Development - infancy + preschooler Flashcards

1
Q

WHO definitions of childhood

A
Infancy 0-2
early childhood 3-5
middle childhood 6-12
adolescence 13-19
youth up to 26
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2
Q

Domains of development

A
cognitive
communication
fine motor
gross motor
social/emotional
adaptive/ADL
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3
Q

Postnatal plasticity of brain development

A

Brain can adapt in response to endogenous/exogenous stimuli

2 contexts:
brain injury - early focal brain injury leads to more limited patterns of behavioural/cognitive deficits than late occurring oinjury
Normal development: brain development in response to stimuli

Epigenetics

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4
Q

Object permanence

A

0-4 mo: none
4-8 mo: may still be exist if out of sight, look for fallen objects
8-12: search for completely hidden object
12-18: search for an object after seeing it removed
18-24: early understanding that objects continue to exist no matter where they were last seen - look puzzled, continue search

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5
Q

Communication in development

A

best measure of cognitive development is speech and language
Receptive and expressive
early language development requires interaction with RESPONSIVE sources

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6
Q

Prelinguistic phase

A

cooind and babbling, non-specific dada/mama
8 mos: specific dada mama
1 year: first true words
non-verbal language - gestures, facial expression

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7
Q

Linguistic phase

A

1-2: lots of single words emerge

2: put two words together

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8
Q

Literacy development

A

early literay development is a predictor of academic success/other outcome measures
6 mo: child will look at a book
12-18: child will point to pictures, brings books to parents to read
18-36: carries books, wants same story over and over

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9
Q

Visualmotor development

A

nonverbal problem solving

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10
Q

Gross Motor Development points

A

Balance of extensor + flexor tone
decline of obligatory primitive reflexes
Neonate tone predominantly flexor

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11
Q

Primitive reflexes

A

Moro reflex - started, shouldn’t see after 4 mo
Asymmetric tonic-neck reflex (fencing): shouldn’t see after 6 mo
- if remain, think spasticity and cerebral palsy

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12
Q

Postural reflexes

A

adaptive reflexes that precede typical motor milestones
babies develop reflexes for righting and equilibrium in first year o life which are necessary for normal motor development
- e.g. upper extremity protective extension in supported sitting

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13
Q

Gross motor milestones

A

lower extremity hyperreflexia common in infants under 4 m
extensor plantar response may be seen under 12 mo
Motor skill attainment does not predict cognitive development very well
but early motor delay may be a first indicator of a range of developmental problems, es cerebral palsy
4 mo: rolls prone to supine
5 mo: rolls supine to prone
6 mo: sit unsupported
8 mo: crawls
9-10 : cruises
12: walks
15: runs
18: goes upstairs holding an adult’s hand

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14
Q

Attachment

A

specific bond btw child and caregiver that develops over time
bidirectional
requires caregiver to be emotionally available, perceptive and able to meet child’s needs
Infant helps in process by being aware, alert and reacting to caregiver
Process starts in utero and continues to develop over time
Secure attachment –> better coping with stress, better performance at school, foundation for relationships over lifetime of child

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15
Q

Secure attachment

A

prefers parents to strangers
able to seek comfort from parents
able to separate

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16
Q

Ambivalent/insecure attachment

A

greatly distressed when parent leaves
may be wary of strangers
not comforted by parents’ return

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17
Q

Disorganized/insecure attachment

A

mix of avoidant and resistant behaviours
may seem apprehensive or confused wtih caregiver
may be due to inconsistent behaviour by parent or parents may act as figure of both fear and reassurance

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18
Q

Attachment over time

A

by 3 mo: baby and caregiver demonrtate reciprocal interactions and beginnins of empathy recognized
3-5 mo: babies demonstrate a clear preference for their primary caretakers
9 mo: stranger anxiety
18: empathy demonstrated

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19
Q

Cerebral palsy

A

non-progressive impairment in movement/posture caused by injury or anomaly of developing brain
refers to a # of conditions
Classification based on:
- anatomical distribution of dysfunction: monoplegia, diplegia, quadriplegia
- neurological involvement: spastic, dyskinetic, ataxic, mixed
- function: levels of functions are determined

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20
Q

Cerebral palsy prevalence and etiology

A

1.5-2.5 per 1000
may be prenatal, perinatal or postnatal factors
e.g. brain malformations, vascular events, intraventricular hemorrhage, traumatic brain injury, near drowning, etc
much more common in preterm infants

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21
Q

Primary teeth eruption

A

central incisors 8-12 mo, then last molars 2-2.5 y

Shed 6-12 y

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22
Q

Delay in primary teeth eruption

A

may be associated with global developmental delays, endocrinopathies (hypothyroid/hypopit), or other systemic conditions (e.g. cleidocranial dysplasia, rickets, or trisomy 21)

