DEVELOPMENT Flashcards
What are 4 elements to the definition of CP ? and what time period does it mostly happen ?
1) No-progressive brain damage
2) affecting motor
3) in the devloping brain
4) often associated with other limitations.
Most common- antenatal
intrapartum (10%)
post natal - very
Gross motor classification GMFC?
1) limited - essentially normal
2) may need assitance with a walker
3) short distance can use walker, longer - need wheel chair
4)
5) - full ADLS needed - someone to transport
what are two most important rf for cp?
1) preterm birth
2) LBW
others
infections, fertility assitance
What is the 90th centile for newborn for the following domains: Gross Fine Speech Cognitive Social/emotional
G: Moro + flexed posture
F: hand grap, prim refle
S:root, suck, orteins, to sound, smiles to voice
C: Visual length about 10 inches ( 25 cm)
Soc: cries when oher cries
What is the 90th centile for TWO MONTHS for the following domains: Gross Fine Speech Cognitive Social/emotional
G: head up 45 decrees F: hold placed rattly S:gurgles C: follows horizontal arc S: awake more during day
What is the 90th centile for 4 MONTHS for the following domains: Gross Fine Speech Cognitive Social/emotional
g: asymmetrical atn
F: extends ar,s, reaches, grasps , can bring to midline
S: coo
C: wathes ahnd, explores environment , looks at caregiver
Soc: calms when spoken to, eye contact , can express all facial movements
What is the 90th centile for 6 MONTHS for the following domains: Gross Fine Speech Cognitive Social/emotional
G: prim refelexes gone, pulls to sit, can sit in trip pond
f: ulnar and palmer grasp, can transfer items from hand to the other
S: vocalilzes to ansewr, laughs
C: looks for dropped item, problem solving
S: smiles to initiate engagement, back and forth, prefers familiar people ie. stranger anxiety
What is the 90th centile for 9 MONTHS for the following domains: Gross Fine Speech Cognitive Social/emotional
G: psotural reflex, rolls both ways, sits well
F: transfer, raking pincer grasp
So: vocliazes to initiate, looks at familiar items, no
C: object permanence, explores face, searches for hidden toy
Soc: attachment development
What is the 90th centile for 12 MONTHS for the following domains: Gross Fine Speech Cognitive Social/emotional
g: crawls, pulls to stand, can walk with help,
F: pincer grasp
Speech: turns to name, babbles
C: cause and effect can push on unkonwn things to see what happens
S: peek a boo, plays patty cake
What is the 90th centile for 2 years of age for the following domains: Gross Fine Speech Cognitive Social/emotional
G: runs, jumps, kicks,throws ball over hand
walks UP stairs making time
F: copies vertical line, stacks 6 cubes , uses spoon, helps dress
s: 2 word phrases, 50%, 50
C: tries to make toys work in function “ imaginative play”
s: parallel pla “ no” , temper tantrums
What is the 90th centile for 18 MONTHS for the following domains: Gross Fine Speech Cognitive Social/emotional
g: gest to stanind and walks alone, walks up and down with rail:
f: scribs (fisted), can eat alone
S: 15 words, 1 one word commands w/o gestures
C: 5 body parts , can pretend to sweep with the broom,
S: immitates peers, joint attn, points to comment
What is the 90th centile for 3 YEARS of the following domains: Gross Fine Speech Cognitive Social/emotional
g: pedals tricycle, walks DOWN stairs marking time w/o railing
f: copies HORIZONTAL LINE, stacks 9 to 10 cubes, REMOVES clothing, drinks from open cup and eat alone
s: 2 step commands, 3-4 word sentences, 75% intelligiable
C: can make compairsons, counts 2, one color
What is the 90th centile for 4 YEARS for the following domains: Gross Fine Speech Cognitive Social/emotional
G: walks down stairs alternating feet, no railing, walks backward in line, F: Copies cross, 2 TO 4 PART PERSON dresses but NO BUTTONS S: 3 step command, word play c: counts 4 objects S: preferred friend
What are at least 5 special groups at risk foo ASD
1) FAMILY hx ie. sibling
2) FAMILY - other family member
3) Maternal -infection, drugs
4) Certain genetic syndromes: t21, DiGeorge, FRagile x, Turner syndrome
5) children with other dev delays ie. speech
CPS STATEMENT HEARING :
About 70% of neonatal hearing loss is ASSOCIATED WITH A SYNDROME ?
true or false
false
70% of the those with congenital hearing loss is due to other reasons and not SYNDROMIC
Some of these include
- family history
- craniofacial abnormalities
- congenital infections ie TORCH ie. CMV
CPS STATEMENT
A CONGENITAL cause is about 50 % of those with sensorihearing loss ?
True
CPS STATEMENT
What is the different ranges of “levels”forn hearing loss ?
0-20 normal 20
20 to 40 - mild
40 to 60 - mod
60 to 80-severe
What are components of a disease that is good for universal screening ? (4)
1) availability of accurate, reliable screening tool(s);
2) demonstration of earlier diagnosis– evaluation of the availability and effectiveness of earlier intervention following diagnosis;
3) consideration of the adverse effects of earlier intervention
4) evaluation of the longer-term outcomes from earlier diagnosis and intervention.
hows does the aabr differentate from the OAE hearing screen.
-evaluates the auditory pathway from the external ear to the level of the brainstem
THUS can pick up auditory neuropathy ie. 8th nerve issues,
while oae - only conduction and choclear
CPS STATEMENT
What are some of the long term impacts of untreated adhd ?
higher risk for
- lower education
- substance abuse
- injuries
- motor vehicle collisions
What is the most common genetic condition associated with hearing loss ?
Can you name some others and some common features with this ?(3)
1) Connexin 26
2)
- Warrdenburg ( white for-lock in the hair, snhl, hypertelorism
- Alports (nephritis, snhl)
CPS STATEMENT -
DESCRIBE normal weight gain and growth ?
Normal to have decreased appetite between 2-5y: it is matching the slower rate of growth
* 0-1y: faster growth (gains 7kg and 21 cm) * 1-2y: gains 2.3kg and 12cm * 2-5y: slows down (1-2 kg/year and 6-8 cm/year)
