Question

1. The first principle of child development is that it proceeds along a predictable pathway Select one: True False Question 2 A newbom who has a heart rate >100, good strong respirations, active movement, vigorous cry and has a pink body with blue extremities would have an Apgar score of: Select one: a. 10 .9 cc.? Question 3 Which of the following is NOT a developmental milestone by 9-10 months? Select one: a. Stands b. Crawls c. Indicates wants d. Uses a spoon Question 4 An abnormally large head circumference may indicate all of the following EXCEPT: Select one: a. Familial megaloencephaly b. Hydrocephalus c. Subdural hematoma d. Premature closure of sutures

Answer 1

1)The first principle of child development is that it proceeds along a predictable pathway

Answer True because child development is always from general to specific and it's a gradual process along a predictable pathway.The pathway is controlled and governed by the growing and maturing brain of the child .It does not happen all of a sudden the child will not run unless he learns to stand so all the milestones are in an order and happens in a sequence of events .All milestones are time bound which means there is a particular period for the child to attain each of the mile stones .thus the statement is true that child development is a predictable pathway.

2)Apgar score is 9 option b

Criteria for Apgar score is

Components	Score of 0	Score of 1	Score of 2
Appearance	Blue or pale skin	Blue at extremities,body pink	No cynosis.
Pulse	Absent	<100 beats/min	>100beats/min
Grimace	No response to stimuli	Grimace for aggressive stimulation	Cry on stimulation
Activity	None	Some flexion	Flexed arms and legs that resist extension
Respiration	Absent	Weak, irregular,gasping	Strong

According to the case given

HR more than 100b/min=2

Good strong respiration=2

Active movement=2 (during active movement the child will have flexed arms and legs which can resist extension

Vigorous cry:2(cry on stimulation)

Pink body and blue extremities=1

Total Apgar score of 9

Thus the other options score of 7,8,10 are wrong

3) answer is option D :uses spoon

By 9 months children can stand,crawl,points out on wants and waves

Use of utensils and spoons children learn from 13 months most of children master this skill by 17 months

4)Option D :premature closure of sutures

It is genetic disorder in which the seven sutures if the head close prematurely leading to mishapped skull shape some time it LEDs to assymetrical shape of the head .it leads to a bulge appearing skull some times it looks like absent fontanelle.

The other option are a caustaive factors for abnormally large head like familial background,hydrocephalus cause large head because of excessive fluid in the brain.,subdural hematoma in which the dura is affected also leads to abnormally large head