Development Flashcards

1
Q

4 categories for developmental milestones?

A

gross motor
fine motor
social
language

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2
Q

What is global developmental delay?

A

delay in two or more of the areas

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3
Q

Most common isolated developmental delay?

A

speech

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4
Q

Causes of global developmental delay?

A

Down’s syndrome
Fragile X syndrome
fetal alcohol syndrome
Rett syndrome
metabolic disorders
neurodivergent disorders
cerebral palsy

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5
Q

Causes of isolated gross motor delay?

A

cerebral palsy
ataxia
myopathy
spina bifida
visual impairment

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6
Q

Causes of isolated fine motor delay?

A

dyspraxia
cerebral palsy
muscular dystrophy
visual impairment

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7
Q

Causes of isolated speech delay?

A

hearing impairment
exposure to multiple languages
siblings
learning disability
ASD
cerebral palsy
neglect

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8
Q

Causes of social delay?

A

ASD
neglect
parenting issues

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9
Q

Gross motor developmental milestones?

A

3-4 months -> support head
6 months -> pulls self to sitting
9 months -> sits unsupported, crawling
12 months -> cruising
13-15 months -> walks unsupported
18 months -> squats
2 years -> runs
3 years -> rides a tricycle, stand on one leg
4 years -> hops

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10
Q

Fine motor development milestones?

A

Early:
8 weeks ->fix and follow
6 months -> palmar grasp
9 months -> points, scissors grip
12 months -> pincer grip

Drawing:
12 months -> scribble
2yrs -> copies line
3yrs -> copies circle
4yrs -> copies cross
5yrs -> copies triangle

Bricks:
15 months -> 2
18 months -> 4
2 yrs -> 6
3yrs -> 9

Book:
15 months -> looks at book
18 months -> turns pages several at time
2 years -> turns one page at a time

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11
Q

Hand preference?

A

abnormal before 12 months
may indicate cerebral palsy

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12
Q

Language developmental milestones?

A

3 months -> coos, recognises familiar voices, turns towards sound
6 months -> double syllables
9 months -> ‘mama’ and ‘dada’
12 months -> responds to own name
18 months -> 5-10 words, follows simple commands
2 years -> combines 2 words, points to body parts
3 years -> short sentences
4 years -> tells stories

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13
Q

Social and personal developmental milestones?

A

6 weeks -> smiles
3 months -> communicates pleasure
6 months -> curious and engaged
9 months -> shy and cautious
12 months -> waves bye, claps hands
18 months -> imitates
2 years -> parallel play
3 years -> plays with others
4 years -> best friend, imaginative play

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14
Q

Red flags in developmental milestones?

A

lost developmental milestones
not able to hold object at 5 months
not sitting unsupported at 12 months
not standing unsupported at 18 months
not walking at 2
not running at 2.5
no words at 18 months
no interest in others at 18 months

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15
Q

How long to correct for prematurity for?

A

up to the age of 2

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16
Q

How to correct for prematurity?

A

take away the gestational age from 40 weeks

17
Q

Causes of failure to thrive?

A

inadequate nutritional intake
difficulty feeding
malabsorption
incr. energy requirements
inability to process nutrition

18
Q

Causes of inadequate nutritional intake?

A

maternal malabsorption (breastfeeding)
iron deficiency anaemia
family or parental issues
neglect
poverty

19
Q

Causes of difficulty feeding?

A

poor suck (cerebral palsy)
cleft lip or palate
genetic conditions causing abnormal facial structure
pyloric stenosis

20
Q

Causes of malabsorption?

A

cystic fibrosis
coeliac disease
cows milk intolerance
chronic diarrhoea
IBD

21
Q

Causes of incr. energy requirements?

A

hyperthyroidism
chronic disease (congenital heart disease)
malignancy
chronic infections (HIV)

22
Q

Causes of inability to process nutrition properly?

A

inborn errors of metabolism
T1DM

23
Q

Assessment in failure to thrive?

A

Full Hx and Exam
observe feeding
parent-child interactions
height, weight, BMI
plot centile charts
mid-parental height centile
coeliac screen

24
Q
A