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Babies > Pediatric Examination > Flashcards

Pediatric Examination Flashcards

1
Q

What are the three components of the examination?

A

Hx, Systems Review, tests and measures

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2
Q

What are the 3 purposes of the assessment?

A

Evaluative, Predictive, Discriminative

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3
Q

According to IDEA what are the definitions of evaluation and assessment?

A

Evaluation- the processes of examination and evaluation for eligibility for services
Assessment- for program planning purposes

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4
Q

What are some factors influencing examination?

A

Last time they ate, tired/time of day, age, health, amount of space you have, etc.

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5
Q

Reliability

A

Degree to which instrument produces consistent repeatable results . If a test is reliable, then most of the variation in scores among individuals will be due to true differences in ability

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6
Q

What should the reliability score of a test be?

A

.80 or higher

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7
Q

test-retest reliability

A

Stability over time. Same test given to ind. twice with an interval of time between.

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8
Q

Interrater Reliability

A

the amount of agreement between two persons interpreting the same test performance

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9
Q

Validity

A

Does the instrument measure what it is designed to measure? Can a meaningful interpretation be inferred from a measurement?

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10
Q

Construct validity

A

How well the instrument accurately represents the theoretical basis of the trait to be studied.

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11
Q

Content validity

A

Determines the extent to which the sample items in a test are representative of the total population - are items free of bias?

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12
Q

Types of criterion related validity

A

Concurrent validity, predictive validity

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13
Q

Concurrent validity

A

the extent which a test correlates with another well known and accepted test purported to measure the same trait

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14
Q

Predictive validity

A

performance on the test predicts some actual behavior

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15
Q

Sensitivity

A

Ability of the instrument to detect dysfunction/abnormality.
A test with high sensitivity will have few false negative scores

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16
Q

Specificity

A

Ability of the test to correctly identify those who do not have the disorder
A test with high specificity will have few false positive scores

17
Q

Norm referenced tests

A

compares individual performance against group

maximizes differences among individuals

18
Q

Criterion referenced tests

A

compares performance against a described standard

discriminates between successive performances of one individual

19
Q

Z-score values

A 
Mean = 0 
SD = 1
20
Q

T-score values

A 
Mean = 50
SD = 10
21
Q

Standard Error of Measurement (SEM)

A

Expected range of error for the test score

22
Q

Denver II

A

screening tool, identifies children 2 weeks - 6 years at risk for developmental delays
assesses gross/fine motor, language and personal-social

23
Q

ASQ-3

A

Ages and stages questionnaire, filled out by parent - identifies areas of concern.
Communication, gross/fine motor, problem solving, personal/social
birth-66 mo

24
Q

What are motor tests used for?

A

to diagnose, to identify atypical development, to determine eligibility for services, usually norm-referenced- done once or infrequently

25
Q

What are some motor tests?

A

Bayley Scales of infant/toddler development III, Peabody Developmental Motor Scales, BOT 2, AIMS, TIMP, TIMPSI

26
Q

Peabody Developmental Motor Scales (PDMS)

A

Norm referenced. birth-5 yrs, assesses reflexes, stationary, locomotion, object manipulation, grasping, visual-motor, gross motor, fine motor.
Scoring scale allows for identification of emerging skills.

27
Q

BOT 2

A

Bruininks-Oseretsky Test of Motor Proficiency . Norm referenced, aegs 4-21. assesses fone manual control, manual coordination, body coordination, strength and agility.

28
Q

Assessment tools

A

done on ongoing basis. MAI, HELP, GMFM, SFA, pediatric balance scale

29
Q

Functional tests

A

PEDI, Wee FIM

30
Q

Quality of Life

A

PEDS-QL 23 items.

31
Q

Areas to assess

A 
Mobility
Muscle and joint function
Strength and endurance
Cardiopulmonary status
Posture and balance
Oral motor skills & feeding
Sensory & neuromotor development
Use of assistive technology

Babies (6 decks)

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