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Role: ST4 paediatrics Setting: Child development centre. You are talking to Mary and her mother Andrea. Task Mary is 12 months old. She was born at term by normal pregnancy and normal delivery. She had a normal neonatal period as well as early infancy. Her parents have concerns regarding her development. Please assess her cognitive skills.
Take a few minutes to do this exercise before proceeding to the answer
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Cognitive skills
This is the ability for a child to integrate perception, thinking and learning. It involves remembering, problem solving and decision making
Assess her cognitive skills by looking at:
• Interest in new things
o Present a new toy to the Mary. Is she interested in the toy? Does she try to explore the toy?
• Attention to familiar and unfamiliar objects
o Present a soft toy to the infant. Allow the toy to fall and comment on her ability to follow a falling object. Does she look for the toy when hidden? Has she developed object permanence?
o Present a familiar object to her (say her toy) and comment on her reaction.
o What is her reaction to strangers and unfamiliar objects?
The following are expected for an infant:
Object permanence- 7-9months
Find a toy hidden away by 12 months
By 12 weeks of age, the young infant will react to familiar situations by smiling, or cooing
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