Child Health and Development Overview
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Questions and Answers

What age range defines a 'school-aged child'?

  • 6 years to 12 years (correct)
  • 13 years to 19 years
  • 3 years to 5 years
  • 1 year to 3 years
  • Which of the following is NOT a recognized stage of childhood?

  • Neonate
  • Adolescent (correct)
  • Infant
  • Toddler
  • What percentage of under-5 mortality in Bangladesh occurs during the neonatal period?

  • 50%
  • 75%
  • 61% (correct)
  • 30%
  • What defines developmental delay?

    <p>A condition where a child does not reach developmental milestones at the desired times.</p> Signup and view all the answers

    Which of the following is NOT a cause of neonatal mortality?

    <p>Pneumonia</p> Signup and view all the answers

    Which of the following conditions is NOT associated with developmental disabilities?

    <p>Speech delay due to temporary factors</p> Signup and view all the answers

    Which definition best describes a 'neonate'?

    <p>A child from birth to 4 weeks old</p> Signup and view all the answers

    Which of the following conditions contributes to under-5 mortality according to the provided content?

    <p>Neonatal infection</p> Signup and view all the answers

    What is a key characteristic of autism spectrum disorders?

    <p>Impact on social communication and restricted behaviors.</p> Signup and view all the answers

    Which statement is TRUE regarding brain development?

    <p>It includes the growth of the brain and new connection creation.</p> Signup and view all the answers

    In terms of childhood stages, which category includes ages 1 month to 1 year?

    <p>Post-neonate</p> Signup and view all the answers

    What could potentially signify developmental delays in children?

    <p>Not achieving developmental milestones within a normative timeframe.</p> Signup and view all the answers

    Which of the following is a significant cause of mortality during the first day of life?

    <p>Birth Asphyxia</p> Signup and view all the answers

    When can a child's lag in development be considered a developmental delay?

    <p>If the lag lasts for an extended period without improvement.</p> Signup and view all the answers

    Which term describes children who are less than five years old?

    <p>Under-5 Children</p> Signup and view all the answers

    Which of the following factors can influence development?

    <p>Genetic, nutritional, and environmental factors together.</p> Signup and view all the answers

    What is indicated to be a critical issue in maternal and child health programs?

    <p>Lack of continuity</p> Signup and view all the answers

    What does early intervention typically aim to do in cases of developmental delay?

    <p>Hasten progress to help kids catch up.</p> Signup and view all the answers

    Which aspect is NOT considered a part of the developmental milestones?

    <p>Permanent developmental disabilities.</p> Signup and view all the answers

    What was the Under-5 Mortality Rate (U5MR) in 1960?

    <p>260.2</p> Signup and view all the answers

    Which of the following is NOT listed as a disease for newborn screening?

    <p>Diabetes</p> Signup and view all the answers

    Which initiative did NOT contribute to the reduction of under-5 mortality over the last 50 years?

    <p>Increased healthcare costs</p> Signup and view all the answers

    What key concept differentiates growth from development in children?

    <p>Growth is related to the increase in size, while development refers to skill acquisition.</p> Signup and view all the answers

    Which illness is associated with hearing loss as part of the newborn screening list?

    <p>Hearing loss</p> Signup and view all the answers

    Which vaccine is provided through the Expanded Programme on Immunization (EPI)?

    <p>Diphtheria</p> Signup and view all the answers

    What is the main purpose of newborn screening?

    <p>To detect disorders that can cause serious health problems early.</p> Signup and view all the answers

    Which of the following statements is true regarding infant mortality rates in 2019?

    <p>The infant mortality rate was significantly lower than the U5MR.</p> Signup and view all the answers

    What role does vitamin A supplementation serve in reducing under-5 mortality?

    <p>It boosts the immune system against infections.</p> Signup and view all the answers

    Which additional vaccine is mentioned to have better coverage than measles?

    <p>MMR</p> Signup and view all the answers

    Which of the following behaviors is a potential indicator of developmental delays in infants?

    <p>No reaching, pointing, showing or waving by 9 months</p> Signup and view all the answers

    Which screening tool is specifically used for identifying autism in toddlers?

    <p>Modified Checklist for Autism in Toddlers, Revised</p> Signup and view all the answers

    What is a typical symptom of attention deficit hyperactivity disorder (ADHD)?

    <p>Difficulty concentrating on tasks</p> Signup and view all the answers

    Which of the following therapies is NOT mentioned as a way to help with developmental delay?

    <p>Cognitive Behavioral Therapy</p> Signup and view all the answers

    At what age should a child typically demonstrate babbling?

    <p>12 months</p> Signup and view all the answers

    What characteristic behavior might suggest an extreme level of tantrums in a toddler?

    <p>Being inconsolable during extreme tantrums</p> Signup and view all the answers

    What is a common behavior of toddlers that may signify developmental concerns?

    <p>Refusal to eat certain foods</p> Signup and view all the answers

    Which assessment tool is designed for evaluating infant and toddler development?

    <p>Bayley Scales of Infant and Toddler Development</p> Signup and view all the answers

    What type of behavior is NOT commonly associated with ADHD symptoms?

    <p>Having extreme focus on tasks</p> Signup and view all the answers

    Which of the following is NOT a method for developmental screening or assessment?

