Growth & Development Flashcards

1
Q

Accommodation

A

Changes made to deal with new experiences

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2
Q

Assimilation

A

Incorporating of new experiences

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3
Q

Erikson’s theory of psychosocial development

A

Establishes psychosocial stages during eight periods of human life. For each stage there is a “crisis” or a particular challenge that exists for healthy development to occur.

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4
Q

preconceptual substage

A

(2-4) vocabulary and comprehension increase greatly but the child shows egocentrism.

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5
Q

Trust vs mistrust stage

A

Birth-1

The baby establishes a sense of trust when basic needs are met

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6
Q

Autonomy vs shame & doubt stage

A

1-3

The child is increasingly independent in many spheres of life.

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7
Q

Initiative vs guilt stage

A

3-6

The child likes to initiate play activities

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8
Q

Industry vs inferiority stage

A

6-12

The child gains a sense if self worth from involvement in activities

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9
Q

Identity vs role confusion stage

A

12-18

The adolescent’s search for self-identity leads to independence from parents and reliance on peers.

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10
Q

Piaget’s theory of cognitive development

A

Child’s view of the world is influenced largely by age and maturational ability.

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11
Q

Piaget’s stages if development

A

Sensorimotor (birth-2)
Preoperational (2-7)
Concrete operational (7-11)
Formal operational (11-adulthood)

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12
Q

Formal operational

A

11-Adulthood
Fully mature intellectual thought has now been attained. The adolescent can think abstractly about objects or concepts and consider different alternatives or outcomes.

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13
Q

Concrete operational stage

A

7-11
Transductive reasoning has given way to a more accurate understanding of the cause and effect. The child can reason quite well if concrete objects are used in teaching or experimentation. the concept of conservation is learned at this age.

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14
Q

Preoperational stage

A

2-7

The child thinks by using words as symbols, but logic is not well developed.

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15
Q

Sensorimotor stage

A

Birth-2
The baby learns from movement and sensory input.
(6 independent stages)

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16
Q

Freud’s theory of psychosocial development

A

Early childhood experiences form the unconscious motivation for actions in later life. Theory that sexual energy is centered in specific parts of the body at certain ages.

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17
Q

Freud’s stages of development

A
Oral (birth-1)
Anal (1-3)
Phallic (3-6)
Latency (6-12)
Genital (12-18)
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18
Q

Genital stage

A

12-18

The adolescent’s focus is on genital function and relationships

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19
Q

Latency stage

A

6-12

The child places importance on privacy and understanding the body. Interacts more with same sex.

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20
Q

Phallic stage

A

3-6
The child initially identifies with the parent of the opposite sex but by the end of this stage has identified with the same sex parent

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21
Q

Anal stage

A

1-3

The child derives gratification from control over body excretions

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22
Q

Oral stage

A

Birth-1

The baby obtains pleasure and comfort through the mouth.

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23
Q

Sensorimotor stages

A

Uses of reflexes (birth-1 month)
Primary circular reactions (1-4 months)
Secondary circular reactions (4-8 months)
Coordination of secondary schemes (8-12 months)
Tertiary circular reactions (12-18 months)
Mental combinations (18-24 months)

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24
Q

Uses of reflexes

A

Birth-1 month
The infant begins life with a set of reflexes such as sucking, rooting, and grasping. By using reflexes the infant receives stimulation via touch, sound, smell, and vision. The reflexes thus pave the way for the first learning to occur.

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25
Q

Primary circular reactions

A

1-4 months

Once the infant responds reflexively, the pleasure gained from that response causes repetition of the behavior

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26
Q

Secondary circular reactions

A

4-8 months

Awareness of the environment grows as the infant begins to connect cause and effect.

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27
Q

Coordination of secondary schemes

A

8-12 months
Intentional behavior is observed as the infant uses learned behavior to obtain objects, create sounds, or engage in other pleasurable activities. Object permanence begins when infant remembers where a hidden object is likely be found.

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28
Q

Tertiary circular reactions

A

12-18 months

Curiosity, experimentation, and exploration predominate as the toddler tries out actions to learn results.

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29
Q

Mental combinations

A

18-24 months
Language provides a new tool for the toddler to use in understanding the world. Language enables the child to think about events and objects before or after they occur.

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30
Q

Intuitive substage

A

4-7
The child relies on transductive reasoning. Cause and effect relationships are often unrealistic or a result of magical thinking.

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31
Q

Transductive reasoning

A

Drawing conclusions from one general fact to another.

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32
Q

Magical thinking

A

The belief that events occur because of thoughts or wishes.

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33
Q

Centration

A

The ability to consider only one aspect of a situation at a time

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34
Q

Animism

A

Ascribing life to inanimate objects because they move, make noise, or have certain other qualities.

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35
Q

Conservation

A

That matter does not change when it’s form is altered.

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36
Q

Egocentrisim

A

An inability to see things from the perspective of another.

