Week 7 Flashcards

(76 cards)

1
Q

Growth

A

increase in physical size

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2
Q

development

A

Sequential process by which infants and children gain various skills and functions

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3
Q

Maturation

A

Increase in functionality of various body systems or developmental skills

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4
Q

Assessing growth and development of a premature infant

A

Use infant’s adjusted age to determine expected outcomes
Subtract number of weeks infant was premature from infant’s chronologic age
Plot growth parameters and assess developmental milestones based on adjusted age

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5
Q

ways to assess achievement of milestones

A

Ask parent if skill is present and, if so, when attained
Infant may demonstrate skill during interview

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6
Q

Screening Tools for developmental delay

A

rourke baby record
denver II developmental
ages and stages questionnaire
Looksee (Nipissing region)

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7
Q

growth of toddler

A

Height and weight increase in spurts
Height increases 10-12 cm (4-5 in) per year
Generally reaching half of adult height by age 2
Weight increases 1.36-2.27 kg (3-5 lb) per year
Fontanels close by 18 months
Head size more proportional to body by age 3

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8
Q

growth of preschooler

A

Average growth of 6.5 to 7.8 cm (2.5 to 3 in) per year
Average weight gain of 2.3 kg (4 to 5 lb) per year
Loss of baby fat and growth of muscle
Length of skull increases slightly; lower jaw more pronounced; upper jaw widens

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9
Q

growth of school aged child

A

Grow an average of 5 to 7 cm (2.5 in) per year
Total increase in height of 30 to 60 cm (1 to 2 ft)
Increase in weight of 3 to 3.5 kg (4 to 6 lb) per year
Secondary sexual characteristics begin to appear

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10
Q

growth of adolescents

A

Rapid growth with dramatic changes in body size and proportions, second only to growth in infancy
Sexual characteristics and reproductive maturity occur

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11
Q

onset of puberty (ages)

A

Girls: 9 to 10 years old
Boys: 10 to 11 years old

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12
Q

what is puberty

A

Triggered by secretion of hormones
Girls: estrogen
Boys: testosterone
phys development, hormonal changes, sexual maturation

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13
Q

peak height velocity

A

Girls: 12 years of age
Boys: 14 years of age

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14
Q

infant neurological system

A

Newborn states of consciousness
Newborn primitive reflexes

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15
Q

toddler neurological system

A

Brain and spinal cord reach full size by age 2

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16
Q

preschoolder neurological system

A

Spinal cord myelination: bowel, bladder control

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17
Q

school aged child neuro system

A

Brain and skull grow very slowly
Shape of head is longer
Growth of facial bones changes facial proportions

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18
Q

Adolescents neuro system

A

Growth of myelin sheath enables faster neural processing

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19
Q

infant resp system

A

Narrower nasal passages
More compliant trachea and chest wall
Shorter and narrower bronchi and bronchioles
More funnel-shaped larynx
Larger tongue
Significantly fewer alveoli

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20
Q

toddler resp system

A

Alveoli increase in number until age 7
Trachea and airways continue to grow but are still small compared with those of an adult

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21
Q

preschooler resp system

A

Respiratory structures continue to grow in size; number of alveoli increase
Eustachian tubes remain short and straight

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22
Q

school aged child resp system

A

Continues to mature with development of lungs and alveoli
Respiratory rates decrease
Respirations diaphragmatic in nature

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23
Q

adolescent resp system

A

Increase in diameter and length of the lungs; respiratory volume and vital capacity increase

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24
Q

infant cardio system

A

Heart: doubles in size
Average pulse rate: decreases from range of 120 to 140 in newborn to about 100 in 12-month-old
Blood pressure: steadily increases from 60/40 in newborn to 100/50 in 12-month-old
Peripheral capillaries: closer to skin surface in newborn and young infant, increasing heat loss
Thermoregulation: becomes more effective

