Deck 9: Developmental Assessment: Screening for Developmental Delay and Autism

Question 1

The prevalence of children with developmental and behavioral problems in the United States is estimated at:

A) 2--5 %
B) 12--16%
C) 22-25%
D) 27-30%

Answer 1

B

Question 2

The American Academy of Pediatrics (AAP) developed a policy statement, "Identifying Infants and Young Children with Developmental Disorders: An Algorithm for Developmental Surveillance and Screening," to:

A) Provide a plan for referring children with developmental disorders to psychologists for diagnostic testing
B) Provide guidelines for which screening tools to complete during primary care visits
C) Provide a strategy to prescribe psychiatric medication for children with mental health problems
D) Provide a strategy to incorporate ongoing developmental surveillance and screening of all children into primary care visits

Answer 2

D

Question 3

Developmental surveillance is a primary component of the pediatric primary care visit and is defined by the AAP as a process of:

A) Eliciting and attending to parental concerns about their child's development, observing the child's behavior, identifying risk and protective factors, and maintaining accurate records
B) Interviewing the adult caregivers and the child to learn how the child is sleeping, eating, and behaving at home
C) Observing the child during the primary care visit to assess their speech, hearing, and emotional state
D) Observing the child in the school or child care setting to assess peer relationship, gross motor, and communication skills

Answer 3

A

Question 4

APNs incorporate standardized developmental screening instruments into primary care visits to:

A) Decrease history taking and developmental questions during the well-child visit
B) Increase parental involvement in the primary care visits
C) Enhance the precision of developmental surveillance
D) Decide what early intervention services the child will need

Question 5

The APN reviewed the Parental Evaluation of Developmental Status (PEDS) screening tool before seeing a 4-year old for her primary care visit. The screening identified a delay in the child's fine motor development and normal gross motor and speech and language skills. How should the APN prepare for the visit?

A) Identify if there was a previous history of abnormal neurologic examination or fine motor delay noted in previous developmental screenings.
B) Make a referral for a full developmental evaluation by a specialist.
C) Review the child's health history for previous infectious diseases.
D) Question the parent to see if the developmental screening tool was unclear.

Question 6

The psychometric properties of a developmental screening tool are important to review before you administer screening tools in your primary care practice. What are the components of assessing the reliability of an instrument?

A) Sensitivity and specificity
B) Internal consistency, usually shown as a Cronbach's alpha coefficient
C) Concurrent validity
D) Predictive validity

Question 7

The psychometric properties of a developmental screening instrument include assessing validity. Validity is defined as:

A) The ability of a screening tool to be standardized on a large, nationally representative sample
B) The ability of a measure to produce consistent results. To determine a similar result if the tool is repeated 2 weeks later
C) The ability of a measure to discriminate between a child at a determined level of risk for delay and the rest of the population
D) The ability of a screening tool to be accurate and identify children who do not have a developmental delay

Question 8

The psychometric properties of a developmental screening tool include assessing specificity. Specificity is defined as:

A) The ability of a screening tool to be standardized on a large, nationally representative sample
B) The ability of a measure to produce consistent results. To determine a similar result if the screening tool is repeated 2 weeks later
C) The ability of a measure to discriminate between a child at a determined level of risk for delay and the rest of the population
D) The ability of a screening tool to be accurate and identify children who do not have a developmental delay

Question 9

The Ages and Stages Questionnaire, Third Edition (ASQ-3) has a sensitivity of 0.70 to 0.90. This means that different studies found the sensitivity to range from 0.70 to 0.90. The interpretation of a sensitivity of 0.90 is that:

A) 90% of the children who receive positive screening results truly have a developmental problem
B) 90% of the children who receive a positive screening results do not have a developmental problem
C) 90% of the children who had the ASQ-3 completed by their parent or primary care provider will be referred for early intervention services.

Question 10

The APN is reviewing the recommended ages for performing developmental surveillance using the ASQ-3. The AAP recommends children under 5 years of age be screened with the ASQ at:

A) 6, 24, 60 months
B) 1-, 24, 36 months
C) 9, 18, 30 months
D) 18, 36, 60 months

Question 11

Screening for autism is particularly important for which population of children?

A) Boys under 24 months of age
B) Girls over 24 months of age
C) Hispanic and Latino children under 12 months of age
D) Asian boys under 30 months of age