Infancy & Toddlerhood (0-2) Flashcards

1
Q

Physical Changes in the Brain

A
  • 2 yr olds have larger heads’ (to hold almost full size brain)
  • Synaptogenesis: new synapses/ pathways being created
    ○ Synaptic pruning: If it is not used, the rest will be put away
  • Neuroplasticity - brains ability to recognize neural pathways
    ○ them figuring out what neural pathways make sense, which ones they need and which ones they don’t
  • Myelinization - development of myelin is most dramatic in 1st year of life (continue into adolescence)
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2
Q

How much do infants grow in their 1st year?

A
  • 25-30cm
  • triple their body weight
  • 2 hormones that aid in growth process:
    1) Human growth hormone (growth everywhere but CNS)
    2) thyroid stimulating hormone (growth in CNS)
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3
Q

Physical Changes between 2-3 Years

A

Gross Motor (2-3 Years)
- Runs easily
- Climbs on furniture unaided
- Hauls and shoves obstacles and toys

Fine Motor (2-3 Years)
- Picks up small objects
- Throws small ball while standing
○ Starting to combine motor skills together (ie. Stand and throw)

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4
Q

Children’s Growth

A

Motor
- Children need to master motor skills to engage in the world
- kids with higher motor
activity levels can control/inhibit behaviours allowing successful task
achievement

Linear
- Children’s motor level increases linearly with age

Obesity
- Toddlers eat sufficient food but not regular meals
- Toddlers are constantly moving - burn calories quicker
- 1/4 of children are obese - the way you start life determines the trajectory of your life

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5
Q

Adaptive VS. Primitive Reflexes

A

Adaptive
- Designed to support survival
- Ie. Sucking
- some adaptive reflexes persist throughout life

Primitive
- these reflexes disappear by about 6 months of age

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6
Q

3 Types of Reflexes

A
  1. Rooting
    - a soft touch on the cheek
    will make an infant turn
    toward the touch and
    open the mouth
    - disappears by 3 months
  2. Babinski
    - stroking the sole of the
    foot causes the infants
    toes to fan out and up
    - disappears by 12 months
    - Indicator of normal neurological development
  3. Moro
    - sudden noise or loss of
    support causes the infant
    to arch back and throw arms and legs out and then bring them back in
    - disappears after 4-5 months
    - Helps the baby cling to the mother In case of being dropped
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7
Q

Why is data like this: “by 8 weeks, babies will begin to sleep through the night” harmful?

A
  • if baby is not sleeping through the night after 8 weeks, mothers begin to think there is a problem with their baby
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8
Q

What do babies cries mean?

A
  • basic cry signals hunger: rhythmic pattern
  • anger cry: louder and more intense
  • pain cry: abrupt onset
  • attention to crying in the first 3 months leads to less crying later
    ○ More likely to create a secure attachment
    ○ Babies know that they don’t need to cry all the time because they know that when they cry, its effective
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9
Q

Stages of Motor Development

A

Month 1
- locomotor: stepping reflex
- non-locomotor: lifts head slightly and follows objects with eyes
- manipulative: holds object if place in hand

Month 2-3
- locomotor -
non-locomotor: lifts head up to 90 degrees when lying on stomach
- manipulative: begins to swipe at objects in sight (can swipe but cant grab it)
- practitioners recommend tummy time at this stage bc it helps to develop neck strength

Month 4-6
- locomotor: rolls over, sits with support, moves on hands and knees (creeps)
- non-locomotor: holds head erect while in sitting position
- manipulative: reaches for and grasps objects

Month 7-9
- ocomotor: sits without support, crawls
- non-locomotor:
- manipulative: transfer objects from one hand to the other

Month 10-12
- locomotor: pulls self up and walks grasping furniture then walks alone
- non-locomotor: squats and stoops, plays patty cake
manipulative : shows some signs of hand preference,
grasps a spoon but has poor aim when moving to mouth

Month 13-18
- locomotor: walks backwards, sideways and runs (14-20 mos)
- non-locomotor: Rolls ball, claps
- manipulative skills: stacks two blocks and puts objects
into small container and dumps them out
- Teaching cause and effect: if I put blocks in a container and then flip the container, they understand that the block will fall out

Month 19-24
- locomotor: walks up and down stairs (2 feet per step)
- non-locomotor: jumps with both feet off ground
- manipulative: uses spoon to feed self, stacks 4-10 blocks

Universal
- virtually all children follow the same sequence of motor development
- developmentally delayed children follow at a slower pace

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10
Q

Female Vs Male Development

A

Female
- are ahead in motor skills (esp manipulative)

Male
- have more developmental delays
- typically more active

  • these differences are not just due to sexual characteristic
  • Is it the result of the context in which they are growing???
  • Differences in parent practices and the way parents behave with each gender
    ○ Ie. Parents may give their daughters dolls to play with, while the give their sons soccer balls to play with
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11
Q

Why is breast best?

