Exam 1 Flashcards
Factors affecting development During
pregnancy
Preterm birth
genetic maternal factors (age, race, health status, family history)
Behavioral issues
Nurtition
What has the greatest influence on growth and IQ?
Nutrition
how much folic acid is recommended 1 month before birth?
400mcg
Erikson’s psychosocial stages
trust vs mistrust (0-1)
autonomy vs shame & doubt (1-3)
initiative vs guilt (3-5 yrs)
industry vs inferiority (6-12 yrs)
identity vs role confusion
Erikson’s psychosocial stage from 0-1 yr old, infant must learn to trust others to meet their needs so they learn to trust themselves
trust vs mistrust
Erikson’s psychosocial stage that is from 1-3 yrs old, toddlers demonstrate independence and learn competencies related to self-care “I am a big kid now” can control body functions at this point
autonomy vs shame and doubt
Erikson’s psychosocial stage that is from 6-12 yrs old, child must learn to master important social and cognitive skills or feel incompetent (following rules and social relationships are important)
industry vs inferiority
Eriksons psychosocial stage that is from 3-5 yrs old, toddler will learn to initiate activities or become self-critical (know right from wrong)
initiative vs guilt
Eriksons psychosocial stage that is from 13-20 yrs old, adolescents need to form coherent self-definition or otherwise remain confused about life directions (worried about appearance, what others think, peers are important, establishing their own identity
identity vs role confusion
piaget cognitive stages
Sensorimotor (8-12 months)
sensorimotor/perioperational (2-7 yrs)
concrete operations (7-11 yrs)
formal operations (11-12)
Piaget’s cognitive stage from 8-12 months, the infant relies on motor behavior and senses to adapt to the world during first 2 years
Sensorimotor
Piaget’s cognitive stage from 2-7 yrs, children think symbolically and have not yet mastered logical thinking (golden arches)
sensorimotor/perioperational
piaget’s cognitive stage from 7-11 yrs, child is able to consider alternative solutions and solve problems
concrete operations
piaget’s cognitive stage from 11-12 yrs, child thinks systemically and rationally about hypothetical events and abstract concepts
formal operations
when does the posterior fontanel close?
2-3 months
in 5-6 months infants weight should _______
double
in 1 year infants weight should _________
triple
newborn reflexes
stepping
palmer
startle
babinski
moro
gag
sucking
rooting
when should baby mature and involuntary reflexes become voluntary?
4-6 months
head should be ________ length at 1 yr
1/4
Factors affecting development of children
● Environmental factors: adequate nutrition (impacts brain development), living conditions, socioeconomic status, lack of transportation to healthcare facilities, climate
● Family & community stimulating environment, family and community support as it “takes a village to raise a child”
● cultural factors: customs, traditions (nutritional practices, carrying children)
● Media: children are vulnerable to what they see & hear
Expected GROWTH during infancy (0-1 yr)
o Head ¼ length
o Weight doubles at 5-6 months and triples in 1 yr
o Reflexes
o 6-8 teeth by the end of 1st year
Expected motor skills during infancy
o Grasp rattle at 4-6 months
o Sits unsupported at 8 months
o Crawls at 8-10 months
o Pincer grasp at 8-12 months
Expected sensory milestones for infants
o Prefers black and white at birth, geometric designs, and faces
o Touching and hearing at birth
o 4 words by 12 months
Expected nutrition for infants
o Breast milk/formula for 12 months
o Wean 2nd 6 months
o Rice cereal and solid food 4-6 months
o 1st teeth at 5-6 months
Safety considerations for infants
o back to sleep”
o Rear-facing care seats
o Never leave unattended on table, bed or tub
o Check bath water temp
o Do not prop bottles
o Injury prevention-toys w/o removable parts, falls, poison, ensure parents have poison control #, suffocation, aspiration, burns
Expected play for infants
o Solidarity play
o Black and white geometric designs for preemie | newborn mobile
o Sensory, tactile simulation, sounds
o Vocal interaction with people, may “coo” and “babble” in response to talking and singing, mama and dada by 1 yr
o Plays peek-a-boo—evidence of object permanence is developing by 8-12 months
Toddler growth milestones
o 50% adult height by 2 yrs
o Anterior fontanel closes by 18 months
o Clumsy; lordosis
Motor milestones for toddlers
o Walks without help
o Good hand and finger coordination at 2.5 yrs
o Learning to dress self
Sensory milestones for toddlers
o Knows own name by 12 months
o Follows simple directions at 2 years
o Short sentences by 18-24 months
Nutrition for toddlers
o Slower growth
o Picky ritualistic eaters
o Avoid larger pieces of food (hotdogs)
o Feeds self by 3 yrs
o 20 teeth by 2-3 yrs
o Begin good dental practices, brushing and dental visit
Safety considerations for toddlers
o Car seat rear facing until 1 yr and 20 lbs then can face fron
o Requires constant supervision
o Ensure parents know poison control #
o Injury prevention-falls, poisons, meds (needs to be stored in locked cabinet), suffocation, aspiration
Expected play for toddlers
o Parallel play
o Make believe
o Imaginary playmates
o Push and pull toys, wheel toys
o Throws and kick balls
o Repetitive stories, short songs with rhythm
Infancy age range
birth to 1 year
Toddler age range
1-3 yrs
Preschool age range
3-5 yrs
Expected growth for a preschooler
more graceful and erect posture
Expected motor skills for a preschooler
o Rides tricycle
o Skips and hops at 4 yrs
o Increasing vocabulary and sentences
o Learns to tie shoes, better at dressing and self buttons clothes
Sensory expectations for a preschooler
o Visual acuity improves, focus on learning numbers and letters
Nutrition for a preschooler
o Food preferences (likes and dislikes)
o By 5 yrs more willing to try new foods
Safety considerations for a preschooler
o Car seat until 4 yrs old, 40 lbs then booster seat with seat belt
o Injury prevention- teach safety, traffic, strangers, fire, water, fire arm safety
o Sports safety gear
o Swimming lessons
Epected play for a preschooler
o Associative play, plays cars, trains, dolls with friends
o Imitation or pretend play
o Developmental toys, tricycle, legos
o Educational TV, books, puzzles
o “sing alongs”
School age age range
6-12 yrs
Expected growth in school age children
o Weight gain 5 lbs/yr
o Girls height and weight preceeds boys
o Puberty changes
§ Girls-breast buds
§ Boys-enlarged testicles
o Fast bone growth (greenstick fracture)
Epected motor skills in school age children
o Roller skates, blades, ice skates, scooters
o Jump rope
o Bikes
o Foster positive “industry” playing musical instruments and video games
Sensory milestones of school age children
o Myopia (nearsightedness) may develop
o Reading
Expected nutrition for a school age child
o Risk of obesity
o “Junk foods”
o Secondary sex characteristics
Girls by 10 yrs
Boys by 12 yrs
Safety considerations for school age children
o Bike and sports safety
o Firearms
o Smoking education
o Sex education
o Taught to say no to drugs “DARE” programs