Pediatric Growth & Development Flashcards
Sensorimotor Stage
Birth to 2 years
- knowledge gained on physical interaction/experiences & sense
- Progress from reflex behavior –> simple repetitive tasks –> imitating activity
- crucial events: object permanence, physical mobility, separation
Object Permanence
infant realizes that objects continue to exist even when they can no longer see them; correlates to the development of memory
Separation
infant learns to differentiate themselves from the objects in the environment; occurs with separation anxiety/stranger anxiety (major stressor from like 6-7 months to 3 years of age)
Infancy Cognitive development
- Sensorimotor Stage
- Trust vs. mistrust
Trust vs. Mistrust
Birth to 12 months
- complete dependency on caregiver for all needs to be met
- Process: child expresses need through crying –> caregiver hears sounds & determines what the need is –> caregiver meets the need –> infant learns to express their needs & know they will be met
- positive outcome: hope, build a sense of trust & bond attachment with caregiver
- negative outcome: mistrust of people, environment & themselves
Play in infancy
- solitary: need to be played with too, not just left alone
- need interaction with others via talking, singing, reading, rocking, etc..
- Sensorimotor stimulation: visual, auditory, tactile & kinetic learning
- play peek-a-boo (encourage memory & object permanence)
- toys: rattles, soft cloth books, mobiles, teething toys, books with texture, blocks
Care of hospitalized infant
- encourage attachment: caregiver at bedside
- appropriate stimulation: pacifier, Lovie, music, eliminate negative stimulation
- meet needs immediately
- separation anxiety normal
- consistency in care
Cognitive development of toddlers (12 months - 3 years)
-sensorimotor stage through 24 months
-language skills: main development
-inability to transfer information: repeat behaviors to see if the same result will occur each time the object does the same behavior
-inability to categorize
-egocentrism
pre-conceptual/pre-operational for 2-4 years (can’t think in a logical manner, problem solving is based on what they see/hear, not what they can recall)
-Autonomy vs. Shame/Doubt
Autonomy vs. Shame/Doubt
1 - 3 years
- Negativism
- Ritualistic
- Animism
- Individualism
- Conflict occurs between the need to develop autonomy & giving up dependence on others
- Positive outcome: willpower
- Negative outcome: shame/doubt, lack of independence
Negativism
the practice of being negative or skeptical in attitude while failing to offer positive suggestions (toddlers love to say no)
Animism
giving lifelike qualities to an inanimate object
Individualism
child has separated themselves
- still need/depend on loved ones, but have autonomy
- experience less stranger-danger
Egocentrism
cognitive inability to see a situation from another person’s view/perspective
Play of the toddler
- parallel play: alongside but not with each other
- imitative
- freedom of expression
- talking, reading, music, imitating animal sounds
- toys: push/pull, trucks, balls, finger paints, puzzles, blocks, dolls, reading, tactile, bubbles, sand
Care of the sick toddler
- encourage autonomy
- ritualism: stick to bedtime routines, eating, playing, etc…
- inability to conserve: give as small cup as possible with liquid meds
- separation: promote parents at beds
- anxiety/fear the their body is going to leak out; fear invasive non-painful procedures
- regression of developmental milestones (ie. potty training)
- play: for coping, distraction…
Pre-operational Cognitive Development
2 -7 years
- egocentrism shifting to the beginning of social awareness & ability to consider other points of view
- transductive thinking
- animism
- irreversibility
- magical thinking: thoughts are all-powerful
- inability to conserve: judge what they see by the immediate perceptual clues
- global organization: if you change one thing, you change their whole world
- centration
- time: vague, base don what they know
Transductive thinking
unable to perceive from general to specific (deduction) or specific to general (induction)