37
Q

Kohlberg’s Theory of Moral Development

A

Focus on a particular type of cognitive development concerned with moral decisions.Established three levels of moral reasoning. Age guidelines are approximate and many people never reach the highest stage of development.

38
Q

Kohlberg’s stages of Moral Development

A

Preconventional (4-7)
Conventional (7-11)
Postconventional (12 and older)

39
Q

Precconventional stage

A

4-7

Decisions are based on the desire to please others and to avoid punishment.

40
Q

Conventional stage

A

7-12
Conscience or an internal set of standards becomes important.Rules are important and must be followed to please other people and “be good.”

41
Q

postconventional stage

A

12 and older
The individual has internalized ethical standards on which to base decisions. social responsibility is recognized. the value in each of two differing moral approaches can be considered and a decision made.

42
Q

Self-efficacy

A

The expectation that someone can produce a desired outcome.

43
Q

Patterns of Temperment

A

Difficult child
Slow-to-warm-up
Easy

44
Q

The “easy” child

A

Generally moderate in activity; shows regularity in patterns of sleeping, eating, and elimination; and is usually positive in mood and when subjected to new stimuli. Adapts to new situations and is able to accept rules and work well with others.

45
Q

The “slow-to-warm-up” child

A

Reactions of mild intensity and slow adaptabilty to new situations. displays initial withdrawal followed by gradual, quiet and slow interaction with the environment.

46
Q

the “difficult” child

A

Displays irregular schedules for eating, sleeping and elimination; adapts slowly to new situations and persons; and displays a predominantly negative mood. Intense reactions to environment are common.

47
Q

Birth to 1 month fine and gross motor ability.

A

Fine motor ability:
Holds hand in fist, draws arms and legs to body when crying.
Gross motor ability: inborn reflexes such as startle and rooting are predominant activity. May lift head briefly if prone. Alerts to high-pitched voices and comforts with touch.

48
Q

Birth to 1 month sensory ability

A

Prefers to look at faces and black-and-white geometric designs. Follows objects in line of vision

49
Q

Birth to 1 month physical growth

A

Gains 5-7 oz/week (140-200g)
Grows 1.5 cm (1/2 in) in first month
Head circumference increases 1.5 cm (1/2 in)

50
Q

4-6 months physical growth

A
Gains 5-7 oz (140-200g)/week 
Doubles birth weight at 5-6 months
Grows 1.5 cm (1/2 in)/ month
Head circumference increases 1.5 cm (1/2 in)/month
Teeth may begin to erupt by 6th month
Ingests 100 ml/kg/24 hr (1.5 oz/lb/24 hr
51
Q

4-6 month fine motor ability

A

Grasps rattles and other objects at will; drops them to pick up another offered object. Mouths objects. Holds feet and pulls to mouth. Holds bottle. Grasps with whole hand (palmar grasp) Manipulates objects

52
Q

4-6 month gross motor ability

A

Head held steady when sitting. No head lag when pulled to sitting. Turns from abdomen to back by 4 months and back to abdomen by 6 months. When held standing, supports much of own weight.

53
Q

4-6 month sensory ability

A

Examines complex visual images. Watches the course of a falling object. Responds readily to sounds.

54
Q

6-8 months physical growth

A

Gains 3-5 oz (85-140g)/week
Grows 1 cm (3/8 in)/month
Growth rate slower than the first 6 months

55
Q

6-8 month fine motor

A

Bangs objects held in hands. Transfer objects from one hand to the other. Beginning pincer grasp at times

56
Q

6-8 month gross motor

A

Most inborn reflexes extinguished. Sits alone readily without support by 8 months. Likes to bounce on legs when held in standing position

57
Q

6-8 months sensory ability

A

Recognizes own name and responds by looking and smiling. Enjoys small and complex objects to play with

58
Q

8-10 months physical growth

A

Gains 3-5 oz (85-140g)/week

Grows 1 cm (3/8 in)/month

59
Q

8-10 month fine motor

A

Picks up small objects

Uses pincer grasp well

60
Q

8-10 month gross motor

A

Crawls or pulls whole body along floor by arms. Creeps by using hands and knees to keep trunk off floor. Pulls self to standing by 10 months. Recovers balance when sitting

61
Q

8-10 month sensory ability

A

Understands words such as “no” and “cracker”
May say one word in addition to mama and dada
Recognizes sound without difficulty

62
Q

10-12 month physical growth

A

Gains 3-5 oz (85-140 g)/week
Grows 1 cm (3/8 in)/month
Head circumference equals chest circumference
Triples Birth weight by 12 months.

63
Q

10-12 month fine motor

A

May hold crayon or pencil and make mark on paper. Places objects into containers through holes.

64
Q

10-12 month gross motor

A

Stands alone
Walks holding onto furniture
Sits down from standing

65
Q

10-12 month sensory ability

A

Plays peek a boo and patty cake

66
Q

Child abuse: act of commission

A

Things done to child: physical abuse, verbal abuse

67
Q

Child abuse: act of omission

A

Things supposed to do but don’t: not feeding, bathing, etc

68
Q

Who are the perpetrators?

