Paediatric Development and Delay Flashcards

1
Q

What are the 4 domains of paediatric development?

How is development measured and when should abnormalities be investigated?

A
  • Gross motor
  • Fine motor
  • Speech, language and hearing
  • Social, emotional and behavioural

Each domain is measured against the average for the child’s age group. Should be investigated when outside of 2 standard deviations of the mean.

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2
Q

What are some possible causes of delay in gross motor development?

A
  • Cerebral palsy
    • Most common motor disorder in childhood
    • Non-progressive lesion in a developing brain
    • Pre-natal/peri-natal/post-natal
  • Abnormal motor control and tone
  • Vision, hearing, fine and gross motor, cognitive
  • Brain malformations and genetic conditions
  • Muscle diseases
  • Foetal alcohol syndrome
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3
Q

Gross motor development: 3 month old

A

Raise head and chest when prone

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4
Q

What are the 3 areas of fine motor development and vision?

A
  • Hand eye coordination
  • Hand hand coordination
  • Pencil skills
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5
Q

Gross motor development: 6 month old

A
  • Roll
  • Sit with support
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6
Q

Gross motor development: 9 month old

A
  • Sit unsupported
  • Pivot around
  • Crawl
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7
Q

Gross motor development: 12 month old

A
  • Cruise
  • Pull to stand, may be able to stand unsupported
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8
Q

Gross motor development: 15 month old

A

Walk independently

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9
Q

Gross motor development: 18 month old

A
  • Walk with toys
  • Bend to pick up objects
  • Run
  • Walk up and down stairs with help
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10
Q

Gross motor development: 2 year old

A
  • Jump
  • Climb
  • Walk upstairs with both feet on each step
  • Kick a ball
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11
Q

Gross motor development: 3 year old

A
  • Tricycle
  • Walk upstairs with one foot on each step
  • Catch a large ball
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12
Q

Gross motor development: 4 year old

A
  • Walk up and down stairs confidently
  • Stand on 1 leg
  • Hop
  • Skip
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13
Q

Fine motor and vision: 6 week old

A

Fix and follow through 90 degrees

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14
Q

Fine motor and vision: 3 month old

A

Fix and follow through 180 degrees

Bring hands to the midline

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15
Q

Fine motor and vision: 6 month old

A

Palmar grasp and transfer objects between hands

Mouths objects

6/6 vision

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16
Q

Fine motor and vision: 9 month old

A

Object permanence

Bangs objects

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17
Q

Fine motor and vision: 12 month old

A

Pincer grip

Casting

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18
Q

Fine motor and vision: 18 month old

A

3 cube tower

Circular scribble

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19
Q

Fine motor and vision: 2 year old

A

Copies a vertical line

6 cube tower

Turn pages of a book

20
Q

Fine motor and vision: 3 year old

A

Copy a circle

Build a bridge

Build a 9 cube tower

Name body parts

21
Q

Fine motor and vision: 4 year old

A

Copy a cross and a square

Build 3 steps

22
Q

What are the 3 domains of speech, language and hearing development?

A
  • Receptive language
  • Expressive language
  • Speech articulation
23
Q

Speech, language and hearing development: 6 weeks

A

Startles to sudden noises

24
Q

Speech, language and hearing development: 3 months

A

Vocalises

Laughs with play

Quietens to interesting sounds

25
Speech, language and hearing development: 6 months
Mono syllable babble Turns head to sound
26
Speech, language and hearing development: 9 months
Double syllable babble Shouts to gain attention Understands no, bye-bye, recognises own name
27
Speech, language and hearing development: 12 months
Few words with meaning Responds to simple commands, e.g. 'give it to me'
28
Speech, language and hearing development: 18 months
Up to 20-50 words Understands common words and names Follows 1 step commands
29
Speech, language and hearing development: 2 years
Puts 2 words together Follows 2 step commands
30
Speech, language and hearing development: 3 years
3-4 word sentences Starts to tell stories and ask questions Follows commands with 2 instructions
31
Speech, language and hearing development: 4 years
Counts to 10 Identifies colours Follows commands with 3 instructions
32
What are the domains of social, behavioural and emotional development?
* Social interaction: Interactive play, turn taking * Social communication: Eye contact, emotional reciprocation * Behaviour: Wide or restricted, impulsive or controlled * Sleep * Self-care: Feeding, dressing, toileting * Play skills: Functional, imagination, creativity
33
Social development: 6 week old
Smiles responsively
34
Social development: 3 month old
Responds to friendly handling, social smiling
35
Social development: 6 month old
Mouths objects Puts hands up to bottle when feeding
36
Social development: 9 months
Finger feeding Plays peek a boo Stranger anxiety
37
Social development: 12 month old
Clapping
38
Social development: 18 months
Indicates what they want: pointing, pulling, asking Explores surroundings Plays alone Takes shoes and socks off
39
Social development: 2 year old
Plays with others, does not share Eats with spoon Simple roll play
40
Social development: 3 year old
Shares toys Eats with fork and spoon Dressing, toilet training
41
Social development: 4 year old
Imaginative play
42
What are the red flags of child development?
* Strong parental concern * Family history: * Sudden unexplained infant death * Inherited Condition * Developmental Regression * Asymmetry L-R – tone, power, movement * Child protection concerns
43
What are possible causes of delay in fine motor and vision development?
* Familial * Hearing Impairment * Social and Emotional deprivation * Neuro-disability – Autistic Spectrum Disorder Language and social domain difficulties * Speech delay * Social communication difficulties * Non verbal communication, emotional reciprocity * Social interaction difficulties * Repetitive Behaviours, restrictive behaviours * Impaired imaginative play * Over or under reactivity to sensations e.g noises, textures
44
What are possible causes of delay in social, emotional and behavioural development?
* Neuro-Metabolic Condition * Abuse * Social and Emotional Deprivation * Intracranial Pathology * SOL
45
What are the possible causes of global developmental delay?
* Genetic * Chromosomal Disorder * Neuro-Metabolic Syndrome * Congenital Brain Anomalies * Prenatal Insult * Teratogens * Congenital Infection * Perinatal Insult * Complication of Extreme Prematurity * Birth Asphyxia * Metabolic Disorder * Postnatal Event * Brain Injury * CNS Infection * Metabolic Disorder * Down Syndrome
46
Describe the features of down syndrome
* Chromosomal disorder = developmental delay * 1/1000 births * Intellectual disability * Feeding difficulties * Conductive hearing impairment * Hypotonia * Vision problems – cataracts * 10% live to 70 * Upward slanting eyes * Epicanthic folds * Wide space between eyes