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
When is lack of parachute response concerning?
past 12 months
26
What shape should a 3 year old be able to draw?
circle
27
What shape should a 4 year old be able to draw
cross. At 4.5 square
28
What shape should a 5 year old be able to draw?
triangle
29
When should kids lose obligatory fisting?
by 3 months
30
When should kids transfer toy from hand to hand across midline?
6 months
31
When should head lag when pulling from supine to sitting be gone?
6 months
32
At what ages are ASQ administered?
9, 18, 30 month well child visits
33
At what age does a child use the immature pincer grasp?
9 months
34
At what age does a child use the mature pincer grasp?
12 mos
35
At what age does a child recognize a stranger?
6mos
36
When does the parachute reflex appear
6 months
37
When should a child be able to climb up stairs on hands and knees?
15mos
38
At what age should a child be able to run stiffly?
16mos
39
At what age should child be able to walk up stairs alternating feet
3 years
40
At what age does a child skip with alternating feet, ride bike without training wheels, write first and last name?
6 years
41
What is unique about Aspbergers?
There is no language delay
42
lifts head momentarily
1 month
43
follows objects past midline
2 months
44
more disappears by:
3-6 months
45
bears weight while held standing
4 months
46
hands in midline
4 months
47
swipes at objects
3 months
48
laughs out loud and squeals
4 months
49
imitates social interaction
4 months
50
turns directly to sound and voice
6months
51
start of stranger anxiety
6-9mos
52
bangs two blocks together
9months
53
peek a boo
9 months
54
turns to name
9 months
55
follows single step command with gesture and without
12 months with, 15 months without
56
follows a point
10 months
57
drinks from cup
15 months
58
scribbles with crayon
15 months
59
stoops to floor and recovers to stand
15 months
60
number of words at 15 months
6 words
61
number of words at 17 months
8 words
62
self feeding solids with spoon
18 months
63
throws ball
18 months
64
number of words at 18 months
10-20
65
knows 5+ body parts
18 months
66
points to show interest 18 months
18 months
67
washes and dries hands
24 mos
68
removes clothing
24 months
69
kicks a ball
24 months
70
jumps in place with 2 feet
24 months
71
can follow 2 step commands
24 months
72
pronoun use
24 months
73
pretend play
24 months
74
throw a ball overhead
24 months
75
stands on one foot
3 yo
76
eats neatly with spoon and fork
3yo
77
knows sex, first and last name
3yo
78
speaks with 5-8 word sentences
3yo
79
imaginary play
3yo
80
tandem walk
4yo
81
dresses and brushes teeth without help
4yo
82
prepares bowl of cereal, toast
5yo
83
plays board games
5yo
84
ties shoelaces
6yo
85
writes name
6yo
86
counts to ten
6yo
87
knows right and left
6yo
88
2 cubes
15 month
89
3 cub
16 months
90
4cube
18 month
91
6-7 cube
24month
92
8 cube
30 months
93
bridge of cubes
36 months
94
gate of cubes
4 yo
95
Rate of head circumference growth during first year
0-3months = 2cm/month, 3-6months = 1cm/mo, 0.5cm/mo = 6-12 months
96
Median head circ of a newborn
35cm female, 36cm male
97
hand dominance
concerning if before 18 months
98
refers to self by name
24 month
99
names 4 colors
4 years olds
100
asks why, when how
4yo
101
What comorbidities are associated with myelomeningocele
hydrocephalus in the majority, GU abnormalities, scoliosis and hip dislocation
102
imaging for spina bifida occulta
spinal US before 6 months, MRI thereafter
103
How to define Autism
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
Definition of ADHD
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
At what age does AAP recommend starting stimulants
6yo
106
The diagnosis of MR requires both poor performance on standardized tests of intelligence and poor adaptive functioning, not either alone
MR