Growth and Development Flashcards

1
Q

growth expectations

A
double birth weight by 4 - 6 months
triple birth weight by 12 months
length increases 50% by 1 year
gain 1/2 oz/day as infants (first six months)
weight gain slows down for toddlers
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2
Q

primitive reflexes

A
tonic neck (asymmetrical and symmetrical)
doll-eye
palmar grasping 
moro
babinski
sucking
searching/rooting
plantar grasp
startle
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3
Q

speech & hearing: birth - 3 months

A

blinks or jumps at sudden, loud noises
quiets or smiles when spoken to
“ohh” or “ahh” sounds

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4
Q

speech & hearing: 3 - 6 months

A

looks for sound with eyes
starts babbling (baba, gaga, mama, dada)
uses many sounds, squeals, and chuckles

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5
Q

speech & hearing: 6 - 9 months

A

turns head towards sound
understand “no-no” and “bye-bye”
babbles

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6
Q

speech & hearing: 6 - 12 months

A

repeats simple words and sounds made by adults
responds to singing or music
points to favorite toys and objects when asked
correctly uses “mama” and “dada”

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7
Q

rudimentary manipulative abilities: (reaching)

1 -3 months

A

globular ineffective reach

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8
Q

rudimentary manipulative abilities: (reaching)

4 months

A

definite corralling reach

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9
Q

rudimentary manipulative abilities: (reaching)

6 months

A

controlled reach

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10
Q

rudimentary manipulative abilities: (grasping)

birth

A

reflexive grasp

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11
Q

rudimentary manipulative abilities: (grasping)

3 months

A

voluntary grasp

two-handed palmar grasp

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12
Q

rudimentary manipulative abilities: (grasping)

5 months

A

one-handed palmar grasp

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13
Q

rudimentary manipulative abilities: (grasping)

9 months

A

pincer grasp

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14
Q

rudimentary manipulative abilities: (grasping)

14 months

A

controlled grasp

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15
Q

rudimentary manipulative abilities: (grasping)

19 months

A

eats without assistance

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16
Q

rudimentary manipulative abilities: (releasing)

12 - 14 months

A

basic release

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17
Q

rudimentary manipulative abilities: (releasing)

18 months

A

controlled release

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18
Q

one month physical growth

A
gains about 1/2 - 1 oz/day
grows about 1 inch/month
head circumference increases 2 cm/month
strong primitive reflexes
obligatory nose breather
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19
Q

one month gross motor skills

A

assumes flexed position
can lift head momentarily from prone position
move head side to side
head lag

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20
Q

one month fine motor skills

A

hands predominantly closed
grasp reflex strong
hand clutches on contact with rattle

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21
Q

one month sensory

A

able to fixate on moving object in 45 degree when held 8-10” away
follows light to midline
visual acuity 20/100
quiets when hears a voice

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22
Q

2 months physical growth

A

posterior fontanel closes

crawling reflex disappears

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23
Q

2 months gross motor skills

A

maintains head in same plane as rest of body when held in ventral suspension
can lift head 45 degrees in prone position

