How many cm does a child grow on during the first year of life?
On 20 cm.
On 15 cm.
On 25 cm
On 30 cm
On 35 cm
2. What average monthly increase of mass of body of child in the second semester of life?
1. 400 g
2. 500 g
3. 600 g
4. 700 g
5. 800 g
3. The size of head makes in relation to length of trunk:
1. 10 %
2. 15 %
3. 20 %
4. 25 %
5. 30 %
4. What average of perimeter of thorax in 10 years?
1. 48 cm
2. 53 cm
3. 60 cm
4. 50 cm
5. 63 cm
5. What anthropometrical index characterizes the development of the thorax?
1. Brok’s
2. Tur’s
3. Arisman’s
4. Chulitskaya’s
5. Ketle’s
Standard of answers
| 1 | -3 |
| 2 | -1 |
| 3 | -4 |
| 4 | -5 |
| 5 | -3 |
Task 1
On the reception at a district doctor – pediatrician there is a mother with 5-years old girl. Girl has increasing of mass of body on 21% over the norm.
What kind of violation of physical development takes a place?
What degree of this violation?
Task 2
At the polyclinic district doctor - pediatrician conducts the examination of 2 months boy. It is known that a child was born with mass 3000 g, length 50 cm. Child receives artificial feeding. Now weight makes 3700 g, length 55 cm. Development of hypodermic fat is not enough; pathological symptoms from the side of other organs are absent.
What syndrome of violation of physical development takes place?
What degree of violation?
Task 3
10 months old girl has mass of body 12100 g and length of body - 72cm. It is known that initial weight was 3200g, length 50 cm. From the moment of birth on the artificial feeding. Psychical development of child answers the age.
Does violation of physical development take place?
If yes, which?
What degree of violation?
Standards of answers
Task 1
1. Syndrome of obesity
2. Obesity of I degree
Task 2
1. Syndrome of hypotrophy
2. I degree
Task 3
1. Yes
2. Syndrome of paratrophy
3. ІІ degree
Hardware and material recourses of training:
а) cup balance
b) spring balance
c) horizontal height-meter
d) vertical height-meter
f) centimetric tape
g) tables: „Empiric formulas of mass of body”
„Empiric formulas of length of body”
„Average monthly increase of mass of body of children on the first year of life”
„Algorithm of estimation of physical development of child”
Percentile tables
h) methodical workings:
- „Introduction in clinic of children’s diseases”
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Information sources:
А) Basic:
Kapitan T. Propedeutics of children’s diseases and nursing of the child. – Vinnitsa, 2006. – P. 90-111
B) Additional:
Мазурин А.В., Воронцов И.М. Пропедевтика детских болезней. С.- Петербург, 2001 – P.82-134.
Program of self-preparation of students to the theme:
1. To learn information sources (see the list of information sources)
2. to be able calculate the mass of child of a different age
3. to be able to estimate height of child
4. to be able to estimate anthropometrical indexes by percentile tables
5. to be able to estimate physical development of new-born, and children of a different age
6. to pay attention on the feature of estimation of physical development of new-born child
7. to be able to discover violation of physical development of child
8. to be able to conduct anthropometrics
Semantic module 3. Physical and psychomotor development of children
Concrete aims:
• To estimate basic criteria and indexes of psychomotor development of children of a different age.
• To explain the features of psychomotor development of newborn children.
• To estimate psychomotor development of child of 1st year of life
• To estimate psychomotor development of toddlers, preschool, junior and senior school age.
• To discover factors in anamnesis which can influence on psychomotor development.
Theme 7. Psychomotor development of children.
Theme 8. Estimation of psychomotor development of children.
Theme of practical training: Psychomotor development of children.
Place: an educational room in the somatic department.
Professional orientation of students:Ability to estimate psychomotor development of child is the necessary for work of doctor-pediatrician. The general level of psychomotor development represents the state of the central nervous system of child. Under act of the most various factors there is the delay of psychical development of children. The discovery of violations in development has the important value, as it allows on early stages to conduct necessary correction.
