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Question 1
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Which of the following actions will an 8-week-old infant born at full-term be able to do, considering normal development?
Your Answer: Smile
Explanation:Among the options provided, an 8-week-old full-term infant with normal developmental milestones will smile in response to appropriate stimuli.Rationale:Smiles in response to appropriate stimuli are seen from around 6 weeks of age. A social smile, where the infant has an awareness that a smile attracts attention, is not observed until around 3 months of age.Other options:- At 6 weeks an infant is able to follow objects in the horizontal plane through 90 deg| fixing and following an object through 180 deg in the horizontal plane is a milestone achieved at 3 months, as is pushing up onto forearms. – Pushing up onto hands occurs by around 5 months.- Infants of 3 months should startle to a 60 dB sound.
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This question is part of the following fields:
- Child Development
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Question 2
Correct
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Which of the following developmental milestones is expected from a healthy 6-month-old child?
Your Answer: Puts everything to his/her mouth
Explanation:6 month old milestones:Social and Emotional:Knows familiar faces and begins to know if someone is a stranger Likes to play with others, especially parents Responds to other people’s emotions and often seems happy Likes to look at self in a mirror Language/Communication:Responds to sounds by making sounds Strings vowels together when babbling (“ah,” “eh,” “oh”) and likes taking turns with parent while making sounds Responds to own name Makes sounds to show joy and displeasure Begins to say consonant sounds (jabbering with “m,” “b”) Cognitive (learning, thinking, problem-solving):Looks around at things nearby Brings things to mouth Shows curiosity about things and tries to get things that are out of reach Begins to pass things from one hand to the other Movement/Physical Development:Rolls over in both directions (front to back, back to front) Begins to sit without support When standing, supports weight on legs and might bounce Rocks back and forth, sometimes crawling backwards before moving forward
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This question is part of the following fields:
- Child Development
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Question 3
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During a routine developmental assessment, it is noted that an infant can transfer a cube from her left to her right hand. She gains much excitement when placed in a forward or downward parachute position. In contrast to her last visit, she no longer has a rooting, grasp, or startle reflex. Her symmetrical Moro reflex has also disappeared. The infant continuously presents items to her mouth and sucks her fingers. She has a positive Babinski sign but a negative asymmetrical tonic neck reflex.What is the developmental age of the child in question?
Your Answer: 8 months
Explanation:Based on the presentation, the developmental age of the child is 8 months.The primitive reflexes are indicators of functional integrity and maturity. The majority of reflexes do not persist beyond 6 months of age. There are 13 reflexes of importance, including:- Moro reflex- Startle reflex- Rooting reflex- Sucking reflex- Grasp reflex- Voluntary palmar grasp reflex- Voluntary reach reflex- Stepping reflex- Asymmetrical tonic neck reflex (ATNR)- Parachute reflex- Plantar reflex- Tendon reflex- ClonusIt is interesting to note that gastrocolic reflex is not a primitive reflex.Ninety-five per cent of reflexes will have disappeared by the ages shown below:- 6 weeks: Stepping- 3-4 months: Palmar grasp and Moro- 6 months: Sucking, rooting, and asymmetrical tonic neck reflex (ATNR)
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This question is part of the following fields:
- Child Development
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Question 4
Incorrect
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Regarding normal gross motor development of a 3-year-old child, which of the following statements is correct?
Your Answer: A child will be able to ride a bike (with stabilisers) by age 3
Correct Answer: A child age three should be able to throw a ball both under and over hand
Explanation:A three-year child’s typical developmental milestones include walking up and down the stairs with alternating feet, jumping in a place with two feet together, and jumping forward for about 2 feet. The child can pedal a tricycle and can throw a ball over and underhand. An average child should start walking around 12-14 months of age and should be investigated as early as 18 months if they do not begin to walk. Skipping can be done by a child of 5 years of age. A child of 6-7 years of age can ride a bike with stabilizers and can balance on one foot for 20 seconds.
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This question is part of the following fields:
- Child Development
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Question 5
Correct
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An 18-month-old girl already speaks ten words but her father says she cannot form a sentence. What is the best management strategy?
Your Answer: Reassurance
Explanation:Not being able to form a sentence at the age of 18 months is quite normal. A combination of two words to form a sentence can be done by 2 years of age.
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This question is part of the following fields:
- Child Development
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Question 6
Correct
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Gertrude is an 18 month old child who is developing normally. Which of the following should she be able to do?
