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CLD exam 1
(d)
| Question | Answer |
|---|---|
| dilemma with DLD in early childhood | it is difficult to tell which toddlers with "langauge delays" will catch up. |
| when and why is DLD diagnosed earliest (who recommends this) | CATALISE- recommends waiting till age 5 for diagnosis due to the dilemma |
| downside to waiting to diagnose DLD | -early intervention professionals fear services can't be received without a Dx label |
| what is early intervention known for | been shown to improve language skills |
| how to differentiate TYPICAL variations from delays | -know the milestones at each stage -know the common errors for each stage |
| are milestones concrete | no, they act as a useful guide, but variation is typical |
| 3 stages of language development | 1) prelinguistic (infant) 2) emerging language (toddler) 3) developing language (preschool) |
| what is the predisposition for language | the prelinguistic stage |
| what are the 2 components of the prelinguistic stage | 1) pre-intentional (perlocutionary) 2) pre-linguistic (illocutionary) |
| pre-intentional language | ~0-7 months -developing cognitive skills to represent ideas + pursue goals -no clarity for particular intention -adults act as if they understand |
| common pre-intentional behavior (4) | -alerts/orients to sounds/voices -recognize family -respond to facial expressions -vocalizes (coos), giggles, laughs |
| pre-linguistic language | ~7-14 months -infants begin intentional communicators -not using words -uses gestures (signals) to express intention |
| common pre-linguistic behaviors | -respond to name -seek social-emotional regulation (cry for CG) -variegated jargen -make requests (reach) -point, wave, show, give objects |
| variegated jargen definition | babbling in longer strings of consonant AND vowel sounds |
| risk factors in infancy (9) | -genetic + congenital conditions -maternal drug abuse -in-utero infections -prematurity -middle ear infections -abuse/neglect -poverty -unmet nutritional needs -toxin exposure |
| what does perinatal mean | meaning around birth (shortly before, during, or shortly after) |
| why is prematurity a risk factor | there is less interaction in the NICU |
| hearing conservation for infants (difficulties) | screening hearings are common, but follow-up testing isn't always done, and hearing loss may appear later |
| at which months should hearing be monitored closely in at-risk infants | between 3-6 months |
| supporting communication in infants | parent responsiveness and interaction |
| emerging language | starting to: -communicate with WORDS -use word combinations -increase vocab/type of words |
| when is the first lexicon developed | during the emerging language stage |
| age groups and associated months | infancy= 0-14 months toddler= 15-36 months preschool= 37 months on |
| common behaviors for 13-24 months | -use words for common objects, people, actions -identify body part -follow directions -put 2 words together -personal pronouns -possessives -what/where questions (with errors) |
| common behaviors for 25-36 months | -plural words -present progressive (-ing) -regular past tense (-ed) -why and how questions -conjunctions (and + but) |
| early communicative intent | -request objects, information -rejections + protests |
| when does intent using words usually increase | around 18-24 months |
| reason for concern in toddlers | producing fewer than 10 communicative acts in a 15 minute sample |
| what is considered an LLE | delay in language onset with NO other diagnoses or delays |
| criteria for LLE | -fewer than 50 words (expressive vocab) -no word combinations by 24 months |
| what increases risk for outcomes in LLE | when there is both receptive and expressive delays |
| LLE vs language impairment | 28 months: weak syntax 30 months: less than 30 expressive vocab, no word combinations |
| when is intervention mostly family-centered | during prelinguistic and emerging language stages -parental coaching |
| developing language | starting to: -expand expressive vocab (50 words) -combine words (3 or more) - MLU greater than 2 |
| intervention indicators (preschool) | -lower than 75% intelligibility -few word combos, half sentences -can't follow multi step directions -improper morphology |