Developmental Milestones and Theories Quiz

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Questions and Answers

What developmental milestone should raise concern if not achieved by 18 months?

  • Walking independently (correct)
  • Using a spoon for eating
  • Drinking from a cup
  • Naming five objects

During which stage of Piaget's cognitive development do children primarily engage in magical thinking?

  • Concrete operational
  • Formal operational
  • Preoperational (correct)
  • Sensorimotor

What term describes a child's belief that stepping on a crack can physically harm their mother?

  • Echolalia
  • Telegraphic Speech
  • Transductive Reasoning (correct)
  • Animism

At what age can a child typically start to screw lids on and off, indicating fine motor skill development?

<p>36 months (B)</p> Signup and view all the answers

What is NOT a primary focus of Kohlberg's preconventional moral reasoning?

<p>Understanding societal norms (A)</p> Signup and view all the answers

Which behavior is indicative of echolalia in children?

<p>Repeating phrases without understanding (A)</p> Signup and view all the answers

What is a key characteristic of egocentrism in toddlers?

<p>A focus on self and personal needs (C)</p> Signup and view all the answers

Which statement best describes the understanding and expression of a 36-month-old child?

<p>Utters 3-word sentences (C)</p> Signup and view all the answers

What is a common risk factor for emotional/behavioral problems in children?

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

What developmental milestone could indicate that a child is likely on track by the age of 24 months?

<p>Names five body parts (D)</p> Signup and view all the answers

What is the expected fine motor skill development at 8-9 months of age?

<p>Pinching with fingers (C)</p> Signup and view all the answers

Which method is NOT utilized by nurses to assess for developmental dysplasia of the hip (DDH)?

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

What is a common factor that affects vital signs during a toddler's examination?

<p>Conducting the exam while on the caregiver's lap (D)</p> Signup and view all the answers

What is the significance of closing times for anterior and posterior fontanelles?

<p>Affects brain development and pressure (C)</p> Signup and view all the answers

At what age should a child no longer exhibit diaphragmatic breathing?

<p>5 years old (D)</p> Signup and view all the answers

Which condition represents an emergency related to pediatric breathing?

<p>Apnea lasting more than 20 seconds (D)</p> Signup and view all the answers

Which injury pattern is considered a strong indicator of potential abuse in children?

<p>Multiple injuries in various stages of healing (C)</p> Signup and view all the answers

What assessment method is appropriate for inspecting an infant's ear?

<p>Pull the pinna back and down (B)</p> Signup and view all the answers

Which reflex persists in infants and is indicative of neurological function?

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

What feeding behavior is expected around 12 months of age?

<p>Self-feeding with a spoon (A)</p> Signup and view all the answers

At what age does the Babinski reflex typically last until?

<p>24 months (A)</p> Signup and view all the answers

What is the normal color of stool for formula-fed infants?

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

Which stage of Erikson's psychosocial development applies to infants?

<p>Trust vs. Mistrust (A)</p> Signup and view all the answers

What is the recommended sleeping position for newborns to reduce the risk of SIDS?

<p>On their back (D)</p> Signup and view all the answers

What is the appropriate weight range for a baby at 6 months?

<p>Weight should be doubled since birth (C)</p> Signup and view all the answers

Which of the following is NOT appropriate for feeding infants older than 6 months?

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

How does the FLACC scale measure pain in infants?

<p>By scoring facial expressions, movement, and cry (A)</p> Signup and view all the answers

Which of the following dietary recommendations is supported for infants to potentially prevent peanut allergies?

<p>Start peanut products after 6 months (D)</p> Signup and view all the answers

Which physical growth milestone occurs between 12 and 24 months?

<p>Height increases around 5 inches (B)</p> Signup and view all the answers

At what age does the posterior fontanelle generally close?

<p>6 months (D)</p> Signup and view all the answers

What is a common behavioral response for toddlers in pain assessment?

<p>Crying and withdrawing from interaction (C)</p> Signup and view all the answers

How many vaccines are typically administered by 6 months of age?

<p>5 vaccines (A)</p> Signup and view all the answers

What is an appropriate strategy for assessing a toddler's health?

