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106 Cards in this Set

  • Front
  • Back

Good head control

2-3 months

Grasp and shakes rattle

2-3 months

Reaches for object or person

3-4 months

Rolls from front to back

4-5 months

Brings hands to midline

4-5 months

Rolls from back to front

5-6 months

Hand to hand object transfer

5-6 months

Unilateral reaching

6-7 months

Raking grasp

6-7 months

Sits alone

7-8 months

Finger feeding

7-9 months

Pincer grasp

8-10 months

Simple games- pat a cake

9-10 months

Creeps or crawls

9-10 months

Makes mark on paper with pencil/crayon

10-12 months

Pulls to standing

cruises, 11-12 months

Opens book/turns pages

12-13 months

Stands alone

12 months-14 months

Stacks 2 blocks

12-15 months

Walks forward

12-16 months

Walks backwards

14-16 months

Uses eating utensils

15-17 months

Walks up steps with assistance

16-18 months

Stacks 3 blocks

17-18 months

Simple puzzles (circles first)

18-20 months

Walks up and down steps alone

22-24 months

Stacks 6-7 blocks

22-24 months

Jumps with both feet

24-28 months

Balance on each foot 2 seconds

2.5 years

Tower of 8 cubes

2.5 years

Thumb wiggle

2.5 years

Hops

3.5 years

Walks upstairs alternating feet

3.5 years

Walks on tip toes

3.5 years

Copies circle

3-3.5 years

Heel to toe walking

4.5 years

Draws a person with 6 parts

4.5 years

Copies square

5 years

Responds to sound

birth

Smiles & coos

2-3 months

Laughs and expresses delight

4-5 months

Babbles

5-6 months

Dada and mama

8-9 months

Waves bye-bye

8-9 months

Understands no

9-10 months

2 words other than mama/dada

11-12 months

Jabbering

12-13 months

Begins to point to body parts

15-18 months

2 word phrases & sentences

18-22 months

30-50 words

22-24 months

What should an infant be able to do between birth and 1 month of age

respond to sound at birth; grasp reflex/fisted hand, lifts head in prone position; stares at face by one month

What should an infant be able to do at 2-3 months

good head control; grasp and shakes rattle; smiles and coos; follows object past midline; lifts head 45 degrees in prone position; may reach for object/person @ 3 months

What should an infant be able to do at 4-5 months

put foot into mouth; rolls front to back; reaches for object/person; brings hands to midline; puts objects in mouth; laughs/expresses delight; smiles

What should an infant be able to do at 5-6 months

babbles with consonant sounds; rolls back to front; hand to hand object transfer; sits independently by 6 months; may unilaterally reach or raking grasp

What should an infant be able to do at 7-9 months of age

sits alone by 7-8 months; finger feeding; may have pincer grasp @ 8-9 months; says dada/mama; wave bye-bye; may understand no @ 9-10 months; pulls to stand; feeds self by 9 months

What should an infant be able to do at 9-12 months

creeps/crawls @ 9-10 months; pulls to stand/cruises @ 11-12 months; simple games (pat-a-cake @ 9-10 months); marks on paper with crayon @ 10-12 months; Understands no @ 9-10 months; understands 2-4 words besides mama/dada @ 11-12 months; helps turn book pages; releases object when requested; stands independently; walks holding on; points to wants; plays simple games @ 12 months

What should an infant be able to do at 12-15 months

stands alone; walks forward; may walk backward @ 14 months; stacks 2 blocks; turn book pages; jabbering @ 12-13 months; 15 months indicates wants; may name objects; several words; walks alone; hugs parents

What should an infant be able to do at 16-18 months

walks forward & backwards by 16 months; walks up steps with assistance; uses eating utensils; stacks 3 blocks by 17-18 months; begins to point to body parts (15-18 months)

What should an infant be able to do at 18-22 months

simple puzzles; walks up and down steps alone at 22-24 months; 2 word phrases/sentences

What should a 2 year old be doing

jumps with both feet; circular scribbling; may imitate line (by 2.5 years stacks 8 blocks, thumb wiggle, balance on each foot); 30-50 words/3 word sentences; runs/climbs/opens doors/listens to stories/helps to undress/walks up steps one at a time/uses spoon

