STUDY FILE - GROWTH & DEVELOPMENT Flashcards
Growth
the increase in height and weight.
Development
the acquisition of skills and abilities.
Both of these are influenced by genetics, environment, and nutrition.
growth & devlopment
Cephalocaudal
head to tail - how we grow - why babies have big heads
Child gains control of their ____ before legs.
head
Proximodistal
starts in the center and progresses to the periphery.
Child gains control of ____ before arms and legs.
trunk section
Differentiation
simple to complex progression of achievement for developmental milestones.
The child ____ before they walk.
crawls
The 5 Stages of growth and development (hint: + + x x +) start w/ 0+1 ,1+2
Infant: birth to 1 year
Toddler: 1 to 3 years
Preschool: 3 to 6 years
School-aged: 6 to 12 years
Adolescence: 12 to 18 years
Infant - what years
birth to 1 year
Toddler - what years
1 to 3 years
Preschool - what years
3 to 6 years
School-aged - what years
6 to 12 years
Adolescence - what years
12 to 18 years
Developmental Milestones Fine Motor 2-3 Months
Grasps toys, can open and close hands
Eyes follow object to midline
Blows bubbles
Developmental Milestones Fine Motor 6-8 Months
Bangs objects on table
Can transfer objects from hand to hand
Start of pincer grasp
Developmental Milestones Fine Motor 1 year
Can hold crayon, may mark on paper
Begins to use objects correctly
Developmental Milestones Fine Motor 2-3 years
Learning to dress self
Can draw simple shapes
Developmental Milestones Fine Motor 4-5 years
Dress independently
Uses scissors
Learning to tie shoes
Brushes teeth
Developmental Milestones Gross Motor 2-3 Months
Raises head and chest when laying on stomach
Supports upper body with arms when lying on stomach
Stretches legs out and kicks when lying on stomach/back
Developmental Milestones Gross Motor 6-8 Months
Can roll from side to side
Can sit unsupported by 7 or 8 months
Supports whole weight on legs
Developmental Milestones Gross Motor 1 year
Pulls self up to stand
Walks holding on to furniture
May walk 2-3 steps independently
Developmental Milestones Gross Motor 2-3 years
Jumps
Kicks ball
Learning to peddle tricycle
Developmental Milestones Gross Motor 4-5 years
Goes up and down stairs independently
Throws ball overhand
Hops on one foot
Growth + Development by Age - Weight of an Infant
Doubles by 5-6 months
Triples by 1 year
Growth + Development by Age - Height of an Infant
Increase of 1 ft by 1 year of age
Growth + Development by Age - Teeth of an Infant
Eruption by 6 months
Has 6-8 deciduous teeth by 1 year of age
Growth + Development by Age - Weight of an Toddler
Gains 8 oz+ a month from 1-2 years
Gains 3-5 lbs a year from 2-3 years
Growth + Development by Age - Height of an Toddler
From 1-2 years of age, grows 3-5 inches per year
From 2-3 years of age, grows 2-2.5 inches per year
Growth + Development by Age - Teeth of an Toddler
By age 3 years, has 20 deciduous teeth
Growth + Development by Age - Weight of an Preschool
Gains 3-5 lbs a year
Growth + Development by Age - Height of an Preschool
Grows 1.5-2.5 inches a year
Growth + Development by Age - Teeth of an Preschool
no data given in PP
Growth + Development by Age - Weight of an School-Age
Gains 3-5 lbs a year
Growth + Development by Age - Height of an School-Age
Grows 1.5-2.5 inches a year
Growth + Development by Age - Teeth of an School-Age
no data given in PP
Growth + Development by Age - Weight of an Adolescence - Girls
Girls (during puberty): gain 15-55 pounds
Growth + Development by Age - Weight of an Adolescence - Boys
Boys (during puberty): gain 15-65 pounds
Growth + Development by Age - Height of an Adolescence - Girls
Girls (during puberty): 2-8 inches. Girls usually stop growing taller ~2 years after menstruation begins.
Growth + Development by Age - Height of an Adolescence - Boys
Boys (during puberty): 4.5-12 inches
Growth + Development by Age - Teeth of an Adolescence
no data given in PP boys or girls
How long does puberty usually last
2-5 years
Girls usually stop growing taller ~2 years after
menstruation begins.
