Growth And Development Flashcards
Family Centered Care
Recognizing the family as a unit
Including the family in care and decisions
Supported parents = healthy children
Neonate age range
0-28 days
Infant age range
28 days - 12 months
Toddler age range
1-3 year
Preschool age range
3-6 years
Childhood age range
6-11 years
Adolescent age range
11-18 years
Normal development - INFANCY
Nurturance
Sense of trust
Oral phase: sucking
Environment: safety and strangers
Major stressors - INFANCY
Separation
Infancy length
50% increase
Infancy weight
Doubles by 6 months
Triples by 1 year
When do posterior fontanelles close?
2-3 months
When do anterior fontanelles close?
18 months
When do teeth first start erupting?
8 months
Infant interventions
Parental presence
Familiar objects
Cuddling
Rocking
Sucking
Singing
Music
Soft voice
In toddlers, __________ develops faster than ___________
Motor skills faster than intellectual skills
Normal development - TODDLERS
Sense of autonomy
Anal stage: seek control, tantrums
Major stressors - TODDLERS
Separation
Bodily harm
Altered routine
Height by age 2
Half adult height
Weight by age 2
Quadruples
When should all deciduous teeth be erupted? How many should they have?
33 months
20 teeth
Normal growth - TODDLERS
Slows in 2nd year
Limited food intake
Growth spurts
Head vs chest circumference
Infants: head > chest
Toddlers: equal
Children: head < chest
Toddler interventions
Parental presence
Familiar objects
Allow appropriate choices (avoid yes/no)
Simple language
Routine
Normal development - PRESCHOOL
Independence
Imaginative
Curious
Initiative
Learn through imitation
Socialize with peers
Major stressors - PRESCHOOL
Separation
Bodily harm
Loss of control
Normal growth - PRESCHOOL
Slow and steady
Preschool height
2.5-3” per yr
Preschool weight
3-5 Ibs per yr
When do children start to los deciduous teeth and gain secondary teeth?
6 years
Preschool interventions
Parental presence
Familiar objects
Allow appropriate choices
Simple explanation
Patience
Normal development - CHILDHOOD
Logical thinking
Interest outside family
Sense of industry: challenges and achievements
Major stressors - CHILDHOOD
Separation
Bodily harm
Loss of control
Normal growth - CHILDHOOD
Slow and smooth
Girls faster than boys
Small muscles develop
Hand eye coordination
Pubertal growth
Lose teeth
When is brain growth complete?
7 years
Height in childhood
2” per year
Weight in childhood
6 Ibs per year
Childhood interventions
Parental presence
Explain procedures
Honesty
Privacy
Involve in decisions
Normal development - ADOLESCENCE
Independence
Physical and sexual maturity
Major stressors - ADOLESCENCE
Loss of control
Threats to independence
Adolescent height
15-20% increase
Adolescent weight
Doubles
Normal growth - ADOLESCENTS
Organs double in size
Lymphoid tissue size decreases
Pituitary gland stimulated
Adolescent interventions
Explain procedures
Privacy
Honesty
Feedback
Positive attitude
Health teaching
Involve in decision making
Avoid authoritarian
Motor - 4-6 weeks
Lift head
Turn head side to side
Language - 4-6 weeks
Crying
Behaviour - 4-6 weeks
Smiling
When can infants lift their head?
4-6 weeks
When can infants turn their head side to side?
4-6 weeks
When do infants start smiling?
4-6 weeks
Motor - 4 months
No head lag when pulled supine to sitting
Grasp large objects
Language - 4 months
Pleasure
Behaviour - 4 months
Smiling
Laughing
Pleasure to familiar objects and people
When do infants have no head lag?
4 months
When do infants grasp large objects?
4 months
When do infants start laughing and showing pleasure?
4 months
Motor - 5 months
Voluntary grasp with both hands
Play with toes
Language - 5 months
Primitive sounds
“Ah”
“Goo”
Behaviour - 5 months
Smile at self in mirror
When do infants start voluntary grasping with both hands?
5 months
When do infants start playing with toes?
5 months
When do infants start making primitive sounds?
5 months
When do infants start smiling at themselves in the mirror?
5 months
Motor - 8 months
Sit without support
Transfer objects hand to hand
Roll supine to prone
Language - 8 months
Combine syllables
“Baba”
“Mama”
Behaviour - 8 months
Respond to no
Motor - 10 months
Sit
Stand with holding
Finger-thumb opposition
Behaviour - 10 months
Wave bye bye
Peekaboo
Patty cake
Motor - 12 months
Stand
Walk with support
Language - 12 months
2-3 words
Behaviour - 12 months
Understand names of objects
Show interest in pictures
When can infants sit?
8-10 months
When can infants roll?
8 months
When can infants combine syllables?
8 months
When do infants respond to no?
8 months
When can infants stand?
10-12 months
When can infants walk?
12-15 months
When can infants say 2-3 words?
12 months
When do infants show interest in pictures?
12 months
Motor - 15 months
Walk alone
Language - 15 months
Several words
When can infants walk alone?
15 months
Motor - 18 months
Stairs with support
Remove clothes
Language - 18 months
Many words
When can infants walk on the stairs?
18 months - 2 years