Intro and development

Question 1

Give timeframes for Neonate, Infant, Toddler, Preschool, School age and Teenager

Answer 1

Neonate <4 weeks
Infant <12 months or 1 year
Toddler ~1-2 years 
Pre school ~2-5 years
School age
Teenager/adolescent - starts at variable point can be as young a 10 that the brain changes occur

Question 2

What are the key developmental fields?

Answer 2

Gross motor- walking ect
Fine motor- movements of hands e.g. grabbing pen
Social and self help
Speech and Language
Hearing and Vision

Question 3

What gross motor action should a 6m old be able to do?

Answer 3

Roll over from back on to front

Question 4

What fine motor action should a 6m old be able to do?

Answer 4

Transfers toy from one hand to other.

Uses two hands to pick up large object

Question 5

What language action should a 6m old be able to do?

Answer 5

Babbles
Responds to name by turning and looking
2 syllable babbles e.g. ma-ma

Question 6

What Social action should a 6m old be able to do?

Answer 6

Reaches for familiar people

Pushes things away they dont want

Question 7

What Self help action should a 6m old be able to do?

Answer 7

Feed slef biscuits or similar food

Question 8

What gross motor action should a 12 month old be able to do?

Answer 8

Stands without support

(if not walking by 18 months without help then refer)

runs with some falls

Question 9

What fine motor action should a 12 month old be able to do?

Answer 9

Stacks 2 or more blocks

Picks up 2 small toys in 1 hand

Question 10

What Language action should a 12 month old be able to do?

Answer 10

Has 1-2 words with meaning

Uses Mama or Dada (or similar) for parents specifically

Question 11

What Social action should a 12 month old be able to do?

Answer 11

Gives kisses or hugs

Shows shared attention to or pointing to things of interest

Question 12

What Self help action should a 12 month old be able to do?

Answer 12

Lifts cup to mouth and drinks

Insists on doing things by self such as feeding

Feeds self with spoon

Question 13

What gross motor action should a 2 year old (24 months) be able to do?

Answer 13

Climbs on play equipment (e.g. ladders and slides)

Question 14

What fine motor action should a 2 year old (24 months) be able to do?

Answer 14

Scribbles with circular motion

Question 15

What Language action should a 2 year old (24 months) be able to do?

Answer 15

Has vocab of ~ 30-50 words

Question 16

What Social action should a 2 year old (24 months) be able to do?

Answer 16

“Helps” with simple household tasks

Question 17

What Self help action should a 2 year old (24 months) be able to do?

Answer 17

Opens door by turning knob

Question 18

What gross motor action should a 3 year old (36 months) be able to do?

Answer 18

Rides on tricycle using pedals

Question 19

What fine motor action should a 3 year old (36 months) be able to do?

Answer 19

Draws or copies a complete circle

Question 20

What Language action should a 3 year old (36 months) be able to do?

Answer 20

Asks questions beginning with Why, When, How?

Identifies >4 colours by name correctly

Question 21

What Social action should a 3 year old (36 months) be able to do?

Answer 21

Gives directions to other children

Question 22

What Self help action should a 3 year old (36 months) be able to do?

Answer 22

Toilet trained (but may need help wiping ect)

Question 23

What are red flags signs meaning referral is needed?

Answer 23

LOSS OF DEVELOPMENT SKILLS- urgent referral
Parental/professional concern e.g. about vision
Hearing loss
Persistent low muscle tone/floppiness
No speech by 18 months esp if no other communication (need hearing test)
Asymmetry of movements/increased muscle tone
Not walking by 18 months/peristent toe walking
OFC (head circumference) >99.6th or <0.4 centiles or has crossed 2 centiles or disproportionate to parental
Clinician uncertainity

Question 24

When do you need to refer if a child is not smiliing?

Answer 24

9 weeks

Question 25

When do you need to refer if a child is not sitting?

Answer 25

9 months (without support)

Question 26

When should you refer if a child is not walking by?

Answer 26

18 months

Question 27

When are all babies reviewed?

Answer 27

1 week - feeding, hearing, blood spot 2 weeks- check feeding, maternal health, jaundice, SIDS 6-8 weeks by the GP and Health visitor ``` things reviewed: parental concerns feeding development measurements sleeping position examination of heart, hips, genitalia, femoral pulses and eye ``` Also reviewed by Health visitor at 27-30 weeks old

Question 28

When is the vaccine covering 6 major conditions given and what are they?

Answer 28

Diptheria, Tetanus, Pertussis, Polio, Haemophilius influenzae type b, Hepatitis B 2 months 3 months 4 months

Question 29

When is the MMR vaccine given?

Answer 29

Measles, Mumps and Rubella vaccine 12months/ 1 year 3 years and 4 months (40 months)