<p>Use toys as distractions (A)</p> Signup and view all the answers

Which of the following signs indicates a fever in infants?

<p>Temperature over 100.4°F (C)</p> Signup and view all the answers

Which ability typically develops first in communication skills of toddlers?

<p>Follows simple commands (D)</p> Signup and view all the answers

During which stage in development do children commonly exhibit animism?

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

What is a common behavioral indication of control in toddlers during the anal stage according to Freud?

<p>Holding their stool (A)</p> Signup and view all the answers

Which developmental milestone typically indicates solid gross motor skills around 36 months?

<p>Pedals a tricycle (D)</p> Signup and view all the answers

What is a distinguishing feature of preconventional morality according to Kohlberg?

<p>Behavior driven by reward and punishment (A)</p> Signup and view all the answers

Which age typically shows the ability to stack objects as a fine motor skill?

<p>24 months (C)</p> Signup and view all the answers

What form of speech is characterized by using only the essential words to convey a message?

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

At what age can children typically first show an understanding of prepositions like 'over' and 'under'?

<p>36 months (D)</p> Signup and view all the answers

Which of the following is NOT a significant risk factor for emotional and behavioral problems in children?

<p>High parental education (B)</p> Signup and view all the answers

What is indicated by a child's engaging in echolalia, where they repetitively mimic phrases?

<p>Potential sign of autism (B)</p> Signup and view all the answers

Which method is used to assess developmental dysplasia of the hip (DDH) in infants?

<p>Ortolani's maneuver (B)</p> Signup and view all the answers

At what point should a pediatric patient no longer exhibit the primitive reflex of Moro?

<p>By 3 months of age (C)</p> Signup and view all the answers

Which age is crucial for assessing a child's raking grasp development?

<p>At 6 months (B)</p> Signup and view all the answers

Which breathing pattern is considered abnormal for children older than 5 years?

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

What common newborn finding is characterized by bluish-purple spots on the back or buttocks?

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

Which vital sign measurement is typically delayed until the end of a toddler's exam to prevent distress?

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

What are the skin fold characteristics indicating potential hip dysplasia?

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

Which condition requires immediate medical attention if apnea lasts longer than 20 seconds?

<p>Lack of breathing for over 20 seconds (D)</p> Signup and view all the answers

Which developmental skill do infants typically learn first in a cephalocaudal pattern?

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

Which assessment is important for monitoring the physical development of infants until they reach 12 months of age?

<p>Monitoring for physiological anemia (B)</p> Signup and view all the answers

What behavior should infants typically exhibit by the age of 6 months?

<p>Babbles with varying pitches (A)</p> Signup and view all the answers

What is the expected stool appearance for a breastfed baby?

<p>Small, yellow, and seedy (D)</p> Signup and view all the answers

Which statement regarding the FLACC scale is correct?

<p>The scale evaluates five specific behavioral domains (A)</p> Signup and view all the answers

At what age should all 20 primary teeth typically be present?

<p>By 36 months (C)</p> Signup and view all the answers

Which of the following is NOT a recommended strategy for assessing toddlers?

<p>Asking permission before procedures (C)</p> Signup and view all the answers

What type of play is considered normal for infants?

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

What nutrition is recommended for infants older than 6 months?

<p>Iron-fortified cereal and solid foods (B)</p> Signup and view all the answers

Which behavior is indicative of the 'Trust vs. Mistrust' stage in Erikson's psychosocial theory?

<p>Forming attachments with caregivers (C)</p> Signup and view all the answers

Which immunization is given at birth?

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

How much weight can infants typically expect to gain in a year?

<p>5 pounds (D)</p> Signup and view all the answers

How long should infants sleep during a 24-hour period?

<p>Around 16 hours (D)</p> Signup and view all the answers

Which statement about diaper dermatitis is accurate?

<p>Leaving the diaper off can help the rash heal. (D)</p> Signup and view all the answers

When should the anterior fontanelle close?

<p>By 18 months (B)</p> Signup and view all the answers

Which behavioral response is common when assessing pain in toddlers?

<p>Crying with varied pitch to indicate distress (A)</p> Signup and view all the answers

Flashcards

Family-centered care

A form of patient care that considers the entire family unit, including their values, beliefs, and needs, when providing treatment or services to a child.

