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Flashcards in milestones Deck (36)
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1
Q

At what age would you be worried if
1. Lack of smiles or other joyful expressions

  1. Lack of reciprocal (back-and-forth sharing of) vocalizations, smiles, or other facial expressions
A

6 mo

9 m

2
Q

At what age would you be worried if:

  1. Failure to respond to name when called
  2. Absence of babbling
  3. Lack of reciprocal gestures (showing, reaching, waving, pointing
A

12 mo

3
Q

At what age would you be worried if:

  1. Lack of proto-declarative pointing or other showing gestures
  2. Lack of single words
A

15 mon

4
Q

At what age would you be worried if:

  1. limited social imitative play
  2. Lack of spoken language/gesture combinations
A

18 mo

5
Q

At what age would you be worried if:
Lack of two-word meaningful phrases (without imitating
or repeating)
limited pretend play

A

24 mo

6
Q

when do babies get head control

A

3 mo

worry by 5 mo

7
Q

when do babies master trunk control

A

9 mo

8
Q

when do babies transfer objects

A

4 mo

worry by 7 mo

9
Q

when does the palmar grasp occur

A

6-8 month

10
Q

when does a pincer grasp occur

A

7-11 month

11
Q

when can they use a spoon

A

2 yr

12
Q

when can they do zippers and buttons

A

4-5 yrs

13
Q

at 1 years, what should they be saying?

A

mama, dada + 1 word

14
Q

what should they be saying at 2 yrs

A

2 word combo, 50 words and 50% intelligible

15
Q

what should they be saying at 3 yrs

A

3 word combo, 200 words and 75 % intelligible

16
Q

what should they be saying at 4 yrs

A

full sentences and 100% clear

17
Q

stranger anxiety

A

5-6 mo

18
Q

separation anxiety

A

9-15 mo bc lack obj permanence

19
Q

when do they get a best friend?

A

4-6 yrs

20
Q

when does imaginitive play start?

A

2-3 yrs eg box=telehone

21
Q

when does reciprocal play occur

A

3-5 yrs

22
Q

what should a 18 month old do?

A

50 words
strts word combo
single step commands
knows boy parts

23
Q

when should you refer:

  • if not responding to name
  • if no words
  • if not pulling to stand
  • if less than 20 words
A
  • if not responding to name - 9 mo
  • if no words - 12
  • if not pulling to stand - 12
  • if less than 20 words - 18
    if any regression
    if any social communication concerns
24
Q

what are the 3 criteria regarding communication and interaction that need to be present to Dx ASD

A
  1. problems reciprocating social or emotional interactions
  2. severe problems maintaining relationships
  3. non verbal communication issues
25
Q

what 2/4 criteria regarding restrictive behaviour that need to be present to Dx ASD

A
  1. stereotype or repetitive speech/mov/obj use
  2. excessive adherence to routine
  3. very restricted interest
  4. hyper or hypo reactivity to sensory input
26
Q

what else is needed for Dx of ASD?

A

A) communication criteria (recoprocity/relationships/nonverbal)
B) restrictive behaviour: 2/4
C)Symptoms present in early developmental period
D) Significant impairment in social, occupational
E) Not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay.

27
Q

what syndromes can present like ASD and must be ruled out

A
TS
fragile X
Sz
Rett
NF
T21
Angelman
28
Q

what is the genetic issue with Rett syndrome

A

X linked recessive
gene: MECP 2
disease is lethal in male

29
Q

what are clinical features of Rett syndrome

A
dev regression at 1 yr
writhing hand mov
loss of purposeful hand movement
ASD features
Sz
acquired microcephaly
peculiar sighing respirations with intermittent periods of apnea 
cardiac arrythmia
30
Q

what are causes of toe walking?

A
idiopathic
tight heel cord
congenital contracture of achilles tendon
autism
diplegic CP
tethered cord
DMD/Becker's
31
Q

when should babies roll both ways

A

6 mo

worry by 9

32
Q

what are 3 syndromes with cafe au lait

A

NF
TS
Bloom syndrome

33
Q

tracking?

A

by 6 weeks

34
Q

what test can tell you that a baby has vision issues

A

visual evoked response

35
Q

what is normal hearing?

A

0-20 dB

36
Q

who should get cochlear implants

A

if profound bilateral sensorineural hearing loss who have limited benefit from hearing aid