Nur 1208 Skills MMDST

FAR EASTERN UNIVERSITY
Institute of Health Sciences and Nursing

SECOND SEMESTER – AY 2022-2023
NUR1208 - NCM 107 CARE OF MOTHER AND CHILD, ADOLESCENT (WELL CLIENT)
METRO MANILA DEVELOPMENT SCREENING TEST
Description
The Metro Manila Developmental Screening Test (MMDST) is a simple, clinically useful tool used in
the early detection of children with serious developmental delays developed by Dr. Phoebe D.
Williams. It is a modification and standardization of the original Denver Developmental Screening
Test (DDST) by Dr. William K. Frankenburg and his associates. It was developed for health
professionals such as nurses, doctors, and other health workers so that slow development may be
recognized, referrals made, and appropriated therapy prescribed as possible. It is not an intelligent
but a screening instrument to determine whether a child’s development is within normal range.
MMDST is designed to detect developmental delay for children 2 weeks to 6 ½ years old. It evaluates
four aspects of development: personal-social, fine-motor-adaptive, language, and gross behavior.
Learning objectives:
After reading this module, the student nurse will be able to:
1. Discuss the purpose of MMDST
2. Describe the four aspects of development
3. Prepare the materials including the scoring sheet for administering MMDST
4. Identify the steps for administering MMDST
5. Describe scoring for MMDST Definition of terms
Age line – the line drawn from top to bottom of the test form based on the age of the child.
Age of the child – date of test minus the birth date of the child in years and
Months.
Aspect of development – the fours aspects of development that is measured in
MMDST. Screening test to determine any developmental delays
Fine motor Adaptive - tasks which indicate the child’s ability to see and use his hands to pick up
objects and to draw
Gross-Motor - tasks which indicate the child’s ability to sit, walk and jump
Language - tasks which indicate the child’s ability to hear, follow directions and to speak.
No Opportunity – the child has no chance of performing the task due to unavailability of resources. An
example is rides a tricycle.
Passed – the child was able to perform the task.
Personal-Social - tasks which indicate the child’s ability to get along with people and to take care of
himself
Refused – the child does not want to perform the task after three tries.
Screening - the presumptive identification of unrecognized disease through tests and examinations.
Test items – 105 tasks to be tested to the child which are divided into four sectors.
Purposes
1|Page
NUR 1208 – METRO MANILA DEVELOPMENTAL SCREENING TEST
Prepared by FEU MCN Faculty Lecturers 2022-2023
Aspects of development
MMDST can measure the four aspects of development (sectors in the test form) of a child:
1. Personal-Social
2. Fine-Motor Adaptive
3. Language
4. Gross-Motor
MMDST KIT
These materials should be followed as specified (Fig. 1):
test Form
bright red yarn pom-pom
rattle with narrow handle
eight 1-inch colored wooden blocks (red, yellow, blue green)
small clear glass/bottle with 5/8 inch opening
small bell with 2 ½ inch-diameter mouth
rubber ball 12 ½ inches in circumference
cheese curls
pencil bond
paper
Figure 1. MMDST kit
2|Page
The Test Form
Figure 2. The test form
Figure 3. Sample test item and the corresponding age scale.
3|Page
Steps in Administering the test
A. Before administering the test

1. Calculate the child’s age
Calculate first the days, then the months, and then the years. Example: Date of test is June 10, 2020
and the birth date is March 5, 2017 (Fig 4). The age of the child is 3 years, 3 months and 5 days.
Figure 4. To calculate child’s age.
2. Draw the age line
Figure 5. Drawing the age line for 3 years and 3 months old child must be accurate.
All the items before and those crossing the age line should be tested. Write the
date of the test on top of the age line.
Adjustment for Prematurity
There is therefore a need to make adjustment for prematurity for children aged 2 years and
younger. Draw the age line based on the
adjusted age, not the chronological age.
Figure 6. Adjustment for prematurely. The child was born 2 weeks prematurely than the due date. Therefore the age line is
drawn 3 months and 2 weeks, 2 weeks earlier
than the actual age.
4|Page
3. Select the items to be administered.
In selecting items to be administered, keep in mind the following:

