EPSDT Care for Kids Newsletter

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EPSDT Care for Kids Newsletter

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Fall 2007

Checklist of Red Flags from the
Iowa Child Health and Development Records*

When surveillance during a well-child visit raises a red flag, it is important to provide or refer for immediate screening or evaluation.
Red flags for children of all ages
A parent or caregiver reports: c Parent or family is under severe stress c Caring for child creates severe stress c Caregiver frequently experiences depression c In the past month, caregiver has frequently taken little interest or pleasure in things
Red Flags by AGE of CHILD

At 2 weeks, child does NOT		¨ Move arms and legs equally
		¨ Move arms and legs equally ¨ Lift head briefly when prone
At 2 months, child does NOT:		¨ Smile responsively
		¨ Raise head when prone ¨ Respond to sound ¨ Follow object with eyes ¨ Vocalize
At 4 months, child does NOT:		¨ Coo and laugh interactively
		¨ Exhibit social smile ¨ Have ability to be comforted ¨ Track and follow with eyes ¨ Exhibit good head control ¨ Open hands, grasp rattle ¨ Move arms and legs well ¨ Lift head 90^o when prone
At 6 months, child does NOT:		¨ Interact with family by smiling, vocalizing
		¨ Make good eye contact ¨ Turn to voice ¨ Babble or coo ¨ Roll over both ways ¨ Reach for objects ¨ Resist head lag when pulled to sitting
At 9 months, child does NOT:		¨ Interact by smiling, vocalizing
		¨ Imitate sounds ¨ Babble, say “mama, dada” non-specifically ¨ Sit well without support ¨ Transfer objects to other hand ¨ Feed self cracker ¨ Stand holding onto stable object
At 12 months, child does NOT:		¨ Make good eye contact
		¨ Exhibit strong attachment to primary caretaker ¨ Babble, say “mama, dada” specifically (by age 13 months) ¨ Understand “no” or name ¨ Pick up Cheerio between thumb, finger; finger feed ¨ Pull to standing position ¨ Get into sitting position ¨ Point or use other gestures, such as waving
At 15 months, child does NOT:		¨ Make good eye contact
		¨ Point or gesture for needs ¨ Interact with family ¨ Follow simple commands like “stop” or “give me” ¨ Say at least one word besides “mama, dada” ¨ Imitate activities ¨ Walk well without support
At 18 months, child does NOT:		¨ Maintain good eye contact
		¨ Show interest in other children ¨ Look at object when someone points to it ¨ Point to or show object to share interest ¨ Say three or more words besides “mama, dada” ¨ Follow one-step commands ¨ Respond to name ¨ Imitate people ¨ Stack up at least two blocks ¨ Use cup ¨ Help in house ¨ Walk well
At 2 years, child does NOT:		¨ Maintain good eye contact
		¨ Show interest in other children ¨ Play alongside other children ¨ Pretend play ¨ Say 50 words or more ¨ Put two words together, such as “more juice”; not just repeating ¨ Know some body parts ¨ Point to pictures ¨ Stack up four blocks ¨ Walk up stairs, run, kick ball
At 3 years, child does NOT:		¨ Show interest in, play with other children
		¨ Pretend play ¨ Help with dressing, wash hands ¨ Use 2-4 word sentences ¨ Have speech that is 75% understandable ¨ Name animal pictures ¨ Throw ball overhand ¨ Jump up
At 4 years, child does NOT:		¨ By family report, show ability to do what most 4- year-olds can
		¨ Speak in sentences ¨ Have speech understandable to strangers ¨ Copy a circle ¨ Dress self with help ¨ Understand basic concepts such as “on,” “under,” “big,” “little” ¨ Play games with other children
At 5 years, child does NOT:		¨ By family report, show ability to do what most 5- year-olds can
		¨ Know colors ¨ Communicate easily with others, tell story ¨ Follow directions ¨ Draw a person with 3-6 or more parts ¨ Dress self
The Iowa Child Health and Development Records forms are available online.
Return to Fall 2007 "What's in this issue."

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