Growth and Development from birth to adolescence Flashcards
What is development?
It is
- Cephalocaudal
- Proximal to distal body parts
- Gross to refined skills
- From lower to more complex stage or development tasks
What is the prenatal stage?
Germinal : Conception to 2 weeks
Embryonic : 2-8 weeks
Fetal : 8 - 40 weeks
What is the infancy stage?
Neonatal : Birth to 28 days
Infant : 28 days - 12 months
What is early childhood?
Toddler : 1 - 3 years
Pre-school : 3 - 6 years
What is mid childhood?
School age : 6 to 12 years
Late childhood/ Pre-pubertal : 10 - 13 years
What is adolescent ?
13 - 18 years
What is skeletal growth and maturation?
Hand and wrist x-ray is useful for determining skeletal age especially before 6 yeats
What is the brain growth ?
1 year old : 50%
3 years old : 75%
6 years old : 90%
What is the growth rate for birth to 6 months?
- Weekly weight gain: 140-200gms
- Monthly height gain: 2.5cm
What is the growth rate for 6 - 12 months?
- Weekly weight gain: 85-140gms
- Monthly height gain: 1.25cm
What is the growth for toddlers, preschoolers & school-aged children?
- Yearly weight gain: 2-3kg
- Height gain: 12cm at start and slows down to 5cm per year
What is the pubertal growth spurt?
- Female: 10 – 14 years weight gain 7 to 25kg, height gain 5 to 25cm.
Height max at menarche or skeletal age of 13 years - Males: 11-16 years weight gain 7 to 30kg, height gain 10cm to 30cm.
Height max at skeletal age of 15 years
What is freud theory?
Child develops a series of psychosexual stages, focus on particular body part
FREUD VERSUS ERIKSON
Infancy
Birth to 1 year
Freud
Oral sensory
- Explore by using mouth especially tongue
Erikson
- forms sense of trust v.s mistrust
- learns to love and be loved
Toddler
1 to 3 years
Freud
Anal stage
- learn to control urination and defecation
Erikson
- autonomy verus shame and doubt
- learns to be independent
FREUD V.S. ERIKSON
Early childhood
( 3 to 6 years )
Freud
Phallic stage
- learns sexual identify through awareness of genital areas
Erikson
Initiative versus guilt
- learns how to do things and doing things is desirable
Mid childhood
( 6 to 12 years )
FREUD VERSUS ERIKSON
Freud
Latency
- Personality development appears to be non active or dormant
Erikson
Industry versus inferiority
- learns how to do things well
Adolescent
12 to 19 years
Freud
Genitality
- sexual maturity, learn to establish a relationship with opposite sex
Erikson
Identity versus identity confusion
- learns who they are and the kind of person they will be by adjusting to a new body image
LANGUAGE ABILITY
Prelinguistic
10 months to 1 year
Crying, cooing, babbling – pronounces mama by age 8 months.
Understands mama and da-da incorrect context by age 10 months
Holophrastic
1 to 1.5 yrs
Language abilities
Single-word utterances that represent the meaning of an entire sentence
Telegraphic
1.5 to 2 yrs
Content words, omission of less meaningful parts of speech such as
articles, prepositions and auxiliary words
Pre-school
2.5 to 5 yrs
Lengthy sentences with increasing complexity
Mid-childhood
6 to 14 yrs
Use of bigger words, longer and more complex sentences; able to
understand complex syntactic structures of native language
What is gross motor?
- Sitting, walking
What is fine motor and vision?
- Grasping, reaching picking and following
What is social, emotional and behavioural
- smiles, play, interaction and independence
What is speech, language and hearing
- Responding to sounds, talking in words/sentencing, calling and
understanding
Sucking
3 to 4 months
touch infant’s lips with fingers
Rooting
3 to 4 months
( Stroke corner of mouth; observe infant move
head toward stimulation )
Moro Infant reflexes.
The Moro reflex is often called a startle reflex. That’s because it usually occurs when a baby is startled by a loud sound or movement. In response to the sound, the baby throws back his or her head, extends out his or her arms and legs, cries, then pulls the arms and legs back in.
Decreases 3 to 4 months
Disappears 6 months
Make loud noise or brace infant’s head and
back and simulate falling - infant extends then
flexes arm and fingers
Palmar grasp
Strongest 1 to 2 months Disappears 3
to 4 months
Place index fingers into infant’s hands
When a baby’s head is turned to one side, the arm on that side stretches out and the opposite arm bends up at the elbow. This is often called the fencing position. This reflex lasts until the baby is about 5 to 7 months old.
