Child Development Assessment Quiz

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Questions and Answers

What defines development as delayed in a child?

  • When it is exactly at the mean of developmental domains.
  • When impediment is less than two standard deviations below the mean.
  • When impediment is more than two standard deviations below the mean. (correct)
  • When observed milestones are only slightly delayed.

What percentage of children with developmental disabilities are typically identified through developmental surveillance?

  • Approximately 50%.
  • More than 60%.
  • Less than 30%. (correct)
  • Only about 10%.

What is the primary goal of developmental testing?

  • To diagnose physical defects and diseases.
  • To systematically quantify skills and identify delays. (correct)
  • To evaluate a child's physical health only.
  • To assess parental concerns exclusively.

What is the estimated percentage of children that have a developmental disability?

<p>12–16% (B)</p> Signup and view all the answers

Which process is deemed ineffective for identifying developmental delays?

<p>Developmental surveillance alone. (D)</p> Signup and view all the answers

What role do clinicians play in developmental surveillance?

<p>They observe the infant, take developmental history, and obtain parental concerns. (C)</p> Signup and view all the answers

What is a necessary step after developmental surveillance to improve the identification of disabilities?

<p>Developmental screening or testing. (A)</p> Signup and view all the answers

Which of the following is NOT involved in the process of developmental testing?

<p>Observing physical health alone. (D)</p> Signup and view all the answers

What is the primary focus of the book?

<p>Understanding normal development and variations (A)</p> Signup and view all the answers

What aspect has been intentionally excluded from the content of the book?

<p>All of the above (D)</p> Signup and view all the answers

How many new references have been added to the index?

<p>Over 130 (B)</p> Signup and view all the answers

According to the author, which professional primarily needs a thorough knowledge of normal child development?

<p>Paediatricians (A)</p> Signup and view all the answers

What is the purpose of including developmental assessments according to the author?

<p>To make accurate diagnoses (C)</p> Signup and view all the answers

What does the author suggest can occur without proper developmental assessment?

<p>Proper diagnosis (D)</p> Signup and view all the answers

Which influential figures does the author credit for their foundational learning in developmental diagnosis?

<p>Arnold Gesell and Catherine Amatruda (B)</p> Signup and view all the answers

What challenge did the author face when considering the inclusion of various topics in the book?

<p>Space constraints (C)</p> Signup and view all the answers

What does Arnold Gesell suggest is necessary to predict a child's future development?

<p>Awareness of all potential environmental factors (C)</p> Signup and view all the answers

How did Gesell and his staff contribute to understanding child development?

<p>By examining over 10,000 infants and tracking their growth patterns (A)</p> Signup and view all the answers

According to Gesell, what can attained growth indicate?

<p>Past growth processes and future growth potential (C)</p> Signup and view all the answers

What is Gesell's perspective on forecasting child development?

<p>Caution is essential due to numerous unpredictable factors (D)</p> Signup and view all the answers

What does the term 'lawfulness of growth' refer to in Gesell's studies?

<p>The predictable patterns of growth in average children (A)</p> Signup and view all the answers

What aspect of growth does Gesell emphasize as important for making predictions?

<p>The frequency of deviations from the average growth pattern (B)</p> Signup and view all the answers

What does Gesell imply by saying 'diagnostic prudence is required at every turn'?

<p>A careful approach is essential due to many variables (C)</p> Signup and view all the answers

What did Gesell believe would improve the prediction of a child's future progress?

<p>Detailed knowledge of both the child and his environment (B)</p> Signup and view all the answers

Where did Illingworth work as a Nuffield research student?

<p>Oxford (D)</p> Signup and view all the answers

What rank did Illingworth achieve in the Royal Army Medical Corps during World War II?

<p>Lieutenant-Colonel (B)</p> Signup and view all the answers

Which of the following best describes Illingworth's contributions to child health?

<p>He published over 650 works on developmental paediatrics. (D)</p> Signup and view all the answers

Which of the following books was NOT authored by Illingworth?

<p>Introduction to Paediatric Surgery (D)</p> Signup and view all the answers

What was Illingworth's role in relation to the Parliamentary Commissioner?

<p>Paediatric Adviser (C)</p> Signup and view all the answers

Illingworth's writing style is best described as:

<p>Economical and precise (C)</p> Signup and view all the answers

Which institution appointed Illingworth to a foundation chair in child health?

