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Case Study
Casey is a 2-year-old girl whose mother brought her in for a checkup. Her mother reports that Casey was born at 40 weeks' gestation after an uncomplicated pregnancy and vaginal delivery. She is pretty sure that Casey has met each developmental milestone at the normal age and does not have any problems that she has identified. Casey has no history of medical problems or diseases other than an occasional "cold" and her immunizations are up-to-date. Casey is a very energetic child and is often running around in the back yard and loves to play in the sandbox and with their dog Max. The mother states that she is very careful with what she feeds her family and that Casey has good eating habits although sometimes she throws her food at the dog and laughs. Casey's parents have some good friends whose youngest child is being carefully followed by his pediatrician because of what is thought to be "significant developmental delays." Consequently, Casey's mother is very concerned about developmental milestones and wants her daughter "checked to make sure everything is all right." The mother states that she has read a lot of information on the Internet on child development but asks many questions regarding the care and needs of her child. Mom seems very anxious during the visit and very concerned that may she has missed something in Casey's development.
Questions:
1. What are the expectations regarding the physical development for a 2-year-old child such as Casey? (What is "normal" development for a 2 year old?)
2. What level of language development is expected for a toddler?
3. Identify at least two standardized tools that are used to assess physical and psychosocial development across the age span.
4. What are the expectations for cognitive development for a 2-year-old child? (What should a 2 year old be expected to demonstrate cognitively?)
5. How might you validate mom's assessment that Casey has good eating habits?
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