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Pediatrics > Development Stages > Flashcards

Development Stages Flashcards

1
Q

APGAR score

A

Appearance (blue 0, acrocyanosis 1, pink 2), Pulse ( no HR 0, HR 100 2), Grimace (no response to stim 0, grimace with stim 1, cry with stim 2), Activity ( poor tone 0, some flexion 1, resists extension 2), Respiratory ( no effort 0, shallow, labored 1, strong cry 2)

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2
Q

How many hours do 6 week olds cry?

A

Up to 3 hours per day (peak)

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3
Q

At age 12 weeks how many hours per day should baby cry?

A

1 hour

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4
Q

1 month devo

A

chin up in prone position, fists closed, follows face, startles to voice

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5
Q

2 month devo

A

chest up in prone position, chest bobs when sit up, hands unfisted 50% time, social smile, follows past midline, coos

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6
Q

3 month devo

A

props on forearms in prone position, brings hands to mouth, reaches for face, follows in a circle, vocalizes when talks to, expression of disgust

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7
Q

4 month devo

A

sits with trunk support, no head lag, rolls front to back, reaches for things, can briefly hold bottle, laughs out loud

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8
Q

5 month devo

A

sits up, transfers objects hand to mouth to hand, recognizes caregiver, begins to respond to name,

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9
Q

6 month devo

A

sits up momentarily, transfers hand to hand, feeds self crackers, can hold bottle, bangs and shakes toys, stranger anxiety, babbles with consonants

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10
Q

9 month devo

A

crawls, cruises, bangs two cubes together, separation anxiety, recognized familiar people, orients to name, mama, imitates sounds

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11
Q

12 month devo

A

stands, cruises, independent steps, fine pincer grasp, shows object to parents, points to get object, follows one step commands, mama, dada words, tower of 2 cubes

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12
Q

15 month devo

A

stoops to pick up toy, creeps up stairs, walks carrying toy, tower of 3-4 cubes, 3-5 words, turns pages of book

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13
Q

18 months

A

creeps down stairs, throws ball, 4 cube tower, 10-25 words, pretend play, understands mine

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14
Q

24 months

A

parallel play, kicks ball, throws overhand, takes off clothes, uses 2 word sentences, can understand half of whats said

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15
Q

3 years devo

A

balances on one foot, can pedal tricycle, goes up stairs alternating feet, can copy circle, draws 2-3 part person, 3 word sentences, understand 3/4 of whats said,

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16
Q

4 years

A

balances and hops on one foot, throws ball overhand 10 feet, copies square, ties single knot, toilets alone, brushes teeth alone, buttons, uses fork, draws a four to six part person, group play, 300 to 1000 words

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17
Q

5 years

A

walks down stairs alternating feet, skips, copies triangle, writes first name, bathes self, dresses self, names 10 colors, knows letters and consonant sounds, reads 25 words, knows phone number, knows right and left

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18
Q

6 years

A

tandem walks, writes first and last name, ties shoes, simple addition/subtraction, knows days of week.

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19
Q

At what age is inability to walk a red flag?

A

18months

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20
Q

At what age is inability to sit up a red flag?

A

9 months

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21
Q

What are indications of language delay at 12 months?

A

No babbling pointing or gesturing

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22
Q

What are the indications of language delay at 16 months?

A

No single words

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23
Q

What is sign of language delay at 24 months?

A

No two word phrases

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24
Q

At how many months is persistence of Moro, ATNR reflex concerning?

A

past 6 months

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25
Q

When is lack of parachute response concerning?

A

past 12 months

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26
Q

What shape should a 3 year old be able to draw?

A

circle

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27
Q

What shape should a 4 year old be able to draw

A

cross. At 4.5 square

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28
Q

What shape should a 5 year old be able to draw?

A

triangle

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29
Q

When should kids lose obligatory fisting?

A

by 3 months

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30
Q

When should kids transfer toy from hand to hand across midline?

A

6 months

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31
Q

When should head lag when pulling from supine to sitting be gone?

A

6 months

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32
Q

At what ages are ASQ administered?

A

9, 18, 30 month well child visits

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33
Q

At what age does a child use the immature pincer grasp?

A

9 months

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34
Q

At what age does a child use the mature pincer grasp?

A

12 mos

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35
Q

At what age does a child recognize a stranger?

