Developmental Milestones & Concerns Flashcards
Joey can run, and undress himself. Mom says that he has more words than she can count and he can put together two-word phrases. How old is Joey?
Joey’s milestones indicate age 2.
Ross can go up and down stairs and loves to pull toys around the kitchen table. He mimics his sister. How old is Ross?
Ross’s milestones indicate 18 months of age.
Monica can roll from back to front and front to back and sits with support. She will pass blocks from one hand to the other and babbles. How old is Monica?
Monica is 6 months.
Chandler is crawling and has developed the rake grasp. He turns to his name. How old is Chandler?
Chandler is 6 months.
Rachel raises her head when prone and bats at her toys. She smiles at mom and has just started to babble. How old is Rachel?
Rachel is 3 months.
Janice babbles non stop, making bilabial sounds and turns to her name. How old is Janice?
Janice is 6 months.
Gunther mimics his dad’s sounds and gestures. He tests his mom’s reactions at dinner and has said his first words. How old is Gunther?
Gunther is 12 months.
Jane is a 4 month old who is well fed and healthy. However, mom and dad are struggling to get rest as she has been crying up to 4 hours during the day, every other day of the week over the last month. What is your plan of action?
This baby fits within the definition of colic. Colic is paroxysms of uncontrollable crying or fussing in otherwise healthy, well-fed infants aged <5 months. The duration of crying is >3 hours/day, >3 days /week for at least 3 weeks. It occurs equally in M and F. A strong history and PE should be completed. Colic is a clinical diagnosis and formal investigations are not usually necessary. It is important to provide support to parents during this time.
What is the recommendation for technology use for less than 2 years of age, 2-4 years, and greater than 4 years of age?
<2 years = discourage use of screen-based activities
2-4 years = <1 hr/day
>4 years = <2hr/day
Development in which of the following domains has the best predictive value of future intellectual potential?
a) Gross motor
b) Visuomotor
c) Language
d) Adaptive
e) Social
c) Language. IQ depends on language and non-verbal skills. Therefore, you need language to reach full intellectual potential.
Maria is a 15 month old child who is seen in your clinic for her well child appointment. Mom is concerned that she only has 5-10 words and is not putting words together. She points to body parts by name and follows one step commands without gestures. What is the most appropriate next step?
A. Comprehensive developmental assessment
B. Reassurance
C. Referral to audiology
D. Referral to speech-language pathologist
B. Reassurance . This is an appropriate number of words for her age and she is not expected to put words together until age 2.
Which of the following patients should receive further evaluation to rule out an abnormality that may be affecting his or her development?
A. A 2 month old boy with a head lag
B. A 1 month old boy who generally keeps his hands fisted
C. A 1 month old boy who rolls back to front
D. A 15 month old boy who has non-sensical words
E. A 3 year old boy who cannot copy a triangle
D. A 15 month old boy who has non-sensical words. A child at this age with no words is a red flag and if he has no clear words this is also a red flag.
A 22 month old boy is admitted to hospital for R arm cellulitis. He sat unsupported at 10 months, and began crawling at 12 months. He can pull to stand and will cruise on furniture but does not walk independently. He drinks from a bottle but does not finger feed himself. he says "mama", "baba", "milk", "juice" and "more". He is a happy child at home. He is responding to his name and will point to objects, can say bye-bye and high 5. The best description for the patter of this boy's development is" A. Typical development B. Isolated delay in speech and language C. Isolated delay in motor development D. Global developmental delay
D. Global developmental delay (2+ domains affected)
A guideline for referral of a 2 year old child for language evaluation is:
A. Less than 25 words
B. Speak intelligible to strangers only 75% of the time
C. No use of plurals
D. No use of pronouns
E. 3 words sentence
A. Less than 25 words. The child should be able to say at least 50 words at this age.
What is diagnosis suggested by the following red flags? No pointing, babbling by 1 year No 2 word phrases by 2 years No pretend playing Little interest in making friends Extremely short attention span Little or no eye contact Fixations on single objects Oversensitivity to certain sounds, textures or smells
Autism
