pediatric development

A mother brings in her 16-month-old, Brittany, for treatment of an acute illness. During the history, the mother reports that her mother-in-law is concerned about the toddler’s development. Further questioning reveals the following:

  • Brittany was a term infant born vaginally with no intrapartum complications. Birth weight was 8 pounds 1 ounce and current weight is 26 pounds 9 ounces.
  • She was breastfed until 12 months of age and now drinks 24 ounces of whole milk and eats table foods daily.
  • Physical milestones are as follows: Rolled front to back at 6 months, developed pincer grasp at 11 months, crawled at 8 months, and began cruising at 10 months. She does not walk independently.
  • Social development includes mimicking adult behavior, four-word vocabulary (mama, dada, baba, and no), follows one-step commands, and quiets easily when comforted.

Post an explanation of the following:

  1. Developmental red flags that presented on the stages of normal physical, social, and cognitive development for infants, toddlers, and preschoolers. Based on the red flags identified within the physical, social, and cognitive what additional questions should you ask? What additional examinations will you conduct?
  2. Explain how you differentiated between normal and abnormal growth and development for this patient.
  3. Identify which standardized screening tools, clinical guidelines, and management strategies you might use to assess and manage this patient and why.
  4. Health, promotion and anticipatory guidance:
    1. Based on the child’s age, discuss which immunizations this child should have received by now?
    2. When are the next set of immunizations? Which ones should be given?
    3. When should this child return to clinic?

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