Developmental Delays Flashcards
Is developmental growth in children pulsatile?
Are milestones definitive?
Yes, children develop at their own pace
No, they give a general idea of what to expect
What are some positive influencing factors for development?
- Warm and secure relationships
- Enriching learning opportunities
- Proper nutrition
- Exercise
- Rest
What are some negative influencing factors of development?
- Poverty
- Unstable housing
- Parental stress
- Household dysfunction
- Maltreatment
- Abuse
- Neglect
- Exposure to substances (ETOH, drugs)
- Violence
- Trauma
How is developmental delay defined?
What areas can delays occur?
Refers to a child who has not gained the development skills expected of them, compared to others of the same age
Motor, Speech, Language, Cognitive, Play and Social Skill delays
Why do we screen for developmental delay?
Does it diagnose developmental delay?
- Allows for earlier detection
- Determines whether further assessment (diagnostic evaluations) are needed
No, it only identifies the risk and need for further assessment
What is included in the Individuals with Disabilities Education Act (IDEA)?
- Mandates early identification of and intervention for developmental disabilities
- Screening emphasis was shifted to identifying disabilities at a younger age
- Requires providers to refer children with suspected delays in a timely manner to approrpriate early intervention system
Who is the best person/s to note changes in the child’s physical and behavioral development?
Parents
What is the AAP’s recommendation for the frequency of developmental surveillance?
When does developmental screening occur?
Developmental surveillance should be at every visit
Developmental screening at 9, 18, 24, and 30 months
What are some of the developmental screening scales available?
* Denver Developmental (inaccurate and being phased out)
* ASQ-3 (Ages and Stages Questionnaire)
* M-CHAT (18 and 24 months)
* Temperament and Atypical Behavior Scale
* Child Behavioral checklist
What are some risk factors for developmental delay?
- Genetic
- Familial
- Prematurity
- Prenatal conditions
- Environmental/toxins
- Child abuse/neglect
- Maternal and parental stress
- Chronic diseases
What are langaugage absolute indications for immediate evaluation?
- No babbling, pointing or gesturing by 12 months
- No single words by 16 months
- No two-word spontaneous phrases by 24 months
- Any regression in language or social skills at any age
What is a potential developmental disorder associated with febrile seizures?
Autism
Symptoms of autism typically present by what age?
Is ASD more common in boys or girls?
Age 3
Boys
Are there genetic and familial links to ASD?
Are there biologic markers for ASD identification?
Yes
No
