Quiz: Down Syndrome II

This is the second of our Talk and Total quizzes on the subject of Down syndrome and how it relates to child development. To browse through all of our quizzes on this topic and others, visit our Quiz Page: Browse our other quizzes.

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2. What is the most frequently-reported concern from parents regarding their child’s development?

   1. Speech intelligibility – not being understood
   2. Motor ability – not being able to run, jump, write, and cut
   3. Behavior – not attending or cooperating, pushing/hitting/biting
   4. Reading – not reading words, poor comprehension

   Try again!

   Clearly, the most frequent concern of families is speech intelligibility, or whether their child will be able to talk and be understood.
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3. Whereas first words occur in typically developing children around 10-12 months of age, when do first words begin to occur among children with Down syndrome?

   1. 10-12 months, or the same as typically developing children
   2. 24-30 months, or a year delay
   3. 36-42 months, or two year delay
   4. 48 months, or three year delay

   Try again!

   On the average, most children with Down syndrome begin to speak at 36-42 months; although, there are many children who speak earlier and many who do not speak until they are much older, or even past 5 years of age.
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4. Sign language is often introduced to young children with Down syndrome to encourage communication. Which of the following is not a reason for introducing sign language?

   1. Children with DS understand language before they speak, and they need a means to communicate
   2. Many signs are iconic, or represent the objects and actions the children are producing
   3. Children with DS have a strength in the visual domain and signing is more visual
   4. Children with DS have hypotonicity (weak muscle control) and cannot shape their hands to make proper signs

   Try again!

   Children with Down syndrome do have hypotonicity, but shaping their hand does not need to be exact. An approximation of the hand’s shape and the location and movement of the hands is sufficient for an adult to understand the child’s sign. It is similar to baby talk, where a child produces words that are close enough for adults to know what the child is saying.
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5. Which of the following is not a strength or positive attribute among children with Down syndrome?

   1. Visual learning
   2. Auditory learning
   3. Social understanding
   4. Reading

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   The auditory system appears to be a weak area for most children with Down syndrome. This weakness includes auditory-short-term memory, listening, sound awareness, phonemic awareness, and auditory-figure-ground (the ability to focus on one sound and filter out other background noise).
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6. It has been documented that receptive language, or language comprehension, occurs earlier than expressive language in children with Down syndrome. At what age would most children with Down syndrome understand 300 words?

   1. 10 – 12 months
   2. 12 – 24 months
   3. 24 – 30 months
   4. 30 – 36 months

   Try again!

   Most children with Down syndrome, at 24-30 months, understand between 300 – 500 words. As noted earlier, spoken first words occur later, at 36-42 months; thus, children with Down syndrome understand many more words before they begin to speak.
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7. Apraxia of speech is a common problem among children with Down syndrome. It is estimated to occur in as many as 30% of young children. What is apraxia of speech?

   1. An impairment in speech associated with poor chewing and swallowing
   2. A problem in speech where the person has difficulty planning and coordinating sounds
   3. A problem due directly to oral-motor difficulties and especially tongue tip movements
   4. All of the above

   Try again!

   Although apraxia of speech is by definition answer b, it is also associated with the other two answers. Therefore, the correct answer is d, or all of the above.
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8. Congratulations!

   You have answered every question correctly.

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