be regained by 14 days old!

Question 17

What is Failure to Thrive?

Answer 17

Persistent weight < 5th percentile OR
Falling off the growth curve by crossing 2 major percentile lines

Question 18

There are organic (underlying medical conditions) and nonorganic (psychosocial factors) that can cause Failure to Thrive. What should you do?

Answer 18

Obtain dietary history, observe formula preparation and look for neglect

Question 19

What is the treatment for Failure to Thrive?

Answer 19

Hospitalize
Calorie Count
Supplemental nutrition

Question 20

Describe normal growing pains

Answer 20

• Occurs between 2-12 years old
• Bilateral crampy LE pain that is worse at night
• NORMAL activity/PE

Question 21

What is the average age of onset of puberty in girls and boys?

Answer 21

Girls = 10.5
Boys = 11.5

Question 22

Describe the Tanner stages

Answer 22

Stage 1 = Pre-puberty
Stage 2 = breast bud with sparse pubic hair
Stage 3 = breast elevation
Stage 4 = Areolar mound with coarse pubic hair
Stage 5 = Adulthood with thighs NOT spared

Question 23

What is the order of puberty for girls?

Answer 23

Thelarche
Pubarche
Growth spurt
Menarche

Question 24

What is the order of puberty for boys?

Answer 24

Gonadarche
Pubarche
Adrenarche
Growth spurt

Question 25

What defines precocious puberty?

Answer 25

Signs of sexual maturation before ages 8 and 9 in girls and boys respectively

Question 26

What defines delayed puberty?

Answer 26

No signs of sexual maturation after ages 13 and 14 in girls and boys respectively

Question 27

What is Constitutional Growth Delay?

Answer 27

“Late bloomers”
Growth curve lags behind normal but remains consistent
– usually a (+) family history and children will eventually reach target height!

Question 28

What is a distinguishing feature of Constitutional Growth Delay?

Answer 28

Delayed bone age

Question 29

Enuresis is normal up until 5-7. What is the treatment?

Answer 29

Positive reinforcement, rewards, restrict bedtime fluids, Desmopressin/Anticholingeric meds

Question 30

The year that the child is old, is the number of?

Answer 30

Words they can use in phrases