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25
toddler cardio system
Heart rate decreases Blood pressure increases
26
preschoolder cardio system
Heart rate decreases; blood pressure increases slightly; innocent heart murmur may be heard
27
school aged child cardio system
Blood pressure increases Pulse rate decreases
28
adolescents cardio system
Size and strength of heart increases Systolic blood pressure increases Heart rate decreases
29
infant GI system
Eruption of teeth Increase in capacity of stomach and intestines Increased production of digestive enzymes Liver begins to conjugate bilirubin and secrete bile Consistency and frequency of stools change
30
Toddler GI system
Stomach increases in size Small intestine grows in length Stool passage decreases in frequency to 1-2 a day
31
Preschoolder GI system
20 deciduous teeth should be present Small intestine grows in length
32
school aged child GI system
Deciduous teeth replaced by permanent teeth Fewer GI upsets Stomach capacity increases Caloric needs are lower
33
adolescents GI system
Full set of permanent teeth Liver, spleen, kidneys, and digestive tract enlarge
34
Infant Genitourinary System
Greater % of body weight in extracellular fluid (35%) Greater susceptibility to dehydration Greater frequency of urination Relatively lower specific gravity of urine Immature renal structures Reduced glomerular filtration rate, tubular secretion and reabsorption and renal perfusion
35
Toddler Genitourinary system
Kidneys reach adult function by 24 months of age Bladder capacity increases , allowing longer retention
36
preschooler genitourinary system
Urethra remains short, susceptible to UTIs
37
school aged child genitourinary system
Bladder capacity increases Prepubescent occurs
38
toddler musculo system
Bones increase in length; pot-bellied appearance due to weak abdominal muscles until 3 years old
39
preschooler musculo system
Bones lengthen, muscles strengthen and mature
40
school aged child musculo system
Greater Coordination and strength Muscles still immature and can easily be injured Bones continue to ossify Mineralization not complete until maturity
41
adolescents nusculo system
Ossification occurs earlier in girls, in late adolescents in boys Shoulder, chest, and hip breadth increase in middle adolescence
42
infants integumentary system
Vernix caseosa (white, greasy substance) Covers fetus in utero, preterm newborn Found in folds of skin, axilla, groin of term newborn Lanugo (fine, downy hair) Covers body of many neonates; lost over time Milia (tiny white bumps on nose, cheeks, or chin) Baby acne (bright red raised bumps on face, torso) Acrocyanosis (blueness of hands and feet) Mottling (pink-and-white marbled appearance)
43
adolescents integumentary system
Skin becomes thick and tough; Sebaceous glands are more active; Sweat glands function at adult level
44
infant immune system
Immunoglobulin G (IgG) Delivered through placenta to fetus from mother Confers immunity during first 3 to 6 months of life for antigens mother was previously exposed to Then, synthesized by infant, reaching 40% of adult levels by age 12 months IgM Produced abundantly after birth, reaching adult levels by 9 months of age IgA, IgD, and IgE Gradual increase in production until early childhood
45
School aged child immune system
Matures to adult level around 10 years old; fewer infections experienced
46
infant gross motor skills
Phenomenal increases in first 12 months of life Movements using large muscles (head control, rolling, sitting walking) Develop in a cephalocaudal (head-to-tail) fashion
47
infant fine motor skills
Movements using small muscles of hands and fingers (grasping, self-feeding, self-dressing) Develop in a proximodistal (centre-to-periphery) fashion
48
toddler gross motor skills
Running, climbing, jumping, pushing or pulling a toy, throwing a ball, pedaling a tricycle
49
toddler fine motor skills
Reaching, grasping, releasing, stacking, turning pages, removing socks and shoes, building block towers, holding utensils and crayons
50
school aged children gross motor skills
Coordination, balance, and rhythm improve Bicycling, jumping rope, dancing, skating, swimming
51
school aged children fine motor skills
Refined due to myelination of central nervous system Hand-eye coordination and balance improve Writing, printing words, sewing, building models
52
adolescents gross motor skills
Endurance increases Middle adolescence: increased speed, accuracy, coordination
53
adolescents fine motor skills
Greatly increased due to use of computers Early adolescence: increased ability to manipulate objects; improved finger dexterity, handwriting Middle adolescence: refining of dexterity skills Late adolescence: precise hand-eye coordination
54
Sensory Development Warning Signs
Young infant does not: Respond or startle to loud noises Follow a moving object by 2 to 3 months Focus on a near object Start to make sounds or babble by 4 months Turn to locate sound at age 4 months Infant has persistent crossing or wandering of eyes at any age
55
toddler sensory development
Use of all senses to explore the world Vision progresses Depth perception matures Hearing at adult level Sense of smell matures Taste discrimination not completely developed
56
school aged children sensory development
All senses are mature Typical child has 20/20 vision acuity Vision problems frequently identified in school-age children Amblyopia (lazy eye: reduced vision in an eye not adequately used during early development)
57
Language Development Warning Signs
