View Presentation of MMDST
Aspects of development
In the care of pediatric clients, growth and development are not in isolation. Nurses being competent in the aspects of growth and development particularly principles, theories and milestones are in best position to counsel clients on these aspects. Having background knowledge on growth and development, nurses are equipped with assessment skills to determine developmental delays through the aid of screening tests.
The Metro Manila Developmental Screening Test (MMDST) is a screening test to note for normalcy of the child’s development and to determine any delays as well in children 6 ½ years old and below. Modified and standardized by Dr. Phoebe Williams from the original Denver Developmental Screening Test (DDST) by Dr. William K. Frankenburg, MMDST evaluates 4 sectors of development:
MMDST KIT. Preparation for test administration involves the nurse ensuring the completeness of the test materials contained in the MMDST Kit. These materials should be followed as specified:
EXPLAINING THE PROCEDURE. Once the materials are ready, the nurse explains the procedure to the parent or caregiver of the child. It has to be emphasized that this is not a diagnostic test but rather a screening test only. When conducting the test, the parents or caregivers of the child under study should be informed that it is not an IQ test as it may be misinterpreted by them. The nurse should also establish rapport with the parent and the child to ensure cooperation.
AGE & THE AGE LINE. To proceed in the administration of the test, the nurse is to compute for the exact age of the child, meaning the age of the child during the test date itself. The age is the most crucial component of the test because it determines the test items that will be applicable/ administered to the child. The exact age is computing by subtracting the child’s birth date with the test date. After computing, draw the age line in the test form.
TEST ITEMS. There are 105 test items in MMDST but not all are administered. The examiner prioritizes items that the age line passes through. It is however imperative to explain to the parent or caregiver that the child is not expected to perform all the tasks correctly. If the sequence were to be followed, the examiner should start with personal-social then progressing to the other sectors. Items that are footnoted with “R” can be passed by report.
SCORING. The test items are scored as either Passed (P), Failed (F), Refused (R), or Nor Opportunity (NO). Failure of an item that is completely to the left of the child’s age is considered a developmental delay. Whereas, failure of an item that is completely to the right of the child’s age line is acceptable and not a delay.