Newborns should be in what type of car seat
a federally approved rear-facing car seat at a 45 degree angle
What is the purpose of the 45 degree angle for car seats
to prevent slumping and airway obstruction.
Newborn infants will need as check-up with the healthcare provider when
72 hours after discharge,
Breast feeding provides what type of diet during the first six months
a complete diet for infants during the first 6 months.
Iron-fortified formula is an acceptable alternative to what.
breast feeding
What diet is not recommended for infants
Cow’s milk is not recommended.
Vitamin D prevents
rickets.
What is recommended for infants who are exclusively breastfed after 4 months of life.
Iron supplements
Avoid what liquids during the first 4 months.
water and juices
Solids are introduced around what age
4-6 months.
Bottle weaning can be done when
the child shows signs of readiness.
Nocturnal sleeping patterns are established by what age
3 to 4 months.
Infants should sleep how many hours a day and night around 4 months
15 to 15 hours a day, and 9 to 11 hours at night
Infants sleep throughout the night and take 1 to 2 naps a day by what age
12 months.
Infants - Injury Prevention - what are the 8 things that are most common injuries
Aspiration of foreign objects (stuff left out)
Bodily harm (formula temps to hot / h20 to hot)
Burns
Drowning (never leave alone in bathtub or near pool)
Falls (never leave unattended on changing table / bad balance)
Poisoning (put things in mouth - that is how babies explore)
MVC (use approved car seat / 45 degree angle)
Suffocation (bags, putting things in mouth)
Three ways to prevent aspiration
Hold for feedings, do not prop bottle
Small objects should be avoided
Age appropriate toys
What immunization is given at Birth
Hep B
What immunizations are given at 2 months
diphtheria and tetanus toxoids and pertussis (DTaP); Rotavirus (RV); inactivated poliovirus (IPV); Haemophilus influenzae B (Hib); pneumococcal vaccine (PCV); Hep B.
(DTaP)
diphtheria and tetanus toxoids and pertussis (DTaP)
(RV)
Rotavirus (RV);
(IPV)
Inactivated poliovirus (IPV)
(Hib)
Haemophilus influenzae B (Hib);
(PCV)
pneumococcal vaccine (PCV);
What immunizations are given at 4 months
DTaP; RV; IPV; Hib; PCV
What immunizations are given at 6 months
DTaP; IPV (6-18 months); PCV; Hep B (6-18 months); RV; Hib.
What immunizations are given at 6 – 12 months
season flu (trivalent inactivated flu vaccine is available IM).
Establish lifelong eating habits when
in childhood.
Toddlers (1 - 3 Years) are what type of eaters
picky eaters and develop taste preferences.
Toddlers (1 - 3 Years) should consume how much milk each day
24 to 28 oz of milk a day.
When can toddlers (1 - 3 Years) switch to low fat milk
around 2 years old.
In toddlers (1 - 3 Years) limit what liquid
Limit juice consumption.
In toddlers (1 - 3 Years) - Avoid foods that are what type of hazard / and babies for that matter
choking hazards.
Toddler (1 - 3 Years) generally prefer these types of foods for increasing autonomy
finger foods for increasing autonomy.
Toddlers (1 - 3 Years) typically sleep about how many hours a day? Does this include a nap and if so, how many?
about 11 to 12 hours a day, including one nap.
Naps often are eliminated in what toddler (1 - 3 Years)
the older toddler.
Resistance to bedtime and expression of fears is common in what age group
Toddlers
In toddlers (1 - 3 Years) - Maintaining a regular bedtime and bedtime routines are helpful to
promote sleep.
It what age should a toddler (1 - 3 Years) be established with a dentist
by 1 year old.
In toddlers (1 - 3 Years) - Flossing and brushing should be done by whom and when
the caregiver – after meals and at bedtime.
In toddlers (1 - 3 Years) - Dental caries are seen more often in children put to bed with what
juice or milk.
