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14 Cards in this Set

  • Front
  • Back

Hypo plastic left heart



In hypo plastic left heart, the left ventricle has not developed and the aorta is small and atretic.




3 stage correction:


1)Norwood-Sano (grafts pull artery->aorta so right ventricular blood->body). ASD made to allow mixing. Sano shunt from ventricle to pull shunt.


2)Glenn- SVC grafted on to pulm trunk, sano shunt removed


3)Fontan- IVC grafted to pulm trunk.




Until stage 3 Fontan is done (approx 3-4yrs), the child will have sats approx 80%

Social development

6 weeks-social smile


6 m-brings objects to mouth, reaches for bottle


9m-stranger danger, feeds self with hands


12m-clapping,waving,pointing, drink w beaker


15m-knows when soiled


18m-imitates


2y-tantrums


2.5y- users spoon skilfully


3y- shares toys. Plays alone w/out parents


4y- fork and spoon. Dresses w some help. Best friend. Concern for others.Dry day & night.


5y- Uses knife. Dresses without help. Follows rules. Imaginative play.

6 weeks

Gross motor-antigravity movements


Fine/vision-Tracks 90degrees


Social-Smile


Speech-startles to loud noise. Cries

3m

Gross-Props head up on elbows when prone. No head lag.Head up in VS




Fine-Tracks 180degrees




Speech-some vocalisation




Social- nil

6m

Gross-When prone, torso up with straight arms. Sits with round back.Rolls front to back.




Fine- Palmar grasp. Transfers between hands




Speech-monosyllabic babble. Turns to soft noise




Social-Reaches. Bring objects to mouth. Shakes rattle

9m

Gross- Sits with straight back. May crawl. Rolls front to back and back to front. Pulls to stand




Fine- inferior pincer grip. Object permanence.




Speech-babbles with consonants. imitates sounds. responds to own name




Social-Stranger danger. Peekaboo. Holds and bites food.

12m

Gross- Cruises. Starts to take a few steps.




Fine- mature pincer. Casting.




Speech- may have 3 words with meaning. Understands nouns (WHERES MUMMY)




Social- points, claps, waves. Drinks from beaker.

15m

Gross-confident walk




Fine-Pincer. May start to scribble. 2block tower.




Speech-nouns-points to own body parts. 4 items.




Social- Indicates if dirty nappy

18m

Gross-limit age for walking. Runs. Crouches down. Jumps.




Fine- Circular scribble. 4 block tower.




Speech-nouns. body parts on doll.




Social-Plays by self if others around. Imitates everyday activities





2 y

Gross- Runs tiptoe. Walks up stairs 2 feet/step. Throws ball overarm.




Fine-Draws vertical line. tower of 8 blocks




Speech- Verbs. 2-3 word sentences.




Social-tantrums

2 1/2y

Gross- Kicks ball




Fine- horizontal line




Speech-Prepositions




Social-Eats w spoon

3y

Gross- hops. rides trike. goes upstairs like an adult.




Fine-builds a bridge. Draws a circle and a person with a head and 1 body part. Threads big beads. cuts paper.




Speech-3-4 word sentences. Simple negatives and comparisons. 3 colours




Social-shares, takes turns.

4y

gross-up and down stairs like an adult




fine- builds steps. draws cross.Draws person with head and 4 limbs. cuts paper in half.




Speech- Understands prefixes. Speaks in complex narrative.




Social- potty trained. Concern for others' welfare. uses fork and spoon skilfully. Best friend. Dresses with help.

5y

Gross- runs upstairs




Fine- builds big steps.Threads small beads. Draws triangle and complex person.




Speech- comprehensible speech




Social-Follows rules. Uses knife. Dresses without help.