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24
Q

2 months fine motor skills

A

grasp reflex fading

hold hands open more often

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25
2 months sensory
turns head to side when sound is made at ear level visually follows object beyond midpoint laughs/vocalizes smiles spontaneously/responsively
26
3 months gross motor skills
``` primitive reflexes fading regards own hand only slight head lag when pulled to sitting position bears weight on forearms scoots ```
27
3 months fine motor skills
grasp reflex absent | clutches own hand, pulls at blankets and clothes
28
3 months sensory
follows object 180 degrees | locates sounds
29
4 months gross motor
drooling begins balances head well in sitting position can sit erect if propped rolls from back to side
30
4 months fine motor skills
inspect and plays with hands overreaches objects with hands carry objects in mouth
31
4 months sensory
visually accommodate to near objects | beginning hand-eye coordination
32
5 months physical growth
signs of tooth eruption | birth weight doubles
33
5 months gross motor skills
can turn over from abdomen to back postion can put feet into mouth no head lag
34
5 months fine motor skills
voluntarily grasps objects take objects directly to mouth hold one cube while regarding a second cube
35
5 months sensory
visually pursues a dropped object | sustained inspection of an object
36
6 months gross motor skills
rolls from back to abdomen position sits in high chair with back straight can bear almost all weight when held in standing position crawls
37
6 months physical growth
``` growth rate declines gains 3-4oz/week grows 1/2 in/month incisors come in chewing and biting ```
38
6 months fine motor skills
can pick up a dropped object drops one cube when given another holds bottle can manipulate small objects
39
6 months sensory
prefers more complex visual stimulation turns head side to side or up/down to see object feeds self
40
7 months physical growth
upper incisors erupt | parachute reflex appears
41
7 months gross motor skills
sits, leaning forwards with both hands | bounces actively when held standing
42
7 months fine motor skills
transfers objects from hand to hand bangs cube on table rakes at small objects
43
7 months sensory
responds to own name beginning awareness of depth and space taste preferences
44
8 months physical growth
bowel and bladder pattern become regular
45
8 months gross motor skills
sits steadily unsupported | can maneuver from sitting to kneeling
46
8 months fine motor skills
beginning pincer grasp releases small objects at will can pull a string to obtain object reaches for out-of-reach toys
47
9 months gross motor skills
creeping on hands and knees recovers balance when leaning forward pulls self to standing position on furniture
48
9 months physical growth
upper lateral incisors may erupt
49
9 months fine motor skills
uses thumb and index finger in crude pincer grasp | preference for dominant hand
50
9 month sensory
better depth perception waves single syllables dada/mama nonspecific
51
10 months gross motor skills
labyrinth-righting reflex prone --> sitting standing to sitting position by falling can lift one foot to step
52
10 months fine motor skills
can grasp bell by handle
53
11 months physical growth
lower lateral incisors erupt
54
11 months gross motor skills
walks along furniture
55
11 months fine motor skills
neat pincer grasp drop objects deliberately puts one object after another into container (sequential play)
56
12 months physical growth
``` BW X3 birth length increased by 50% head and chest circumference is equal anterior fontanel almost closed babinski reflex disappears ```
57
12 months gross motor skills
walks with one hand held can try to stand alone or take first step alone controlled sit from standing without help
58
12 months fine motor skills
releases cube in cup tries to build 2 block tower can turn pages in a book several at a time
59
12 months sensory
``` discriminates simple geometric shapes can follow rapidly moving object imitate sounds and activities protodeclaritive pointing play pat-a-cake ```
60
immunizations - birth
hepatitis B
61
immunizations - 2 months
DTaP, RV, IPV, Hib, PCV, Hep B
62
immunizations - 4 months
DTaP, RV, IPV, Hib, PCV
63
immunizations - 6 months
DTaP, RV, IPV, Hib, PCV
64
infant safety
``` falls aspiration/suffocation poisoning drowning MVA SIDS ```
65
toddler growth
anterior fontanel closes at 18 months 4X BW by 30 months grow 3 in/yr
66
15 months gross motor skills
walks without help | creeps up stairs
67
15 months fine motor skills
uses cup | builds 2 block tower successfully
68
18 months gross motor skills
throws a ball overhand runs clumsily; falls often pulls and pushes toys jumps up and down with both feet
69
18 months fine motor skills
manages spoon without rotation turn pages in a book, two or three at a time builds tower of 3-4 blocks
70
2 years gross motor skills
walks up and down stairs by placing both feet on steps
71
2 years fine motor skills
builds tower out of 6 - 7 blocks | turn pages in a book one at a time
72
2.5 years gross motor skills
jumps across floor using both feet and off a chair or step stand on one foot momentarily takes a few steps on tiptoe
73
2.5 years fine motor skills
