NB3-6 - Human Development 2 Flashcards

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1
Q

List the trends in grey and white matter development that we need to know.

A
  • Brainstem structures are myelinated first and before birth
  • Most grey matter growth is seen in the first year and by age 6 we’ve reached 90% of adult brain mass
  • Long range association fibers are what continue to myelinate throughout development
  • Synpatic density increases beyond what you think it would based on grey matter growth until about puberty. Afterwards, pruning continues throughout adolescence and adulthood giving the “U-shaped trajectory of synaptic density.”
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2
Q

After birth, with regions of the brain are the first and last to myelinate?

A

Earliest - primary motor and sensory

Latest - prefrontal, temporal, and parietal

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3
Q

What age range is considered early childhood? What are the major physical development milestones that occur during this time period?

A

3-7 years of age

  • Slow down in physical growth
  • Decrease in appetite
  • Sphincter control
  • Improvements in gross and fine motor skills
  • Handedness is established
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4
Q

What major cognitive development milestones are achieved during early childhood?

A
  • Can count
  • Working memory up to 4 things
  • Visuospatial skills (can draw shapes)
  • Episodic memories of past events
  • Continued expansion of language skills
    • uses 900 words
    • can tell stories
    • 90% intelligible
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5
Q

What major emotional development milestones are reached in early childhood?

A
  • Struggle for autonomy (terrible twos)
  • Development of secondary emotions (embarassment, jealousy, pride, etc)
  • Development of emotional regulation
  • Nightmares and monster fears
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6
Q

What major social development milestones are reached in early childhood?

A
  • Gender identity
  • Understanding social rules (turn taking, sharing, etc)
  • Imaginary play and cooperative play
  • Romantic feelings
  • Social conformity
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7
Q

What age range is considered middle childhood? What major physical development milestones are achieved in middle childhood?

A

Ages 7-12

  • Slow and steady height/weight (boys start to weight more than girls)
  • Permanent teeth
  • Refined motor dexterity, speed, and coordination
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8
Q

What major cognitive development milestones are achieved in middle childhood?

A
  • Law of conservation understood
  • Logical thinking
    • Seriation - can quantify differences
    • Transivity - understands transivite property
  • Can use mnemonics
  • Understands death
  • More language development
    • Shift from egocentric to social speech
    • Massive vocabulary expansion
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9
Q

What major emotional development milestones are achieved in middle childhood?

A
  • Begins to follow social “display rules” (ie - boys don’t show sadness, girls don’t show anger)
  • Language development facilitates cognitive regulation of emotion
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10
Q

What major social development milestones are achieved in middle childhood?

A
  • Participation in organized sport
  • Competency and competition
  • Understands fairness and generosity
  • Can understand other perspectives
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11
Q

What major physical developmental milestones are achieved in adolescence?

A
  • Hormonal increase
  • Development of secondary sex characteristics
  • Growth spurt
  • Change in sleep rhythms
    • Phase delay (go to bed later)
    • Reduced slow wave (restorative) sleep
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12
Q

What major cognitive developmental milestones are achieved in adolescence?

A
  • Enhanced complexity is added to the “Formal Operational Stage” of thinking. Child can consider theories, devise hypotheses, and examine cause and effect relationships
  • Problem-solving, planning, and multi-tasking
  • Can inhibit inappropriate behaviors in favor of goal-oriented behaviors
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13
Q

What major social/emotional developmental milestones are achieved in adolescence?

A
  • Highly motivated by emotional incentives
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14
Q

What factors are associated with slower language acquistion?

A
  • Male sex
  • Prematuritiy
  • Multiple gestation
  • Bilingualism
  • Low socioeconomic status
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15
Q

What other disorders could be implicated by a language delay?

A
  • Hearing Impairment
  • Intellectual Disability
  • Autism Spectrum Disorder
  • Language Disorders
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16
Q

Why are adolescents typically reward seeking and highly motivated by emotional incentives?

A

Because the emotional system (amygdala) and reward center (nucleus accumbens) matures earlier than the prefrontal pathways (regulation) connecting to these centers.

17
Q

What are the predominant health issues in toddlers?

A
  • Accidental injury
  • Poisoning
  • Drowning
  • Maltreatment/Abuse
18
Q

What are the predominant health issues in children ages 3-6? 7-12?

A
  • Ages 3-6
    • Injury due to trauma
    • Exposure to communicable diseases
  • Ages 7-12
    • Chronic medical conditions
    • Exposure to communicable diseases
    • Injuries
    • Learning or attention disorders
19
Q

What are the leading causes of infant and child mortality?

A

Infants (< 1yo) - congenital abnormalities, low birth weight/preterm, maternal birth complications, SIDS, and unintentional injuries

Ages 1-4 - unintentional injuries, congenital abnormalities, homicide, malignant neoplasms, heart diseases

20
Q

What is the single most powerful predictor of health for young children? Why

A

Poverty, because child poverty is associated with:

  • Poor nutrition
  • Higher risk for chronic conditions
  • Increased exposure to toxins
  • Hazardous housing conditions
  • Increased stress
  • Increased exposure to drugs and violence
  • Lack of access to health options
  • Lack of access to health care
21
Q

Why does child poverty often lead to academic delays?

A

Children from families with limited financial resources show reduced grey matter in the frontal lobe, temporal lobe, and hippocampus.

22
Q

What are the special challenges to adolescent health?

A
  1. BMI
  2. Early Sexual Activity
  3. Mental Health Concerns - Depression
  4. Tobacco and Drugs
  5. Risk-taking behavior
  6. Weapons
  7. Violence
23
Q

What are the leading causes of adolescent mortality in the US? The World?

A
  1. USA
    1. Accidents
    2. Suicide
    3. Homicide
  2. Globally
    1. Road Injury
    2. HIV
    3. Suicide
    4. Lower Respiratory Infections
    5. Interpersonal Violence
24
Q
A

C

25
Q
A

B

26
Q
A

D