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Developmental Milestones + Vaccines Flashcards

1
Q

At what age does a child typically understand age/gender?

A

3 years old

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2
Q

At what age does an infant typically develop separation anxiety?

A

12 months

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3
Q

At what age does an infant typically develop stranger anxiety?

A

6 months

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4
Q

What fine motor developmental milestone(s) are expected in a 4 months old? (3)

A

shakes/plays with rattle

Clutches clothes

hands mostly open

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5
Q

What fine motor developmental milestone(s) are expected in a 12 month old? (2)

A

fine pincer grasp (2 finger)

2 cube tower

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6
Q

What fine motor developmental milestone(s) are expected in a 4 year old? (3)

A

copies square/cross

imitate gate with blocks

ties knot

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7
Q

What fine motor developmental milestone(s) are expected in a 2 year old? (3)

A

builds a tower with 6 cubes

imitate circle (not draw)

copies horizontal line

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8
Q

What fine motor developmental milestone(s) are expected in a 3 year old? (3)

A

copies a circle

uses utensils

imitate bridge with blocks

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9
Q

What fine motor developmental milestone(s) are expected in a 5 year old? (4)

A

copies triangle

ties shoes

builds stairs

uses scissors

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10
Q

What fine motor developmental milestone(s) are expected in a 6 month old? (2)

A

transfer objects from hand to hand

raking grip

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11
Q

What fine motor developmental milestone(s) are expected in a 9 month old? (3)

A

inferior pincer grasp (3-fingers)

bangs blocks together

holds bottle or cup

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12
Q

What fine motor developmental milestone(s) are expected in an 18 month old? (3)

A

builds a tower with 4 cubes

imitates vertical line

removes clothing

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13
Q

What fine motor developmental milestone(s) are expected in an 2 month old? (3)

A

hands unfisted 50% of time

holds rattle when put in hand or hand together

tracks objects past midline

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14
Q

What gross motor developmental milestone(s) are expected in a 12 month old? (3)

A

stands well

walks first steps independently

throws ball

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15
Q

What gross motor developmental milestone(s) are expected in a 2 month old?

A

Lift head and chest in prone position

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16
Q

What gross motor developmental milestone(s) are expected in a 2 year old? (3)

A

begin walking down** **stairs with both feet on same step (WITH rail)

kicks ball

throws overhand

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17
Q

What gross motor developmental milestone(s) are expected in a 3 year old? (4)

A

rides tricycle

walks up** **stairs with alternating feet (NO rail)

walks heel-to-toe

balance on 1 foot for 3 seconds

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18
Q

What gross motor developmental milestone(s) are expected in a 4 year old? (4)

A

balance & hop on 1 foot (4-8 seconds)

standing broad jump

gallops

throws ball overhand (10 feet)

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19
Q

What gross motor developmental milestone(s) are expected in a 5 year old? (4)

A

Skips

catches ball with 2 hands

Walks down stairs alternating feet (with rail)

running jump + jumps backwards

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20
Q

What gross motor developmental milestone(s) are expected in a 4 month old? (2)

A

begins rolling front to back

sits with trunk support

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21
Q

What gross motor developmental milestone(s) are expected in a 6 month old? (3)

A

sits without support

prone pivots

weight on 1 hand in prone

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22
Q

What gross motor developmental milestone(s) are expected in a 9 month old? (2)

A

crawling** or **creeping (cruises)

pulls to “stand” on feet and hands (all 4 limbs straight)

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23
Q

What gross motor developmental milestone(s) are expected in an 18 month old? (4)

A

runs well

creeps down stairs

seats self in small chairs

throws ball while standing

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24
Q

What language developmental milestone(s) are expected in a 12 month old? (4)

