Assessing Children Flashcards

1
Q

Why are developmental milestones useful?

A

They can be used as indicators that something is wrong

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2
Q

If a 6 week old child’s head is not level with its body in ventral suspension, what can this be a sign of?

A

Down’s Syndrome

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3
Q

What could lack of a smile in 6 week old child suggest?

A

Sight problems

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4
Q

Are developmental milestones precise markers?

A

No, there can be some leeway

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5
Q

What developmental milestone can be particularly misleading in children between 18 months and 2 years?

A

Development of walking

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6
Q

What normal reason can be given for a child over 18 months not being able to walk?

A

If a child is a fast crawler it my not develop walking as a skill as it is not require for it to move quickly

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7
Q

When would lack of walking be concerning?

A

Beyond the age of 2

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8
Q

What gross motor milestones should be displayed in a child of 6 weeks?

A

Head level with body in ventral suspension

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9
Q

What gross motor milestones should be displayed in a child of 3 months?

A

Holds head at 90˚ in ventral suspension

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10
Q

What gross motor milestones should be displayed in a child of 6 months?

A

No head lag on pull to sit

Sits with support

In prone position lifts up on forearms

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11
Q

What gross motor milestones should be displayed in a child of 9 months?

A

Crawls

Sits steadily when unsupported and pivots around

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12
Q

What gross motor milestones should be displayed in a child of 12 months?

A

Pulls to stand

Cruises

May stand alone briefly

May walk alone

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13
Q

What gross motor milestones should be displayed in a child of 18 months?

A

Walks well

Runs

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14
Q

What gross motor milestones should be displayed in a child of 2 years?

A

Kicks ball

Climbs stairs two feet per step

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15
Q

What gross motor milestones should be displayed in a child of 3 years?

A

Stands briefly on once foot

Climbs stairs one foot per step

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16
Q

What fine motor and vision milestones should be displayed in a child of 6 weeks?

A

Fixes and follows

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17
Q

What fine motor and vision milestones should be displayed in a child of 3 months?

A

Holds an object placed in the hand

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18
Q

What fine motor and vision milestones should be displayed in a child of 6 months?

A

Palmar grasp of objects

Transfer objects hand to hand

19
Q

What fine motor and vision milestones should be displayed in a child of 9 months?

A

Pincer grasp

Index finger approach

Bangs two cubes together

20
Q

What fine motor and vision milestones should be displayed in a child of 12 months?

A

Puts block in cup

Casts about

21
Q

What fine motor and vision milestones should be displayed in a child of 18 months?

A

Builds a tower 2-4 cubes high

Hand preference emerges

22
Q

What fine motor and vision milestones should be displayed in a child of 2 years?

A

Builds tower of 6-7 cubes high

Does circular scribbles

23
Q

What fine motor and vision milestones should be displayed in a child of 3 years?

A

Builds a tower of 9 cubes

Copies a circle

24
Q

What hearing, speech and language milestones should be displayed in a child of 6 weeks?

A

Becomes still in response to sound

25
Q

What hearing, speech and language milestones should be displayed in a child of 3 months?

A

Turns to sound

26
Q

What hearing, speech and language milestones should be displayed in a child of 6 months?

A

Vocalisations

27
Q

What hearing, speech and language milestones should be displayed in a child of 9 months?

A

2 syllable babble

Non-specific consonant vowel e.g. “mama”

28
Q

What hearing, speech and language milestones should be displayed in a child of 12 months?

A

One or two words

Imitates adults’ sounds

29
Q

What hearing, speech and language milestones should be displayed in a child of 18 months?

A

6-12 words

30
Q

What hearing, speech and language milestones should be displayed in a child of 2 years?

A

Joins 2-3 words

Knows some body parts

Identifies objects in pictures

31
Q

What hearing, speech and language milestones should be displayed in a child of 3 years?

A

Talks in short sentences that a stranger can understand

32
Q

What social, emotional and behavioural milestones should be displayed in a child of 6 weeks?

A

Smiles

33
Q

What social, emotional and behavioural milestones should be displayed in a child of 3 months?

A

Hand regard

Laughs

Squeals

34
Q

What social, emotional and behavioural milestones should be displayed in a child of 6 months?

A

May finger feed self

35
Q

What social, emotional and behavioural milestones should be displayed in a child of 6 months?

A

Waves bye bye

Plays pat-a-cake

Indicates wants

Emerging stranger anxiety

36
Q

What social, emotional and behavioural milestones should be displayed in a child of 12 months?

A

Imitates activities

Object permanence established

Stranger anxiety established

Points to indicate wants

37
Q

What social, emotional and behavioural milestones should be displayed in a child of 18 months?

A

Uses a spoon

Symbolic play e.g. ‘talks’ on telephone

Domestic mimicry e.g. ‘helps’ with chores

38
Q

What social, emotional and behavioural milestones should be displayed in a child of 2 years?

A

Can remove some clothes

39
Q

What social, emotional and behavioural milestones should be displayed in a child of 3 years?

A

Eats with fork and spoon

Puts on clothing

May be toilet trained

40
Q

When taking a child’s temperature in the axilla what must be done to get an accurate reading?

A

Add 1˚C to the reading

41
Q

What is classed as a fever in a child < 1 years old?

A

> 38˚C

42
Q

When is the colour of a child’s skin concerning?

A

If there is pallor reported by parent/carer

More concerning if the patient appears pal/mottled/ashen/blue

43
Q

When is a child’s level of activity concerning?

A

Little/no response to social cues

Appears ill

Unable to rouse or only with prolonged stimulation

No smile