Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
107 Cards in this Set
- Front
- Back
what do we use to measure developmental progress?
|
denver developmental exam
bayley infant scales: more sophisticated *assess developmental milestones at regular intervals |
|
what is the denver devlopmental assessment tool?
|
screening test
list of normal milestones that should be achieved at certain ages: this is one of the most popular assessment tools for children under 4 years |
|
what assessment behaviors does the denver look at?
|
personal/social
fine motor/adaptive language gross motor |
|
how long do you adjust for prematurity?
|
until the child is 2 years old
|
|
when should a baby keep their chin up?
|
1 month
|
|
when should a baby keep their chest up?
|
2 months
|
|
when should a baby reach and miss?
|
3 months
|
|
when should a baby sit with support?
|
4 months
|
|
when should a baby sit on lap, grasp object?
|
5 months
|
|
when should a baby sit on high chair, grasp dangling object?
|
6 months
|
|
when should a baby stand with help?
|
8 months
|
|
when should a baby stand holding on?
|
9 months
|
|
when should a baby creep?
|
10 months
|
|
when should a babyl walk when led?
|
11 months
|
|
when should a baby walk alone?
|
15 months
|
|
when does a baby pull to stand by furniture?
|
12 months
|
|
what are fine motor-adaptive behaviors?
|
use fine motor skills but are considered "adaptive" due to the fact that the child have had the opportunity to carry out these task
ex: looking at things then grasp, thumb finger grasp, holding and playing with blocks,scribbling with a crayon |
|
when do babies start to attend to language?
|
7-11 months
|
|
when do babies enter the single word stage?
|
12-18 months
|
|
when do babies wenter the 2 word messages stage?
|
18-24 months
|
|
when is the grammar formation stage?
|
24-36 months
|
|
when is the true communication stage?
|
55 months on
|
|
when is grammar development done?
|
36-54 monts
|
|
which type of learning occurs more rapidly: receptive language or expressive language?
|
receptive: what we are hearing
(expressive is what we are producing) |
|
when do babies produce expressive language that is 25% intelligible?
|
12-18 months: single word stage
|
|
when do babies produce expressive language that is 50-80% intelligible?
|
24-36 months: grammar formation stage
|
|
when do babies produce expressive language that is 90% intelligible?
|
36-54 months: grammar devlopment stga
|
|
when do babies produce expressive language that is 100% intelligible?
|
55 months on
|
|
when does the language explosion occur?
|
2-6 years old
|
|
when can babies roll a ball?
|
12 months
|
|
what gross motor activites happen at 12 months? fine motor?
|
gross: wide based gait walking
fine: roll ball, pincer grasp |
|
when can a baby buid a tower of 4 blocks?
|
24 months
|
|
when can a baby walk up and down stairs independently
|
24 months
|
|
when can a child pedal a tricycle?
|
36 months
|
|
when can a child build a tower of 8 blocks?
|
30 months
|
|
normal problems in childhood are related to what sort of things?
|
developmental stage changes
child's environment-chaotic or variable social rules followed by family cultural diversity languages spoken physical health changes educational system problems |
|
abnormal problems in childhood are related to what sort of things?
|
inborn disabilities
trauma causing disfxn vulnerability to stress biochemical functioning genetic/inherited behavior behavir that causes severe problems in everday functioning |
|
what are 5 common disorders seen in school?
|
MR
learning disabilities communication disorders attention-deficit disorder disruptive behavior disorder |
|
what is considred mild mental retardation?
|
70-55 IQ score
85% of all persons classified as retarded 2x more common in males more often Dx in first year of school |
|
what is considered moderate mental retardation?
|
55-40 IQ score
|
|
waht is considred severe mental retardation?
|
40-25 IQ
|
|
waht is considred profound mental retardation/
|
IQ below 25
|
|
MR falls under what AXIS?
|
AXIS II b/c permanent condtion; less treatable
personality disorders are also put in II |
|
waht is the most common and most preventable cause of MR in US?
|
FAS: maternal/environmental
|
|
waht is the most comon genetic cuase of MR?
|
down and fragile X syndrome
|
|
what is the academci achievement of mildly retarded?
|
< 6th grade by late adolescence
|
|
characteristics of mildly retarded
|
70-55 IQ
can develop language and social skills, good motor development academeic achievment <6th grade by late adolescence can be self supporting |
|
characteristics of moderately retarded?
