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Child development quiz

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Question 1
What is the definition of 'delayed puberty'?
A
Lack of onset of development of secondary sexual characteristics by age 14 in girls and 13 in boys.
B
Lack of onset of development of secondary sexual characteristics by age 12 in girls and 13 in boys.
C
Lack of onset of development of secondary sexual characteristics by age 13 in girls and 14 in boys.
D
Lack of onset of development of secondary sexual characteristics by age 14 in girls and 15 in boys.
E
Lack of onset of development of secondary sexual characteristics by age 14 in either sex.
Question 2
Which of the following should be avoided when weaning a child of 7 months?
A
Wheat
B
Honey
C
Formula milk
D
Meat-containing products
E
Breastmilk
Question 2 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 3
What is the cut-off for an acceptable weight loss in the first 7 days of life?
A
15%
B
7%
C
10%
D
5%
E
20%
Question 3 Explanation: 
>10% loss requires further follow-up/referral.
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
Around what weight is considered normal for a 1-year old?
A
15kg
B
10kg
C
Double their birthweight
D
Treble their birthweight
E
5kg
Question 5 Explanation: 
Average infant doubles weight by 5 months old, should be ~10kg by 1 year old.
Question 6
Which of the following sentences best describes 'meconium'?
A
The first stool passed by a child.
B
The first stool after introduction of wheat.
C
The first stool after introduction of feeds.
D
The first stool when a child has been fully weaned.
E
A green stool.
Question 7
How many hours per day does the average newborn sleep?
A
6 hours
B
12 hours
C
18 hours
D
16 hours
E
8 hours
Question 8
In normal fine motor development, which of the following should occur first?
A
Copying a triangle
B
Tripod pencil grip
C
Drawing a square
D
Copying a cross
E
Copying a circle
Question 8 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 9
What is the reference range for respiratory rate in a child aged 2-5?
A
10-15/min
B
15 - 20/min
C
20 - 30/min
D
30 - 40/min
Question 9 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 10
Which vaccinations are given as "Pre-school boosters" at around 3 years?
A
DTaP/IPV, MMR
B
DTaP/IPV, MenC
C
DTaP/IPV/HiB, MMR, MenC
D
DTaP/IPV/HiB, MMR
E
DTaP/IPV, MMR, MenC
Question 10 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 11
Which of the following is usually the first sign of puberty in girls?
A
Growth of some pubic hair
B
Growth of axillary hair
C
Menarche
D
Breast budding
E
Growth spurt
Question 11 Explanation: 
Breast budding is the first pubertal sign in females, testicular enlargement is the parallel sign in males.
Question 12
Around what age should a child be able to build a tower of three building blocks?
A
21 months
B
9 months
C
15 months
D
12 months
E
18 months
Question 12 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 13
Which of the following is an example of "Double-syllable babble" displayed by an infant around 9-12 months?
A
Ma-da
B
Ma-ba
C
Ba-ma
D
Ba-da
E
Ba-ba
Question 13 Explanation: 
Double syllable babble usually involves repetition of the same syllable.
Question 14
How is the seasonal flu vaccination usually administered in children aged 2 and 3?
A
IM injection
B
SC injection
C
Rectally
D
Orally
E
Nasally
Question 15
A resurgence in which hormone precipitates puberty?
A
Testosterone
B
LH
C
GnRH
D
FSH
E
Oestrogen
Question 16
At what age should a child develop a mature pincer grip?
A
9-12 months
B
3-6 months
C
2 years
D
12-18 months
E
6-9 months
Question 16 Explanation: 
Practically every textbook has a slightly different table of these things, but it is important to have an idea of the basics!
Question 17
At what age should a child learn to hop on one leg?
A
3 years
B
6 years
C
4 years
D
5 years
E
2 years
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