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Year 5 > Paediatric development milestones > Flashcards

Paediatric development milestones Flashcards

1
Q

When should you urgently refer a child?

A

They don’t smile at 10 weeks

Can’t sit unsupported at 12 months

Cannot walk at 18 months

Hand preference before 12 months

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2
Q

what fine motor problem needs urgent referral?

A

Hand preference before 12 months is abnormal and may indicate cerebral palsy

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3
Q

What are the common differential for a gross motor issue?

A

Variant of normal

Cerebral palsy

Neuromuscular disorder e.g. Duchenne’s

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4
Q

What should be checked if there is a speech and language issue?

A

hearing

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5
Q

causes of speech and language problems

A

Hearing

Environmental Deprivation

General developmental delay

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6
Q

Risk factors for cerebral palsy

A

HIE
preterm, low birth weight

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7
Q

what delayed motor milestones make cerebral palsy likely?

A

Not sitting by 8 months (corrected for gestational age)

Not walking by 18 months (corrected for gestational age)

Early asymmetry of hand function (hand preference) before 1 year (corrected for gestational age)

Persistent toe-walking

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8
Q

When do most children become toilet trained?

A

at or after 3 years

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9
Q

When should children be able to stand on one leg?

A

3 years

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10
Q

When should children be able to hop?

A

4 years

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11
Q

what is the limit for walking?

A

18 months

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12
Q

Quietens to parents voice
Turns towards sound
Squeals

A

3 months

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13
Q

Double syllables ‘adah’, ‘erleh’

A

6 months

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14
Q

Says ‘mama’ and ‘dada’
Understands ‘no’

A

9 months

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15
Q

Knows and responds to own name

A

12 months

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16
Q

Knows about 2-6 words (Refer at 18 months)
Understands simple commands - ‘give it to mummy’

A

12-15 months

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17
Q

Combine two words
Points to parts of the body

A

2 years

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18
Q

Vocabulary of 200 words

A

2½ years

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19
Q

Talks in short sentences (e.g. 3-5 words)
Asks ‘what’ and ‘who’ questions
Identifies colours
Counts to 10 (little appreciation of numbers though)

A

3 years

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20
Q

Asks ‘why’, ‘when’ and ‘how’ questions

A

4 years

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21
Q

by what age should they respond to their own name

A

1 year

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22
Q

motor milestones at 3 months

A

Little or no head lag on being pulled to sit
Lying on abdomen, good head control
Held sitting, lumbar curve

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23
Q

motor milestones at 6 months

A

Lying on abdomen, arms extended
Lying on back, lifts and grasps feet
Pulls self to sitting
Held sitting, back straight
Rolls front to back

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24
Q

motor milestones at 7-8 months

A

Sits without support (Refer at 12 months)

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25
Q

motor milestones at 9 months

A

Pulls to standing
Crawls

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26
Q

motor milestones at 12 months

A

Cruises
Walks with one hand held

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27
Q

motor milestones at 13-15 months

A

Walks unsupported (Refer at 18 months)

28
Q

motor milestones at 18 months

A

Squats to pick up a toy

29
Q

motor milestones at 2 years

A

Runs
Walks upstairs and downstairs holding on to rail

30
Q

motor milestones at 3 years

A

Rides a tricycle using pedals
Walks up stairs without holding on to rail

31
Q

motor milestones at 4 years

A

Hops on one leg

32
Q

fine motor and vision milestones at 3 months

A

Reaches for object
Holds rattle briefly if given to hand
Visually alert, particularly human faces
Fixes and follows to 180 degrees

33
Q

fine motor and vision milestones at 6 months

A

Holds in palmar grasp
Pass objects from one hand to another
Visually insatiable, looking around in every direction

34
Q

fine motor and vision milestones at 9 months

A

Points with finger
Early pincer

35
Q

fine motor and vision milestones at 12 months

A

Good pincer grip
Bangs toys together

36
Q

number of bricks at 15 months

A

tower of 2

37
Q

number of bricks at 18 months

A

tower of 3

38
Q

number of bricks at 2 years

A

tower of 6

39
Q

number of bricks at 3 years

A

tower of 9

40
Q

drawing at 18 months

A

circular scribble

41
Q

drawing at 2 years

A

copies vertical line

42
Q

drawing at 3 years

A

copies circle

43
Q

drawing at 4 years

A

copies cross

44
Q

drawing at 5 years

A

copies square and triangle

45
Q

book at 15 months

A

looks at book, pats page

46
Q

book at 18 months

A

turns pages, several at a time

47
Q

book at 2 years

A

turns pages, one at a time

48
Q

social behaviour and play at 6 weeks

A

smiles

49
Q

social behaviour and play at 3 months

A

laughs
enjoys friendly handling

50
Q

social behaviour and play at 6 months

A

not shy

51
Q

social behaviour and play at 9 months

A

shy
takes everything to mouth

52
Q

feeding at 6 months

A

May put hand on bottle when being fed

53
Q

feeding at 12-15 months

A

Drinks from cup + uses spoon, develops over 3 month period

54
Q

feeding at 2 years

A

Competent with spoon, doesn’t spill with cup

55
Q

feeding at 3 years

A

Uses spoon and fork

56
Q

feeding at 5 years

A

Uses knife and fork

57
Q

dressing at 12-15 months

A

Helps getting dressed/undressed

58
Q

dressing at 18 months

A

Takes off shoes, hat but unable to replace

59
Q

dressing at 2 years

A

Puts on hat and shoes

60
Q

dressing at 4 years

A

Can dress and undress independently except for laces and buttons

61
Q

play at 9 months

A

Plays ‘peek-a-boo’

62
Q

play at 12 months

A

Waves ‘bye-bye’
Plays ‘pat-a-cake’

63
Q

play at 18 months

A

Plays contentedly alone

64
Q

play at 2 years

A

Plays near others, not with them

65
Q

play at 4 years

A

Plays with other children

Year 5 (13 decks)

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