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Base level of knowledge and abilities:
| Discipline | To know |
| Normal anatomy | Anatomic structure of the nervous system (central, peripheral, vegetative). |
| Normal physiology | Innate unconditioned reflexes of newborn. Types of higher nervous activity. |
Plan of conducting of training:
| № | Elements of practical training | Time (minutes) |
| 1. 2. 3. 4. 5. 6. | Verification of presents. Test control for estimation of initial level of knowledge and its analysis. A teacher demonstrates and explains the method of estimation of psychomotor development of child depending on his age. Students independently work with patients, collect anamnesis and examine them. A teacher with students makes the round of examined children. During the clinical round a teacher conducts the final control of eventual level of knowledge. Final estimation of knowledge and abilities of students and task to independent preparation to a next training. | 5 min. 20 min. 30 min. 45 min. 50 min. 10 min. Total: 160 min. |
List of theoretical questions:
1) Concept about psychomotor development of children, its features in different periods of children's age.
2) Features of estimation of psychomotor development of new-born.
3) Basic criteria of estimation of psychomotor development of child of the 1st year of life.
4) Basic indexes of psychomotor development of children of 2nd and 3rd years of life.
5) Calculation to the coefficient of psychical development of child and its estimation.
6) Semiotics of violations of psychomotor development of children.
7) Regime of day for the children of a different age.
8) Types of higher nervous activity and phase conditions in children and their value for education.
9) Elements of neuropsychical education of children of early age (development of emotions, aesthetic, moral and mental education).
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Method of conducting of practical training:
1) After verification of presents and announcement of theme of training with pointing on its actuality a teacher conducts the writing test control of knowledge.
2) Analysis the answers on the tests.
3) In the ward of department a teacher demonstrates the method of estimation of psychomotor development of child depending on his age.
4)A teacher distributes and assigns patients for examination.
| № | Task | Pointing of teacher to the students | Note |
| 1 2 3 | To collect complaints and anamnesis at the mother of child. To conduct the objective examination of child. To make a conclusion about psychomotor development of child. | Algorithm of collection of anamnesis 1. Dynamics of psychomotor development of child: а) development of emotions; б) development of motor activity; в) development of active speech; g) understanding of speech; д) development of skills and abilities 2. Anamnesis of life: а) current of pregnancy in mother; b) current of delivery; c) condition of health of child in the neonatal and infant periods; d) morbidity of child; e) character of feeding; f) regime of day of child; g) features of psychical education of child. Algorithm of practical work of student 1.Exanination of child of 1st year of life: а) state of visual orientated reactions; b) state of auditory reference reactions; c) emotions of child; d) motions of hand and action with objects; e) common motions; f) active speech; g) understanding of speech; h) skills and abilities of child. 2. Examination of child of 2nd or 3rd year of life: а) estimation of active speech; b) understanding of speech; c) estimation of sensory development of child; d) actions with objects and participation in the game; e) development of motor activity; f) estimation of skills of child; g) constructive activity of the child. Algorithm of practical work of student 1. To estimate the indexes of psychomotor development of child. 2. To define the index of psychical development of child (IQ), estimate its level. 3. To define a group and harmony of development of child taking into account age periods. To define violations of psychomotor development of child. | It is necessary to put questions, which are up to psychomotor development of child depending on his age. It is necessary to discover the factors of risk of violations of psychomotor development of child. To conduct the examination of child taking into account the age features of his psychomotor development. To give estimation of the exposed changes of psychomotor development of child taking into account age features. |
5) Students independently work with children: collect the anamnesis, examine them. Report of examination of patient is designed with estimation of psychomotor development of child.
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6) A teacher conducts the analysis of patients with the analysis of conclusion on psychomotor development of the inspected children and signs the reports.
7) During the clinical round a teacher conducts the final control of knowledge of students on this theme with the use of situation clinical tasks.
8) A teacher informs the students about the results of training, estimates the knowledge and abilities of students and gives the task for independent preparation to a next training.
