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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 14 in girls and 15 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 either sex.
E
Lack of onset of development of secondary sexual characteristics by age 12 in girls and 13 in boys.
Question 2
Around what age should a child be able to build a tower of three building blocks?
A
12 months
B
15 months
C
21 months
D
9 months
E
18 months
Question 2 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 3
At what age should a child develop a mature pincer grip?
A
9-12 months
B
12-18 months
C
6-9 months
D
3-6 months
E
2 years
Question 3 Explanation: 
Practically every textbook has a slightly different table of these things, but it is important to have an idea of the basics!
Question 4
Which of the following is usually the first sign of puberty in girls?
A
Breast budding
B
Menarche
C
Growth of axillary hair
D
Growth of some pubic hair
E
Growth spurt
Question 4 Explanation: 
Breast budding is the first pubertal sign in females, testicular enlargement is the parallel sign in males.
Question 5
Which of the following should be avoided when weaning a child of 7 months?
A
Wheat
B
Meat-containing products
C
Honey
D
Breastmilk
E
Formula milk
Question 5 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 6
Which of the following sentences best describes 'meconium'?
A
The first stool after introduction of wheat.
B
The first stool passed by a child.
C
The first stool when a child has been fully weaned.
D
A green stool.
E
The first stool after introduction of feeds.
Question 7
A resurgence in which hormone precipitates puberty?
A
FSH
B
GnRH
C
LH
D
Oestrogen
E
Testosterone
Question 8
How is the seasonal flu vaccination usually administered in children aged 2 and 3?
A
IM injection
B
Rectally
C
Orally
D
SC injection
E
Nasally
Question 9
At what age should a child learn to hop on one leg?
A
6 years
B
3 years
C
4 years
D
2 years
E
5 years
Question 10
What is the reference range for respiratory rate in a child aged 2-5?
A
15 - 20/min
B
20 - 30/min
C
10-15/min
D
30 - 40/min
Question 10 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 11
Around what weight is considered normal for a 1-year old?
A
15kg
B
10kg
C
Double their birthweight
D
5kg
E
Treble their birthweight
Question 11 Explanation: 
Average infant doubles weight by 5 months old, should be ~10kg by 1 year old.
Question 12
Which of the following is an example of "Double-syllable babble" displayed by an infant around 9-12 months?
A
Ba-ma
B
Ma-ba
C
Ba-ba
D
Ma-da
E
Ba-da
Question 12 Explanation: 
Double syllable babble usually involves repetition of the same syllable.
Question 13
In normal fine motor development, which of the following should occur first?
A
Tripod pencil grip
B
Copying a circle
C
Copying a cross
D
Copying a triangle
E
Drawing a square
Question 13 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 14
At what age should a child be referred to a paediatrician if they have not begun to walk?
A
12 months
B
9 months
C
15 months
D
18 months
Question 14 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 15
Which vaccinations are given as "Pre-school boosters" at around 3 years?
A
DTaP/IPV, MMR, MenC
B
DTaP/IPV, MMR
C
DTaP/IPV/HiB, MMR, MenC
D
DTaP/IPV/HiB, MMR
E
DTaP/IPV, MenC
Question 15 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 16
How many hours per day does the average newborn sleep?
A
8 hours
B
12 hours
C
6 hours
D
18 hours
E
16 hours
Question 17
What is the cut-off for an acceptable weight loss in the first 7 days of life?
A
7%
B
10%
C
5%
D
15%
E
20%
Question 17 Explanation: 
>10% loss requires further follow-up/referral.
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