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Metro Manila Development Screening Test (MMDST)

Definition
* Simple and clinically useful tool
* To determine early serious developmental delays
* Dr. William K. Frankenburg
* Modified and standardized by Dr. Phoebe D. Williams DDST to MMDST * Developed for health professionals (MDs, RNs, etc) • It is not an intelligence test * It is a screening instrument to determine if child’s development is within normal * Children 6 ½ years and below

Purposes 
* Measures developmental delays
* Evaluates 4 aspects of development
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 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 originalDenver Developmental Screening Test (DDST) by Dr. William K. Frankenburg, MMDST evaluates 4 sectors of development: * Personal-Social – tasks which indicate the child’s ability to get along with people and to take care of himself * Fine-Motor Adaptive – tasks which indicate the child’s ability to see and use his hands to pick up objects and to draw * Language – tasks which indicate the child’s ability to hear, follow directions and to speak * Gross-Motor – tasks which indicate the child’s ability to sit, walk and jump

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: * Personal-Social – tasks which indicate the child’s ability to get along with people and to take care of himself * Fine-Motor Adaptive – tasks which indicate the child’s ability to see and use his hands to pick up objects and to draw * Language – tasks which indicate the child’s ability to hear, follow directions and to speak * Gross-Motor – tasks which indicate the child’s ability to sit, walk and jump 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: * MMDST manual

* 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
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...
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