Speech/Language Development

Question 1

Define “protoconversations” and at what age?

Answer 1

interactional exchanges w/ communication partner (babbling).

birth to 6mo

Question 2

risk factors for communication delays

Answer 2

Prenatal complications
Prematurity
Fetal alcohol syndrome
Drug exposure
Poor nutrition
Cleft lip
Developmental delays (or familiy history of delays/disorders/mental illness)

Question 3

Social/communication milestone: 3-6mo

Answer 3

emergence of reciprocity (e.g. smiling back when smiled at)

Question 4

Social/communication milestone: 6-9mo

Answer 4

response to name

Question 5

Social/communication milestone: 9-12mo

Answer 5

follow attention of others (turns head to voices)

Question 6

Social/communication milestone: 12-15mo

Answer 6

initiate joint attention
begins verbal communication
functionoal play

Question 7

Social/communication milestone: 15-18mo

Answer 7

early pretend play

developing vocab

Question 8

At ___ yo, they should have ___ words in their vocabulary

Answer 8

2 years = 50 words

Question 9

Define canonical babbling

Answer 9

production of well formed syllables that consist of at least 1 vowel & 1 consonant, that are connected in quick transition
(bababa, dada)

Question 10

Failure to produce canonical babbling by age ___ predicts delays in speech

Answer 10

10months

Question 11

Lack of behaviors signaling evaluation (by 12mo)

Answer 11

1. Does not babble/coo by 12mo
2. Does not respond to name by 12mo
3. Does not gesture (point, wave, reach) by 12mo

Question 12

Lack of behaviors signaling evaluation (by 16mo)

Answer 12

Does not say single words by 16mo

Question 13

Lack of behaviors signaling evaluation (by 24mo)

Answer 13

Does not say 2-word phrases on their own by 24mo

Question 14

Lack of behaviors signaling evaluation (any age)

Answer 14

Any loss of language skills or social skills

Question 15

General development screenings at what ages?

Answer 15

9mo
18mo
30mo

Question 16

ASD specific screenings at what age?

Answer 16

18mo

24mo

Question 17

Red flags of ASD

Answer 17

1. No response to name (by 12mo).
2. No pointing (by 14mo).
3. No pretend play (18mo).
   Lack of expressive emotions, Lack of eye contact, Limited understanding of other’s feelings, Limited use of gestures, Delayed speech skills, Provides unrelated answers to quesions, Special interests, Stim movements, Unusual prosody (lacking variation in pitch, irregular rhythm), Unusual reactions to smell, taste, etc., Upset with changes to environment

Question 18

Common developmental places that feeding problems occur

Answer 18

1. Suckle pattern/midline tongue pattern
2. Poor chewing
3. G-tube dependence
4. Extreme picky eating