Human growth and development Flashcards
Freud stage of psychosexual development: Infancy
Oral stage
Freud stage of psychosexual development: toddler
Anal stage
Freud stage of psychosexual development: Preschool
Phallic stage
Freud stage of psychosexual development: school age
Latency stage
Freud stage of psychosexual development: adolescence
Genital stage
Erik Erickson stages of development: Infancy
Trust vs mistrust
Erik Erickson stages of development: toddler
Autonomy vs same and doubt
Erik Erickson stages of development: preschool
Initiative vs guilt
Erik Erickson stages of development: school age
Industry vs inferiority
Erik Erickson stages of development: adolescence
Identity vs role confusion
Erik Erickson stages of development: young adult (17-30)
Intimacy vs isolation
Erik Erickson stages of development: middle age
Generativity va stagnation
Erik Erickson stages of development: older adulthood
Integrity vs despair
Hierarchy of needs
Physiological, safety/security/stability, affiliation/acceptance/love, ego/selfworth/confidence/competence/success
Preterm
less than 37 weeks gestation
late preterem
34-36 weeks gestation
low birth weight
</= 2500g
VLBW (very low birth weight)
</= 1500g
ELBW (extremely low. birth weight)
</= 1000g
AGA/LGA/SGA
appropriate
large for GA; weight above 90%
small for GA; weight below 10%
IUGR- symmetric
symmetric: weight/length/head circ are SGA; reflects longstanding intrinsic fetal compromise (syndrome)
IUGR: asymmetric
underweight for length and head circ., reflects acute compromise extrinsic to fetus (placental insufficiency)
Averages in US
length: 20in, 7.5 lbs, 14.2 head, chest is 0.8 less than head
weight loss in newborn period
8-10@ in first 3-4 days, regained by 7 days (formula) 10 day (breast)
weight gain
doubles by 6 mos, triples by 1 year, quardruples by 2 yrs; 5-7 oz/150-210g per week during first 6 mos, 12-20oz per month (6-12mos), 8-9oz per month in second year
length
increases by 50% by 1 year, doubles by 1 year, triples by 13 years. increase by 1 in per month (0-6 mos), 0.5in ( per mos 6-12mos)
head circ
increases 0.5in. per mos (0-6 mos), 0.3in (6-12 mos)
cranial sutures
-close during 1st year of life: posterior closes 6-8 weeks
anterior closes 12-18 mos
Teeth
formation begins in the third fetal month and continues through adolescence
survival reflexes
breathing, hiccups, sneezes, spitting up, suck/swallow/breath, temperature control (shiver, cry, tucking legs), feeding ( sucking, rooting, crying, swallowing)
non-survival reflexes
babinski, stepping, swimming, grasping, moro, startle
Palmar grasp
strongest by 1-2 mos, disappears by 3 mos
plantar grasp
disappears after 8 mos
moro reflex
disappears by 6 mos
stepping reflex
disappears before voluntary walking
asymmetric tonic neck (fencing)
diminishes by 3-4 mos, disappears by 6 mos
vision in newborn
blink and pupil constriction to light are indication of vision, can focus 4-30 inches away, binocular vision develops between 4-6 mos, 20/150-20/400 newborn; 20/70 by 2 years, 20/30 by 5 years
hearing
infants have great auditory acuity for high frequency sounds, “motherese”
Piaget development
Birth to 1 month
reflexes
Piaget development: primary circular reactions
1-4 mos, adaptions of reflexes to the environment through coordination of two actions (like seeing and grasping)
Piaget development: secondary circular reactions
4-8 mos, increased awareness of objects, persons, and expected responses
Piaget development: coordination of means and ends
8-12 months, object permanence- people and objects exist with out of sight
Piaget development: Tertiary circular reactions
12-18 mos, active exploration and trial/error learning
Mental combinations
18-24 mos, ability to problem solve simple situations without trial and error
social smile
in response to a person begins around 6 weeks
stranger anxiery
begins around 6 months and peaks at 12mos
separation anxiety
begins between 8-9 moos, peaks at 14 mos
language milestones: birth to 5 mos
coos, vocalizes pleasure/displeasure sounds differently, makes noises when talked to
language milestones: 6-11 mos
understands “no”, babbles, says mama/dada without meaning, tries to communicate by actions or gestures, tries to repeat sounds, says 1st word
language milestones: 12-17 mos
answers simple questions nonverbally, says 2-3 words to label person or object, imitates simple words, vocal of 4-6 words
language milestones: 18-23 mos
vocal of 50 words, asks for common food by name, makes animal sounds, combines words like more milk, beginning to use pronouns like mine, uses 2 word phrases
toddler an preschool growth
slower growth, about 3 inches per year, 4 lbs
better control and coordination
symbolic thinking, increased language development
Piaget: pre operational thinking
pre conceptual: 2-4 years
Piaget: Sensorimotor stage
birth- 2 years.,
motor milestones: Birth to 3 mos
lift and turns head lying prone
turns had to her or see something
random movements become more purposeful
bring hands to mouth
grasp reflex
motor milestones: 3mos-6 mos
moves arm to reach and sweep, grasps object voluntarily, plays with hands/feet, watches/plays with toys at midline, transfers toys hand to hand, when prone- lifts head and chest with weight on hands
holds head upright and steady
rolls from stomach to back and vice versa
motor milestones: 6-9 mos
uses index finger to poke
hold object in each hand- plays with each
transfere hand to hand
pivots on stomach
pulls hands/knees
sits unassisted and plays with toys
motor milestones: 9-12 mos
picks things up with pincher grasp
drops and picks up toys
creeps
pulls to stand
stands without support
walks with support
independent steps
uses both hands together to play
motor milestone: 12- 18 mos
walks alone
begins to walk sideways/backwards
comes to standing without support
crawls up and down stairs
picks up small objects
stacks one object on top of another
puts objects in and dumps out
pulls apart objects
fits single puzzle pieces
