NB3-4 - Human Development 1 and DLAs Flashcards

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1
Q

List the various stages of life and their age ranges.

A
  • Infant - 0-1 years
  • Toddler - 1-3 years
  • Early Childhood - 3-5 years
  • Middle Childhood - 6-11 years
  • Adolescence - 12-17 years
  • Early Adulthood - 18-45 years
  • Middle Adulthood - 45-64 years
  • Late Adulthood - 65+ years
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2
Q

What does the term “attachment” mean?

A

The tendency of a baby to seek closeness both physically and emotionally to particular people in order to feel more safe.

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3
Q

What does a healthy infant attachment provide to a baby?

A

A secure base/safe haven that allows the child to feel safe exploring their environment.

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4
Q

Describe how the strange situation test was carried out and what researchers attempted to learn from it.

A

Infants around 12 months were placed in a toy filled room with their caregiver. A stranger then enters and the caregiver leaves. The caregiver then returns to comfort the baby and the stranger leaves. Then the caregiver leaves, leaving the baby alone.

The exit and return of the caregiver were the moments when the researchers learned about how children reacted to the absence of and comfort provided by the caregiver. From years of this study, researchers categorized 4 attachment styles that could be discerned based on the childs reaction to this test.

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5
Q

What are the attachment styles discoved by “The Strange Situation” trials?

A
  1. Securely Attached - child seeks interaction with mother upon her return
  2. Insecurely Attached/Anxious Avoidant - child avoids ineraction with her mother upon her return. Usually caused by neglect (comfort denied to child)
  3. Insecurely Attached/Anxious Resistant - child shows resistance when mother returns. Child may seek and then resist physical interaction. Usually caused by parental inconsistency.
  4. Insecurely Attached/Disorganized - child exhibits confusion when mother returns. Child may avoid, resist, or be fearful of mother. Usually caused by abuse or parental depression.
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6
Q

What are the possible effects of insecure attachment during early childhood?

A
  1. Social incompetence (withdrawn or frightened)
  2. More severe attachment deprivation can result in failure to thrive, shortened stature, cognitive delays, and mutism
  3. Traumatic and prolonged separations may result in anaclitic depression (reactive attachment disorder), in which the child becomes withdrawn and unresponsive.
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7
Q

What does the term “temperament” refer to and what influences temperament?

A

Temperament refers to the moderately stable psycho-biological profile that emerges during infancy and early childhood. Temperament is influenced by genetics and by early prenatal and postnatal environment.

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8
Q

List the relatively stable dimensions (traits) of temparament discovered by Chess & Thomas.

A
  1. Activity Level/Motor Activity
  2. Rhythmicity/Regularity of biological functions
  3. Approach to novel stimuli
  4. Adaptability to environmental change
  5. Intensity of reaction
  6. Threshold of responsiveness
  7. Mood - negative, neutral, positive
  8. Distractibility
  9. Attention span and persistence
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9
Q

What did Kagan discover during his studies of responses to novel stimuli?

A
  • About 10%-20% of patients had high reactions to novel stimuli as a child and demonstrated crying and high motor activity. They also demonstrated a low amygdala response threshold. These children often grew to be inhibited, introverted, and novelty averse adults.
  • About 30%-40% of patients had low reactions to novel stimuli as a child and were typically calm. These children often grew to be uninhibited, extroverted, and novelty seeking adults.
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10
Q

Which areas of the brain seem to be most important to a persons anxiety level? Explain. What is the most important take away lesson from knowing this.

A
  • Amygdala - higher activity = higher anxiety
  • Ventral Striatum (reward center) - higher activity = lower anxiety
  • Dorsolateral prefrontal cortex (emotion regulation) - higher activity - lower anxiety

This is a perfect example of how nature and nurture can be equally important to temperament. Genetics controls how these structures originally develop but exposures to certain environments early on shape their developments later on.

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11
Q

What are the different domains of human development? What aspects of each domain are most closely monitored?

A
  1. Physical - growth, motor skills, brain maturation
  2. Cognitive - thought/information processing and language acquisition
  3. Emotional/Affective - attachment and emotional development
  4. Social - interpersonal relationships, development of “self,” gender identity, moral development
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12
Q

Differentiate a nightmare from a sleep terror.

A
  • Sleep terrors occur during non-REM sleep, affect autonomic function, and often cannot be remembered
  • Nightmares occur during REM sleep, do not typically affect autonomic functions, and the child can often remember the dream.
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13
Q

Write out the APGAR table.

A
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14
Q

What does the APGAR score mean?

A

7-10 is normal

4-6 indicates a need of some kind of resuscitation

0-3 complete resuscitation required

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15
Q

What are the newborn primitive reflexes?

A
  1. Rooting - touch cheeks; turn head in direction of touch
  2. Sucking - place finger in mouth; sucks right away
  3. Palmar Grasp - place finger in hand; grabs and holds
  4. Moro Reflex - startle infant; legs and arms extend suddenly
  5. Babinski Reflex - stroke soul of foot from top to bottom; toes fan out
  6. Reflex smiling
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16
Q

Which notable cognitive capacities should a newborn have?

A
  1. Able to track moving objects with eyes
  2. Able to orient self to loud noise
  3. Able to discriminate between human language and other sounds
  4. Show preferences to certain tastes, smells, and sights
17
Q

What percentage of adult brain volume is the newborn baby brain? At 12 months?

