2024 update A+ graded
why does assessing child development matter - ans to identify developmental delays
direction of child development - ans cephalocaudal, proximodistal
developmental surveillance - ans process to help detect, develop risk for
developmental delay
developmental screening - ans formal way to identify developmental delays
5 critical domains of development - ans - physical
- cognitive
- language/communication
- social
- emotional
physical development? - ans - gross motor skills
- fine motor skills
cognitive development? - ans - ability to problem solve
- retention of information
language development? - ans - ability to articulate, receive, and express information
- nonverbal modes of communication
(- receptive >> expressive)
social/emotional development? - ans - ability to form and maintain relationships
- responsiveness to presence of others
, - formation of self-help skills
AAP recommendations for standardized developmental screening - ans at 9, 18, 30
months of age
AAP recommendations for autism spectrum disorder screening - ans at 18 and 24
months of age
most widely used developmental screening test in US - ans Denver Developmental
Screening Test (DDST-II)
what ages to use DDST-II - ans birth to 6 years
2 environmental etiologies of developmental delay - ans - abuse/neglect
- growth faltering (failure to thrive)
prevention of abuse/neglect - ans - anticipatory guidance regarding age-appropriate
discipline
- how to handle stressful situations
prevention of growth faltering - ans - identifying underlying disease and psychosocial
factors
BRIGHT FUTURES schedule of well-child visits - ans - first week (3-5 days old)
- 1 month
- 2 month
- 4 month
- 6 month
- 9 month
- 12 month
- 15 month
- 18 month
- 2 years
- 2.5 years
- 3 years
- 4 years
- 5 years
- 6 years
important screening during infancy health supervision visit - ans - screening for
material postpartum depression
- standardized developmental screening at 9 months
- risk assessment for lead exposure at 6 months
infant physical exam - head/fontanelles - ans - 2 months: lifts head
- 4 months: steady head control