Professional Documents
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Lecture by:
Madeline N. Gerzon, RN, MM
Clinical
Instructor
METRO MANILA DEVELOPMENT
SCREENING TEST
Overview
• Screening is a presumptive
identification of unrecognized disease
or defect
• Early detection model
• Test children with problem
• Facilitates early referral and
treatment
Overview
• Detection of developmental disabilities
• Children 6 ½ years and below
What then is MMDST?
MMDST
• Simple and clinically useful tool
Hatch Mark
25% 50% 90%
Percentage of
normal children 75%
passing the item WALKS WELL
The Test Form
• Some items have a small footnote number
at the left end of the bar
• Footnote indicates corresponding
instruction for administering the item found
at the test form
Items which can
be passed by report R
WALKS UP STEPS
23
Footnote number
The Test Form
• Some items may be passed by report of
the parent (R)
• Only items with an R on the form can be
passed by report
• However, whenever possible tester should
observe what the child can perform
The Test Form
• The item, equal movements, has an
asterisk (*) at the right end of its bar
• Indicates 100% of normal children pass
this item at birth
• It is the only item with an * (fine-motor
adaptive sector
The Test Form
• 9 items have arrows ( ) at the right
end of these bars
• This includes the items, defines words and
composition of __.
• Arrows indicate that normal children may
pass these items even beyond 6 ½ y.o.
Calculating Child’s Age
• Formula
Year Month Day
Date of test 99 11 15
Birthdate -97 - 3 -10
Age of child 2 8 5
Calculating Child’s Age
• Formula
Year
WHAT TO KEEP
IN MIND!!!!!
Selecting Items to be
administered
• All items crossing the age line should be
administered
• Child should have a minimum of three
passes to the left of any failure; and
• Each sector should have at least 3 passes
and three failures
The Test Procedure
• Preliminary Phase
– Establish rapport
– Make the child as comfortable as possible
• If infant…on mother’s lap
• Materials should be accessible
The Test Procedure
• If child is one year older, put child at ease
– Show toys…etc
The Test Procedure
• Start with Personal-social sector
• Gives child chance to get used to tester
• Gives tester chance ask parents which
can be scored based on report and can
also directly observe it
The Test Procedure
• Fine motor-adaptive sector follows
• Child can perform tasks even without
having to directly talk to tester
• Filipino child…..warming up
The Test Procedure
• Third is, language sector
• This time child is more comfortable with
you (tester)
• Will talk as much to you
The Test Procedure
• Lastly, gross-motor sector
• Many children are too shy at the beginning
of the test
The Test Procedure