draws circles | has good finger-hand coordination
74
15 months social & language
1 - 3 words
75
18 months social & language
point to at least 1 body part removes garment help in house 3 - 6 words
76
2 years social & language
combine word sentences name 1 picture point to 2 pictures put on clothing
77
2.5 years social & language
``` knows 2 actions speech half understandable point to 6 body parts name 1 picture wash and dry hands ```
78
toddler psychosocial: erikson
autonomy vs shame and doubt | toddlers attempting to do everything themselves
79
toddler cognitive: piaget
``` sensorimotor stage --> preoperation stage 19 - 24 months object permanence fully develops demonstrate memories domestic mimicry symbolizes objects ```
80
toddler moral - kohlberg
egocentric | punishment and obedience
81
immunizations: 12 - 15 months
Hib, PCV, MMR, Varicella
82
immunizations: 12 - 23 months
Hep A
83
immunizations: 15 - 18 months
DTaP
84
toddler safety
``` choking car seats falls burns drowning balloons ```
85
infant rudimentary locomotor tasks (horizontal movements)
3 months – scooting 6 months – crawling 9 months – creeping 11 – walking on all fours
86
infant rudimentary locomotor tasks - upright gait
``` 6 months – walks with support 10 months – walks with handholds 11 months – walks with lead 12 months – walks alone (hands high) 13 months – walks alone (hands low) ```
87
infant stability tasks: | control of head and neck
``` Birth – turns to one side 1 week – turns to both sides 1 month – held with support 2 months – chin off contact surface 3 months – good prone control 5 months – good supine control ```
88
infant stability tasks: | control of trunk
2 months – lifts head and chest 3 months – Attempts supine to prone position 6 months – Success in supine to prone roll 8 months – Prone to supine roll
89
infant stability tasks: | sitting
3 months – sits with support 6 months – sits with self-support 8 months – sits alone
90
infant stability tasks: | standing
6 months – stands with support 10 months – support with handholds 11 months – pulls to supported stand 12 months – stands alone
91
infant sleep
Colic Age to sleep through night varies Usually by 12 months 1 – 2 naps/day Sleep on back to limit risk of SIDS
92
infant nutrition
``` BM/formula w/iron Iron > 4 months for BF babies Solids starts at 6 months Vitamin D for all Readiness for solids ```
93
toddler nutrition
``` Picky eaters Self-regulate Milk 24 – 40 oz/day Limit juice 4 – 6 oz/day One cup of fruit/day ```
94
toddler age appropriate activities
``` Filling and emptying containers Playing with blocks Looking at books Push-up toys Tossing balls Finger paints Large-piece puzzles Thick crayons ```
95
preschool growth
4-6 lb/yr 2.6-3.5 in/yr 3 years – wt. 14.5 kg (35 lb) ht. 95 cm (37.5 in) 4 years – wt. 16.5 kg (36.5 lb) ht. 103 cm (40.5 in) 5 years – wt. 18.5 kg (41 lb) ht. 110 cm (43.5 in)
96
3 years gross motor skills
rides tricycle jumps off bottom step balance on each foot for a few seconds broad jump
97
3 year fine motor skills
thumb wiggle imitate vertical line tower of 8 cubes
98
4 years gross motor skills
skips and hops on each foot throws ball overhand catches ball reliably
99
4 years fine motor skills
draw person with 3 parts | tower of 8 cubes
100
5 years motor skills
jumps rope walks backward with heel to toe throws and catches ball with ease
101
3 years social & language
``` Dresses self Knows own gender Speech all understandable Name 1 color Know 2 adjectives Name 4 pictures Name a friend Brush teeth with help Parallel and associative play ```
102
4 years social and language
``` Independent Associative play Sexual exploration Curiosity Define 5 words Name 4 colors Speech all understandable Copy a cross Copy a circle ```
103
preschool - piaget
``` preoperational stage magical thinking animism centration time ```
104
preschool - erikson
initiative vs guilt - Energetic learners, despite not having all capabilities to be successful at everything - Guilt can occur when they believe the misbehaved or when unable to accomplish a task
105
preschool - kohlberg
good-bad orientation
106
preschool nutrition
Still picky but improves with age Consume approx. ½ energy the adults do 13 – 19 g/day in protein with addition of calcium, iron, folate, and vitamins A & C
107
preschool - sleep
``` Sleep disturbances surface Night light Consistency in routine No TV before bed! Favorite toy Leave a drink of water by bedside Reassure ```
108
preschool safety
``` Guns Stranger danger Helmets Car seats/booster seats Pedestrian safety ```
109
preschool age appropriate activities
``` Playing pretend/dress-up Role playing Hand puppets Painting Simple sewing Reading books Wading pools Sand boxes Skating Computer programs Musical toys Electronic games ```
110
school age growth
2 inch/year 4.5 – 6.6 lb/year Slow and steady
111
6 years motor skills
``` Use knife to spread butter Cuts, fold, pastes paper Sews crudely Bathing and bedtime activities independently Reads from memory Spells Table games: Checkers and Card games Develops concept of numbers Knows morning or afternoon Knows right and left hands ```
112
7 years motor skills
``` Uses knife to cut meat Brushes and combs hair Likes to help out Notice items missing from pictures Can copy a diamond Repeats three numbers backwards Develops concept of time Read ordinary clock or watch ```
