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Child development quiz

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Question 1
Around what weight is considered normal for a 1-year old?
A
Treble their birthweight
B
10kg
C
Double their birthweight
D
5kg
E
15kg
Question 1 Explanation: 
Average infant doubles weight by 5 months old, should be ~10kg by 1 year old.
Question 2
Which of the following sentences best describes 'meconium'?
A
The first stool after introduction of feeds.
B
The first stool after introduction of wheat.
C
The first stool when a child has been fully weaned.
D
A green stool.
E
The first stool passed by a child.
Question 3
Which of the following is usually the first sign of puberty in girls?
A
Growth spurt
B
Growth of axillary hair
C
Menarche
D
Growth of some pubic hair
E
Breast budding
Question 3 Explanation: 
Breast budding is the first pubertal sign in females, testicular enlargement is the parallel sign in males.
Question 4
At what age should a child be referred to a paediatrician if they have not begun to walk?
A
12 months
B
18 months
C
9 months
D
15 months
Question 4 Explanation: 
An infant usually begins to cruise furniture around 10-12 months and can walk alone by 15 months. If walking has not occurred by 18 months the toddler should see a paediatrician.
Question 5
Which vaccinations are given as "Pre-school boosters" at around 3 years?
A
DTaP/IPV, MMR
B
DTaP/IPV/HiB, MMR, MenC
C
DTaP/IPV, MMR, MenC
D
DTaP/IPV/HiB, MMR
E
DTaP/IPV, MenC
Question 5 Explanation: 
At around 3 years 4 months the 4-in-1 DTaP/IPV is given, along with the second dose of MMR. For more information about the current vaccination schedule, please see: http://www.nhs.uk/Conditions/vaccinations/Pages/vaccination-schedule-age-checklist.aspx
Question 6
How many hours per day does the average newborn sleep?
A
18 hours
B
8 hours
C
12 hours
D
6 hours
E
16 hours
Question 7
What is the definition of 'delayed puberty'?
A
Lack of onset of development of secondary sexual characteristics by age 14 in girls and 15 in boys.
B
Lack of onset of development of secondary sexual characteristics by age 13 in girls and 14 in boys.
C
Lack of onset of development of secondary sexual characteristics by age 12 in girls and 13 in boys.
D
Lack of onset of development of secondary sexual characteristics by age 14 in either sex.
E
Lack of onset of development of secondary sexual characteristics by age 14 in girls and 13 in boys.
Question 8
Around what age should a child be able to build a tower of three building blocks?
A
15 months
B
18 months
C
9 months
D
21 months
E
12 months
Question 8 Explanation: 
The average age for building a 3 block tower is 18 months. This increases to around 6 cubes by 2 years, and 9 cubes by 3 years.
Question 9
What is the cut-off for an acceptable weight loss in the first 7 days of life?
A
7%
B
15%
C
20%
D
5%
E
10%
Question 9 Explanation: 
>10% loss requires further follow-up/referral.
Question 10
At what age should a child learn to hop on one leg?
A
3 years
B
4 years
C
2 years
D
5 years
E
6 years
Question 11
Which of the following should be avoided when weaning a child of 7 months?
A
Wheat
B
Meat-containing products
C
Formula milk
D
Honey
E
Breastmilk
Question 11 Explanation: 
Honey should be avoided before 12 months due to risk of infant botulism. Wheat is considered safe to try in weaning after 6 months.
Question 12
A resurgence in which hormone precipitates puberty?
A
Testosterone
B
GnRH
C
LH
D
FSH
E
Oestrogen
Question 13
At what age should a child develop a mature pincer grip?
A
9-12 months
B
12-18 months
C
2 years
D
6-9 months
E
3-6 months
Question 13 Explanation: 
Practically every textbook has a slightly different table of these things, but it is important to have an idea of the basics!
Question 14
In normal fine motor development, which of the following should occur first?
A
Drawing a square
B
Copying a cross
C
Tripod pencil grip
D
Copying a circle
E
Copying a triangle
Question 14 Explanation: 
Children tend to be able to copy a shape 6 months before they can draw it. The usual developmental order of drawing shapes is: line, circle, cross, square, triangle. Tripod pencil grip is a more mature grip, occurring between 4 and 6 years of age.
Question 15
Which of the following is an example of "Double-syllable babble" displayed by an infant around 9-12 months?
A
Ma-ba
B
Ba-da
C
Ba-ba
D
Ma-da
E
Ba-ma
Question 15 Explanation: 
Double syllable babble usually involves repetition of the same syllable.
Question 16
What is the reference range for respiratory rate in a child aged 2-5?
A
30 - 40/min
B
20 - 30/min
C
15 - 20/min
D
10-15/min
Question 16 Explanation: 
Reference ranges for each baseline observation changes as the child grows.Age (years) Respiratory Rate <1 30-40 2-5 20-30 5-12 15-20 >12 12-16
Question 17
How is the seasonal flu vaccination usually administered in children aged 2 and 3?
A
Nasally
B
Rectally
C
SC injection
D
Orally
E
IM injection
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