A

25% adult volume

50% adult volume

18
Q

What is the universal sequence of motor skill development?

A
  1. Lifts head up prone (1 month)
  2. Reaches for objects (3 months)
  3. Rolls and sits (6 months)
  4. Stands with support (8 months)
  5. Crawls (8-9 months)
  6. Pincer Grasp (10 months)
  7. Takes first steps/walks (12-18 months)
19
Q

During the first year of development, which areas of the cerebral cortex and subcortical grey matter grows most rapidly?

A

Cortical expansion is greatest in the prefrontal, parietal, and temporal association areas

Subcortical grey matter expansion is greatest in the hippocampus, amygdala, thalamus, and basal ganglia

20
Q

Describe how brain scans change throughout development.

A

On a newborn, T1-MRIs show the grey matter to be of higher intensity (brighter) than white matter. This is because the white matter has not been myelinated yet and consists of mostly fluid, which is brighter on T1-MRIs.

The brain begins to appear normal on MRIs by 1yo

21
Q

What causes the primitive reflexes to disappear and be replaced with more complex abilities?

A

Myelination

22
Q

Which areas of the nervous system get myelinated first?

A

Motor sensory roots, visual structures, and brainstem neurons get myelinated before birth

The corticospinal system, auditory neurons, and association cortices are the first areas myelinated after birth

23
Q

List when the primitive reflexes typically disappear and what they are replaced with.

A
  1. Endogenous smiling replaced with the social smile by 2 months
  2. Moro reflex replaced with more complex fears by 3 months
  3. Rooting and Sucking replaced with more control of the mouth by 4 months
  4. Palmar grasp replaced with more complex hand movements (pincer grasp) by 6 months
  5. Babinski response replaced with more complex foot control by 24 months.
24
Q

What can a failure of primitive reflexes to disappear indicate?

A

Delays of failures in myelination which puts the baby at an increased risk of SIDS

25
Q

What are the cognitive developmental milestones seen in the first year of life?

A
  1. Recognition memory for past events (6-8 weeks)(infant looks longer at novel objects)
  2. Object Permanence (9 months)
  3. Working memory (7-9 months)(ability to inhibit perseverative behaviors)
  4. Organize experiences into schemas (7 months)
    1. Assimilation (new experiences fit into existing schemas)
    2. Accommodation (schemas altered to fit new experiences)
  5. ​Provoked imitation (4-5 weeks); Spontaneous imitation (7 months)
  6. Language and language comprehension
26
Q

What emotional development milestones are seen in the first year?

A
  • Stranger anxiety around 8-9 months
  • Separation anxiety around 6-9 months
27
Q

What important physical developmental milestones are seen in year 2?

A
  • Continued gross and fine motor control
  • Continued brain growth (not as substantial as year 1 though)
  • Continued myelination of association and thalamocortical pathways
28
Q

What important cognitive developmental milestones are seen in year 2?

A
  • Concrete use of objects
  • Inferential thinking (can make inferences (zoob example))
  • Begin to use transitional objects (security blanket)
  • Can use symbols
  • Speaks in short, two-word, telegraphic sentences
29
Q

What important emotional developmental milestones are seen in year 2?

A
  • Self-awareness; self-recognition (in mirror)
  • Egocentrism
  • Aggression, but responsive to social learning
  • Theory of mind emerges
    • infers feelings and intentions of others
    • develops morality
    • empathy
  • Stages of Play begins (solitary, parallel, then cooperative)
30
Q
A

A

31
Q

At what points in their lives should infants and young children be screened for developmental delays?

A

At 9, 18, 24, and 30 months

32
Q

T/F - when screening for developmental delays, it is important not to screen too meticulously because something will always turn up.

A

False

There are plenty of tests that have low false positive rates and all of them should be done

33
Q

What are the two most used tools for developmental screening on children?

A

Parent report questionnaires

Physician Observation

34
Q

What is the physicians best tool for estimating the developmental status of the child? What does this tool test for?

A

The Denver II Screening test which compares the child’s performance on a variety of tasks to ther performance of other children at that age. The tests check four general areas of development:

  • Gross Motor
  • Fine Motor Adaptive
  • Personal/Social
  • Language
35
Q

Describe how the results of a Denver II screen are represented and interpreted.

A

Each activity has a box associated with it that spans across an age scale in months. The left most part of the box represents the age at which 25% of babies can do the activity and the right most part represents the age at which 90% of babies can do the activity. The right quarter of the box is shaded. If the child’s age falls within the shaded part of the box and they cannot complete a task then that is marked as a “concern.” If the childs age is to the right of the box and the child cannot complete the task, that is marked to be a “developmental delay” and some sort of intervention is required. Refer to image

36
Q
A

B

37
Q

What are the major developmental red flags?

A
  • Abnormal or absent primitive reflexes at birth
  • Persistent fisting at 3 months (neuromotor deficit)
  • Failure to reach for objects at 6 months
  • Absent smile at 3 months
  • Absent babbling at 6 months (hearing defecit)
  • Persistent mouthing of objects at 12 months (cognitive deficit)
  • Advanced non-communicative speech at 1.5 years
  • Speech articulation errors
  • Regression from any previously acquired skill
  • Restricted interest and sterotyped behaviors (repetitive body movements or repetitive movement of objects)