Decreases 3 to 4 months Disappears 6
months
With infant in a supine position, turn his head
to one side - the upper and lower extremities
on that side extend, the opposite extremities
flex
Stepping
If you hold your baby upright immediately above a flat surface, your baby may stretch their legs toward the surface.
Disappears before walking
Hold infant under axillae in standing position.
Place feet on flat
Neonate
Gross motor and Fine motor development
Gross motor development :
Turn head side to side from prone position
Fine motor development :
Strong grasp
3 months
Gross motor and Fine motor development
Gross motor development :
Almost no head lag
Fine motor development :
Grasp reflex fades, however can actively hold a rattle
5 months
Gross motor and Fine motor development
Gross motor development :
Roll from front to back
Fine motor development :
Can grasp voluntarily and hand to hand transfer
7-8 months
Gross motor and Fine motor development
Gross motor development :
Sits leaning forward and sit
Fine motor development :
Grasp with thumb and finger
9-10 months
Gross motor development :
Crawl and pull to stand
Fine motor development :
Pincer grasp
10 - 12 months
Gross motor development
Gross motor development :
Walking while holding on to object
12 - 15 months
Gross motor development :
Walks without help
Fine motor development :
Building block
2-3 years
Gross motor development :
Walks up and down stairs
Jumps with both feet
Fine motor development :
Imitate vertical stroke, copy basic shapes
3-4 years
Gross motor development
Gross motor development :
Ride a tricycle
4-5 years
Fine motor development :
Copy more shapes, tie shoe laces and use scissors
Sleep patterns of infants
1st month: Most infants sleep when not eating
3 – 4 months: Most infants sleep 9 – 11 hours at night
By 12 months: Takes morning and afternoon naps
Sleep patterns of infants
Average about 12 hours daily
Most naps once a day
Tooth development chart
Primary tooth eruption usually begins by 6
months – central incisors
● Primary dentition (20 deciduous teeth) by 3
years
● Around the age of 6, permanent teeth erupt
and child gradually looses the deciduous
teeth
Nutrition
Introduce of solid at 6 months onward - must be
gradual
● Fluid requirement: Milk primary source of water for
infant and water requirement average 120-
150ml/kg/day
0 - 3 months ( food )
Avoid use of honey or syrup
Do not need water
4-6 months ( food )
• Introduce weaning diet without added salt or sugar • Introuce one food at a time • Avoid sweetened drinks • Feed on spoon
7 - 9 months
• Introduce finger food and cup
when infant is able to sit up
• Observe for choking
• Offer fluid after food
10 - 12 months
food
• Offer 3 meals and healthy snacks • Allow infant to feed self with spoon • Supervision feeding
Bowel
● Elimination patterns usually develop by 2nd week of life
● Associated with frequency and amount of feedings
● Stool color and consistency depends on what the infant eats
● Quantities change with the introduction of solids
Urinary output
● Average of 200-300ml by the end of 1st week of life with
about 20 voiding per day
● Infancy: 350-550mls/day
● Childhood 500-1000mls/day
Socializations
● 2 months: displays social smile
● 3 months: recognizes familiar faces
● 4 months: enjoys social interactions
● 5months: smiles at mirror image
● 6 months: begins to fear strangers
● 8 months: begins to manifest “stranger anxiety”
● 12 months: shows emotions such as jealousy and affection
● Toddlers: may use tantrums to assert independence
● School age: increasingly involved in complex activities
2 years old
● Walking ● Kick and throw a ball ● Stack 5-6 blocks ● Follow two-steps command ● Use 2-3 word phrases ● Listening stories and looking at pictures ● Imitating adults ● Participate in parallel play
3 years
● Balancing on one foot ● Dressing self ● Pedaling a riding toy ● Control daytime bladder and elimination ● Engaging in magical thinking ● Beginning cooperative play ● Using 3-4 word sentence ● Give own first name and age
4 years
● Walking, climbing, jumping and running ● Riding a tricycle or bicycle with training wheels ● Building a tower of 10 blocks ● Draw a person with 3 parts ● Using short paragraphs with sentences of 4 or 5 words ● Distinguish fantasy from reality ● Giving first and last name ● Singing a song
5 years
● Walking, climbing and running with coordination ● Dressing self independently ● Drawing a person with full body ● Copying a triangle and square ● Speaking in short paragraphs and recognition of most alphabet letters ● Giving own address and telephone number ● Follow rules of interactive peer games