A

Family members, caregivers, friends parents, etc. strangers not the most common

69
Q

Types of child abuse

A

Neglect
Abuse: physical, sexual, emotional
Munchausen Syndrome by proxy

70
Q

Common types of sexual abuse

A
Incest
Pedophilia
Molestation
Exhibitionism
Child pornography
Child prostitution
71
Q

Axis of abuse: perpetrators

A
Perpetrators:
-Parents, caregivers, other family members & friends
-Strangers
-Minors as perpetrators
Characteristics:
-Past experiences
-Poor impulse control
-Low self-esteem
-Social crisis
-lack of knowledge/understanding
-Mental illness
-Chemical dependency
72
Q

Axis of abuse: victims

A

Characteristics:

  • Children 3 and younger at greater risk
  • Child’s temperament
  • Child’s additional needs
73
Q

Axis of abuse: environment

A

Characteristics:

  • Chronic stress
  • Inadequate support systems
  • Domestic abuse in home
74
Q

How do you diagnosis physical/sexual/emotional abuse and emotional neglect

A
Physical/emotional 
-Assessment
-Diagnostic tests
Emotional
-Parent-child interaction
Neglect
-Parent-child interaction 
*Caution: differentiate true child abuse from cultural variations of healing practices, and physical conditions and disease.
75
Q

When should we suspect abuse?

A

Emotional abuse or neglect:
-Physical growth and developmental delay
-Behavioral changes
Physical abuse
-Physical injuries: injuries do not match explanation, multiple injuries
-Behavioral signs: parent or child- excessive delay for seeking treatment or not seeking treatment at all. Inappropriate response of child. Refusal of parents to have extra treatments. Child wears long sleeves even in hot weather
Sexual abuse
-Physical manifestations- penial/vaginal discharge. Vaginal opening irregular for age group.
-Behavioral manifestations- wets bed, somatic complaints, changes in school performance, depression, withdrawal from friends

76
Q

Nursing responsibility related to abuse

A
#1 STOP THE ABUSE: Identify and protect coils from further abuse. Mandatory federal/state child abuse reporting laws.
#2 Care of the abused child: Basic needs of the hospitalized child. Acceptance/non-judgmental. Foster positive behaviors. Documentation. Agency's "chain of custody" protocol for evidentiary materials. Child advocacy. PTSD
#3 Care of the family- goal is reintegration of the family unit: personal assessment of attitudes and feelings toward child abuse. Role-modeling/education. Community resources for child and family. Safe places to drop off unwanted babies. Child abuse laws- criminal prosecution.
#4 PREVENTION!!!! Identify high risk groups. Identify community resources available for support. Personal responsibilities/contributions.
77
Q

4-6 months physical growth

A
Gains 5-7 oz (140-200g)/week 
Doubles birth weight at 5-6 months
Grows 1.5 cm (1/2 in)/ month
Head circumference increases 1.5 cm (1/2 in)/month
Teeth may begin to erupt by 6th month
Ingests 100 ml/kg/24 hr (1.5 oz/lb/24 hr
77
Q

4-6 month fine motor ability

A

Grasps rattles and other objects at will; drops them to pick up another offered object. Mouths objects. Holds feet and pulls to mouth. Holds bottle. Grasps with whole hand (palmar grasp) Manipulates objects

78
Q

4-6 month gross motor ability

A

Head held steady when sitting. No head lag when pulled to sitting. Turns from abdomen to back by 4 months and back to abdomen by 6 months. When held standing, supports much of own weight.

79
Q

4-6 month sensory ability

A

Examines complex visual images. Watches the course of a falling object. Responds readily to sounds.

80
Q

6-8 months physical growth

A

Gains 3-5 oz (85-140g)/week
Grows 1 cm (3/8 in)/month
Growth rate slower than the first 6 months

81
Q

6-8 month fine motor

A

Bangs objects held in hands. Transfer objects from one hand to the other. Beginning pincer grasp at times

82
Q

6-8 month gross motor

A

Most inborn reflexes extinguished. Sits alone readily without support by 8 months. Likes to bounce on legs when held in standing position

83
Q

6-8 months sensory ability

A

Recognizes own name and responds by looking and smiling. Enjoys small and complex objects to play with

84
Q

8-10 months physical growth

A

Gains 3-5 oz (85-140g)/week

Grows 1 cm (3/8 in)/month

85
Q

8-10 month fine motor

A

Picks up small objects

Uses pincer grasp well

86
Q

8-10 month gross motor

A

Crawls or pulls whole body along floor by arms. Creeps by using hands and knees to keep trunk off floor. Pulls self to standing by 10 months. Recovers balance when sitting

87
Q

8-10 month sensory ability

A

Understands words such as “no” and “cracker”
May say one word in addition to mama and dada
Recognizes sound without difficulty

88
Q

10-12 month physical growth

A

Gains 3-5 oz (85-140 g)/week
Grows 1 cm (3/8 in)/month
Head circumference equals chest circumference
Triples Birth weight by 12 months.