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Old 09-07-2012
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Arrow Gyrus Daily Questions; Pediatrics #18

A group of student nurses is learning about childrens’ language development. Their instruc-tor explains that language is a critical barometer of both cognitive and emotional development. With which of the following is speech delay most closely associated?

(A) 22q11 deletion syndrome
(B) spina bifida
(C) diabetes
(D) child abuse
(E) asthma
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Old 09-07-2012
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I say A , almost all children with Di George syndrome have speech delay and they also dont achieve other milestones or achieve them at a later age.
Child abuse could be but is variable...

Good question
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Old 09-07-2012
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ans A..........
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Answer B....
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Old 09-08-2012
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Quote:
Originally Posted by cingulate.gyrus View Post
A group of student nurses is learning about childrens’ language development. Their instruc-tor explains that language is a critical barometer of both cognitive and emotional development. With which of the following is speech delay most closely associated?

(A) 22q11 deletion syndrome
(B) spina bifida
(C) diabetes
(D) child abuse
(E) asthma
A.) children with 22q11 deletion syndrome
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Old 09-08-2012
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This is a hard question... I would say A but child abuse could cause a speech delay also and it's important to always have abuse in the back of your mind.
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Old 09-08-2012
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Answer D

Child abuse and neglect are correlated with delayed language, particularly the ability to convey emotional states. Such delays may contribute to problems of behavior, socialization, and learning. Mental retardation may first become apparent with delayed speech at approximately 2 years, although earlier signs may have been overlooked. Hearing loss is a common cause of speech delay. Consequently, hearing evaluation should be an integral part of
the management of delayed speech.
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Old 09-08-2012
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Very high yield topic

Child abuse

Physical findings which trigger a high index of suspicion:
  • Any obvious or suspected fractures in a child under two years of age
  • Injuries in various stages of healing, especially burns and bruises
  • More injuries than usually seen in children of the same age
  • Injuries scattered on many areas of the body
  • Bruises or burns in patterns that suggest intentional infliction
  • Increased intracranial pressure in an infant
  • Suspected intra-abdominal trauma in a young child
  • Any injury that does not fit the description of the cause given
  • Information in the medical history which triggers a high index of suspicion:
A history that does not match the nature or the severity of the injury
  • Vague parental accounts or accounts that change during the interview
  • Accusations that the child injured him/herself intentionally
  • Delay in seeking help
  • Child dressed inappropriately for the situation

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Quote:
Originally Posted by cingulate.gyrus View Post
A group of student nurses is learning about childrens’ language development. Their instructor explains that language is a critical barometer of both cognitive and emotional development. With which of the following is speech delay most closely associated?
I think the clue here is "both cognitive and emotional development"
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Thanks all for discussion...

Last edited by cingulate.gyrus; 09-08-2012 at 08:20 PM. Reason: mis posted
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