a. All items crossing the age line should be administered.
b. The child should have a minimum of three passes to the left of any failure. c. Each sector should
have at least three passes and three failures.
The letter R in the bar as shown in Fig, Only items with an R on the form
may be passed by report. However, whenever.
R
WALKS UP STEPS
23
Figure 7. Sample item to be tested. R = item which can be passed by report. 23 = Footnote Number which will be referred
at the back of the test form
B. The Test Procedure
1. Preliminary Phase: Establish rapport with the mother/caregiver.

2. Make the child as comfortable as possible during the test.
3. The items to be administered are those through which the child’s chronological age line passes
unless there are obvious devations.
4. Generally, the test starts with:
A. Personal-Social sector.
B. Fine motor-adaptive.
C. Language sector.
D. Gross- Motor sector is the last.
5. If a child passes an item, a large letter “P” is written on the bar at the 50% passing point, “F”
designates a failure, and “R” designates refusal.
6. Note how the child adjusted to the examination – and how the child related to the parent, the
examiner, and the test materials.
7. To retest the child on the same form, use a different color pencil for scoring and age line.
C. After the test.
1. Interpret the findings.

Step 1 – Mark each delay by heavily shading the right end of the bar
Step 2 – Count the number of sectors that have 2 or more delays
Step 3 – Count the number of sectors that have 1 delay with no passes intersecting the age
line in the same sector
Step 4 – interpret the result
5|Page
Table 1. Criteria and interpretation of the results

Criteria Interpretation
2 or more sectors with 2 or more ABNORMAL (Fig. 9)
delays
1 sector with 2 or more delays plus 1 ABNORMAL (Fig 9)
or more sectors with 1 delay and in
that same sector, no passes
intersecting the age line
1 sector with 2 or more delays QUESTIONABLE (Fig. 10)

1 or more sectors with 1 delay and QUESTIONABLE
in that same sector, no passes
intersecting the age line
When refusals occur in numbers UNTESTABLE (Fig. 11)
large enough to cause the test result
QUESTIONABLE or ABNORMAL if
these were scored as failure
Any condition not listed above NORMAL (Fig. 8 )
6|Page
Figure 8. The normal test result
7|Page
Figure 9. A sample of an abnormal test result
8|Page
Figure 10. A sample of a questionable test result
9|Page
Figure 11. A sample of an untestable test result
2. Discuss the Test Result
Activity
1. Download a test form from this module
2. Administer the MMDST see evaluation tool
10 | P a g e
11 | P a g e

Nur 1208 Skills MMDST

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Nur 1208 Skills MMDST

Uploaded by

Copyright:

Available Formats

FAR EASTERN UNIVERSITY

Institute of Health Sciences and Nursing

METRO MANILA DEVELOPMENT SCREENING TEST

These materials should be followed as specified (Fig. 1):

Figure 1. MMDST kit

The Test Form

Figure 2. The test form

Figure 3. Sample test item and the corresponding age scale.

Steps in Administering the test

A. Before administering the test

Figure 4. To calculate child’s age.

2. Draw the age line

Adjustment for Prematurity

3. Select the items to be administered.

In selecting items to be administered, keep in mind the following:

B. The Test Procedure

1. Preliminary Phase: Establish rapport with the mother/caregiver.

C. After the test.

1. Interpret the findings.

Table 1. Criteria and interpretation of the results

1 sector with 2 or more delays QUESTIONABLE (Fig. 10)

Figure 8. The normal test result

Figure 9. A sample of an abnormal test result

Figure 10. A sample of a questionable test result

Figure 11. A sample of an untestable test result

2. Discuss the Test Result

You might also like