Paeds development drill Flashcards
Name the 4 domains
Gross motor
Vision and fine motor
Speech, language and hearing
Social, emotional and behavioural
Name the 6 primitive reflexes
- Sucking and rooting
- Moro
- Stepping reflex
- ATNR - asymm. tonic neck reflex
- Palmar grasp
- Barbinski (upward flexion due to incompletely myelination of nerves at birth)
Name the 4 postural reflexes and roughly which months do they present
- Labyrinthine (head) righting at 4-6 months
- Postural support: lgs take weight and may push up when held upright
- Lateral propping - arm extend to side when child falling from sitting
- Parachute at 7-9 months - hands out when suspended face don to protect against fall when starting to walk in the future
Head control median age + limit age
Median: 4-6 weeks
Limit: 10 weeks
Sits without support (median age + limit age)
Median: 6 months
Limit: 9 months
NB: 12 months is the limit age for standing independently and median age for walking
Running (median age)
18 months
No limit age
Walking (median age + limit age)
Median: 12 months
Limit: 18 months
Limit age for a child not standing
12 months
Fix and follow with eyes (median + limit)
Median = 6 weeks Limit = 3/12
Transfer from hand to hand (median + limit)
Median = 7 months Limit = 9 months (also limit age for sitting without support)
Pincer grip (median + limit)
median = 10 months (10 for 10 fingers) Limit = 12 months (also limit age for standing independent)
Limit age for polysyllabic babble
7 months
Limit age for saying 6 words with meaning
18 months
Limit age for joining 2 words
2 years old
Smiles responsively (median + limit)
Median = 6 weeks Limit = 8 weeks
A child waves byebye at?
10-12 months
Limit age for feeding self with spoon
18 months
also limit age of walking
Play patterns in a child
1-2 years: play by self, imitate parents, symbolic play
2-3 years: parallel play, play beside each other
3-4 years: interactive play, plays together and takes turns
name the most appropriate hearing tests for the corresponding age
newborn 8 month 1 year 1-4 years old >4 years old
Newborn = evoked otoacoustic emission, auditory brainstem response
8 month = distraction testing
1 year = visual reinforcement audiometry (may be used up to 3 years)
1-4 years = performance and speech discrimination testing
> 4 years = audiometry
name the most appropriate hearing tests for the corresponding age
newborn 8 month 1 year 1-4 years old >4 years old
Newborn = evoked otoacoustic emission, auditory brainstem response
8 month = distraction testing
1 year = visual reinforcement audiometry (may be used up to 3 years)
1-4 years = performance and speech discrimination testing
> 4 years = audiometry
Referral principles
- no smile by
- cannot sit by
- cannot walk by
smile by 10 weeks
sit by 12 months
walk by 18 months
Describe development of 6 weeks
Head control
Fix and follow
Sills to sounds
Smiles
Describe a 6 month
Sits without support
Hand to hand transfer
Turn to sound, babble
Laughs and squeals
Describe a 12 month
Standing, cruising
Mature pincer, point
First word, respond to name
Waves, drinks from cup, plays peekaboo
Describe a 18 month
Walking + running
Building tower (3), hand preference
6-12 words, follow instructions
Spoon feeding, symbolic play
Describe a 24 month
Clims stars (2 feet/step), kicks ball
builds tower (7), circles
2 word sentence
Toilet training, removes clothes
Describe a 3 year old
Stands on on leg,
Draws circle, imitates bridge
Speaks in sentences
Parrallel play, interacting play, shares
