Development Flashcards
When do babies
1. Double
2. Triple
4. Quadrouple
their birth weight?
- 4 months
- 12 months
- 24 months
When does height
1. Increase by 50%
2. Double
3. Triple
from a baby’s birth length
- 1 year
- 4 years
- 13 years
How fast does head circumference increase in the first 2 months of life?
0.5 cm a week
Familial short stature
Also called genetic short stature
Growth is parallel to the standard curves
Normal variant
BMI is normal
Bone age is CONSISTENT with chronological age
Constitutional growth delay
Decrease in weight and height in infancy, then follows the lower points of the growth curve in middle childhood
There is then an accelerated growth in late adolescent to achieving expected adult height
Puberty is delayed - catch up growth occurs with puberty onset
If height is affected but HC and weight are preserved, what kind of conditions should be considered
Bony dysplasias and underlying endocrinologic disease
What is the bone age in
1. Familial short stature
2. Constitutional growth delay
- Bone age is consistent with chronological age
- Bone age is delayed for the child’s chronological age, but is consistent with height age
What are 2 first line treatments for primary enuresis? Which has the lower relapse rate?
Alarm therapy and DDAVP
Alarm therapy has lower relapse rate
What is the normal age rage for a child to cling to transitional objects?
18-24 months
Selective mutism diagnosis
Overlaps with specific phobia
Talk almost exclusively at home but rarely/never at other settings
1 month or more
Treatment for selective mutism
Fluoxetine + behavioural therapy
Isolated expressive language disorder
Also called late talker syndrome
Age appropriate receptive language and social skills
Variation of normal
Sleep onset association type insomnia
The child learns to fall asleep only under certain conditions or associations
When child experiences brief arousal overnight, they are not able to get back to sleep without the same associations being present
Tx: establish sleep schedule and bedtime routine. Can do either rapid (“cry it out”) or gradual withdrawal/extinction of parental assistance at sleep onset. Warn about post extinction burst
Signs of toilet readiness
Shows an interest in the potty
Dry in their diapers for several hours in a row (not necessarily overnight)
Regular and predictable bowel movements, or knows when they are voiding or stooling
Able to follow one or two simple instructions
Able to balance and sit on potty
Can communicate when they need to use the potty (doesn’t have to be full sentences)
Wants to be independent
Able to walk to potty
Desire to please based on positive relationships with caregivers
Risks for completed suicide
Prior attempts
Method other than ingestion
Have a plan (nonimpulsive)
No regret
Still actively suicidal
Criteria for ASD
All 3 of: issues with social-emotional reciprocity, nonverbal communicative behaviours, relationships
2/4 of: sensory, transitions, interests, motor movements
ASD vs OCD
Stereotyped behaviours are calming or preferred
Tics and compulsive routines are often distressing
OCD does not have impairment in social communication or interaction