A

says first words aside from “mama” and “dada”

recognizes 2 objects when named

points to get object

follow 1-step commands

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25
What _language developmental_ milestone(s) are expected in a _2 month old_? (3)
**_coos_** alert to voice/stimuli social smile
26
What _language developmental_ milestone(s) are expected in a _2 year old_? (4)
2-word phrases follow **_2-step commands_** _2/4 words understandable_ (\> 50 word vocab) telegraphic speech
27
What _language developmental_ milestone(s) are expected in a _3 year old_? (3)
**_names body parts_** (on animals too) + function 3-word sentences (200+ vocab) _¾ words understandable_
28
What _language developmental_ milestone(s) are expected in a _4 month old_? (2)
laughs orients head to direction of voice
29
What _language developmental_ milestone(s) are expected in a _6 month old_? (4)
**_babbles (monosyllables, reduplicative)_** listens and babbles when adults stop talking momentary pause to “no” smiles at mirror
30
What _language developmental_ milestone(s) are expected in a _9 month old_? (3)
**_babbles (disyllables - "dada", "mama")_** imitates sounds orients to name
31
What _language developmental_ milestone(s) are expected in an _18 month old_? (5)
10 - 25 word vocabulary **_imitate environmental sounds (ie. animals)_** points to 3 body parts points to familiar people when named **_understands “mine”_**
32
What _language developmental_ milestone(s) are expected in a _4 year old_? (4)
**_4/4 understandable_** (300-1000 vocab) → tells stories uses “feeling” words knows same/**_opposites_** identifies **_colors_** follows **_3-step commands_**
33
What _language developmental_ milestone(s) are expected in a _5 year old_? (4)
**_counts to 10_** 6-8 word sentences + rhymes (\>2,000 vocab) responds **_“why”_** knows right and left
34
What _social developmental_ milestone(s) are expected in a _2 month old_? (2)
**_reciprocal smile_** responds to parents voice (smile)
35
What _social developmental_ milestone(s) are expected in a _2 year old_? (2)
**_parallel play_** - kids play next to each other, not with each other (their actions don't affect each other) starts _masking emotions_ for social etiquette
36
What _social developmental_ milestone(s) are expected in a _4 month old_? (3)
**_Smiles spontaneously_** stops crying when hears parents enjoys looking around
37
What _social developmental_ milestone(s) are expected in a _3 year old_? (3)
**_imaginative play_** (fears imaginative things) knows age/gender **_shares_** without prompting
38
What _social developmental_ milestone(s) are expected in a _4 year old_? (4)
**_cooperative (group) play_** - kids play together with a common goal deception labels their own emotions (happy, sad, mad) has **_preferred friend_**
39
What _social developmental_ milestone(s) are expected in a _6 month old_?
**_stranger_** anxiety
40
What _social developmental_ milestone(s) are expected in a _9 month old_? (4)
**_separation_** anxiety **_recognizes familiar faces_** uses sound to get attention “cat-a-cake”
41
What _social developmental_ milestone(s) are expected in a _5 year old_? (3)
has **_groups of friends_** (verbally congratulates others) **_apologizes_** completes toilet training
42
What _social developmental_ milestone(s) are expected in a _18 month old_? (4)
**_pretend play_** shows shame (when doing something wrong) **_understand “mine”_** Passes **M-CHAT** - Modified Checklist for Autism in Toddlers (20 Qs about child behavior)
43
What _social developmental_ milestone(s) are expected in a _12 month old_? (2)
**_points at objects they want_** shows objects to parents to share interest
44
What is the minimum age for the _influenza vaccine_?
6 months
45
When are the _first three doses_ of the _DTaP_ vaccine typically administered? Only give at what ages?
2 months, 4 months, 6 months \<7y/o
46
When is the _fourth dose_ of the _DTaP_ typically administered? When is the _fifth dose_ of the _DTaP_ typically administered?
_fourth dose_ → 15 months **(must be 6 months from 3rd dose)** _fifth dose_ → 4-6 yr
47
When are the _first three doses_ of the _inactivated poliovirus vaccine (IPV)_ typically administered? Only give at what ages?