What should a 3 year old be doing

copies circle/hops/walks upstairs alternating feet/walks on tip toes (3.5 years); build tower of 9 blocks; counts 3 objects; knows age/sex; rides tricycle; stands on one foot; parallel play; washes hands; helps to dress

What should a 4 year old be doing

heel to toe walking; draws a person with 6 parts (4.5 yrs); picks the longer of 2 lines; copies cross; tells a story; counts 4 objects; throws a ball; hops on one foot; uses scissors to cut pictures; interactive play; uses toilet alone

What should a 5 year old be doing

copies square; draws a person with 5-6 parts; names colors; counts to 10; skips; asks the meaning of words; dresses/undresses; hops 5 times

What is the order of tooth eruption

1. Lower (mandible) central incisors then max central incisors 2. Lower lateral incisor then max lateral incisor 3. Cuspids 4. 1st molars 5. 2nd molars

First 3 stages- Freud

Oral: 0-18 months; primary focus is the mouth (sucking/eating); major conflict=weaning; focused on the self with little differentiation from others; Anal: 18 months-3 years; primary focus=anal (elimination); major conflict=potty training; focus on rebellion vs. parental demands; Phallic: 3-6 years; primary focus=genitals (exploration); major conflict=oedipal; attracted to opposite sex parent; identifies with same sex parent

Last 2 stages-Freud

Latency: 6-11 years; no primary zone; focus on social relationships & mastery over impulses; Genital: 11-18 years, primary focus is genital (sexual maturity and expression); major conflict=separation from family; focus on successful relationships

Trust vs. mistrust (Erikson)

0-18 months; trust develops when needs are met; mistrust develops when needs are ignored or met inconsistently

Autonomy vs. shame & doubt (Erikson)

18 months-3 years; autonomy develops when control over body & environment is gained; shame & doubt develop

Initiative vs. guilt (Erikson)

3-6 years; explores physical and imagines a fantasy world; conscience develops; guilt develops when activities are in conflict with goals of others

Industry vs. inferiority (Erikson)

6-11 years; achieves a sense of accomplishment and mastery; inferiority develops when more is expected that can be achieved

Identity vs. role confusion (Erikson)

11-18 years; pre-occupied with physical appearance and peers; role confusion develops when conflicts cannot be solved between child & society

Amoral (Kohlberg)

0-18 months; moral reasoning cannot begin until a certain level of cognitive development

Obedience & punishment (Kohlberg: Preconventional)

18 months-3 years; behavioral decisions made based on fear of punishment; good vs. bad defined by physical consequences

Instrumental relativist (Kohlberg: Preconventional)

3-6 years; behavioral decisions made based on concern for self or ego centric satisfaction

Interpersonal concordance (Kohlberg: conventional)

6-11 years; behavioral decisions made based on desire for approval from others

Law & order (Kohlberg: conventional)

6-11 years; behavioral decisions made based on respect for authority; laws take precedence over personal wishes

Social contract/legalistic (Kohlberg: Post-conventional)

11-18 years; morality based on personal values

Universal ethical principle (Kohlberg: post-conventional)

11-18 years; morality based on internalized ideals and conscience rather than social rules

Sensorimotor (Piaget)

0-2 years-no thinking structures; object permanence; causal spatial relations; use of instruments

Preoperational (Piaget)

2-7 years; develop language skills; cognitive structures; prelogical; egocentrism; transducive reasoning

Concrete operational stage (Piaget)

7 years-Adolescence; begins to question life; solves problems but haphazardly; mass-number-linear time; deductive reasoning

Formal operations stage (Piaget)

Adolescence & onward; capable of sophisticated logical thought; can think both abstract & hypothetically & solve problems using the logic of combinations

Congenital rubella syndrome (S/S & Dx)

s/s: cataracts; retinopathy; micropthalmos; glaucoma; retardation; congenital heart disease; FTT; blueberry muffin rash; delayed s/s: 2-4 year delay- diabetes; encephalopathy; Dx- + viral culture; PCR; IgM antibodies

Congenital rubella syndrome (Tx)

Isolate infant from pregnant women; early intervention; refer to specialists

Hepatitis B in the newborn (S/S & Dx)

Incubation 60-150 days; s/s: malaise; anorexia; N/V; RUQ pain; fever; HA; dark urine; rash; causes chronic carrier: later leads to hepatomegaly; jaundice; rash; arthlagia/arthritis; Dx: serology; +surface antigen