Infant does not: Make sounds at 4 months of age Laugh or squeal by 6 months of age Babble by 8 months of age Point to desired objects at 12 months of age Use two to three single words with meaning at 12 months of age (mama, dada)
58
toddler language development
Receptive language development The ability to understand what is being said or asked Typically far more advanced than expressive language development Echolalia: repetition of words and phrases without understanding Telegraphic speech: speech that contains only the essential words to get the point across
59
preschooler language development
Not capable of abstract thought (e.g., death) Acquisition of language allows expression of thoughts and creativity Transition from telegraphic speech at age 3 years to sentences adult-like in structure at age 5 years Increased fluency
60
school aged children language development
Vocabulary expands Culturally specific words are used Reading efficiency improves language skills More complex grammatical forms are used Development of metalinguistic awareness occurs Metaphors are beginning to be understood
61
adolescents language development
Improved communication skills, using correct grammar and parts of speech Increased vocabulary Use of slang, making communication with people other than peers more challenging By late adolescence, language skills comparable to those of adults
62
infant social and emotional development
Stranger anxiety Indicates infant recognizes self as separate from others Separation anxiety Infant becomes distressed when parent leaves Temperament Ranges from: Less or moderately active, regular, and predictable To highly active, more intense, and less adaptable Cultural differences
63
toddler social and emotional development
Separation Seeing oneself as separate from the parent Individuation Forming a sense of self and independence Exerting control over one’s environment Leads to emotional lability (temper tantrums) Egocentrism Focus on self
64
typical behaviours of the toddler
May rely on a security item Becomes aware of gender differences May display aggressive behaviours Becomes more self-aware, but does not have clear body boundaries May express separation anxiety again Expresses temperament (easygoing, difficult, slow-to-warm-up) May show fear of loss of parents and of strangers
65
social and emotional development of preschooler
Cooperation Sharing (of things and feelings) Kindness Generosity Affection display Conversation Expression of feelings
66
social and emotional development of school aged child
temperament self esteem body image peer relationships family and cultural influences habits, beliefs, values
67
social and emotional development of adolescents
Relationship with parents and siblings Changes and conflict, requiring adjustments and understanding of adolescent development Pursuit of self-identity and independence More time spent with peers Self-esteem linked to body size and shape, sexual characteristics, meeting societal standards Peers’ essential role in forming identity of adolescent
68
infant nutrition
Infant Nutritional Requirements Essential for growth and development Breastfeeding and bottle - feeding of infant formula both acceptable Cultural factors Needs related to the tremendous growth
69
breastfeeding
Breast milk composition Maternal-infant bonding Breast milk supply and demand Breastfeeding techniques Assess new mothers for pain on breastfeeding Exceptions to recommended breastfeeding
70
bottle feeding
Feeding patterns Types of formulas and bottles Special formulas Proper preparation Proper storage of formula Care of bottles Importance of fortification with iron
71
nutritional plan for first year of life
Progressing to solid foods (typically after 6 months) Assessing infant readiness Disappearance of tongue extrusion reflex Ability to swallow Production of sufficient amounts of enzymes Choosing appropriate solid foods Iron-fortified rice cereal mixed with breast milk or formula Introduction of one new food every 3 to 5 days Promoting healthy eating habit
72
toddler nutrition
Forming healthy eating habits early in life Diet high in nutrient-rich foods Weaning Timing depends on cultural and ethnic beliefs, mother’s work schedule, desired child spacing Inform mother of benefits of extended breastfeeding Weaning of bottle-feeding by 12 to 15 months Teaching about nutritional needs Advancing to solid foods
73
promoting self feeding in toddlers
Use a child -sized spoon and fork with dull tines Seat the toddler in a high chair or at a comfortable height in a secure chair Never leave the toddler unattended while eating Minimize distractions during mealtime Promoting healthy eating habits Preventing overweight and obesity
74
nutrition for school aged children
Calorie needs vary based on age, gender, and activity level Boys and girls 4 to 8 years old, moderately active 1,200 to 1,400 calories/day Boys 9 to 13 years old, moderately active 1,800 calories/day Girls 9 to 13 years old, moderately active 1,600 calories/day Promoting healthy eating habits and preventing overweight and obesity
75
nutrition for adolescents
Nutritional assessments to help guide food choices at home and in restaurants Evaluation of foods from different food groups eaten each day Number of times fast foods, snacks, other junk food eaten per week Calorie intake
76
sleep and rest
Hours of sleep needed per night: 6 to 8 years old: 12 hours 8 to 10 years old: 10 hours 10 to 12 years old: 9 to 10 hours Should have bedtime expectations and wake-up times Night terrors and sleepwalking may occur but should resolve by age 8 to 10 years