Forms and methods of self-control:
Test tasks
1. What age does a child begin to babble from?
A. 4 months
B. 6 months
C. 8 months
D. 10 months
E. 12 months
2. What from the reflexes of new-born belongs to reflexes of oral automatism?
А. Babkin’s
B. Moro’s
C. Kenig’s
D. Galant’s
E. Babinsky’s
3. Such concepts relate to the regime of day, except for:
A. stay on fresh air
B. educational and playing activity
C. acceptance of meal
D. duration of sleep
Е. airing and quartzing of wards
4. A child pronounces separate syllables. Knows his name. Moves toys from hand to hand. Can turn from a stomach to the back. Sits independently. Specify age of child.
A. 4 months
B. 5 months
С. 6 months*
D. 7 months
E. 8 months
5. A child walks independently, without support. Understands prohibition, able to speak 8-10 words. Independently drinks from a cup (keep by hands, puts on a table). Specify age of child.
A. 8 months
B. 9 months
C. 10 months
D. 11 months
Е. 12 months*
Situation tasks:
Task 1:
A child cries loudly, sleeps about 22 hours on day, adopts an embryo pose, has well expressed innate unconditioned reflexes of support, crawl, automatic walking,. Name age of child.
Standard of answer: New-born child
Task 2:
It’s known from the history of 7 months child, that pregnancy in mother was accompanied by early and late toxicoses. A child was born preterm, in an asphyxia. Began to keep a head in 4 months, knows voice of mother, reacts different on his and the stranger name, takes a toy, moves it from one hand to another, pronounces separate syllables, from a cup does not drink, but eats a meal from a spoon. On a question “where?”he not responses. To estimate psychomotor development of child and give recommendations to mother.
Standard of answers:
1. Estimation of indexes:
| Lines of development | Proper values, in a month | Actual values, in a month |
| Oriented reactions Auditory reference reactions Emotions and social behavior Motions of hand and action with objects Common motions Preparatory stages of development of active speech Skills and abilities in processes | 7 7 7 7 7 7 7 | 6 5 6 5 6 6 6 |
2. Calendar age of child (CA) in weeks: 7x4=28 weeks
3. General age of psychical development of child (APD) in weeks:
(6x4 + 5x4 + 6x4 + 5x4 +6x4 + 6x4 + 6x4) : 7 = 23 weeks
4. The QD index = 23 : 28 х 100 = 82%
5. Conclusion: psychomotor development of child does not answer age norm and he belongs to the second group with untypical inharmonious development, ІІІ stage of delays of development. Consultation of psychoneurologist is recommended
Task 3:
To estimate neuropsychical development of 1.5 year child, on the scale of estimation of level of psychical development. Information is got in the process of inspection about development of child is in a table. To give recommendations to mother.
| Lines of development | Proper values, in a month | Actual values, in a month |
| Understanding of speech Active relations Sensory development Game and actions with objects General motions Skills and abilities in processes | 18 18 18 18 18 18 | 12 12 11 12 11 11 |
Standard of answer:
1. Calendar age of child (CA) in a month: 12 + 6 = 18 months
2. General age of psychical development of child (APD) in a month:
(12 + 12 +11 + 12 + 11 + 11) : 6 = 69 : 6 = 11,5 months
3. The QD Determination = 11,5 : 18 х 100 = 64%
4. Conclusion: fourth group, untypical development, delay of neuropsychical development of ІІІ degree. Consultation of psychoneurologist is recommended.
Hardwares and material providing of training:
1) Tables:
а) “Indexes of psychomotor development of children of the first year of life ”
b) “Indexes of psychomotor development of children of second and third years of life”
c) “Unconditioned reflexes of new-born child”
d) “Regime of day of children of different age”
2) Set of test tasks of initial level (10 copies).
3) Set of situation clinical tasks (5 copies).
Information generators.
. А) Basic:
Kapitan T. Propedeutics of children’s diseases and nursing of the child. – Vinnitsa, 2006. – P. 112-143
B) Additional:
1. Мазурин А.В., Воронцов И.М. Пропедевтика детских болезней. – С-Пб.: Фолиант, 2001. – С.145-172, 175-178.
Program of self-preparation of students to the theme:
1). To learn basic criteria and indexes of psychomotor development of children of a different age.
2). To be able to estimate psychomotor development of child of 1th life and children of pre-preschool age.
3). To pay attention to organization of the mode of day and basis of neuropsychical education of children of early age (development of emotions, aesthetically beautiful, moral and mental education).
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