PEDS question pt.2

Formal developmental screenings by physicians are performed at what ages?

9, 18, 30 and 48 months

When is Developmental Coordination Disorder (CDC) often identified?

When a child enters kindergarten

“Hands frequently clenched” is considered a red flag at what age?

6 months

A child should be able to feed themselves finger foods or hold their own bottle/cup by what age?

12 months

By 6 months, what are the 2 gross motor red flags?

Unable to hold head up when lying on the tummy, not holding head with control in supported sitting

Retained STNR can result in which 6 month red flag?

Unable to hold head up when lying on the tummy

Not attempting to walk without support is a red flag at what age?

15 months

What are the 4 gross motor red flags at 9 months?

Not rolling, not sitting without support, not moving (creeping or crawling), not taking weight on legs when held in standing

“Not able to run or jump” is a red flag at what age?

3 years

“Not able to catch, throw, or kick a ball” is a red flag at what age?

4 years

What are some “red flags at any age” (there are 7)

1. Strong parental concern

2. loss of skills

3. lack of response to sound or visual stimuli

4. poor interactions with others

5. lack of or limited eye contact

6. differences in strength movement or tone between right and left sides

7. marked low tone or high tone which is significantly impacting development of functional motor skills

What are the 3 gross motor red flags at 18 months?

Not standing independently, not walking independently, not attempting to walk without support (15 months)

It is a red flag to be unable to walk up and down the stairs while holding on at what age?

2 years

Engagement in ____ is a major life area under the ICF-CY

play

1. Inconsistency of performance

2. perseveration-response repetition (unable to stop when appropriate)

3. extraneous movements

4. mirroring or the inability to transpose left-right visual cues

5. asymmetry and difficulty in bilateral coordination

6. loss of dynamic balance and falling after finishing a motor task

7. inability to maintain rhythm or a movement pattern

8. inability to control force (unable to generate enough force or using too much force)

9. inappropriate motor planning

9 indicators of immature movement

Why do adolescents with disabilities experience muscle shortening?

The muscle does not grow enough to keep up with bone growth

What is the most common chronic childhood disease?

Asthma

Exercise-induced bronchospasm occurs _____ minutes into exercise with an intensity of ____ VO2Max. It resolves spontaneously within ____ minutes.

8-10 minutes ; 70-85% ; 20-30 minutes

Impairment of which system is the most common cause of death in children with CF?

Pulmonary system → thickened secretions narrow or obstruct airways

What is Infant Respiratory Distress Syndrome (RDS)?

Inadequate levels of surfactant and immature lungs resulting in tachypnea, nasal flaring, intercostal and substernal retractions, and cyanosis within 4 hours of birth.

Infants born at what age are more likely to develop RDS?

50% of infants born at 26-28 weeks develop RDS

The chance of developing RDS decreases from 50% to 30% when infants are not born until what week of gestation?

30-31 weeks