<p>University of Sheffield (B)</p> Signup and view all the answers

What was one of Illingworth's hobbies that gained him recognition?

<p>Photography (B)</p> Signup and view all the answers

What does Grade 1 signify in the grading system for infants?

<p>Possibly above average (B)</p> Signup and view all the answers

How many infants in Grade 4 had a mean IQ of 76.0 at school age?

<p>15 (C)</p> Signup and view all the answers

What percentage of infants graded as Grade 2 had an IQ below 80 at school age?

<p>1.1% (B)</p> Signup and view all the answers

What was the mean IQ score for infants graded as Grade 3?

<p>94.9 (C)</p> Signup and view all the answers

How many total children were followed up and tested at school age?

<p>230 (C)</p> Signup and view all the answers

Which grades had children who later achieved an IQ score of over 120?

<p>Grade 1 and Grade 2 (A)</p> Signup and view all the answers

What can be inferred about the grading system's reliability based on the follow-up IQ testing?

<p>Grades significantly correlate with IQ scores. (C)</p> Signup and view all the answers

How many infants graded in Grade 1 had an IQ below 80?

<p>1 (B)</p> Signup and view all the answers

What percentage of heritability of intelligence is estimated during later life?

<p>60% or greater (A)</p> Signup and view all the answers

What is the correlation of IQ between biological children and their parents compared to adopted children and their adopting parents?

<p>Twice as high for biological children. (B)</p> Signup and view all the answers

In studies of identical twins reared apart, what is noted about their IQ correlation compared to that of fraternal twins reared in the same home?

<p>It is more correlated. (C)</p> Signup and view all the answers

Which of the following conditions is associated with a high IQ?

<p>Asthma (A)</p> Signup and view all the answers

What is the risk of having another child affected by a recessive disorder like phenylketonuria when one child already has it?

<p>1 in 4 (B)</p> Signup and view all the answers

What type of studies are necessary before providing genetic advice in cases of Down's syndrome?

<p>Chromosomal studies (C)</p> Signup and view all the answers

What is a reported phenomenon in children with myopia regarding their IQ levels?

<p>They show a higher than average IQ before myopia develops. (B)</p> Signup and view all the answers

What is suggested about the genetic basis of cognitive and physical traits in children?

<p>They may originate from the same genes. (A)</p> Signup and view all the answers

Flashcards

Medical Division

A medical division of the Royal Army Medical Corps in the Middle East during World War II.

Rockefeller Research Fellowship

A research fellowship awarded by the Rockefeller Foundation to support research in the United States.

Foundation Chair of Child Health

The foundation chair of child health at the University of Sheffield, awarded to Illingworth in 1947.

The Normal Child

Illingworth's book published in 1953, focusing on the normal development of children. It went through ten editions.

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Developmental Paediatrician

A specialist in the medical care of children, particularly focusing on physical and mental development.

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Prolific Author

Illingworth's prolific writing career included over 650 publications on paediatrics.

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Renowned Lecturer

Illingworth's clarity of writing and effective use of illustrations made him a renowned lecturer.

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Committee Member

Illingworth served on important committees related to medical research and public health.

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Predicting Child Development

The idea that by observing the development of many babies, researchers can identify patterns and predict how a child might develop.

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Average Child Development

The average rate of development in children based on the observed progression of skills and abilities.

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Attained Growth as an Indicator

Understanding that the pattern of a child's development reveals information about their past growth and potential future growth.

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Lawfulness of Growth

The idea that development follows a specific sequence and rate, suggesting predictability in how children progress.

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Diagnostic Prudence

The need for caution in making predictions about a child's development due to the many factors that can influence their growth.

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Vicissitudes of Life

The vast amount of variables and unpredictable events that can affect a child's development.

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Early Diagnosis of Developmental Issues

The ability to identify developmental issues in infants, potentially including intellectual disabilities.

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Assessing Rate of Development

The process of regularly checking a child's development over time to understand their rate of progress.

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Developmental Surveillance

The process of observing, recording, and monitoring a child's developmental milestones over time.

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Developmental Screening

A systematic evaluation of a child's development using standardized tests or tools to identify potential delays.

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Developmental Testing

A comprehensive assessment of a child's development that goes beyond a basic screening. It involves detailed testing of various developmental domains.

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Developmental Delay

A significant delay in one or more areas of development, typically defined as being more than two standard deviations below the average.