2 months, 4 months, 6 months \<18y/o
48
When are the _fourth doses_ of the _inactivated poliovirus vaccine (IPV)_ typically administered? Only give at what ages?
_fourth doses_ → 4-6 yr \<18y/o
49
When are the _first three doses_ of the _pneumococcal conjugate vaccine (PCV13 or “Prevnar”)_ typically administered?
2 months, 4 months, 6 months
50
When is the _fourth dose_ of the _pneumococcal conjugate vaccine (PCV13 or “Prevnar”)_ typically administered?
_fourth doses_ → 15 months (12 - 18 mo)
51
When is the _first dose_ of the _hepatitis A vaccine_ typically administered?
12 months
52
When is the _second dose_ of the _hepatitis A vaccine_ typically administered?
18 months ## Footnote **(must be 6 months from 1st dose)**
53
When is the _first Tdap vaccine_ typically administered? Only give at what ages?
11 years of age \>7y/o
54
When is the _Haemophilus influenzae type b vaccine_ typically administered (three doses and four doses vaccines)?
_three dose_ → 2 months, 4 months, and 15 - 18 months _four dose_ → 2 months, 4 months, _6 months_, and 15 - 18 months (if the child is given a 3rd dose at 6 months, a 4th dose is still needed between 12 - 15 months of age)
55
When is the _hepatitis B vaccine_ typically administered (three doses)?
birth, 2 months, and 6 months
56
When is the _meningococcal vaccine_ typically administered (two doses)?
11 years, and 16 years of age
57
When is the _MMR vaccine_ typically administered (two doses)?
1 year, and 4-6 years of age
58
When is the _rotavirus vaccine_ typically administered (three doses)? Difference between _Rotarix_ and _Rotateq_?
2 months, 4 months, and 6 months **_Rotarix_ - 2 dose**, 1st dose at 6wk (or later) → 2nd dose no later than 24wk **_Rotateq_ - 3 dose**, 1st dose before 15wk → 3rd dose no later than 32wk
59
When is the _Varicella vaccine_ typically administered (two doses)?
1 year, and 4 years of age
60
What does _DTap_ stand for? Age given?
tetanus **_toxoid**_, reduced diphtheria _**toxoid_**, acellular pertussis **_\< 7 years old_** → FIVE DOSE - _2/4/6mo_ + _15mo_ + _4-6y_r DTaP = _full dose_ of D, T, and P **_Both vaccines**_ contain _**inactivated_** forms of the toxin produced by the bacteria that cause the three diseases. Inactivated means the substance no longer produces disease, but does trigger the body to create antibodies that give it immunity against the toxins. DTaP is approved for children under age 7. Tdap, which has a reduced dose of the diphtheria and pertussis vaccines, is approved for adolescents starting at age 11 and adults ages 19 to 64. It is often called a booster dose because it boosts the immunity that wanes from vaccines given at ages 4 to 6.
61
What does _Tdap_ stand for? Age given?
tetanus **_toxoid**_, reduced diphtheria _**toxoid_**, acellular pertussis **_\> 7 years old_** → generally at _11 years old_ and EVERY 10 YEARS Tdap = _full dose_ of **T only** **_Both vaccines**_ contain _**inactivated_** forms of the toxin produced by the bacteria that cause the three diseases. Inactivated means the substance no longer produces disease, but does trigger the body to create antibodies that give it immunity against the toxins. DTaP is approved for children under age 7. Tdap, which has a reduced dose of the diphtheria and pertussis vaccines, is approved for adolescents starting at age 11 and adults ages 19 to 64. It is often called a booster dose because it boosts the immunity that wanes from vaccines given at ages 4 to 6.
62
When is 2 dose HPV vaccine given?
**_11 y/o_** typically (9y/o - 14y/o) TWO DOSE - _0mo → 6-12mo_
63
When is 3 dose HPV vaccine given? Who else gets 3 doses?
**_15y/o - 45y/o**_ + _**immunocompromised_** pts THREE DOSE - _0mo → 1-2mo → 6-12mo_
64
_Tetanus and diphtheria_ are [] vaccine type.
Tetanus and diphtheria are **_toxoids_.**
65
S. Pneumoniae is [] vaccine type.
S. Pneumoniae is **_conjugated_.**
66
MMR and VZV are [] vaccine type.
MMR and VZV are **_live attenuated_.**
67
All _live virus vaccines_ must be given a _minimum of how many days apart_? What must be done before or 6 weeks after live vaccines given?
4 wks TB skin test before or 6 weeks after live vaccines

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