development

Question 1

what does the gunthrie test measure?

Answer 1

Congenital Hypothyroidism (CHT)
Sickle Cell disorders
Cystic Fibrosis (CF)
six inherited metabolic diseases (IMDs)
phenylketonuria (PKU)
medium-chain acyl-CoA dehydrogenase deficiency (MCADD)
maple syrup urine disease (MSUD)
isovaleric acidaemia (IVA)
glutaric aciduria type 1 (GA1) and
homocystinuria (pyridoxine unresponsive) (HCU)

Question 2

trisomy 21 investigations

Answer 2

triple screen increase BHCG decrease inhibin A
AFP, estriol
US: increased nuchal translucency
echo

Question 3

what are the causes of trisomy 21

Answer 3

robertsonian translocation
mosaicism
maternal age 1:25 chance if greater than 45

Question 4

symptoms of trisomy 21

Answer 4

face- flat round facies 
up slanting palpebral fissures 
epicanthal folds
eyes- brushfield spots in the iris
ears= small
flat occiput third fontanelle 
braciocephaly 
small mouth and protruding tongue 
short neck and nuchal skin 
hands= simian crease fifth inturning finger 
feet= saddle toe and joint hyperflexiability

Question 5

medical conditions in trisomy 21

Answer 5

hirschsprung’s disease 
hypo/hyperthyroidism 
insulin dependent diabetes 
sleep apnea 
early onset alzheimer’s 
ALL 
CHD 
infertility in males

Question 6

newborn gross motor development

Answer 6

head lag in pull to sit but head extension in ventral suspension

Question 7

when should the primitive reflexes be lost at?

Answer 7

4-6 months

Question 8

when should the child be sitting without support?

Answer 8

6 months to do this 2 very important reflexes need to be developed parachuting and righting reflex

Question 9

when would you be considered if the child is not sitting?

Answer 9

by 9 months

Question 10

what would you be concerned if a 9 month old hasn’t been able to do this critical step in gross motor development?

Answer 10

sitting by 9 months

Question 11

locomotor skills- by 10 months what should a child do?

Answer 11

be cruising around the furniture

Question 12

what should a 12 month old be able to do- gross motor?

Answer 12

50% are walking independently by 1 year old.

Question 13

If a child is not walking by this age it is a red flag

Answer 13

18 months

Question 14

20 months what can they do gross motor?

Answer 14

kicks ball

Question 15

3 years old - gross motor

Answer 15

jump from bottom step, stand on one leg, and ride a tricycle

Question 16

4 year old - gross motor

Answer 16

hop on one leg, go down the stairs one leg at a time, and ride a bike

Question 17

at 5 years old what can they do gross motor

Answer 17

skip

Question 18

3-4 months fine motor development

Answer 18

hand watching

Question 19

when does a squint need to be checked out?

Answer 19

if persisting beyond 8 weeks.

Question 20

at 6 months what are the fine motor skills?

Answer 20

palmer gasp
holds objects with both hands and bangs them together
transfers between hands

Question 21

what should a child be able to do fine motor wise by 10 months?

Answer 21

pincer grip using thumb and first finger

Question 22

what 12 months infant is supposed to do fine motor?

Answer 22

starts pointing to objects.

Question 23

when does advanced fine motor skills come into play?

Answer 23

14 months

Question 24

at 14 months what can a child do FM?

Answer 24

scribbles

Question 25

when does the brick building venture start?

Answer 25

2 years old with 6 blocks.

Question 26

what can a 2 and a half year old do AFM?

Answer 26

copy a circle and builds 8 brick tower and train with 4 carriages

Question 27

what can a 3 year old do AFM?

Answer 27

draw a circle copies or makes a bridge

Question 28

what can a 4 year old do? AFM

Answer 28

draws a cross copies or makes steps

Question 29

what can a 4.5 year old do AFM?

Answer 29

draw a square

Question 30

what can a 5 year old child do advanced fine motor?

Answer 30

draw a triangle

Question 31

by 12 weeks what can a baby do S&L?

Answer 31

vocalise when spoken to and begins to coo and laugh

Question 32

by 6 months S&L?

Answer 32

ba and da

Question 33

8 months S&L?

Answer 33

mama or dada

Question 34

by 13 months Sand L?

Answer 34

understanding of two syllable words drink and no

Question 35

by 18 months what can a child do S&L?

Answer 35

vocab of 10 words and 6 parts of the body

Question 36

20 months S.L

Answer 36

combine 2 words together in 3 word sentences

Question 37

3 years S&L?

Answer 37

knows age and colors

Question 38

early social development 6 weeks

Answer 38

smiling

Question 39

when does separation anxiety start to come in?

Answer 39

8 months

Question 40

at 10 months what can a child do socially?

Answer 40

wave goodbye

Question 41

when does symbolic play come in?

Answer 41

2 years. which progress during that time to playing with other children

Question 42

at three years old what are they starting to do in play?

Answer 42

taking turns and simple rules

Question 43

when can a child be toilet trained?

Answer 43

by 2 but some much older night time dryness takes longer 10% of 5 year olds wet the bed at night.

Question 44

cognitive function

Answer 44

pre-school the world resolves around them and imaginative

junior school- operational thought process more orderly
teens- abstract thought and complex thinking.

Question 45

self-help skills in a 2 year old

Answer 45

taking off clothes and start to dress self.

Question 46

18 months self help

Answer 46

feeding herself

Question 47

12 months

Answer 47

drank from a cup.