Atraumatic care

Care designed to minimize or eliminate psychological harm or distress during a medical procedure or interaction.

Cephalocaudal pattern

Developing skills from head to toe.

Proximodistal pattern

Developing skills from the center of the body outwards.

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Pincer grasp

The ability to pick up small items using the thumb and index finger.

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Hip Dysplasia (DDH)

A condition where the hip joint does not develop properly.

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Fontanelles

Soft spots on a baby's head that allow for growth.

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Strabismus

A condition where the eyes do not look in the same direction.

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Mongolian spots

Blue-purple spots on a baby's skin, usually on the back or buttocks.

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Newborn reflexes

Involuntary movements present at birth, such as sucking, rooting, and Moro.

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Sensorimotor Stage (Piaget)

Children up to age 2 learn about the world through their senses and actions (touch, sight, etc.).

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Preoperational Stage (Piaget)

Ages 2-8. Children think magically and are very egocentric, seeing the world from their own perspective.

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Animism

The belief that inanimate objects have life-like qualities (e.g., dolls have feelings).

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Anal Stage (Freud)

A stage of psychosexual development (ages 1-3) focused on toilet training and control.

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Preconventional Morality (Kohlberg)

Moral reasoning based on rewards and punishments.

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Gross Motor Development (15 months)

Toddlers at this stage can squat to pick things up, pull themselves, and crawl up stairs, can drink from a cup.

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Walking independently (18 months)

A significant milestone of gross motor development, where a child is usually able to walk by themselves

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Echolalia

Repeating words and phrases without understanding their meaning, sometimes a sign of autism.

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Telegraphic Speech

Using a few words to communicate effectively, common in 2-3 year olds.

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Temper Tantrums (Toddlers)

Common emotional outbursts that generally lessen as toddlers age.

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Babinski Reflex

A reflex in babies where the big toe extends upward when the sole of the foot is stimulated. It typically disappears by 24 months.

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Breastfed Baby Stool

Stool of breastfed babies is smaller in volume, yellow, and seedy, resembling stone-ground mustard.

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Formula Baby Stool

Stool of formula-fed babies is brown, mushy and higher in volume compared to breastfed babies.

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Pain Assessment of Infants

Assessing pain in infants includes observing behavioral responses such as facial expressions, leg movements, activity level, crying, and consolability. Caregiver input is also important.

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FLACC Scale

A pain assessment tool for Infants, scoring each domain (face, legs, activity, cry, consolability) from 0-2. Higher score indicates more pain.

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Neonate

A newborn baby, from birth up to 30 days old.

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Weight Double/Triple

Infant's weight typically doubles by 6 months and triples by one year after birth.

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Weight Loss after Birth

Babies losing more than 10% of their birth weight are not eligible to go home from the hospital.

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Ounces to Pounds

To convert ounces to pounds, divide the number of ounces by 16 then add the result to the number of pounds already present.

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Diaper Math

Each gram of baby waste corresponds to a milliliter (mL), which is equivalent in volume to a cubic centimeter (cc).

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Erikson's Psychosocial stage (infancy)

Infants develop trust or mistrust depending on if their basic needs are consistently met.

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Piaget's Cognitive stage (infancy)

Infants learn about the world through their senses in the sensorimotor stage, which are the earliest methods of learning.

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Infant Communication

Babies communicate primarily through crying, with different pitches signaling different needs.

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Infant Vision Development

infants see best in black and white, and should have exposure to contrasting patterns and toys, specifically during the first 7 months.

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Infant Sleep

Room-sharing in a separate crib is recommended for infants until 6 months. Babies need ample sleep, usually around 16 hours per day, to develop properly with optimal brain growth.

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Infant Immunization - Hep B

Hepatitis B vaccine is given at birth, 1-2 months, and 6 months.

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Atraumatic care for infants

Care designed to minimize or reduce harm, distress, and fear during medical procedures for infants.

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Infant abuse screening

Thorough assessment for signs of abuse in infants by healthcare providers, including signs like fractures and malnutrition.