113
8 years motor skills
``` Uses common tools (hammer, screwdriver) Helps with routine household tasks Does chores Like magazines Likes school Takes music and sports Make change out of a quarter Knows the date Has collections ```
114
school age - piaget
``` Concrete operations Transitions from perceptual to conceptual thinking Masters the observation of conservation Learns to tell time Classifies more complex information Able to see the perspective of other Able to solve problems ```
115
school age - erikson
Industry vs Inferiority | Development through skills and knowledge that allows the child to provide meaningful contributions
116
early school age - kohlberg
Do not understand the reasoning behind rules and expectations for behavior Believe what they think is wrong and what other tells them is right Judgment is guided by rewards and punishment Sometimes interpret accidents as punishments
117
late school age - kohlberg
Able to judge intentions of an act rather than just its consequences Understand different point of view instead of just whether an act is right or wrong Conceptualizes treating others as they like to be treated
118
school - age self -esteem
Experiences of success Reasonable risk-taking behavior Resilience and ability to handle failure Supportive family and peer relationships
119
school-age: family
``` Expectation and limit setting Family times together Communication Family responsibilities Family transitions Sibling relationships Caregiver relationships ```
120
school-age nutrition
``` Obesity is a concern Model good habits Avoid using food as a reward Emphasize physical activity Ensure balance diet Avoid eating fast food regularly Avoid skipping meals ```
121
school-age - sleep
Variable Approx. 9 hours/night Less resistance to go to bed
122
school-age: safety
``` Guns Helmets Car seats/ booster seats Pedestrian safety Drug education Sex education ```
123
6 - 9 years age appropriate activities
``` Simple board and number games Hopscotch Jump rope Collects rocks, stamps, cards, coins, or stuffed animals Ride bikes Build simple models Join organized sports ```
124
9 - 12 years age appropriate activities
``` Crafts Build models Collect things/engage in hobbies Solve jigsaw puzzles Play board and card games Join organized sports ```
125
adolescents - general physical growth
Final 20 – 25% of growth occurs Girls stop growing 2 – 2.5 years after menarche Boys stop growing by age 18 – 20
126
adolescents - piaget
Formal operations Able to think through more than two categories of variables concurrently Capable of evaluating the quality of their own thinking Able to maintain attention for longer periods of time Highly imaginative and idealistic Increasingly capable of using formal logic to make decisions Think beyond current circumstance Able to understand how the actions of an individual influence others
127
adolescents - erikson
identity vs role confusion | Adolescents develop a sense of personal identity, and come to view themselves as unique individuals.
128
13 - 15 years physiological growth
``` Onset of puberty Growth spurt Sexual maturation: o Girls:  Breast development  Pubic hair growth  Axillary hair growth  Menstruation o Boys:  Testicular enlargement  Pubic hair growth  Penile enlargement  Growth of axillary hair  Facial hair growth  Vocal changes ```
129
13 - 15 years pyschological
``` Concrete thought Preoccupation with rapid body changes Sexual identity Questioning independence Parental control remains strong ```
130
13 - 15 years potential problems
``` Delayed puberty Acne Orthopedic problems School problems Psychosomatic concerns Depression Unintended pregnancy Initiation of tobacco, alcohol, or other drug use ```
131
15 - 17 years psychological
Competence in abstract and future thought Idealism Sense of invincibility or narcissism Sexual identity Beginning of cognitive capacity to provide legal consent
132
15 - 17 years social
``` Beginning emotional emancipation Increased power of peer group Conflicts over parental control Interests in sexual relationships Initiation of driving Risk-taking behavior Transition to high school Reduced involvement in extracurricular activities Possible cultural conflict as adolescent navigates between family’s values and values of broader culture and peer culture ```
133
15 - 17 years potential problems
``` MVAs Menstrual disorders Unintended pregnancies Acne Short stature - males Conflicts with parents Overweight Physical inactivity Poor eating behaviors Eating disorders ```
134
18 - 19 years psychological
Future orientation Emotional independence Unmasking of psychiatric disorders Capacity for empathy, intimacy, and reciprocity in interpersonal relationships Legally capable of giving consent Attainment of legal age for some issues (eg. Voting), but not all issues (drinking, alcohol)
135
18 - 19 years social
Individual over peer relationships Transition in parent-child relationship Transition out of home May begin preparation for further education, career, marriage, and parenting
136
18 - 19 years potential problem
``` Eating disorders Depression Suicide MVAs Unintended pregnancy Acne Smoking, alcohol, or drug dependence ```
137
adolescents - safety
``` Guns MVA Texting & driving Depression/suicide Substance abuse ```