Self Study Flashcards
Bilateral Hand Use and Dominance
Birth to 6 months
Pre-reaching: infant will reach for or swat at a dangling object in visual field with either hand but is rarely successful before 4 months
• By 5 months infant makes contact with object
Bilateral Hand Use and Dominance
7 to 12 months
- At 7 months, able to reach for objects with one hand or both hand simultaneously; no preference for handedness
- At 8 months, begins coordinated movement and uses both hand cooperatively when reaching
- At 9 months, transfers objects from one hand to another and can hold object in each hand
- At 12 month, will bring hands together in front of chest; will play with fingers or toys in this position
Bilateral Hand Use and Dominance
18 months
• Stabilizes with one hand, manipulated object with the other (e.g. holds drum with one hand while other hits with stick)
Bilateral Hand Use and Dominance
24 months
• Begins to display pattern for hand preference
• Uses both hands to manipulate objects
• Increased differentiation of function when both hands are used together
• Hand assuming the dominant role performs the finer manipulations, and
the other hand assists by stabilizing, positioning, or moving the object that is being manipulated/ worked on
Bilateral Hand Use and Dominance
3 years old
• By 30 months, developing ability to do bilateral activities such as cutting with scissors and stabilizing paper for colouring
Bilateral Hand Use and Dominance
4 years old
The functions of each hand are becoming more separate and coordination becomes for refined
Bilateral Hand Use and Dominance
5 years old
• For most children, hand dominance is established
• Dominant hand is used more consistently for the finer manipulative
skills and develops very refined coordination
• Non-dominant hand develops skills in manipulating, stabilizing, and
positioning objects
Bilateral Hand Use and Dominance
6 years old
• For most children, hand dominance is established
• Dominant hand is used more consistently for the finer manipulative
skills and develops very refined coordination
• Non-dominant hand develops skills in manipulating, stabilizing, and
positioning objects
Bilateral Hand Use and Dominance
7 year old
• Stabilizing paper with one hand while writing/ drawing with the other
• Using scissors with one hand and turning the paper with the other
• Using one hand to zip up clothes while the other hand is holding
• Screw on lids of jars
• Opening and closing plastic food containers
• Folding paper into paper airplanes
• Putting together and pulling apart building blocks
• Making simple sandwiches
• Stirring ingredients in a bowl while holding onto the bowl with one hand
• Playing a card game including shuffling, dealing and holding the fanned
out cards with one hand
• Beading a bracelet by threading beads onto a string
Dressing Development
birth to 6 months
- May begin to assist by holding out arms and feet
* May begin to assist by pushing sleeves and legs through pants
Dressing Development
7 to 12 month old
- Assists with dressing by holding out arms and feet
* Pushes arms through sleeves and legs through pants
Dressing Development
18 months old
- Will begin to assist with dressing by taking off hat, socks, shorts/pants
- Holds arms and legs out for dressing, pushes arms and legs through sleeves and pants
- Hold foot out for shoe
Dressing Development
24 months old
- Removes clothes (without buttons), diaper
- Removes shoes with laces untied
- Pulls pants down with assistance
Dressing Development
The 3 year old
up to 30 months
- Put on simple clothing such as hats or pants with elastic waist
- Pulls pants down with assistance
- Put on front button shirt/coat
- Unbuttons large buttons
- Finds armholes in shirt and helps push down
- Removes unfastened coat/jacket
- Helps with pulling socks on
- Removes shoes if laces untied
Dressing Development
The 3 year old
up to 36 months
• Puts on shoes (maybe wrong feet, no laces)
• Puts on t-shirt with minimal assistance, takes off
with assistance
• Puts on socks
• Pulls down and puts on pants without assistance
• Zips/unzips once on track
• Buttons/unbuttons large front buttons
Dressing Development
The 4 year old
- Buttons front-opening clothing
- Removes t-shirt independently
- Puts on socks correctly
- Knows front and back of clothing
- Puts on shoes with little assistance
Dressing Development
The 5 year old
Dresses without assistance
• Places shoes on correct feet and laces shoes with adult coaching
• Zips coat, does buttons
• Ties and unties knots
Dressing Development
The 6 year old
- Ties shoes
* Dresses/undresses without help • Zips/unzips
Physical development
1 Month
• Birth weight may drop but will be regained quickly
• Hand, arm, leg and rooting movements are all reflex
motions
• Head flops if not supported
• Focuses eyes at 18-45 cm
• Stares at high contrast patterns and objects but does
not reach
• Recognizes primary caregiver’s voice
• Startles at noise
Physical development
2 month
- Muscles relax and less twitching
* Lifts head about 45 degrees when in prone
Physical Development
3 months
- Stretches out arms and legs
- Rolls over from back to side
- Responds to detailed, high contrast objects
Physical Development
4 months
- Rolls from front to side
- Lifts head about 90 degrees
- Sits with arms propped
Physical Development
5 months
- Rolls over from front to back
* Grabs toes and feet
Physical Development
6 months