A

6mos

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36
Q

When does the parachute reflex appear

A

6 months

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37
Q

When should a child be able to climb up stairs on hands and knees?

A

15mos

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38
Q

At what age should a child be able to run stiffly?

A

16mos

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39
Q

At what age should child be able to walk up stairs alternating feet

A

3 years

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40
Q

At what age does a child skip with alternating feet, ride bike without training wheels, write first and last name?

A

6 years

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41
Q

What is unique about Aspbergers?

A

There is no language delay

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42
Q

lifts head momentarily

A

1 month

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43
Q

follows objects past midline

A

2 months

44
Q

more disappears by:

A

3-6 months

45
Q

bears weight while held standing

A

4 months

46
Q

hands in midline

A

4 months

47
Q

swipes at objects

A

3 months

48
Q

laughs out loud and squeals

A

4 months

49
Q

imitates social interaction

A

4 months

50
Q

turns directly to sound and voice

A

6months

51
Q

start of stranger anxiety

A

6-9mos

52
Q

bangs two blocks together

A

9months

53
Q

peek a boo

A

9 months

54
Q

turns to name

A

9 months

55
Q

follows single step command with gesture and without

A

12 months with, 15 months without

56
Q

follows a point

A

10 months

57
Q

drinks from cup

A

15 months

58
Q

scribbles with crayon

A

15 months

59
Q

stoops to floor and recovers to stand

A

15 months

60
Q

number of words at 15 months

A

6 words

61
Q

number of words at 17 months

A

8 words

62
Q

self feeding solids with spoon

A

18 months

63
Q

throws ball

A

18 months

64
Q

number of words at 18 months

A

10-20

65
Q

knows 5+ body parts

A

18 months

66
Q

points to show interest 18 months

A

18 months

67
Q

washes and dries hands

A

24 mos

68
Q

removes clothing

A

24 months

69
Q

kicks a ball

A

24 months

70
Q

jumps in place with 2 feet

A

24 months

71
Q

can follow 2 step commands

A

24 months

72
Q

pronoun use

A

24 months

73
Q

pretend play

A

24 months

74
Q

throw a ball overhead

A

24 months

75
Q

stands on one foot

A

3 yo

76
Q

eats neatly with spoon and fork

A

3yo

77
Q

knows sex, first and last name

A

3yo

78
Q

speaks with 5-8 word sentences

A

3yo

79
Q

imaginary play

A

3yo

80
Q

tandem walk

A

4yo

81
Q

dresses and brushes teeth without help

A

4yo

82
Q

prepares bowl of cereal, toast

A

5yo

83
Q

plays board games

A

5yo

84
Q

ties shoelaces

A

6yo

85
Q

writes name

A

6yo

86
Q

counts to ten

A

6yo

87
Q

knows right and left

A

6yo

88
Q

2 cubes

A

15 month

89
Q

3 cub

A

16 months

90
Q

4cube

A

18 month

91
Q

6-7 cube

A

24month

92
Q

8 cube

A

30 months

93
Q

bridge of cubes

A

36 months

94
Q

gate of cubes

A

4 yo

95
Q

Rate of head circumference growth during first year

A

0-3months = 2cm/month, 3-6months = 1cm/mo, 0.5cm/mo = 6-12 months

96
Q

Median head circ of a newborn

A

35cm female, 36cm male

97
Q

hand dominance

A

concerning if before 18 months

98
Q

refers to self by name

A

24 month

99
Q

names 4 colors

A

4 years olds

100
Q

asks why, when how

A

4yo

101
Q

What comorbidities are associated with myelomeningocele

A

hydrocephalus in the majority, GU abnormalities, scoliosis and hip dislocation

102
Q

imaging for spina bifida occulta

A

spinal US before 6 months, MRI thereafter

103
Q

How to define Autism

A

qualitative impairment in social interaction, qualitative impairment in verbal and nonverbal communication and restrictive repetitive stereotypical patterns of behavior and activities. Must present before age 3

104
Q

Definition of ADHD

A

Impairment before the age of 7, occurence of symptoms in home and school setting. Symptoms for at least 6 months. Clear evidence of clinically significant impairmet in social, academic or occupational functioning

105
Q

At what age does AAP recommend starting stimulants

A

6yo

106
Q

The diagnosis of MR requires both poor performance on standardized tests of intelligence and poor adaptive functioning, not either alone

A

MR

Pediatrics (25 decks)

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