Week 6: Paediatric 2 (developmental milestone, safeguarding and newborn check) Flashcards
developmental milestones
- Children acquire functional skills throughout their childhood and we use the term ‘development’ to describe those skills acquired between birth and approximately 5 years of age
Children’s growth and development is monitored by
their health visitor. If the health visitor has any concerns, they will highlight these to the GP for further assessment. Some children will need additional monitoring (e.g. if they were pre-term and/or have known medical problems).
Children will normally be seen by their GP/midwife as a newborn and by their health visitor at
6 – 8 weeks,
9 – 12 months
2 – 2.5 years
Developmental milestones are often divided into 4 categories
- Gross motor
- Vision and fine motor
- Hearing, speech and language
- Social, emotional and behavioural
developmental milestrones are considered in regards to their
Considered in regards to their ‘median age of acquisition’ and ‘limit age’ by which they should have been achieved. If the skill is not attained by this age then more detailed assessment, investigation or intervention may be required.
Developmental milestones are acquired in a
serial manner- one after the other- and their achievement follows similar pattern between children
red book
personal child health record
- Shortly before or after your baby is born, you’ll be given a personal child health record (PCHR). This usually has a red cover and is known as the “red book”.
- It’s a good idea to take your baby’s red book with you every time you visit the baby clinic or GP.
- They will use it to record
- Child details e.g. NHS number and DoB
- Birth history
- Screening results
- Growth charts: child weight and height
- Vaccinations
- Illness
- Accidents
- Medication
You’ll find it helpful to keep the developmental milestones section of the red book up to date too.
gross motor development
visiona nd fine motor development
Hearing, speech and language development
Social, emotional and behavioural development
Red flags for detection of developmental delay
What is the cut-off for an acceptable weight loss in the first 7 days of life?
10%
At what age should a child be referred to a paediatrician if they have not begun to walk?
- 18 months
- An infant usually begins to cruise furniture around 10-12 months and can walk alone by 15 months. If walking has not occurred by 18 months the toddler should see a paediatrician
How is the seasonal flu vaccination usually administered in children aged 2 and 3?
Nasally
At what age should a child develop a mature pincer grip?
9-12 months
Which of the following is an example of “Double-syllable babble” displayed by an infant around 9-12 months?
Ba-ba (usually involves repetition of same syllable)
Which of the following should be avoided when weaning a child of 7 months?
Honey – risk of infant botulism before 12 months
Around what age should a child be able to build a tower of three building blocks?
*
The average age for building a 3 block tower is 18 months. This increases to around 6 cubes by 2 years, and 9 cubes by 3 years.
In normal fine motor development, which of the following should occur first?
ADrawing a square
BCopying a circle
CTripod pencil grip
DCopying a cross
ECopying a triangle
Copying a circle
Children tend to be able to copy a shape 6 months before they can draw it. The usual developmental order of drawing shapes is line, circle, cross, square, triangle. Tripod pencil grip is a more mature grip, occurring between 4 and 6 years of age.
A resurgence of which hormone precipitates puberty?
GnRH