A
  • breastmilk is the best form of infant nutrition
  • exclusive breastfeeding should be done for the
    first 4-6 months and continued until the 2 years of age
  • breastfed babies are less likely to suffer from
    common illnesses: stimulates better
    immune functioning
  • mother-infant social interactions seem to be
    identical if formula-fed babies are given the
    same maternal attention
  • The act of breastfeeding does not create the bond, it is the time and proximity to each other
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12
Q

Narratives of Breastfeeding

A

Natural
- breastfeeding is natural and it does not hurt

Pain
- the reality is that it can be painful for the first 2 weeks with the pain then subsiding

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13
Q

Why doesn’t public health want to tell women about breastfeeding related pain?

A
  • They don’t want to discourage women from breastfeeding
  • Don’t want to discourage women from not having additional children
  • Worries that mothers will switch to formula
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14
Q

Sensory Changes

A

Vision/Hearing
- poor at first but develops
rapidly
(time is needed to build neural pathways between eyes and brain)
- newborns hear nearly as well as adults
- ability to hear is evident by month 7
- infants can locate the
direction of some sounds at birth

Touch/Motion
- best developed of all sense (why they want to touch everything)

Smell/Taste
- newborns react different to each basic taste at birth

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15
Q

Perceptual Skills

A

Looking
- babies scan for dark/light contrasts (infants prefer their mothers face)

Listening
- by 1 month they can discriminate between single syllables
- at 6 months two syllable words
- by 3 months, they recognize the sound regardless of who says it
- at 6 months infants can distinguish sound contrasts in any language
- by 1year old, this ability fades and is limited to the sound contrast of their
native language

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16
Q

Why would the ability to distinguish sound contrasts in all languages fade?

A
  • Related to synaptic pruning
  • You do not use it, so your brain gets ride of it
  • “if you don’t use something, you’ll lose something”
17
Q

Language Development

A

Months 2-3
- cooing, responds with smiles or cooing when spoken to

Months 4-5
- makes various vowel and
consonant sounds with cooing

Month 6
- babbles, utters phonemes of all languages
- Babble: sounds strung together, and also makes sounds like duh, buh

Months 8-9
- focuses on phonemes, rhythm, and intonation
- has receptive vocabulary of 20-30 words
- Receptive vocabulary: words they understand what they mean

Month 12
- expressive language emerges
- says single word

Month 12-18
- uses word-gesture
combinations combined with variations in
intonation
- holophrases- Baby says “Mine” while pointing
to form thought)
- Can tell if it is a statement or a question because they learn patterns of speaking

Month 18-20
- uses 2-word sentences
(telegraphic speech)
- has expressive vocabulary of 100-200 words
- bc of fast mapping
- Fast-mapping: ability to categorically link new world to real-world references

18
Q

Cognitive Developments

A
  • cognitive skill changes over the first 2 years are
    consistent across environments
  • Piaget - Sensorimotor: infants use information from their sense and motor actions to learn about the world
  • by 18-24 months: infant has the beginnings of mental representation
19
Q

Substages of Piagets Sensorimotor Stage

A
  • describes infancy intelligence as sensorimotor or based on direct, physical contact (through 5 senses)

1) Simple Reflexes (Birth - Month 1)
- automatic movements or reflexes

2) Primary Circular Reactions ) Month 1-4)
- primary circular
reactions (baby has not linked
body actions to results
outside of this body)
- reflexes get replaced with voluntary movements
- start to coordinate schemes from different senses
- Gather input from all sense to make sense of the world

3) Secondary Circular Reactions (Month 4-8)
- secondary circular
reactions (become engaged with the world through interactions w objects)
- Begin to imitate
- Understand object permeance (when you hide behind your hands in peek-a-boo, they know you are still there)

4) Coordination of Circular Reactions (Month 8-12)
- baby goes
after what they are
interested in and may
combine two schemes
(i.e. move pillow to reach
you)
- infant is capable of having a thought and carrying out a planned/goal-directed activity (ie. looking for a toy that has rolled under the couch)

5) Tertiary Circular Reactions (Month 12-18)
- tertiary reactions (trial and error)
- Infants play with objects in new ways
Ie. Grab a broom and pretend it’s a horse

6) Representational Thought (Month 18-24)
- beginning of mental
representation (solves problems using mental strategies)
- use of symbols to represent
object or events

20
Q

What are the 2 emotional responses that infants exhibit?