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23
Q

Preschool period changes

A

Increased independence
talking in sentences, relate stories
imaginary play increases
start to play cooperatively with other kids

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24
Q

Types of interventions

A

preventative: for infants/children at increased biomedical risk (e.g. prematurity), children with environmental risks

Ameliorative for children with established delays and disabilities

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25
Preschool cognitive development
Symbolic thought and play (blocks for trucks) reasoning is still mostly based on perceptions rather than logic/deduction Still very concrete thoughts still egocentric
26
Language
meaningful use of words, phrases and gestures to convey convesational intent
27
Phonetics
consonant and vowel sounds
28
Phonemes
consonant-vowel combinations that are building blocks of words
29
Semantics
understanding of meaning of ideas in conversations
30
Syntax
sentence structure
31
Prosody
nonverbal use of melody of speech, gestures, facial expression to convey emotion or other content
32
Pragmatics
adaptation of language and behaviour rules to everyday life situations knowing when to speak quietly
33
2 year old language bare minimums
Receptive: 2 part instructions Expressive: 2 word phrases
34
3 year old language bare minimums
Receptive: 3 part instructions, answers questions Expressive: 3 word phrases (min), short sentences
35
4-5 year old language bare minimums
Receptive: W questions, conversations Expressive: tell stories about what happened in their day
36
2-3 yo receptive language skill
understands prepositions | can follow story with pictures
37
2-3 yo expressive language skill
``` ID body parts 200 words uses words for expressive needs pronouns early grammar ```
38
2-3 yo language red flags
``` sparse vocab frustrated with ability to communicate with words - can lead to tantrums no >2 word sentences does not follow directions doesn't like to listen to a story ```
39
3-4 yo expressive skill
``` talks about what she/he is doing 400-1500 words speech 75-100% intelligible to strangers answers "why" questions past and present tense colours numbers 1-4 full name, knows gender, 4 word sentences ```
40
3-4 yo red flags for language
cannot use language to tell stories | speech not comprehended by strangers
41
4-5 yo expressive language skills
2700 words 5-word sentences defines simple words
42
4-5 yo red flags for language
can't tell a story with beginning, middle, and end | poor grammar in sentences (should be mostly adult-like)
43
Social communication red flags
3 mo: not cooing 12: doesn't respond to own name, not saying mama, dada 18: no word, no pointing, no imaginary play 24: not talking 3 y: not talking in sentences; disinterested in listening to a story (3 words bare minimum) 4 years: not relating events/stories every child with suspected language delay should have a hearing test
44
Easy temperament
``` 40% regular biological functioning positive approach to new stimuli high adaptability to change mild to moderately intense response predominantly positive mood easily distractible; not persistent low activity ```
45
Difficult temperament
``` 10% irregular biological functions negative responses and withdrawal from new, unfamiliar situations or objects slowly adaptable to new situations/challenges intense responses negative mood expressions not easily distracted; very persistent high activity ```
46
Slow to warm up temperament
15% midlly intense negative responses slowly adapatable to new stimuli both positive + negative moods biological functioning more regular than "difficult" children requires frequent exposures to new objects, foods and situations before becoming comfortable
47
Functional play
repetitive | running, jumping, gathering, dumping
48
Constructive play
using objects to make something
49
Dramatic play
role-playing, make-believe transformation
50
Games with rules
conformity with pre-established rules
51
Social levels of play
Solitary Parallel - side by side Interactive/group play
52
Play developmental milestones
18-22 mo: starts to pretend, plays with dolls 2 y: plays house, short play sequences 3: pretend play with long sequences 3.5: pretend play with dollhouse + miniature toys 3.5-4: acts out scenes with dolls, puppets, animals 5: plans a sequence of pretend events, organizes objects and other children, highly imaginative and cooperative
53
Autism spectrum disorder
disorder of social communication 1% prevalence boys to girls: 4:1 incidence increasing?? or increased recognition Etiology unknown but genetics most likely: siblings 19% risk Genetics and epigenetic factors Advanced paternal age linked
54
3 key features of ASD
Disordered social skills Disordered communication skills restricted interests/stereotypic/repetitive behaviour
55
ASD presentation
most commonly: speech delay Red flags: - no babbling by 12 mo - no gesturing by 12 mo - no single words by 18 mo or odd/repetitive first words - no two word phrases by 18 mo - loss of social or language milestones at any age
56
Social commnunication in ASD
REDUCED/ATYPICAL; eye gaze and shared or joint attention sharing of emotion social/reciprocal smiling social interest/shared enjoyment coordination of different modes of communication regression of loss of social/emotional connectedness
57
Play in ASD
reduced/atypical babbling, particularly back and forth social babbling unusual tone of voice development of gestures
58
Visual/motor skills in ASD