|
55-40IQ
can talk or sign fair motor develoment some self help skills: dress but can't button academic achievement <2nd grade may perform semi-skilled or unskilled work in a sheltered setting |
|
what is the academic achievemnt of moderately retarded?
|
<2nd grade
|
|
characteristics of severely retarded?
|
40-25 IQ
can profit from systematic elementary habit training: signal for bathroom can use words or gestures but has few expressive skills marginal social skills requires controlled environment |
|
characteristics of profoundly retarded?
|
<24 IQ
minimal fxnl capacity in sensorimotor areas indicates wants/needs with sounds or body movements dependent on nursing care and constant supervision |
|
waht is considred a learning disorder?
|
requires the pts achievement in the subject area is significantly below what is expected given their age, IQ, and edcuation: reading disorder, math disorder, disorder of written exprssion, learning disorder NOS
|
|
what is considered a motor skills disorder?
|
developmental coordination disorder: uncoordinated walking, tricycle riding
|
|
what do you need to do first before Dx communication disorder?
|
check hearing first
|
|
waht disorders fall under the category communication disorders?
|
expressive language disorder
mixed receptive-expressive language disorder phonological disorder (articulation disorder)-can't produce sounds stuttering |
|
what is a nl age for stuttering?
|
3yrs
|
|
what are the 3 categories of ADHD?
|
predom inattentive type
predom hyperactive-impulsive type combined type |
|
ADHD is what AXIS group?
|
AXIS I
|
|
ADHD occurs in about __ %- ___% school age children?
|
3-7%
|
|
what is the DSM criteria for DX ADHD?
|
6 signs of inattention OR hperactivity-impulsivity
6 months of maladaptive behavior that is NOT consistent with developmental norms some hyperactive-impulsive or innattenvie sx BEFORE age 7 sx must show up at least 2 OR MORE settings chld's fxning must be clearly IMPAIRED |
|
some sx of inattention?
|
fails to give close attn
difficuly sustaining attn to tasks or play does not seem to listen when spoken to directly does not finish work or follow through on instructions has trouble organizing loses necessary things is easily distracted by outside things is forgetful in daily activity |
|
some sx of hypractivity-impulsivity?
|
Hyperactivity: fidgets or squirms, leaves seat when supposed to be seated, runs or climbs excessvily at wrong times, has trouble with quiet play, talks too much
Impulsivity: blurts out answers before questions are completed, has difficulty awaiting turn, interrupts or intrudes on others |
|
when s ADHD usually observable? when Dx?
|
by age 3, but is not Dx until around age 7
|
|
ADHD is believed to be a result of ?
|
neurological disfxn
|
|
what percent of cases of ADHD go into remission b/n ages 12-20?
|
80%
pull them off meds to see if symtoms reemerge |
|
what percent of low SES males are Dx with ADHD?
|
10%
5% middle class |
|
is ADHD more comon in males or females?
|
males: specifically first born males
|
|
Tx for ADHD
|
CNS stmulant meds : methyphenidate, dextroampethamine, pemoline
help with self esteem behavior modification techniques structuring the environment to remove penalites and punishments and to implement rewards special allowances and accomodations as reqd by law |
|
what are considred disruptive behavior disorders?
|
oppositional defiant disorder
conduct disorder |
|
oppositional disorder occurs in about __%-__% shcool age children?
|
2-16%
|
|
waht is the DSM criteria for Dx oppositional disorder?
|
6 months of negative, hostile, defiant behavior
child is not fxning either socially or in school 4 or more of the following: often loses temper, often argues with adults, often defies or refuses to follow rules, often deliberately annoys others, often blames others for his mistakes,is often touchy or eailsy annoyed by others, spiteful or vindictive |
|
is opposiontional disorder dx behvioraly or with drugs?
|
behaviorally
ADHD often with drugs |
|
hos does oppositional disorder different from conduct disorder?
|
less extreme
lacks aggressive rxns more treatable |
|
what is typical of the parents of child with oppostional disoder?
|
one parent (usually mom) suffers from depression or marital discord in the home
substance abuse is one or more of the child's caregivers one or more biological parent has ADHD, conduct disorder or antisocial |
|
oppositional disorders respond well to what?
|
behavior modification in a loving safe environement
|
|
conduct disorder is present in what percent of school age children?
