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CLD exam 1

(d)

QuestionAnswer
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
Created by: liz gelles
 

 



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