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Developmental milestones are a key aspect of assessing child health and progress. Importantly, they allow any issues to be identified early on. These MCQs will help you assess how well you know the key developmental milestones in children.

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Child Development 2

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Question 1
Which of the following are not one of the developmental domains defined by Sheridan?
A
Social behaviour and play
B
Posture and large movements
C
Cognition and understanding
D
Vision and fine movements
E
Hearing and speech
Question 1 Explanation: 
Sheriden: Birth to Five years outlined 4 developmental domains: Posture and large movements (gross motor), vision and fine movements (fine motor), hearing and speech, and social behaviour and play
Question 2
Which of the following scenarios would be cause for concern in terms of their gross motor development?
A
A 2 week old baby showing head lag when being held.
B
A 3 month baby unable to roll from a supine to prone position.
C
A 6 month old baby unable to support their own head
D
A 9 month old who recently started attempting to crawl.
Question 2 Explanation: 
Neonates are not able to control their neck flexors and show head lag until around the age of 4 months, from which point they should be able to support their own head. A baby should be able to move from a prone to supine position by 3-4 months and from supine to prone by 5-6 months.
Question 3
Which of the following would you expect first in a child?
A
Neat pincer grip
B
Object permanence
C
Palmar grasp
D
Tracking an object
E
Inferior pincer grip
Question 3 Explanation: 
Tracking a face/object - 6 weeks Palmar grasp - 5-6 months Transfering objects hand to hand - 6 months Inferior pincer grip - 9 months Object permanence - 9 months Neat pincer grip - 10-12 months
Question 4
A 20 month old child is having his developmental milestones assessed. He runs into the room upon spotting his favourite toy. He is unable to copy the assessor jumping. When playing with  the bricks, he is able to make a tower of 5 bricks. It is noticed that he brings the bricks to his mouth when picking them up and thinking. He accurately points to the body parts asked on both himself and on a doll when asked to by the assessor and has an understanding of nouns and some verbs. He is unable to clap his hands, and did not wave goodbye upon leaving the room, despite prompting. Which domain would you be most concerned about?
A
Gross motor
B
Fine motor
C
Speech
D
Social
Question 5
By what age should a child be able to copy a circle?
A
18 months
B
2 years
C
2 and a half years
D
3 years
E
4 years
Question 6
What is the correct sequence for the development of complex gross motor patterns?
A
Jumping on 2 feet > running > skipping > hopping
B
Running > Jumping on 2 feet > Skipping > Hopping
C
Jumping on 2 feet > Running > Hopping > Skipping
D
Running > Hopping > Jumping on 2 feet > Skipping
E
Running > Jumping on 2 feet > Hopping > Skipping
Question 6 Explanation: 
This is really important to help develop the child's balance and co-ordination.
Question 7
As part of her 9 month developmental assessment, the doctor wants to assess the child's gross motor development. Which 3 features are components of the assessment?
A
Able to stand unaided for a short period of time.
B
Attempts to crawl
C
Progresses on the floor by rolling or squirming
D
Sits unaided on the floor for 10-15 minutes on the floor
E
Able to walk alone.
Question 8
What fine motor skills are expected at a 2 year old developmental assessment?
A
Being able to copy drawing a vertical line, scribbles on their own, builds tower of 6 blocks or more
B
Able to copy drawing a cross, building a tower of 12 blocks, cutting a piece of paper in half.
C
Stands on tiptoe, pulls toys whilst walking, kicks a ball, walks up and down stairs
D
Hops on one foot for 3 steps (each foot), Walks upstairs, one foot per step; downstairs two feet per step.
Question 8 Explanation: 
Some of these are gross motor milestones, so make sure you read the question correctly.
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