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Developmental Disabilities

Conditions that affect a child's ability to learn, think, communicate, or perform everyday activities.

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Standard Deviations

The measure of how far a child's development deviates from the expected average. It helps determine the severity of a delay.

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Prevalence of Developmental Disabilities

The percentage of children who display developmental disabilities.

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Identifying Children with Developmental Delays

The use of developmental testing to identify children with potential delays, allowing for early intervention and support.

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Importance of Normal Development

Understanding normal child development is crucial for anyone working with children, especially pediatricians, similar to how anatomy is essential for surgeons.

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Understanding Normal Variation

Doctors need to know what's typical for children before they can identify what's abnormal.

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The Necessity of Developmental Assessment

Developmental assessment is a key part of every pediatric check-up, allowing doctors to diagnose accurately and plan appropriate treatment.

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Developmental Diagnosis

Developmental diagnosis helps determine if a child is on track or facing developmental challenges.

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Avoiding Pitfalls in Diagnosis

Identifying potential pitfalls and avoiding misdiagnosis are crucial for accurate evaluation and care.

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Goal of the Book

This book focuses on understanding normal development, recognizing variations, conducting developmental assessments, and navigating potential pitfalls in diagnosis.

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Practical Approach to Developmental Diagnosis

This book is designed to be practical, providing tools and knowledge for those involved in developmental diagnosis.

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Author's Influences

The author learned about child development from respected figures like Arnold Gesell and Catherine Amatruda, shaping their expertise over decades.

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Developmental Grading

A system used to classify infants into four categories based on their developmental progress. Grade 1: Possibly above average; Grade 2: Average; Grade 3: Possibly below average; Grade 4: Inferior.

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IQ Test

A standardized test used to measure a person's intelligence quotient, or IQ. IQ scores are used to assess cognitive abilities.

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Mean IQ of Grade 1 Infants

The average IQ score achieved by the group of infants who were initially graded as 'Grade 1' in infancy, indicating a potentially higher cognitive capacity.

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Mean IQ of Grade 2 Infants

The average IQ score achieved by the group of infants who were initially graded as 'Grade 2' in infancy, indicating an average cognitive capacity.

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Mean IQ of Grade 3 Infants.

The average IQ score achieved by the group of infants who were initially graded as 'Grade 3' in infancy, indicating a potentially lower cognitive capacity.

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Mean IQ of Grade 4 Infants

The average IQ score achieved by the group of infants who were initially graded as 'Grade 4' in infancy, indicating a significantly lower cognitive capacity.

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IQ Below 80

A measure of cognitive ability that falls below 80. It is a score that suggests potential learning difficulties.

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Heritability of Intelligence

The degree to which intelligence is influenced by genetics is believed to increase with age, from 20% in infancy to 60% or more in later life.

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Genetic Influence on IQ

Studies show that biological children share a stronger correlation in IQ with their parents compared to adopted children, even if biological parents don't raise them.

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Twin Studies and Intelligence

Comparing identical twins raised apart and fraternal twins raised together reveals that genetics play a significant role in intelligence, but environment influences how much genetic potential is realized.

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Unexpected IQ Correlations

Conditions like retinoblastoma, myopia, asthma, and high uric acid levels have been linked to higher IQ, suggesting a complex relationship between physical and cognitive traits.

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Congenital Adrenal Hyperplasia and IQ

A study found that individuals with congenital adrenal hyperplasia, a genetic disorder, exhibit significantly higher IQ than their unaffected siblings and parents, highlighting the influence of genes on cognitive abilities.

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Genetic Counseling for Intellectual Disability

Before providing genetic advice for intellectual disability, a thorough investigation is crucial to identify specific conditions like phenylketonuria or Tay-Sachs disease which have known genetic patterns and predictable risks.

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Recessive Intellectual Disabilities

Phenylketonuria and Tay-Sachs disease are examples of recessive intellectual disabilities, where both parents carry a gene for the condition. The risk of having an affected child is 1 in 4.

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Chromosomal Studies and Down's Syndrome

Chromosomal studies are necessary before offering genetic counseling for Down's syndrome, as it is caused by an extra chromosome.

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Study Notes

Book Title and Edition

  • Illingworth's The Development of the Infant and Young Child, Tenth Edition
  • Published by Elsevier

Editors

  • MKC Nair
  • Paul Russell

Author

  • Ronald S Illingworth MD FRCP DPH DCH

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