    <p>Randomized Behavioral Evaluation</p> Signup and view all the answers

    Study Notes

    Child Health and Development

    • Defining a child: A child is a person under 18 years old, unless a country's laws set a different legal age. (UNICEF)
    • Stages of childhood:
      • Neonate: Birth to 1 month
      • Post-neonate: 1 month to 1 year
      • Infant: Birth to 1 year
      • Toddler: 1 year to 3 years
      • Preschooler: 3 years to 5 years
      • School-aged child: 6 years to 12 years
      • Teenager: 13 years to 19 years
    • Under-5 children: Includes neonates to preschoolers (children under 5 years old)
    • Neonatal period: The first 4 weeks of a child's life. This is a crucial phase for survival.
    • Causes of neonatal mortality: Infections, prematurity, birth asphyxia
    • Causes of under-5 mortality: Prematurity, pneumonia, neonatal infection, diarrhea, malnutrition and undernutrition.
    • 61% of under-5 mortality in Bangladesh occurs during the neonatal period.
    • Gap between maternal and child health care in Bangladesh: Lack of continuity in programs leads to missed neonatal care.
    • Child Mortality Rates (Deaths/1000 live births):
      • Under-5 Mortality Rate (1960): 260.2
      • Under-5 Mortality Rate (2019): 30.8
      • Infant Mortality Rate (2019): 25.6
      • Neonatal Mortality Rate (2019): 19.1
    • Success factors of Under-5 mortality reductions: Immunization, Vitamin A supplementation, Oral rehydration therapy (ORT), improved education (especially of mothers), safe water provision.
    • Essential Neonatal Care Practices: Focused on survival during the first 28 days of life.
    • Newborn Screening: Testing newborns for genetic disorders and conditions that can cause problems in infancy or childhood. Early detection improves outcomes.
      • List of Diseases screened for: Phenylketonuria, sickle cell disease, thalassemia, congenital hypothyroidism, cystic fibrosis, congenital heart disease, hearing loss, etc.
    • Expanded Programme on Immunization (EPI) vaccines: Provided by the government of Bangladesh. Includes vaccines for tuberculosis, hepatitis B, diphtheria, influenza, whooping cough, pneumonia, measles, tetanus, and polio, rubella. Additional vaccines offered, such as MMR, inactivated polio, and rota virus.
    • EPI Schedule (Bangladesh): Details of immunization schedules for children 0-1 year old.
    • 2021 Recommended immunizations for children in UK: Schedule showing vaccination times for various immunizations for children aged 0–6.
    • Early Childhood Development: Focuses on the milestones, and potential delays or disabilities.
    • Growth and development: Key to a child's health.
      • Growth: Physical changes, increase in size, height and weight.
      • Development: Children gain control over their physical actions to do activities more skillfully.
    • Domains of Brain Development:
      • Physical: Gross motor, fine motor
      • Social Emotional: Interaction, cooperation, self-confidence, sense of community
      • Sensory: Sight, touch, smell, hearing, taste, vestibular, proprioception
      • Cognitive: Problem-solving, abstract thinking, learning
      • Communication: Expressive language, receptive language, pragmatic language
    • Developmental Milestones: Important activities and skills for typical development. Not reaching milestones on time might be a sign of potential developmental delay. Milestone charts provided in the notes (Infant and Toddler).
    • Developmental Delay: The condition where a child does not reach development milestones at appropriate times.
    • Developmental Delay vs. Disability: Short-term difficulties can be improved, while disabilities often last a lifetime. 1 in 4 children is at risk for a developmental delay.
      • Potential causes of delay: Short-lived issues such as infections, hearing loss or hospitalizations.
      • Developmental Disabilities: Conditions that often cannot be cured or improved, but progresses are possible with treatment. Includes conditions like Down syndrome, autism spectrum disorder (ASD) and brain injuries.
    • Autism Spectrum Disorder (ASD): A group of neurodevelopmental disabilities impacting social communication and repetitive behavior or interests. Symptoms and support needs vary widely, creating a spectrum.
      • ASD Red Flags: Symptoms for recognizing possible symptoms in infants and toddlers such as, no back and forth sharing of sounds, smiles or expressions, no babbling at certain ages, refusal to eat certain foods or wear clothing, etc.
    • Attention Deficit Hyperactivity Disorder (ADHD): A mental health disorder that causes high levels of hyperactivity and impulsivity.
      • Common Symptoms of ADHD: Trouble focusing, forgetfulness, easily distracted, difficulty sitting still, interrupting others.
    • Identifying Developmental Delay/Disability: Screening and assessment tools to identify possible delays/disabilities.
    • Rehabilitation for Developmental Delay/Disability: Therapy options such as physiotherapy, occupational therapy, and speech and language therapy.
    • Locations for support: Hospitals, clinics and the resources in Bangladesh.
    • Physiotherapy: Addresses gross motor skills, prepares a child for sitting, crawling, standing, and walking.
    • Occupational Therapy: Addresses fine motor, cognitive, sensory, and social-emotional domains, prepares a child for daily living activities.
    • Speech and Language Therapy: Targets receptive and expressive language skills, prepares a child for effective communication.

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    Description

    This quiz explores the stages of childhood and key health issues affecting children under 5 years old. It covers definitions, neonatal mortality causes, and the gap in maternal and child health care, particularly in Bangladesh. Test your knowledge on child health development and critical survival phases.

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