|
1-10%
|
|
what is teh Dx for conduct disorder according to DSM
|
repeated behaviors that violate the basic rights of others or violate rules; over the past 12 months
child is impaired in fxning in social or school settings 3 or MORE of the following: aggresion to ppl and animals destrxn of property deceitfullness or theft serious violations of rules |
|
childhood onset conduct disorder can be seen when?
|
before 10 years age
|
|
adolescent onset conduct disorder can be seen when?
|
after 10 years of age
|
|
when does conduct disorder kids come to the atten of others?
|
come to the attn of police and have juvenile records
|
|
what can conduct disorder develop into?
|
antisocial personality disorder: adult criminal
|
|
is conduct disorder treated?
|
no, it is managed
superego is not developed normally |
|
who are the "forgotten" group?
|
shy, quiet, loners who do not participate much
indicates problems with anxiety and depression anxiety: lots of worries, fears, especially about what others will think of them. lots of childhood fears depression: poor self image, they think they are worthless or they have a lot of self pity. they do not see he future optimistically |
|
waht are some common personality disorders manifested in childhood?
|
dependent personality
avoidant personality schizotypal personality schizoid personality |
|
who is dependent personality more common in? what does it indicate?
|
more common girls
2.5% of all personality disorders lacks self confidence and cannot be left alone or act on their own |
|
what ar the characteristics of avoidant personality?
|
fears rejection, will not speak in a group, shows uncertainty, is hypersensitive to remarks and actions by others
|
|
what childhood personality disorder is this describing: fears rejection, will not speak in a group, shows uncertainty, is hypersensitive to remarks and actions by others
|
avoidant personality
|
|
what childhood personality disorder is this describing: acks self confidence and cannot be left alone or act on their own
|
dependent personality
|
|
describe schizotypal personality
|
odd imagination
vivid inner world with fantasies may have speech that is peculiar or has meaning only to themselves |
|
what childhood personality disorder is this describing:
odd imagination vivid inner world with fantasies may have speech that is peculiar or has meaning only to themselves |
schizotypal personality
|
|
who is schizoid personality more common in?
|
boys
|
|
describe schizoid personality?
|
not intersted in friends or other activites of others
stays alone becomes involved in ideas and solitary activity |
|
waht childhood personality disorder is this describing:
not intersted in friends or other activites of others stays alone becomes involved in ideas and solitary activity |
schizoid
more common boys |
|
how long do childhood personality disorders manifest?
|
they are life long patterns of behavoir
will show up in the chid's later fxning and personality as an adult |
|
what are the 4 pervasive developmental disorders (PDD)?
|
autistic disorder
rett's disorder childhood disintegrative disorder asperger's disorder |
|
waht PDD is this describing:
impairment in social interaction, communciation and repetitive, sterotyped patterns of behavior. Deficits in using language to communicate is primary |
autistic disorder
|
|
what PDD is this describing:
normal development up until 5 mo. of age, then deceleration of head growth, loss of hand skills, loss of social engagment skills, poor coordination, imparited language develop. and psychomotor retardation? |
rett's disorder
|
|
what PDD is this describing:
normal development until a min of 2 years of age, then a loss of acquired skills in 2 areas of fxning and abnormalities in fxning? |
childhood disintegrative disorder
|
|
waht PDD is this desciribing:
impairment in social interaction, stereotyped pattersn of behavior but there is no signifcant delay in language or cognitive devleopment? |
asperger's disorder
|
|
what is considered autism spectrum disorders?
|
autistic disorder
asperger's syndrome PDD-NOS |
|
outside of DSM, what is also considered Autism Spectrum Disorders?
|
high fxning autism
semantic pragmatic communication disorder non-verbal learning disabilities hyperlexia |
|
what is high fxning autism?
|
synonomous with aspergers
even milder autism w/o any retardation |
|
waht is semantic pragmatic communication disorder?
|
considered autism spectrum disorder
delay and trouble with use of language but socializaton is relativly spared |
|
what is non-verbal learning disability?
|
trouble integrating info in 3 areas: non verbal difficulties causing the child to miss major areas of language; spatial perception problems and motoric coordination problems
|
|
what is hyperlexia?
|
considred ASD
incredible rote reading skills starting at an early age not from organized thought process |
|
waht is the current rate of autism and ASD in the US?
|
1 in every 150 children
|
|
what percent of ASD diagnosed pts report digestive problems?
|
25%
25% also have diagnosed seizure disorders; many have sleep problems |