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Cephalocaudal development

Motor skill development that proceeds from the head downwards (head control first, then crawling, etc.).

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Proximodistal development

Motor skill development that starts from the center of the body and extends outwards (trunk before limbs).

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Infant grasp development (6mo)

Infants usually develop a 'raking' grasp at around 6 months of age.

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Infant grasp development (8-9mo)

Infants usually develop a 'pincer' grasp at around 8 to 9 months of age.

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Infant hip dysplasia (DDH)

A condition where the hip joint doesn't develop properly, often diagnosed before the child discovers its use (until 3 months of age).

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Ortolani/Barlow test

Physical tests conducted by healthcare providers (not nurses) in checking the infant's hips. For hip dysplasia.

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Infant fontanelles

Soft spots on an infant's head that close at different times - posterior closes around 2-3 months, anterior closes around 12-18 months.

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Infant respiratory rate assessment

Assessing respiratory rate by watching the stomach rise and fall in infants younger than five years old.

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Sensorimotor Stage

Piaget's stage where children (0-2 years) learn about the world through their senses and actions.

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Preoperational Stage

Piaget's stage (2-8 years) where children think magically and are egocentric

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Animism

The belief that inanimate objects have life-like qualities.

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Anal Stage

Freud's stage (ages 1-3) focused on toilet training and control.

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Preconventional Morality

Kohlberg's stage, moral reasoning based on rewards and punishments.

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Gross Motor Development (15 months)

Toddlers at this age can squat, crawl up stairs, drink from a cup.

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Walking independently (18 months)

A key milestone of gross motor development, usually walking by themselves.

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Echolalia

Repeating words or phrases without understanding their meaning. Sometimes a symptom of autism.

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Telegraphic Speech

Short, simple sentences using only essential words for clear communication.

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Temper Tantrums

Common emotional outbursts in toddlers, which typically improve as the child ages.

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Babinski Reflex

A reflex in babies where the big toe extends upward when the sole of the foot is stimulated. It typically disappears by 24 months.

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Breastfed Baby Stool

Stool of breastfed babies is smaller in volume, yellow, and seedy, resembling stone-ground mustard.

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Formula Baby Stool

Stool of formula-fed babies is brown, mushy, and higher in volume compared to breastfed babies.

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Pain Assessment of Infants

Assessing pain in infants involves observing behavioral responses (facial expressions, leg movements, activity level, crying, and consolability). Caregiver input is also crucial.

Signup and view all the flashcards

FLACC Scale

A pain assessment tool for infants, scoring each domain (face, legs, activity, cry, consolability) from 0-2. A higher score indicates more pain.

Signup and view all the flashcards

Neonate

A newborn baby, from birth up to 30 days old.

Signup and view all the flashcards

Weight Double/Triple

Infant's weight typically doubles by 6 months and triples by one year after birth.

Signup and view all the flashcards

Weight Loss after Birth

Babies losing more than 10% of their birth weight are not eligible to go home from the hospital.

Signup and view all the flashcards

Ounces to Pounds

To convert ounces to pounds, divide the number of ounces by 16 then add the result to the number of pounds already present.

Signup and view all the flashcards

Diaper Math

Each gram of baby waste corresponds to a milliliter (mL), which is equivalent in volume to a cubic centimeter (cc).

Signup and view all the flashcards

Erikson's Psychosocial stage (infancy)

Infants develop trust or mistrust depending on if their basic needs are consistently met.

Signup and view all the flashcards

Piaget's Cognitive stage (infancy)

Infants learn about the world through their senses in the sensorimotor stage, which are the earliest methods of learning.

Signup and view all the flashcards

Infant Communication

Babies communicate primarily through crying, with different pitches signaling different needs.

Signup and view all the flashcards

Infant Vision Development

Infants see best in black and white, and should have exposure to contrasting patterns and toys, specifically during the first 7 months.

Signup and view all the flashcards

Infant Sleep

Room-sharing in a separate crib is recommended for infants until 6 months. Babies need ample sleep, usually around 16 hours per day, to develop properly with optimal brain growth.

Signup and view all the flashcards

Infant Immunization - Hep B

Hepatitis B vaccine is given at birth, 1-2 months, and 6 months.

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