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Specialties Active > Paeds developmental milestones > Flashcards

Paeds developmental milestones Flashcards

1
Q

What are the four domains of development?

A

Gross motor
Fine motor
Language and speech
Social skills

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2
Q

What are some gross motor skills?

A

Head lag
Position
Sitting
Walking
Running

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3
Q

What are some fine motor skills?

A

Use of hands
Grasp/ fine pincer
Bricks
Crayon
Puzzle

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4
Q

What are some language and speech skills?

A

Vocalisation
Words
Understanding

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5
Q

What are some social skills?

A

Social interactions
Stranger danger
Eating skills
Dressing

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6
Q

In what order do gross motor skills develop and why?

A

Head to toe. Myelination occurs that way

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7
Q

At 12 months, what should the average baby be able to do?

A

Stand unsupported
Pincer grip
Mama/dada/no
Fear strangers

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8
Q

At 18 months, what should the average baby be able to do?

A

Stack 2 blocks
Walk without help
Anxious separated from parents
Know 6-12 words
Scribble

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9
Q

At 2 years, what should the average baby be able to do?

A

Link two words into sentences
Understand 2 step commands

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10
Q

At 3 years, what should the average baby be able to do?

A

Use a tricycle
3 word sentences
Constantly talk

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11
Q

Define primitive reflex

A

involuntary motor responses originating in the brainstem present after birth

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12
Q

When should primitive reflexes be absent?

A

After 6 months

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13
Q

Name some primitive reflexes

A

Moro (sudden head drop- arms outstretched)
Stepping
Rooting
Palmar and plantar grasp
Atonic neck (fencing posture)

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14
Q

What gross motor skills to look for in newborn?

A

limited flexed, symmetrical position
marked head lag on pulling up

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15
Q

What gross motor skills to look for in 6-8 week infant?

A

raises head to 45 deg

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16
Q

What gross motor skills to look for in 6-8 month old infant?

A

Sit without support at 6m with rounded back and 8m with straight back

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17
Q

What gross motor skills to look for at 8-9 months?

A

Crawling

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18
Q

Gross motor skills at 10 months?

A

Cruises around furniture

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19
Q

Gross motor skills at 12 months

A

walks unsteadily, broad gait, hands apart

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20
Q

Gross motor skills at 15 months

A

Walks steadily

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21
Q

Average age to walk independently

A

12 months (18 month limit)

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22
Q

Limit to walk independently

A

18 months

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23
Q

Average age to stand with support

A

10 months

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24
Q

Limit age stand with support

A

12 months

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25
Q

Average age sit unsupported

A

6 months curved back
8 months straight back

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26
Q

Limit age to sit unsupported

A

9 months

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27
Q

Average age head control

A

1 month

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28
Q

Limit age head control

A

4 months

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29
Q

What must you be careful of when testing for vision and fine motor skills?

A

The object should not make any noise when moving

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30
Q

Vision/ fine motor skills at 6 weeks

A

follows moving object or face by turning head

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31
Q

Vision/ fine motor skills at 4 months

A

Reaches out for toys

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32
Q

Vision/ fine motor skills at 4-6 months

A

Palmar grasp

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33
Q

Vision/ fine motor skills at 7 months

A

transfers toys from one hand to another

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34
Q

Vision/ fine motor skills at 10 months

A

mature pincer grip

35
Q

Vision/ fine motor skills at 16-18 months

A

Makes marks with crayon

36
Q

Vision/ fine motor skills at 14 months to 4 years

A

Tower of 3 : 18 months
Tower of 6: 2 years
Tower of 8/ train with 4 bricks : 2.5 years
Bridge from a model: 3 years
Steps (after demonstration) : 4 years

37
Q

Vision/ fine motor skills at 2-5 years

A

line : 2 years
circle: 3 years
cross: 3.5 years
square: 4 years
triangle: 5 years

ability to draw independently, can copy 6 months earlier

38
Q

Average age to fix and follow

A

6 weeks

39
Q

Limit age to fix and follow

A

3 months

40
Q

Average age to reach

A

4 months

41
Q

Limit age to reach

A

6 months

42
Q

Average age to transfer

A

7 months

43
Q

Limit age to transfer

A

9 months

44
Q

Average age to pincer grip

A

10 months

45
Q

Limit age to pincer grip

A

12 months

46
Q

What case should hearing be tested?

A

Child with language delay

47
Q

Hearing, speech, language expected for newborn

A

startles to loud noises

48
Q

Hearing, speech and language in 3-4 months

A

vocalises alone or when spoken to, coos and laughs

49
Q

Hearing, speech and language at 7 months

A

turns to soft sounds out of sight

50
Q

Hearing, speech, language at 7-10 months

A

7 months: sounds used indiscriminately
10 months: sounds used discriminately to parents

51
Q

Hearing, speech, language at 12 months

A

2/ 3 words other than ‘dada’ and ‘mama’

52
Q

Hearing, speech, language at 18 months

A

6-10 words, shows 2 parts of the body

53
Q

Hearing, speech, language in 20-24 moinths

A

uses 2 or more words to make simple phrases

54
Q

Hearing, speech, language in 2.5 to 3 years

A

talks constantly in 3-4 word sentences

55
Q

Average age polysyllabic babble

A

5 months

56
Q

Limit age polysyllabic babble

A

7 months

57
Q

Limit age consonant babble

A

10 months

58
Q

Limit age saying 6 words with meaning

A

18 months

59
Q

Limit age joining words

A

2 years

60
Q

Limit age 3 word sentences

A

2.5 years

61
Q

Social, emotional and behavioural skills at 6 weeks

A

smiles responsively

62
Q

social, emotional, behavioural skills at 6-8 months

A

puts food in mouth

63
Q

social, emotional and behavioural skills in 10-12 months

A

waves bye-bye, plays peek-a-boo

64
Q

social, emotional, behavioural skills in 12 months

A

drinks from a cup with 2 hands

65
Q

social, behavioural, emotional skills in 18 months

A

holds spoon and gets food safely to mouth

66
Q

social, emotional, behavioural skills in 18-24 months

A

symbolic play

67
Q

social, emotional, behavioural skills in 2 year old

A

dry by day, pulls off some clothing

68
Q

social, emotional, behavioural skills in 2.5 year to 3 year old

A

parallel play, interactive play evolving, takes turns

69
Q

average age to smike

A
70
Q

average age to smike

A
71
Q

average age to smile

A

6 weeks

72
Q

limit age to smile

A

8 weeks

73
Q

average age to feed strangers

A

7 months

74
Q

limit age to fear strangers

A

10 months

75
Q

limit age to feed self/spoon

A

18 months

76
Q

average age to symbolic play

A

1.5 to 2 years

77
Q

limit age to symbolic play

A

2 to 2.5 years

78
Q

average age to interactive play

A

2.5 to 3 years

79
Q

limit age to interactive play

A

3 to 3.5 years

80
Q

different types of delays in progression

A

slow but steady
plateau
regression
acute insult

81
Q

types of delay

A

global: all domains
specific: language, motor, sensory, cognitive

82
Q

causes of global delay

A

chromosomal abnormalities
metabolic

83
Q

causes of specific delay

A

motor (cerebral palsy)
hearing loss

Specialties Active (13 decks)

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