Developmental Delay

Question 1

What are the red flags for development in a child?

Answer 1

Asymmetry of movement
Not reaching for objects by 6 months
Unable to sit unsupported by 12 months
Unable to walk by 18 months (check CK)
No speech by 18 months
Concerns re vision/hearing
Loss of skills

Question 2

What should be checked if a child is unable to walk by 18 months?

Answer 2

CK

Question 3

What should be screened for in a child with Down’s syndrome?

Answer 3

Cardiac
Vision
Hearing
Thyroid function 
Sleep related breathing disorders
Growth charts
Development

Question 4

What specific developmental delays would the following conditions cause:
Duchenne muscular dystrophy
Cerebral palsy
Co-ordination disorders?

Answer 4

Motor delays

Question 5

What is that manoeuvre called where the child stands up by walking their hands up the floor and up their legs?

Answer 5

Gower’s manoeuvre

Question 6

What condition is related to Gower’s manoeuvre?

Answer 6

Duchenne muscular dystrophy

Question 7

What is the name for cerebral palsy that only affects one side of the body?

Answer 7

Hemiplegic

Question 8

What is the appearance of a child with hemiplegic cerebral palsy?

Answer 8

On affected side:

• Arm bent; hand spastic/floppy/of little use
• Walks on tiptoe on affected side

Question 9

What is the name for cerebral palsy that only affects both legs?

Answer 9

Paraplegic

Question 10

What is the name for cerebral palsy that affects both legs and slight involvement elsewhere?

Answer 10

Diplegic

Question 11

What is the name for cerebral palsy that affects both arms and both legs?

Answer 11

Quadriplegic

Question 12

What do children develop in their feet when they have cerebral palsy?

Answer 12

Contractures of ankles/feet

Question 13

What makes up the autistic triad?

Answer 13

Communcation
Social interaction
Flexibility of thought/imagination

Question 14

At what age can a foetus hear?

Answer 14

18 weeks

Question 15

At what age can a foetus respond to sound/voice?

Answer 15

26 weeks

Question 16

At what age should a child:
Syllable deletion
Syllable simplification
Substitute (R is difficult, uses L or W instead)
Use single words to describe a situation?

Answer 16

12-24 months

Question 17

At what age can a child:
Use 3 word sentences
Aware of rhyme
Start with adjectives
Understand order?

Answer 17

24-36 months

Question 18

What is the checkpoint for delayed speech in a child?

Answer 18

6 months

Question 19

When should you refer a child to SALT and community paediatrics for a developmental assessment?

Answer 19

27 months