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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