Growth and Development Flashcards
What can a high pitched cry indicate
neurologic disorder
Reflexes are important to assess in a newborn to assess
maturity of nervous system
Caput succedaneum
edema
-crosses midline
Cephalohematoma
does not cross midline
Absent red light reflex may indicate
congenital cataracts
retinoblastoma
Universal hearing screen frequency
- start at 1 month
- interventions by 6 months
Newborn exam
test primitive reflexes
-head lag normal
2 month old language
- cooing sounds
- vocalizes sounds that reflect happiness or being upset
2 month old personal social
focus on face smile
smiles responsively
infant growth rules
- doubles weight by 6 months
- triple by 1 year
- gains 1 oz/day
- grow 1 inch/month
Head circumference should increase by
0.5 inches per month
2 month old gross/fine motor
- grasping
- able to lift head 45 degrees when prone
Posterior fontanelle closes by
1-2 months
Anterior fontanelle closes by
9-18 months
4 month old gross motor
holds head steady
-can role supine to prone
4 month old fine motor
bring hands to mouth
-swing at dangling toys
4 month old language
smile spontaneously
babble
6 month old fine motor
-pass things from one hand to other
6 month old gross motor
sit up independently without support
-roll over in both directions
6 month old language
- says consonants (dada, baba)
- curious and look around environmentj
When should solid foods begin to be introduced
around 6 months
Teeth first erupting when
6 months
When should an infant be able to push themselves up on all fours
6 months
When do most reflexes disappear by
6 months
Most common cause of vision problems in children
strabismus –> leading cause of amblyopia (lazy eye)
Test for strabismus
cover-uncover test
corneal light reflection test
When should testing for strabismus be conducted
between 6 months through 3 years
9 month old find motor
- pincer grasping (between thumb and forefinger)
- waves bye bye
- can clap hands and play clapping games
- feed self with fingers
9 month old gross motor
pulls self up to stand
- crawls
- bears weight well
9 month old language
- plays peek a boo
- turns toward voice
- single syllables
When does stranger anxiety typically occur
by 9 months
Primitive reflexes in a 9 month old is normal T/F
NO FLASE
12 month old fine motor
- use sippy cup
- pincer grasping
12 month old gross motor
stands independently
- may walk independently
- starts to cruise (moving from one furniture to next for support)
12 month old vocab/social
- starts to look out mirror
- paly pat-a-cake
- dada, mama
- combines syllables
When does an infant know their first name
some say by 7 months
15 month old fine motor
feed self with spoon
- drink from a cup
- put blocks in a cup
15 month old gross motor
- walk independently for long distances
- stoops and recovers
- stands alone
15 month old languge
- says 1 words
- knows 4-6 words
- follows commands with gestures
18 month old fine motor
- turns pages
- tower of 2 cubes
18 month old gross motor
- walk backwards
- walk up steps
18 month old language
says 2-3 words
-can point to 4 body parts
24 month old gross motor
runs
walks up steps
-kicks ball
24 month old fine motor
- 4 cube tower
- uses spoon/fork
24 month old language
points to pictures
-says 6 words
When does toilet training begin
2 years
Parallel play begins at what age
1 year
What age can an infant start climbing stairs by crawling
1 year
What age can an infant start walking up and down stairs with support
2 years
When can a toddler start riding a tricycle
3 years
3 year old gross motor
tricycle
- throw ball overhand
- jump
3 year old fine motor
6 block tower
use scissors
-copy circle
When can a toddler start brushing teeth and putting on clothes with help
3 years old
When can a toddler start throwing a ball underhand
4 years
When can a toddler make a tower of 8 cubes
4 years
When do toddlers start playing with other children
4 years
When is a toddler aware of their gender
5 years
When can a toddler draw a person with 6 body parts
5 years
When can a toddler somersault and hop
5 years
When can a toddler print their own name
5 years
When do imaginary friends begin to appear
5 years
At what age does all speech become understandable by family
age 5
When can a child begin heel to toe walking
6 years
When do peer pressure, mood swings, and impatience typically appear
8 years old
When can a child begin to define 5-6 words
6 years
When do children begin to understand how opposites work
8 years
When do children begin to understand “bad”
6 years
What age does visual acuity improve to 20/20
by 6 years
When should children be completely toilet trained by
6 years
When can a child start riding a bicycle
6-7 years
When can a child draw a circle
3 years
When can a child draw a cross
4 years
Oedipal stage begins at what age and what is it
3-6
-desire to marry the parent of the opposite sex
When can a child draw a stick person with 3 body parts
4 years
When can a child draw a person with at least 6 body parts
5 years
When can eating problems begin to develop
11-14 years
When does interest in the opposite sex increase
15-17 years
When does sex drive typically emerge
15-17 years
When does experimentation with drugs, sex, alcohol, and tobacco typically begin
-11-14 years
When do children understand possible consequences of their behaviors
11-14 year
Height completion for females typically ceases ___ years after menarche
2-2.5 years
What Tanner stage does penis elongate
3
What Tanner stage does penis thicken and increase in size
4
What Tanner stage do testes begin to enlarge
2
What Tanner stage does the scrotum color darken
3
What Tanner stage do breast buds develop
2
What Tanner stage does the breast tissue and areola remain in 1 mound
3
What Tanner stage does the areola/nipples separate from the mound
4
Piaget’s Sensorimotor stage
0-2 years
- learn about the world through sensory and motor objects
- object permanence learned
When is object permanence learned
6-8 months
Preoperational stage
2-6 years
- egocentrism
- increasing language
Concrete operational stage
- 7-11
- declining egocentrism
- conservation
- identify
Formal operational stqage
- development of logical thinking
- >12
Trust vs. mistrust
0-12 months
Autonomy vs. shame/doubt
2-3
Initiative vs. guilt
3-5 years
Industry vs. inferiority
6-11 years
Identity vs. role confusion
12-17 years
Intimacy vs. isolation
17-30 years
Generativity vs. stagnation
40-65 years
-create or nurture things that will outlast them
Ego integrity vs. despair
> 65
-look back on life and feel a sense of fulfillment
Elderly are most likely in what stage according to Maslow
- love and belonging
- very few achieve self-actualization