Your Answer: Follow commands such as 'give me a doll please'
Explanation:At the age of 18 months, Gertrude should be able to follow a one step command. At this age she would also be capable of putting words together in 1 or 2 word phrases, scribbling, throwing a ball, and building a tower of four cubes. At 2 she should be able to feed herself with a spoon or a fork, copy a vertical line, ride a tricycle, kick a ball and balance on one foot. Activities such as jumping will follow later on in her development at 3 years.
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This question is part of the following fields:
- Child Development
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Question 7
Incorrect
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Which of the following skills would a 1-year-old girl be able to demonstrate, assuming that her developmental growth is normal?
Your Answer: Drinking from a cup
Correct Answer: Understanding of object permanence
Explanation:Among the options provided, a 1-year-old child will be able to understand object permanence e.g. understands that objects continue to exist even when they can’t be seen, e.g. looking for a fallen toy.At the age of 1 year, children should have developed an accurate pincer grip and be able to see and co-ordinate and manipulate fairly small objects such as a raisin.Gross motor development varies, but the average 1-year-old should be able to stand and cruise around furniture or walk with their hands held but not necessarily walk unaided.Drinking from a cup will become established at around 15 months and scribbling at 18 months.
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This question is part of the following fields:
- Child Development
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Question 8
Correct
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A 5-month-old baby was brought by the mother for assessment. The baby can sit with support but not on his own. On examination, there is palmar grasp. How is the current development of this child?
Your Answer: Normal
Explanation:All the given development milestones are compatible with the given age.
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This question is part of the following fields:
- Child Development
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Question 9
Correct
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Which of these developmental milestones would be advanced for a 3-year-old?
Your Answer: Doing up buttons unaided
Explanation:3-year-old milestones:Social and Emotional:- Copies adults and friends – Shows affection for friends without prompting – Takes turns in games – Shows concern for crying friend – Understands the idea of “mine” and “his” or “hers” – Shows a wide range of emotions – Separates easily from mom and dad – May get upset with major changes in routine- Dresses and undresses self Language/Communication- Follows instructions with 2 or 3 steps – Can name most familiar things – Understands words like “in,” “on,” and “under” – Says first name, age, and sex- Names a friend – Says words like “I,” “me,” “we,” and “you” and some plurals (cars, dogs, cats) – Talks well enough for strangers to understand most of the time – Carries on a conversation using 2 to 3 sentencesCognitive (learning, thinking, problem-solving)- Can work toys with buttons, levers, and moving parts – Plays make-believe with dolls, animals, and people – Does puzzles with 3 or 4 pieces – Understands what “two” means – Copies a circle with a pencil or crayon – Turns book pages one at a time – Builds towers of more than 6 blocks – Screws and unscrews jar lids or turns the door handleMovement/Physical Development- Climbs well – Runs easily – Pedals a tricycle (3-wheel bike) – Walks up and downstairs, one foot on each stepDoing up buttons is a skill more usually seen in 5-year-olds.
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This question is part of the following fields:
- Child Development
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Question 10
Incorrect
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A healthy 12-month-old infant should be able to do which of the following?
Your Answer: Understand words such as 'cup'
Correct Answer: Wave bye -bye
Explanation:Milestones of 12-month-old child are as follows:Social and Emotional- Is shy or nervous with strangers- Cries when mom or dad leaves- Has favourite things and people camera- Shows fear in some situations- Hands you a book when he wants to hear a story- Repeats sounds or actions to get attention- Puts out arm or leg to help with dressing – Plays games such as “peek-a-boo” and “pat-a-cake” Language/Communication- Responds to simple spoken requests- Uses simple gestures, like shaking head “no” or waving “bye-bye”- Makes sounds with changes in tone (sounds more like speech)- Says “mama” and “dada” and exclamations like “uh-oh!”- Tries to say words you sayCognitive (learning, thinking, problem-solving)- Explores things in different ways, like shaking, banging, throwing- Finds hidden things easily- Looks at the right picture or thing when it’s named- Copies gestures- Starts to use things correctly| for example, drinks from a cup, brushes hair- Bangs two things together- Puts things in a container, takes things out of a container- Lets things go without help- Pokes with index (pointer) finger – Follows simple directions like “pick up the toy”Movement/Physical Development- Gets to a sitting position without help – Pulls up to stand, walks holding on to furniture (“cruising”)- May take a few steps without holding on- May stand alone
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This question is part of the following fields:
- Child Development
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