atypical visual tracking, fixation under/overreaction to sensory stimuli delayed fine and gross motor skills, clumsy repetitive motor behaviours
59
Common causes for delays in diagnosis of autism
- boys talk late - his sisters are talking for him - child is healthy - speaking different language at home
60
Influence of poverty on child development
higher rates of illness, injury, academic, social and behavioural difficulties compromise neural development
61
3 interventions from the Minnesota Child Study
1. relieve family stressors - poverty, food 2. connect the parents to child's school 3. connect parents socially within their community
62
Biological mechanisms of stress on development
Epigenetics Higher SES: generally better performance on neurocognitive assessment but not uniform results - language/executive function/working memory most strongly correlated to low SES visual cognition not significantly different btw high and low SES Stress adversely affects hippocampal development - stress of poverty may cause weak working memory
63
Adverse Childhood Experiences Study
ACE results demonstrated a strong graded relationship btw lvl of traumatic stress in childhood and poor physical, mental and behavioural outcomes later in life
64
Brain growth
birth: 30% adult weight 2: 70% 6 y: 90% rapid growth of neural fibers in first 2 years of life new synapses, new skills myelination continues into young adulthood, esp in areas of higher cognitive function
65
Definition of intelligence
The aggregate or global capacity of the individual to act purposefully, to think rationally and to deal effectively with the environment
66
IQ test
4 parts: verbal, non-verbal intelligence, working memory, processing speed avg 100, STD 15 age matched score
67
Intellectual disability IQ score cutoff
less than 69 | less than 2nd percentile
68
Intellectual disability classification
mild: 55-70 IQ Moderate: 40-55 Severe: 25-40 profound: less than 25
69
Verbal reasoning score
measures: verbal concept formation, reasoning and knowledge acquired from one's environment influened by ESL, cultural differences, hearing impairments, poverty
70
Non-verbal reasoning scores
Measures: perceptual and fluid reasoning, spatial processing, visuomotor integration influenced by visual/motor deficits, response to time pressure, response style
71
Processing index
measures cognitive efficiency, associated with child's speed in processing visuospatial information influenced by motivation, concentration, hand-eye coordination
72
Intelligence scoring
tests become reliable around age 4-5 IQ scores have reasonable stability if significant change, consider organic changes but also changes in environment/test process
73
Intelligence as a predictor
predicts success in school and work better than any other measure - school performance more clearly predicted acquiring new skills vs using a familiar skill financial success to some extent NOT a predictor of happiness!
74
Academic achievement domains
reading, decoding and comprehension spelling paragraph writing math comprehension and calculation
75
Assessment of adaptive behaviour
``` 2 step instructions t-shirt right side out remembers appointments, is on time makes change looks both ways before crossing the street accepts criticism without anger or tears makes bed replaces toilet paper roll when finished ```
76
Executive function
``` inhibiting impulsive actions shifting flexibly from one activity or strategy to another regulating emotions initiating new tasks holding info in mind while thinking organizing, planning compelx behaviour organizing materials monitoring one's own performance develops last and continues development into mid-20s, prefrontal cortex, boys develop later ```
77
Socio-emotional development in middle childhood
Self-concept development Theory of Mind: starting at age 8, children learn to see themselves through eyes of others Development of self-esteem - preschoolers have very high self esteem -reorganized in middle childhood with feedback - compares to others from age 6
78
Friendship in middle childhood
peer groups appropriateness of social understanding relative to developmental age 5 yo: we play together 8 yo: we like to do things together, she's there for me when I'm sad
79
Fine motor development in middle childhood - milestones
5: mature tripod grasp of pencil, cuts along a line, copies triangle 6: draws a man with fingers, 2D arms and legs, ties shoelaces 7: legible printing, rarely reverses letters 8: printing efficient way to express ideas
80
Cerebellar development
myelination of neural fibers linking cerebellum to cortex starts after birth completed by age 4
81
Gross motor milestones in middle childhood
4: hops on one foot, balances on one foot 5: skips with alternating feet, rides a bike, plays games with rules, balances fo 10 sec on one foot >6: rules increase in complexity/competitiveness, dexterity, balance and coordination improve increased speed in running, strength in throwing, kicking involvement in organized, competitive sports
82
High functioning autism
Asperger's syndrome poor social skills, restricted interests with pragmatic language difficulties Social: don't make friends, struggle to read facial expressions/understand feelings Communication: often monotone, don't understand idiom, metaphors or higher level language Behaviour: may have stereotypies, restricted range of interests Motor: often clumsy Sensory: can be very hypersensitive
83
Childhood amnesia
0-3 y | inability of adults to remember their early years