A

1) Attraction
2) Withdrawal

21
Q

What is attachment theory?

A
  • view that the ability and need to form an attachment relationship early in life is a genetic characteristic of humans
22
Q

4 Styles of Attachment

A

Secure
- mothers are sensitive to infants’ needs
- infants are less fussy and enjoy physical contact

Avoidant
- infant avoids contact with the parent and shows no
preference for the parent over other people

Ambivalent
- little exploratory behaviour
- is greatly upset when separated from the parent
- is not reassured by the
parent’s return or comfort efforts

Disorganized/Disoriented
- confused or apprehensive infant who shows contradictory
behaviour such as moving toward parent while looking away

23
Q

Characteristics of people with secure attachment

A

○ Better emotional responsiveness
○ More likely to come from high SES families
○ More likely to come from families with married parents
-Children and parents tend to have better mental health

24
Q

Affects of children that are securely attached:

A

○ More social
○ Less clingy and dependent
○ Less disruptive and aggressive
○ More empathetic
○ More emotionally mature
○ Well-grounded, good humans

25
Q

What are the 4 qualities of empathy?

A
  1. Perspective taking
  2. Staying out of judgement
  3. Recognizing emotion
  4. Communicating that
26
Q

What are the 2 Types of Play

A

Cognitive Play
- by age 2 children begin to use objects to build things (building a tower, drawing a picture)
- Realization they can use things outside of themselves

First Pretend Play
- the child uses an object for other than its purpose or pretends with an object (pretending to drink from a cup)

27
Q

What is substitute pretend play?

A
  • children begin to use objects to stand for something different (using a broom as a horse)
28
Q

Types of Social Play

A
  • from 2-6, relationships with nonsiblings become increasingly important

Solitary play (all ages)
- by yourself

Parallel play (14-18 months)
- playing side by side but not interacting

Associative play (18 months)
- Play together bUT has different ideas/goals
Ie. 1 kid builds the highest tower, while the other kid is building the longest tower

Cooperative play- 3-4 years old
- Play together with shard goals
Ie. Playing house and ascribing everyone a role

29
Q

How do children learn?

A

Short-term
- by stories, pictures, play

Long-term
- ritual, imitation, repetition, reinforcement, games, role models

30
Q

Aggression

A
  • Physical aggression peaks at age 2 years

-Aggression: a behavior intended to harm another person or damage an object

  • aggressive behaviours tends to run in families
    harsh
  • punitive parenting is linked with aggression
  • reinforcement and modelling play a key role in aggression
  • between 17 and 29 months, the ratio of male to female physical aggression is consistent (5:1)
  • Through play, they interact with more people and cause them to develop more and different ideas
31
Q

How to reduce aggression

A
  • build prosocial behaviour
  • prosocial behaviour: behaviour intended to
    help another person
  • becomes evident between 2-3 years
  • empathy is key
32
Q

Erikson - Autonomy VS. Shame and Doubt

A
  • Secure attachment helps them to build autonomy (so they don’t doubt their abilities)
33
Q

What are Adverse Childhood Experiences (ACE’s)

A

Abuse
- physical
-emotional
- sexual

Neglect
- physical
- emotional

Household Dysfunction
- mental illness
- mother treated violently
- substance abuse
- divorce
- incarcerated relative

34
Q

What are the consequence of ACE’s

A
  • The higher you ACE score the worse your health outcomes
  • Inhibits prefrontal cortex: critical area of learning
  • Changes in the brains response centre
  • Changes the pleasure and reward system
  • Trauma isn’t just a social thing
    ○ It is causing DNA level changes
  • Children are very sensitive to repeated stress activation
    ○ If children are in a constant state of fear, their ability to focus on development is restricted
35
Q

Types and Prevalence of Abuse

A

Intimate Partner Violence (34%)
- most prevalent

Physical Abuse (20%)
- 2nd most common

Emotional Maltreatment (9%)

Sexual Abuse (3%)
- least prevalent

36
Q

What is the exposure effect?

A
  • the degree of intensity and duration of a stressor is related to the intensity of the response
37
Q

What is Resilience?

A
  • capacity to recover quickly from difficulties
  • Resilience is a
    ○ trait: you are born with it or not
    ○ Process: you can be trained to be resilient
    ○ Outcome: you go through a set of circumstances, and the outcome is either resilience or no resilience