Developmental Delay

Question 1

Developmental Surveillance

Answer 1

• every health supervision visit
• compare child’s development to expected milestones
• 6 components:
  1. Elicit parent’s concerns
  2. Obtain developmental history
  3. Observe child
  4. Identify risks, strengths, and protective factors
  5. Maintain a record
  6. Share records and findings

Question 2

Developmental Screening

Answer 2

• supplements surveillance to identify subtle risks for developmental delays
• valid, standardized screening tools
• AAP recommended intervals and when concerns arise

Question 3

Domains of Development

Answer 3

• gross motor
• fine motor
• cognitive, linguistic, and communication skills
• social and emotional skills

Question 4

Red Flags by 3 Months

Answer 4

• social-emotional: No social smile, no eye contact, flat affect
• cognitive and speech: no turn to voice, no coos or squeals, no visual tracking
• gross motor: asymmetric movements, hyper/hypotonia, doesn’t raise head when prone
• fine motor: fists, no hand to mouth, feeds more than 45 min, hourly feeds
• less than 1lb per month, HC not increasing or decreasing >2 SD, suck-swallow problems, difficulties with sleep wake cycles

Question 5

Red Flags by 6 Months