Developmental

Question 1

How is screening performed in a PCP’s office?

Answer 1

• Gestalt assessment of how the child is doing

* ASQs to systematically assess child’s progress

Question 2

Development generally proceeds from _____________.

Answer 2

head to toe; proximal to distal; and medial to lateral (so pinkies develop control before thumbs)

Question 3

What’s the most common pattern of development of childhood mobility?

Answer 3

• Rolling: 3 months
• Sitting: 6-7 months
• Crawling: 8 months
• Pull to stand: 9-10 months
• Cruising (walking while holding something): 10-11 months
• First steps: 12 months
• Walk backward 15 - 18 months
• Jump up: 2 years
• Jump forward: 3 years
• Jump on one foot: 4 years
• Skipping: 5 years

Question 4

Review the development of fine motor.

Answer 4

• Raking: 5-6 months
• Radial-palmar grasp: 7 months
• Inferior pincer: 10 months
• Fine pincer: 12 months

Question 5

Up and down scribbling is generally doable by ________________.

Answer 5

18 months

Question 6

Understandability to strangers is usually given by ______________.

Answer 6

age (in years) divided by 4

1/4: 25% (at one year)
2/4: 50% (at two years)
3/4: 75% (at three years)
4/4: 100% (at fours years)

Question 7

Kids typically use words nonspecifically at __________ and specifically at ______________.

Answer 7

8 months; 10-11 months

Question 8

At 18 months, children typically have about _________ words.

Answer 8

18

Question 9

Between ___________, there is a huge increase in number of words.

Answer 9

18 months and 2 years

Question 10

At what age do children typically move their eyes in the direction of noise?

Answer 10

4-6 months

Question 11

Two-step commands are generally understood by children ___________.

Answer 11

two and older

Question 12

Trace the development of play.

Answer 12

• 1: play alone
• 2: parallel play
• 3: group play
• 4: tells story
• 5: cards and board games

Question 13

Object permanence begins at _____________.

Answer 13

6 months

Question 14

Separation anxiety starts at _____________.

Answer 14

9-12 months (because they have object permanence and know that “mom is somewhere and can come back if I cry”)

Question 15

Separation anxiety usually lessens by ____________.

Answer 15

18 months

Question 16

What is joint attention?

Answer 16

Getting the parent (or anyone else) to look at an object: basically, pointing at an object, looking at mom, and then looking back at the object

Question 17

Babies typically lose ____________ in the first couple days and then regain it by two weeks.

Answer 17

10% of their birthweight

Question 18

Birth weight doubles by ___________ and triples by _____________.

Answer 18

6 months; 12 months

Question 19

Head circumference at birth is typically ____________.

Answer 19

36 cm (think 360º)

Question 20

Stooping and recovering is indicative of ____________.

Answer 20

15 months

Question 21

In general, use __________ when interviewing parents about their child’s development.

Answer 21

open-ended questions

Things like… “Tell me about your child” or “What concerns do you have about your child’s development?”

Question 22

In general, having ________ is worse than having delays in all areas.

Answer 22

one focal delay

Question 23

What kinds of referral services are available for developmental delays?

Answer 23

• Child psychologists
• Developmental pediatricians
• Early intervention teams

Question 24

List the ages at which kids can stack 2, 6, and 9 blocks.

Answer 24

• 2: 15 months
• 6: 24 months (“2 + 4 = 6”)
• 9: 36 months (“3 + 6 = 9”)

Also, the bridge is usually done by 36 months.

Question 25

Give the usual ages at which kids can draw a vertical line, horizontal line, circle, plus sign, square, triangle, and diamond.

Answer 25

• Vertical line: 2
• Horizontal line: 2.5
• Circle: 3 (“36 months = 360ºin a circle”)
• Cross/plus sign: 4
• Square: 5
• Triangle: 6
• Diamond: 7

Question 26

What is the person-drawing rule?

Answer 26

Start with a circle as base (for 3 years) and then 1/4 year for every thing added. Note: count legs as one thing, arm as one thing, and all bilateral things as one thing.

Question 27

Recognition of words for common items (like “book,” “doggie,” and “food”) usually begins ____________.

Answer 27

from age 7 months to 12 months

Question 28

In terms of growth, three-year-olds are said to be ___________.

Answer 28

the rule of threes: three-feet tall and thirty pounds

Question 29

Stooping and recovering is usually learned by __________.

Answer 29

15 months

Question 30

I can track past midline and hold my head at a 45ºangle when prone. How old am I?

Answer 30

2 months