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Prenatal +Neonatal > DEVELOPMENT > Flashcards

DEVELOPMENT Flashcards

1
Q

What are 4 elements to the definition of CP ? and what time period does it mostly happen ?

A

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

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2
Q

Gross motor classification GMFC?

A

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

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3
Q

what are two most important rf for cp?

A

1) preterm birth
2) LBW

others
infections, fertility assitance

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4
Q 
What is the 90th centile for newborn for the following domains: 
Gross
Fine 
Speech
Cognitive
Social/emotional
A

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

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5
Q 
What is the 90th centile for TWO MONTHS for the following domains: 
Gross
Fine 
Speech
Cognitive
Social/emotional
A 
G: head up 45 decrees
F: hold placed rattly 
S:gurgles
C: follows horizontal arc
S: awake more during day
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6
Q 
What is the 90th centile for 4 MONTHS for the following domains: 
Gross
Fine 
Speech
Cognitive
Social/emotional
A

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

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7
Q 
What is the 90th centile for 6 MONTHS  for the following domains: 
Gross
Fine 
Speech
Cognitive
Social/emotional
A

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

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8
Q 
What is the 90th centile for 9 MONTHS  for the following domains: 
Gross
Fine 
Speech
Cognitive
Social/emotional
A

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

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9
Q 
What is the 90th centile for 12 MONTHS  for the following domains: 
Gross
Fine 
Speech
Cognitive
Social/emotional
A

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

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10
Q 
What is the 90th centile for 2 years of age  for the following domains: 
Gross
Fine 
Speech
Cognitive
Social/emotional
A

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

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11
Q 
What is the 90th centile for 18 MONTHS  for the following domains: 
Gross
Fine 
Speech
Cognitive
Social/emotional
A

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

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12
Q 
What is the 90th centile for  3 YEARS  of the following domains: 
Gross
Fine 
Speech
Cognitive
Social/emotional
A

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

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13
Q 
What is the 90th centile for 4 YEARS for the following domains: 
Gross
Fine 
Speech
Cognitive
Social/emotional
A 
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
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14
Q

What are at least 5 special groups at risk foo ASD

A

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

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15
Q

CPS STATEMENT HEARING :
About 70% of neonatal hearing loss is ASSOCIATED WITH A SYNDROME ?

true or false

A

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
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16
Q

CPS STATEMENT

A CONGENITAL cause is about 50 % of those with sensorihearing loss ?

A

True

17
Q

CPS STATEMENT

What is the different ranges of “levels”forn hearing loss ?

A

0-20 normal 20
20 to 40 - mild
40 to 60 - mod
60 to 80-severe

18
Q

What are components of a disease that is good for universal screening ? (4)

A

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.

19
Q

hows does the aabr differentate from the OAE hearing screen.

A

-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

20
Q

CPS STATEMENT

What are some of the long term impacts of untreated adhd ?

A

higher risk for

  1. lower education
  2. substance abuse
  3. injuries
  4. motor vehicle collisions
21
Q

What is the most common genetic condition associated with hearing loss ?

Can you name some others and some common features with this ?(3)

A

1) Connexin 26

2)
- Warrdenburg ( white for-lock in the hair, snhl, hypertelorism
- Alports (nephritis, snhl)

22
Q

CPS STATEMENT -

DESCRIBE normal weight gain and growth ?

A

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)

Prenatal +Neonatal (4 decks)

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