Hepatitis B in the newborn (Tx)

Hep B vaccine in 1st 12 hours to avoid perinatal exposure; interferon used to treat chronic hepatitis B

HSV in the neonate (SEM)

Presents in 1st 2 weeks of life, cutaneous lesions where infant contacted mother’s genitals

HSV in the neonate (CNS)

2-3rd week; seizures; apnea; neuro disability

HSV in the neonate (Disseminated)

1st week; acutely ill; shock; DIC; very sick

HSV in the neonate (Dx & Tx)

+ culture Acyclovir 20 mg/kg IV Q8 for 21 days (CNS disseminated); 14 days (SEM)

HSV (STI)

2 types: 1 usually oral, 2 usually genital: sexually transmitted from asymptomatic carriers, S/S: painful vesicles/blisters with burning & irritation, dysuria, systemic symptoms, extra-genital lesions, Dx: + viral culture, Tx: Acyclovir

Neonatal conjunctivitis (Chlamydia trachomatis)

5-14 days after birth, conjunctival edema/injection, eye discharge, pseudomembrane, Tx: oral erythromycin for 10-14 days

Neonatal pneumonia (Chlamydia trachomatis)

2-19 weeks, rhinorrhea, congestions, tachypnea with staccato cough, rales (wheezing rare), Dx: Culture, hyperinflation on chest x-ray associated with eosinophilia, Tx: oral erythromycin for 10-14 days

Chlamydia (STI)

Often asymptomatic, S/S: spotting, vaginal discharge, dysuria, pyuria, mild abdominal pain, FB sensation in the eyes, cervicitis, conjunctivitis, Dx: + culture, Tx: One gram Azithromycin PO x 1 dose, alt= doxy/erythromycin, levofloxacin

Gonococcal conjunctivitis (newborn period)

Injected/swollen conjunctiva, eye discharge that becomes thick, lid edema, can lead to blindness, cornea ulceration, scalp abscess, sepsis, meningitis with fever, tachypnea, tachycardia, Dx: culture, Tx: silver nitrate/erythromycin ophthalmic ointment, ceftriaxone/cefotaxime for disseminated disease

HIV in the neonatal period (S/S)

Can be asymptomatic for years, premature LBW, recurrent infections, FTT, diarrhea, developmental delay, lymphadenopathy, hepatosplenomegaly, CNS, parotitis

HIV in the neonatal period (Dx)

Excluded with 2 HIV DNA/RNA in breastfed

HIV in the neonatal period (Tx)

ARV prophylaxis, ARV Tx if + and <12 mo, consult ID specialist

HPV

Usually asymptomatic/subclinical but can cause pain, S/S: warts (cauliflower like), friable, appear 4-6 weeks after exposure, Dx: PAP test, Tx: cryotherapy, podofilox solution

Congenital CMV (S/S)

Most infants are asymptomatic (CMV affects 1% of newborns), Symptomatic at birth: IUGR, poor growth, jaundice, purpura, hepatosplenomegaly, microceophaly, retinitis, Asymptomatic: sensorineural hearing loss, developmental delay

Congenital CMV (Tx)

Primary prevention, refer to specialty for screening

Cephalohematoma

Subperiostal blood collection, non ecchymotic, can overlie skull fx, will appear several hours after delivery, DOES NOT CROSS SUTURE LINE, will resolve in weeks/months, can lead to prolonged hyperbilirubinemia

Caput succedaneum

Soft tissue edema/bruising from vaginal trauma during birth process, CROSSES SUTURE LINE, will resolve in 2-3 days

Tanner staging of male external genitalia

I: pre-pubertal II: Scrotum enlarges III: penis begins to grow lengthwise, testes continue to grow IV: penis grows in width, glans develops, testes & scrotum continue to grow, scrotum darkens V: Adult

Tanner staging of female breast development

I: prepubertal II: breast budding, areola enlargement III: breast/areola continue to enlarge IV: areola becomes secondary mound above breast V: adult breast

Tanner staging for pubic hair

I: prepubertal II: sparse growth of long/slightly pigmented at the base of the penis or on labia III: darker/coarser/curled hair that spreads out IV: Adult like in type but covers smaller area (not on medial thighs) V: adults, spreads onto thighs