wk7: BV - Intro to Paediatrics Flashcards
Outline the physical developmental stage for a child of 0-6 months (5)
suck and grasp reflex
needs to be held
rapid growth
can follow and focus
lots of sleep
Outline the intellectual developmental stage for a child of 0-6 months (2)
vocalises
udnerstands that can cry for response
Outline the emotional developmental stage for a child of 0-6 months (2)
attached to parents/caregivr
comforts self with thumb pacifier
Outline the social developmental stage for a child of 0-6 months (2)
recognises parents/care giver
smiles when they arrive
Outline the physical, intellectual, emotional and social developmental stage for a child of 6-18 months
Physical: feed self, sits, stands, walks, stack 2+ blocks
Intellect: 1-2 words, mama, dada, points, curious about environment
Emotional: hugs parents, separation anxiety, shows emotions but can’t identify
Social: games, peek a boo, extends attachment to others, some independence
Outline the physical, intellectual, emotional and social developmental stage for a child of 18 months-3 years
Physical: bladder + bowel control, climb stairs, hold crayons, draw circle, better hand eye coordination
Intellectual: drawing, sentences being to be understood half the time
Emotional: verbally express feelings, separation anxiety better
Social: plays with children, tests boundaries
Outline the physical, intellectual, emotional and social developmental stage for a child of 3-6 years
Physical: hop on one foot, skip and dance, draw square and some letters
Intellect: complete puzzle, completely understandable when speaking, has likes + dislikes, engage in discussion
Emotional: can identify happy and sad, imitates parents and caregiver, can feel overwhelmed by emotions
Social: dresses and undresses self, enjoys RPGs, follows rules
Outline the physical, intellectual, emotional and social developmental stage for a child of 6-12 years
Physical: energetic, increased appetite, height and weight growth
Intellect: verbal, asks fact oriented questions, understands past, present, future
Emotional: more defined personality, guided primarily by school and family
Social: enjoys playing and working with others, same sex play with peers, learns to achieve and compete
Outline the physical, intellectual, emotional and social developmental stage for a child of 12-18 years
Physical: growth spurts, puberty
Intellect: able to think and reason and think abstractly and use imagination
Emotional: independence needs exerted, mood swings
Social: part time work, social activities with peer gropus, conflict with parents
At what average age do kids develop:
- social smile
- speak single words
- speak six or more words
6 weeks
12-15 months
12-20 months
At what average age do kids develop:
- crawls
- walks holding on
- turns pages
- jumps on spot
6-9 months
7-13 months
2 years
20-30 months
What does PEDS stand for? is it effective? How does it work?
Parent evaluation of developmental status. It is effective. Uses a score form
How is the examination of a child different? List 5 points
Parents concerned - emotional + protective
Like having 2 patients: parent and child
Children tire + bore easily
Children want to please you so may tell you what they think you want to hear
Children and parents will KNOW if you don’t genuinely care
What methods can you use to assist in child exam? (6)
Body language/non-verbal cues/expression
Be creative in approach (e.g. get onto floor with child and watch excursions, let parent be part of assessment, play with child)
Can’t always stick to a script
Never spend too long on any test
Don’t show any disappointment (if child doesn’t understand move onto next thing quickly)
Be genuinely intersted
What rough percentage of children under 16 years coming into your clinic have:
- Hyperopia
- Strabismus
- Myopia
- Accomm-vergence
hyperopia: 45%
strabismus: 30%
myopia: 9%
accomm-vergence: 30%