scribbles
motor milestones: 2-3 years
walks well, runs, steps up, squats down, walks on tiptoes, walks up stairs with alternating foot with hand on rail
same step foot placement walking down, jumps 2 inches off ground, Stands on one leg 1-3 sec, kicks ball, throw underhand, learning to catch, stacks more than one object (blocks)
strings large beads
imitates drawing horizontal lines or circular scribble
motor milestones: 4-5 years
stand on 1 foot for 10 sec
tiptoes for 8 sec
hops forward for 5 hops (one foot)
walks on line backwards
forward somersault
gallops/skips forward
walks up/down stairs alternating steps without wall
catches tennis ball
cuts on line continuously
copes a cross and square
prints some letters
motor milestones: 5-6
skips and maintains balance/rhythm
apps froward 20 ft without loosing balance
jumps rope
walks on balance beam
jumps herders 10 in high, 2 footed take off
jumps sideways back an forth
cuts out simple shapes
copies triangle and prints name
colors within lines
mature grasp of pencil
handedness well established
Toddler cognitive development
symbolic thinking and increase language development: preoperational thinking 2-4 yrs; intuitive 2-7yrs (piaget); egocentrism, animism (everthing animate or inanimate thinks and feels the way preschooler does); difficulty distinguing fact from fantasy (normative “lying”, nightmares, imaginary friends, feel responsible for good or bad things happening based o now thoughts, feelings, behaviors)
toddler language
up to 425 word vocabulary with 75% speech understandable at 2 yrs; 4-5 words sentences at 3 yrs, carries out 2-3 item commands (3yrs), understands opposites (4yrs), understands “if” “because” and “when” (5 yrs)
authoritative parenting
firm limits but opportunity for dialogue, high expectations, high support, high parent-child communication, best outcomes
instrumental aggression
common form of aggression among preschool, focused on retrieving an object, space or privilege, decreases with understanding of sharing
Play; infancy
solitary play, little awareness of other children
play; toddler
onlooker play, curious watching of others playing, parallel play with minimal interaction
play: preschool
more social; associative play- some interaction and sharing, not organized or consistent, cooperative= taking turns, activity playing together, dramatic/pretend play- make believe, playing house, rough/tumble- physical, appears aggressive
gender identigy
2 yrs: can distinguish gender, id as girl or boy
3-4: show sex typed preference, id is firmly established, not likely to change
5-6: express notions about how male/female should dress, feel/behave
School aged development: growth
average 5 lbs and 2 inches per year
School aged development: cognitive development
concrete operational thinking (Piaget); reversibility in lath, conservation, classification, seriation- arranging item in series by things like increasing size
adolescent development: growth
Average US female: 38 lbs and 9 inches (10-14yrs)
US male: 42 lbs and 9 inches (12-16yrs)
precocious puberty
girls: starts before 8 yrs
boys: before 9yrs
delayed puberty
girls: starts after 13 years
boys: after 14 years
puberty
onset:
girls: 9-10
boys: 11-2
first physical sign:
girls- breast buds
boys testicular growth
peak velocity:
girls: 12.4 yrs
boys: 14.4 yrs
menarche: 12.5 yrs
spermarche: 13-14
Fertility boys and girls; 15
Tanner staging: Girls
Tanner 1; preadolescent without pubic hair
tanner 2: sparse, pale, fine pubic hair
tanner 3: darker, more curled, increase amt
tanner 4: hair is adult in character, doesn’t cover entire area
tanner 5: adult distribution
Tanner staging: Boys
Tanner 1; preadolescent testes, scrotum, penis without pubic hair
tanner 2: enlargment of scrotum and testes, scxrotum reddens and roughens, sparse hair
tanner 3: penis enlarges primarily in length, increased amt of hair, darker and more curled
tanner 4: penis enlarges in breath and development of glans, hair is adult in character, doesn’t cover entire area
tanner 5: adult size and shape
surveillance
a continuous process of periodic assessment and monitoring of growth and development over time through direct observation, health history, parent/child interaction, physical exam
screening
use of standardized or generally accepted methods with well populations in order to identify individuals at risk for abnormality and warrant further assessment
assessment
more symptomatic evaluation using a standardized or accepted method leading to recommendations for intervention
sensitivity
proportion of those with the abnormality who are correctly identified through screening (true positives)
specificity
proportion of this without the abnormality who are correctly id as negative through screening (true neg)
positive predictive value
proportion of this correctly screened positive of all tho actually have the abnormality
newborn behavioral assessment scale
assessment of newborns behavioral capacities: state control, autonomic reactivity, reflexes, habituation, and responsiveness to visual and auditory stimuli
Bayley infant Neurodevelopmental Screener
screens basic neurological receptive, expressive, and cognitive functions in infants 3-24mos
Bayley Scales of Infant development
current gold standard for diagnosing developmental delays and recommending intervention for children birth through 42 mos with separate mental, motor and behavioral rating scales
Denver II
screens in personal-social, fine motor adaptive, language, and gross motor domains (birth- 6 years)
Language testing
Clinical Linguistic and Auditory Milestone Test (CLAMS: 0-36 mos)
ELM: early language milestones scale
REEL: receptive and expressive emergent language scale (0-36 mos)
MacArthur Communicative Development Inventory
Behaviors testing
Achenbach
Connors abbreviated Parent/Teacher questionairre
Temperament
mental health screening and diagnostic classifications
DSM-5: Diagnostic and Statistical Manual of Mental Disorders