Developmental Flashcards
How is screening performed in a PCP’s office?
- Gestalt assessment of how the child is doing
* ASQs to systematically assess child’s progress
Development generally proceeds from _____________.
head to toe; proximal to distal; and medial to lateral (so pinkies develop control before thumbs)
What’s the most common pattern of development of childhood mobility?
- 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
Review the development of fine motor.
- Raking: 5-6 months
- Radial-palmar grasp: 7 months
- Inferior pincer: 10 months
- Fine pincer: 12 months
Up and down scribbling is generally doable by ________________.
18 months
Understandability to strangers is usually given by ______________.
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)
Kids typically use words nonspecifically at __________ and specifically at ______________.
8 months; 10-11 months
At 18 months, children typically have about _________ words.
18
Between ___________, there is a huge increase in number of words.
18 months and 2 years
At what age do children typically move their eyes in the direction of noise?
4-6 months
Two-step commands are generally understood by children ___________.
two and older
Trace the development of play.
- 1: play alone
- 2: parallel play
- 3: group play
- 4: tells story
- 5: cards and board games
Object permanence begins at _____________.
6 months
Separation anxiety starts at _____________.
9-12 months (because they have object permanence and know that “mom is somewhere and can come back if I cry”)
Separation anxiety usually lessens by ____________.
18 months
What is joint attention?
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
Babies typically lose ____________ in the first couple days and then regain it by two weeks.
10% of their birthweight
Birth weight doubles by ___________ and triples by _____________.
6 months; 12 months
Head circumference at birth is typically ____________.
36 cm (think 360º)
Stooping and recovering is indicative of ____________.
15 months
In general, use __________ when interviewing parents about their child’s development.
open-ended questions
Things like… “Tell me about your child” or “What concerns do you have about your child’s development?”
In general, having ________ is worse than having delays in all areas.
one focal delay
What kinds of referral services are available for developmental delays?
- Child psychologists
- Developmental pediatricians
- Early intervention teams
List the ages at which kids can stack 2, 6, and 9 blocks.
- 2: 15 months
- 6: 24 months (“2 + 4 = 6”)
- 9: 36 months (“3 + 6 = 9”)
Also, the bridge is usually done by 36 months.
Give the usual ages at which kids can draw a vertical line, horizontal line, circle, plus sign, square, triangle, and diamond.
- Vertical line: 2
- Horizontal line: 2.5
- Circle: 3 (“36 months = 360ºin a circle”)
- Cross/plus sign: 4
- Square: 5
- Triangle: 6
- Diamond: 7
What is the person-drawing rule?
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.
Recognition of words for common items (like “book,” “doggie,” and “food”) usually begins ____________.
from age 7 months to 12 months
In terms of growth, three-year-olds are said to be ___________.
the rule of threes: three-feet tall and thirty pounds
Stooping and recovering is usually learned by __________.
15 months
I can track past midline and hold my head at a 45ºangle when prone. How old am I?
2 months