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Put your knowledge to the test with this awesome quiz focusing on child development and the key milestones you’ll be expected to know about!

Child development quiz

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