• Holds head steady • Sits with back straight when supported • Rolls in both direction • Weight will be doubled from birth weight by gaining 120-240 grams per week
Physical Development
7 to 12 months
- Weight gain usually slows to 15 grams per day
- Birth weight usually triples between 9 - 12 months of age
- Head circumference and height have increased
- Develop basic visual skills of size, shape and colour
- Teeth begin to erupt
Physical Development
18 months
- Continues at a steady pace, however, as the child becomes more active, they gradually become leaner because they lose fat around the face and abdomen
- Upper and lower first molars erupt from 12 to 18 months
Physical Development
24 months
• Gains height and weight at approximately the same pace as the previous year
Physical Development
3 year old
- Shows signs of readiness for toilet training (e.g., diapers stay dry for 1 1⁄2 to 2 hours)
- Improved bowel and bladder control
Physical development
7-9 years
- Most girls experience preadolescent growth spurt at this time
- Brain development is characterized by growth of specific structures, especially frontal lobes
Physical development
9-11 years
- Most boys experience preadolescent growth spurt at this time
- Most girls begin puberty around 11-12 years: increased levels of estrogen; grow taller; hips widen; breasts become rounder and larger; hair growth on legs, under arms and around genitalia
Physical development
12 + years
- Most girls around age of 12 or 13 years begin menstruating
- Most boys begin puberty around 12 to 14 years: increased levels of testosterone; grow taller, heavier, and stronger; voices deepen; shoulder broaden; hair growth under arms, on face and around genitalia
Fine Motor Development
Birth to 6 Months
- Grasping reflex (up to 4 months): item held for few second when placed in palm
- Open hand position (approximately 3 months): will begin to keep the hands in an open position
- Ulnar palmar grasp (4-5 months): will pick up an object using palm and along the outside border of the hand
- Palmar grasp (5-6 months): object is secured in the center of the palm in the palmar grasp; there is lack of thumb use; infant does not have ability to use more precise movements; object is in the center of the palm
- Will begin to reach for and grasp objects
- Engages hands in midline
- Follows objects with eyes left, right, up, and down
- Begins purposeful visually directed reaching
- Transfers objects from one hand to the other
- Can pick up cube (or similar medium sized object)
- By 6 months, will hold an object and bang, shake, drop or throw it
Fine Motor Development
7 to 12 Months
- Radial palmar grasp (6-7 months): Object is secured at the radial side of the palm. Ulnar fingers flexed for stability and the thumb is beginning to oppose and actively press the object into the palm.
- Raking Grasp (7-8 months): Flexion of radial finger to bring the objects into the palm.
- Radial digital grasp (8-9 months): Full opposition of the thumb to help secure the object, and the flexion of the ulnar fingers for stability
- Inferior pincer grasp (8-9 months): Involves the adduction of the thumb to secure the object against the extended index finger
- Pincer grasp (10-12 months): Full opposition of the pad of the thumb and bad of the index finger to secure the object while using this grasp.
- Able to transfer objects from one hand to the other
- Able to pick up small items using tips of thumb and first finger
- Able to feed self with assistance
- Able to take things out of containers (e.g. blocks)
- Able to clap hands or bang toys together at midline
Fine Motor Development
18 months
• Points with index finger
• Superior pincer grasp (12-18 months): pick up and release a small
objects (e.g. piece of cereal) by using the tip of first finger and thumb
while holding wrist off of the surface
• Able to hold eating and writing tools (e.g. spoon or marker) using
thumb, fingers and palm
• Starts using spoon by bringing it to mouth
• Imitates clapping/waving
• Able to scribble with a crayon
• Able to stack three or more blocks
• Able to hold a regular cup or glass and drink from it without spilling
Gross Motor Development
Birth to 6 months
Reflexes
- Asymmetrical tonic neck reflex: infant in supine, head turned towards one side, one arm and one leg is extended in the direction in which the head is facing; typically disappears by 4-6 months
- Rooting reflex: infant will turn head towards breast or bottle when corner of mouth is stroked in search of something to suck (disappears by 3 months)
- Suck/swallow reflex: starts to suck reflexively if finger/nipple touches mouth, gradually replaced by voluntary sucking
Gross Motor Development
Birth to 6 months
Supine
• By 6 months, head and leg lift for foot play
Gross Motor Development
Birth to 6 months
Pull to sit
• At birth, no head control (head falls back) when lifted
• At 3 months, good head control with some head bobbing
• At 5 months, head lifts in anticipation of being picked up
by caregiver
Gross Motor Development
Birth to 6 months
Sitting
• Newborn has a curved back when in sitting
• At 1 month, in supported sitting, head is held up for
several seconds
• At 2 months, in supported sitting, holds head up but can
bob back and forth
• At 3 months, in supported sitting, holds head steady for
several seconds with lumbar curve in back
• At 5 months, infant is able to respond with sideways tilt,
no arm support