Toddlers (1 - 3 Years) – Injury Prevention
Aspiration of foreign objects
Bodily harm
Burns
Drowning
Falls
MVC
Poisoning
Suffocation
When toddlers (1 - 3 Years) around, firearms should be
locked up
Teach toddlers (1 - 3 Years) about _______ danger
stranger
In toddlers (1 - 3 Years) - to help prevent drowning injuries do these two things
teach to swim; monitor by pools; put up a fence
12 to 15 months
IPV; Hib; PCV; MMR; Varicella.
12 to 23 months
Hep A (given in 2 doses at least 6 months apart).
15 to 18 months
diphtheria, tetanus, and acellular pertussis.
12 to 36 months
yearly flu vaccine. (must be at least 2 for nasal spray).
Preschoolers (3-6 Years) consume how mayn calories as compared to adults
half the amount of calories as adults.
Preschoolers (3-6 Years) and Picky eating, what happens?
can continue in this stage, but typically subsides around age 5.
How many grams of protein do preschoolers (3-6 Years) need?
They need 13-19 g/day of protein
Preschoolers (3-6 Years) need adequate amounts of which vitamins and minerals (Hint: FICCA)
calcium, iron, folate, and vitamins A and C.
Preschoolers (3-6 Years) should have how many servings of fruit and veggies each day?
5 servings of fruits and veggies a day
How much screen time should preschoolers (3-6 Years) get?
2 hours or less of screen time
What type of drinks should be avoided in preschoolers (3-6 Years) ?
sugary drinks
How much physical activity should preschoolers (3-6 Years) get
1 hour of physical activity a day. (running / playing, etc. all considered physical activity)
Preschoolers (3-6 Years) on average need how much sleep
about 12 hours of sleep a day
Do preschoolers (3-6 Years) often take naps?
infrequently take naps.
In Preschoolers (3-6 Years) what can happen regarding sleep?
Sleep disturbances can occur.
In preschoolers (3-6 Years) , keep What kind of bedtime schedule
a consistent bedtime routine.
For preschoolers (3-6 Years) use this in the room to help promote sleep
Use a night-light in the room.
For preschoolers (3-6 Years) , provide them with this to help promote sleep
a favorite toy.
For preschoolers (3-6 Years), leave this besdie the bed?
Leave a drink of water by the bed.
Reassure frightened preschooler (3-6 Years), but avoid this?
allowing them to sleep with parents.
Primary teeth eruption is finalized in what age group?
preschoolers
In preschoolers (3-6 Years), parents need to supervise and assist with
teeth brushing and flossing.
in preschoolers (3-6 Years), this type of trauma is common and should be immediately assessed by what type of Dr.?
Tooth trauma, dentist.
Preschoolers (3-6 Years) – Injury Prevention
Bodily Harm
Burns
Drowning
MVC
In preschoolers (3-6 Years), use these items to help prevent bodily harm
Helmets, knee pads, elbow pads
In preschoolers (3-6 Years), when the forward facing car seat is outgrown, what should be used?
a booster seat
In preschoolers (3-6 Years), us an approved car restrain system until when?
they are 4’9” or 8-12 years old.
Which immunizations should happen at 4 to 6 years
DTaP; MMR; Varicella; IPV
Which immunizations should happen at 3 to 6 years
Yearly flu vaccine
By the end of which period should kids eat adult portions?
School-Age (6-12 years)
Obesity is a concern for this group – use methods to help reduce this
School-Age (6-12 years) / WHAT METHODS??
School-Age (6-12 years), sleep is highly variable and depends on
Age
Level of activity
Health status
School-Age (6-12 years) should get approx how much sleep each night by age 11
~9 hours of sleep a night by age 11.
Resistance to bedtime typically resolves around what age?
age 12.
First permanent teeth erupt around what age?
age 6.
School-Age (6-12 years), this regular activity - must?
teeth brushing is a must.
School-Age (6-12 years) should floss how often?
Floss daily.
School-Age (6-12 years) should have regular dr appointments w/ _______and this treatment should be done regularly?
Regular dental appointments.
Regular fluoride treatments
School-Age (6-12 years) – Injury Prevention - most common types of injuries?
Bodily harm
Burns
Drowning
MVC
Poisoning/substance abuse