Paediatrics Flashcards
(45 cards)
1
Q
At 6 weeks of age, what Gross motor tasks should a normal child be able to do?
A
- primitive reflexes -> stepping, moro, grasping, sucking, rooting
- supine -> some head control on pull to sit
- Sitting -> needs full support including head
- Prone -> lifts head intermittently
2
Q
At 6 weeks of age, what fine motor skills should a normal child be able to do?
A
- hands usually open
- grasp reflex
- fixes and follows side to midline
3
Q
At 6 weeks of age, what hearing/speech should a normal child be able to do?
A
- responds to voice
- startles to loud noice
4
Q
At 6 weeks of age, what social/self help should a normal child be able to do?
A
- smiles responsibly
5
Q
What are red flags at 6 weeks?
A
- asymmetric moro reflex
- no response to loud noise
- not starting to smile
6
Q
4 years gross motor?
A
- descends stairs 1 foot per step
- hops on one foot
- can run to kick a ball
7
Q
4 year old fine motor?
A
- copies a cross and a square
- can draw a face
8
Q
4 year old hearing/speech?
A
knows opposites
- understands cold, tired, hungry
- asks why, what questions
9
Q
4 year old social/ self help ?
A
- knows family name
- does up front buttons
10
Q
4 year old red flags?
A
- no imaginative play
- not toilet trained by day
11
Q
3 year old gross motor?
A
- climbs stairs 1 foot per step
- jumps on the spot
- pedals tricycle
- can stand on one leg for 5 s
12
Q
3 year old fine motor?
A
- mature pencil grip
- copies circle
- uses scissors
- has hand dominence
13
Q
3 year old hearing and speech?
A
- joining 3 words
- can count to 10
- knows 3 colours
14
Q
3 year old social/self help
A
- dresses except laces and buttons
- can undo buttons
- plays co-operatively
- usually toilet trained -> can still weight at night
- knows name and gender
15
Q
3 year old red flags
A
- not playing interactively with peers
- not making eye contact
- speech difficult for family to understand
- not using 2-3 word sentences
16
Q
2 year old gross motor?
A
- runs
- stands and kicks a ball
- can throw ball underhand
17
Q
2 year old fine motor
A
- turns single pages
- imitates a vertical line
- unscrews small bottle lid
18
Q
2 year old hearing and speech
A
- many words (50+)
- joining 2 words
- identifies pictures (teddy, spoon etc)
19
Q
2 year old social, self help
A
- washes and dries hands
- may be dry by day but large range here
- parallel play -> play alongside but not with other children
20
Q
2 year old red flags
A
- not joining words
- not running
21
Q
18 month gross motor?
A
- climbs stairs two feet at a time
- walks well
- able to stoop and get back up
22
Q
18 month fine motor?
A
- scribbles purposefully
- hand dominance no longer abnormal -> may start to form preference
- tow block tower
23
Q
18 month hearing/speech?
A
- 6+ words with meaning
- identifies 2 parts of body
24
Q
18 month social, self help?
A
- feeds self with a spoon
- drinks from a cup
- imaginative play 15-18 months
25
18 month red flags
- not walking
- less than 6 words with meaning
- not feeding self
- not pointing to indicate wants
- still casting
26
12 months gross motor?
- stands alone (10-14 motnhs)
- walks (average 12 months)
- pivots when sitting
27
12 month fine motor
- mature pincer grip
| - container play
28
12 month hearing/speech
- 2-3 single words with meaning
29
12 month social, self help
- points with index finger to indicate wants
- casts -> throws toys deliberately aside
- developed stranger awareness
30
12 month red flags
- not standing with support
- no pincer grip
- no stranger awareness
31
9 month gross motor?
- sits unsupported -> 6-9months
- has lateral prop reflex
- crawls or bottom shuffles -> 7-12 months
- pull to stand -> 7-12 months
- stands with support -> 7-12 months
32
9 months fine motor?
- raking grasp
- lateral pincer grip (picks fluff of floor)
- pokes at small objects with index finger
- bangs objects together
- object permanence (looks for fallen toy or finds partly hidden toy
33
9 months hearing/speech?
- puts sounds together with rhythm and tone in ways that sound like normal speech -> jargon.
- says mama and dada etc
34
9 months social/self help
- chews solids
- waves bye-bye
- start of stranger awareness
35
what are red flags at 9 months?
- not sitting unsupported
| - not transferring objects from one hand to the other
36
6mo gross motor
- supine -> anticipates (head off bed) when pulled to sit
- sitting -> tripod stance, unsteady
- standing -> bounces when held on feet
- prone -> lifts head on extended arms, may roll to supine or other way
37
6 mon fine motor
- reaches for objects
- grasps toys with both hands
- puts objects to mouth
- palmer grasps
- transfers objects from one hand to another
38
6 mo hearing/speech
- turns head to localise soft sounds at ear level
- babbles -> single sylabbles in strings bababab eg
- makes different sounds (ah, eh, oh)
- sing song tones
39
6 mo social, self help
- prefers mother/main carer to others
- finger feeds
- holds bottle
- holds arms out to be picked up
40
red flags 6 mon
- not reaching for objects
| - hand preference -> should use hands equally
41
3 mon gross motor
- supine -> no head lag
- sitting -> head steady with truncal support
- standing -> supports weight, no stepping reflex
- prone -> lifts head and chest, supports on forearms
42
3 mo fine motor
- follows through 180 degrees
- hand regard
- holds object briefly in hand
43
3 mon hearing/speech
coos in vowel sounds
| - laughs
44
3 mo social/ self help
- smiles spontaneously
| - enjoys handling
45
3 mo red flags
- not fixing and following
| - head lag
