Pediatric Assessment Flashcards

1
Q

What are the 4 purposes of developmental testing?

A
  • Early identification of delays
  • Help determine diagnosis
  • Facilitate treatment planning (where to begin)
  • Re-testing provides concrete data about progress
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2
Q

What are the 4 basic methods of pediatric assessment?

A
  • Parent/Child Interview
  • History-review of medical records
  • Clinical Observation in the child’s natural environment
  • Standardized tests
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3
Q

75-85% of information can be obtained through what type of assessment method?

A

observation

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4
Q

What can be defined as the mean chronological age represented by a certain test score?

A

Age Equivalent

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5
Q

What is criterion referencing based on?

A

The number of items completed correctly

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6
Q

What do norm-referenced compare?

A

one child with the “norm” of a group of other children

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7
Q

What are norm-reference tests aka?

A

Standardized Tests

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8
Q

If a child is said to be in the 75%ile what does that mean?

A

The child did better than 75% of children in the norm group

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9
Q

What can be defined as the total number of items passed or correct?

A

raw score

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10
Q

Tests are chosen based on what the clinician wants to assess, what are the 4 types of assessment tests?

A
  • Screenings
  • Tests of Motor Function
  • Comprehensive Developmental Scales
  • Assessment of Functional Capabilities
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11
Q

Describe screening assessment exams

A

They are used to identify typical and atypical development and the need for further assessment

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12
Q

What are 3 screening assessments?

A
  • Denver II
  • Harris Infant Neuromotor Test
  • Bayley Infant Neurodevelopmental Screener
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13
Q

What age range is the Denver II used for?

A

birth to 6 years

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14
Q

What are the 4 general functions assessed on the Denver II? Give an example of each…

A
  • personal social (such as smiling)
  • fine motor adaptive (such as grasping and drawing)
  • language (such as combining words)
  • gross motor (such as walking)
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15
Q

When is the Harris Infant Neuromotor Test (HINT) typically used?

A

in research

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16
Q

What age range is the HINT used for?

A

2.5 to 12.5 months

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17
Q

What 4 things does the HINT measure?

A
  • infant motor behavior
  • behavioral state
  • head circumference
  • parent concerns about the infant’s development
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18
Q

In what setting type is the Bayley Infant Neurodevelopmental Screener (BINS) used?

A

in settings where high-risk infants are followed up

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19
Q

What age range is the BINS appropriate for?

A

3-24 months

20
Q

What are the 4 conceptual areas of ability the BINS assesses? Give examples of each…

A
  • basic neurological function/intactness (poture, muscle tone, movement symmetry)
  • expressive functions (gross, fine, and oral motor/verbal)
  • receptive functions (visual, auditory, verbal)
  • cognitive processes (object permanence, goal-directedness, problem solving)
21
Q

What are 5 assessment exams that specially test motor function?

A
  • Test of Infant Motor Performance (TIMP)
  • Alberta Infant Motor Scale (AIMS)
  • Gross Motor Function Measure (GMFM)
  • Peabody Developmental Motor Scales (PDMS-2)
  • Bruininks-Oseretsky Test of Motor Proficiency (BOT-2)
22
Q

What does the Test of Infant Motor Performance (TIMP) assess?

A

posture and movement

23
Q

What age range is the TIMP appropriate for?

A

34 weeks post-conceptional age to 4 months corrected age

24
Q

What does the Alberta Infant Motor Scale (AIMS) assess?

A

Motor milestones and the motor aspects and mechanisms necessary to attain such milestones

25
What age range is the AIMS appropriate for?
Term (baby cannot be premature) - 18 months (age of independent walking)
26
What is the only test specific to Cerebral Palsy?
Gross Motor Function Measure (GMFM)
27
What are the 5 dimensions of motor function assessed in the GMFM?
- lying and rolling - sitting - crawling and kneeling - standing - walking, running, and jumping
28
What age range is the Peabody appropriate for?
Birth through 6 years
29
What age range is the BOT-2 appropriate for?
4 - 21 years
30
What are 2 assessment exams that look at the whole child across all areas of development?
- Bayley Scales of Infant and Toddler Development (BSID-III) | - Battelle Developmental Inventory (BDI-2)
31
What are the 5 domains that the Bayley Scales of Infant and Toddler Development (BSID-III) assesses?
- cognitive - language - motor - social-emotional - adaptive
32
What age range is the BSID-III appropriate for?
1 month to 42 months of age
33
What are the 5 domains that the Battelle Developmental Inventory (BDI-2) assesses?
- adaptive - personal/social - communication - motor - cognitive
34
What age range is the BDI-2 appropriate for?
birth to 7 years, 11 months
35
What do assessments of functional capabilities look at?
The skills that are essential in child’s natural environment
36
What are 3 exams that assess functional capabilities?
- The Pediatric Evaluation of Disability Inventory (PEDI) - Functional Independence Measure for Children (WeeFim) - School Function Assessment
37
What does the PEDI do?
Detects functional deficits or delays.
38
What are the 3 domains in which the Pediatric Evaluation of Disability Inventory (PEDI) measures?
- Self-Care - Mobility - Social Function
39
What age range is the PEDI appropriate for?
6 months to 7.5 years
40
What does the WeeFIM do?
It is a measure of disability and what the child is able to do.
41
What are the 6 domains in which the WeeFIM measures?
1. Self-Care 2. Sphincter Control 3. Mobility 4. Locomotion 5. Communication 6. Social Cognition
42
What age range is the WeeFIM appropriate for?
6 months to 7 years
43
What is a way to remember the WeeFIM has 6 domains whereas the PEDI only has 3?
WeeFIM has 6 letters and 6 domains
44
What is a way to remember the BOT age range?
BOT = Begin Older Testing
45
What age range is the School Function Assessment appropriate for?
Kindergarten through grade 6
46
What can you do with the information from the assessments?
- Plan a treatment program - Identify areas of progress/ lack of progress - Identify and rule out existence of a specific problem - Provide diagnostic information